The course will cover reptiles, pet mammals and captive birds.
Marie says the course will teach you how to approach exotic emergencies confidently, from clinical examination and forming differential diagnoses to medical and surgical approaches for common emergency presentations.
Marie will discuss both clinical management and the stabilisation and care of the critical patient, including fluid therapy, analgesia, contra-indicated medications and hospital cage requirements.
Welfare-focused euthanasia approaches will also be covered for different species.
Tickets cost £300 and the course is open to veterinary surgeons, veterinary nurses and students on a recognised veterinary or nursing course.
Lunch, tea, coffee and biscuits included.
https://evolutionexoticsreferrals.co.uk/cpd-booking-form/
The company says that the number of studies related to the dog and cat microbiome has increased by over 800% between 2012 and 20221, but that practical implementation of the research lags behind.
The event will cover topics ranging from nutrition and faecal microbial transplantation (FMT) for chronic enteropathy to controversies in the use of gastric acid suppressants and the roles of the gut-brain and gut-kidney axes in disease.
Speakers include Jan Suchodolski, MedVet, DrVetMed, PhD, AGAF, DACVM, who has published more than 340 peer-reviewed manuscripts in the field of veterinary gastroenterology and the microbiome, Kathrin Busch, DVM, Dr Med Vet, DECVIM-CA, Head of Small Animal Gastroenterology at Ludwig-Maximilians University, and Jessica Quimby, DVM, DACVIM (SAIM), PhD, International Renal Interest Society (IRIS) board member and winner of the IRIS Award 2018.
https://www.microbiomeforumevent2023.purinainstitute.com
The Disciplinary Committee of the RCVS has refused an application for restoration to the RCVS Register by Dr Janos Nemeth, who had previously been found to have fraudulently registered with the RCVS and struck off.
At the original hearing, in February 2009, Dr Nemeth - the holder of a veterinary science degree from the Szent István University in Budapest, who had practised in the Wokingham area of Berkshire - was found to have dishonestly entered his name in the RCVS Register using a forged document (a Certificate of Membership and Good Professional Behaviour from the Hungarian Veterinary Chamber). The Disciplinary Committee at that time found the evidence that the document was a forgery to be "overwhelming" and concluded that Dr Nemeth had been lying to them about his knowledge of the forgery. It directed that his name should be removed from the Register.
Dr Nemeth lodged an appeal against this decision with the Privy Council, but then took no further steps. Accordingly, the Privy Council dismissed Dr Nemeth's appeal and he was struck off in October 2009.
On lodging his application for restoration, Dr Nemeth had asserted he was not guilty of the original charge. The Committee was disappointed with this aspect of Dr Nemeth's application saying that he would be "well-advised to demonstrate some insight into the seriousness of the original findings."
The Committee emphasised that a finding of dishonesty against a member of the College is "one of great seriousness and never made lightly" and accepted that it may be considered "fundamentally incompatible with being a veterinary surgeon."
Questioning Dr Nemeth, the Committee was further disappointed to learn that he had not made himself more familiar with the RCVS Guide to Professional Conduct, or made a greater effort to keep up to date with veterinary practice in the UK, or provided documentary evidence of attendance at continuing professional development (CPD) meetings.
After considering all the facts presented to it, including the severe personal and financial impact on Dr Nemeth of his removal from the Register, the Committee was not satisfied that he was fit to be restored and did not consider it in the public interest to grant his application.
Acknowledging she could not bind a future Committee as to any further application for restoration by Dr Nemeth, Committee Chairman Mrs Caroline Freedman advised: "Dr Nemeth should provide supporting evidence where possible, including records of CPD, testimonials from other veterinary surgeons or employers, or a more incisive knowledge of the Guide to Professional Conduct. We would remind Dr Nemeth that the onus is on him to establish his fitness to be restored to the Register."
Researchers from the Waltham Centre for Pet Nutrition have published two studies which reveal, for the first time, the most common bacterial species associated with gum disease in cats.
Working with veterinary dentists and the Harvard affiliated Forsyth Institute, researchers used DNA sequencing technologies to identify 267 bacterial species present in feline dental plaque and build a database detailing the differences between bacterial populations in healthy cats and those in cats with gum disease.
Dr. Ian Davis, Oral Health Researcher at WALTHAM, part of Mars Petcare, said: "This knowledge is a first step in understanding the potential for improving oral health of cats through dietary interventions that target disease-associated bacteria."
The studies also revealed that the bacterial species in feline plaque were more similar to those observed in canine plaque than to those found in humans. This suggests that interventions targeted at bacteria which cause oral disease in humans are unlikely to be effective in cats, and there is more potential to learn from interventions that work well in dogs.
Dr. Davis added: "It’s important for pet owners to know that cats are just as susceptible to gum disease as dogs and understand the importance of maintaining a good oral hygiene routine; ideally including tooth brushing and dental treats or a specific dental diet".
The first study was published in Veterinary Microbiology in February 2015. The second was published on 25th November in PLOS ONE, and can be downloaded here: http://dx.plos.org/10.1371/journal.pone.0136986.
The panel, chaired by veterinary ethicist Professor David Morton CBE, was established last year on a trial basis as a means of offering an ethical review process for practice-based research projects that may not have the same access to resources as clinical studies in academia or industry.
Since its establishment at the end of July last year it has received 23 applications, mostly concerning small animal clinical studies. However, due to demand from the profession, it will shortly be considering applications for equine or farm animal-based research and will be recruiting new panel members to cover these areas.
Eleanor Ferguson, RCVS Registrar, said: "Although the number of cases considered so far have been relatively small, the service has been very well received as a means of providing ethical review to those who might not otherwise be able to do so and so, therefore, might struggle to get papers published.
"Considering the importance of practice-based research we expect there to be an increase in the number of applications as word gets out about the service and so are happy to extend the trial for another year and for it to consider a wider range of applications."
Further details about the Panel, as well as guidelines for making applications and the application forms, can be found at www.rcvs.org.uk/ethics
For an initial discussion about submitting an application to the Ethics Review Panel, contact Beth Jinks, Standards and Advisory Officer, on 020 7202 0764 or ethics@rcvs.org.uk
Practice staff, managers, clinicians and researchers are invited to apply for an award of up to £2,000 to fund a research project to support the development of best practice in any area of veterinary business, leadership and management.
The VMG launched its Research Grant Scheme in 2019 to encourage research that enhances understanding of the veterinary sector, including strategy, people, finance and marketing, or exploring how management and leadership theory can be applied to the sector’s everyday work.
Topics being researched by 2019 grant holders include gender and entrepreneurship, corporatisation, and career pathways. The three recipients will report on progress later this year, prior to presenting their full results and recommendations at a new Evidence-Based Practice Showcase during VMG-SPVS Congress in January 2021.
VMG President Rich Casey said: "The veterinary sector was already changing rapidly with the COVID-19 pandemic serving only to further accelerate the changes. The leaders of our profession have a critical role to play in helping us to overcome and embrace the challenges of our changing and increasingly volatile, uncertain, complex and ambiguous (VUCA) world.
"We believe that the VMG is uniquely placed to support not only our own members, but also the whole profession in building an evidence base of best practice in veterinary leadership, management and business and our Research Grant scheme will, of course, contribute to this. We were delighted at the response to last year’s call for proposals and look forward to receiving some equally exciting bids this year.”
Further information, including the Call for Proposals, Application Form, and Guidance Notes are available here: https://vetmg.com/vmg-research-awards/
The deadline for applications is 28 August 2020.
Visitors to the company's stand will be invited to make a donation.
Anyone not attending the show, but who nevertheless wants to support this charity's work, will be able to do so via social media.
VetCT says it is hoping to raise a total of £6000 to fund the training of local veterinary teams in wildlife medicine.
Head of Communications, Liz Barton said: “We are learning so much about the far-reaching and important work of WVI through our charity partnership - how they are helping to preserve biodiversity and support the conservation of species, which is absolutely key to global sustainability.
"Education is core to everything we do at VetCT, and we are excited to be raising funds that will be used to support local vets and nurses to undergo comprehensive training in wildlife medicine, enabling the dissemination of knowledge and expertise to support conservation projects globally.”
Olivia Walter, Executive Director of WVI, said: “We are incredibly excited at the prospect of launching our education initiative with the support of VetCT and LVS delegates.
"Training local veterinary teams to provide exceptional care to wildlife is vital to the longevity and success of conservation projects.
"In addition to raising funds and awareness of our work, the direct clinical support from the VetCT experts is helping us to continue providing much needed veterinary input to conservation efforts around the world.”
WVI representatives, including Matthew Rendle RVN and Dr Asumah of the Wildlife Division, Forestry Department, Government of Ghana, will be on VetCT stand D44 at 12:30-1:30pm on Friday 17th November.
The charity will also be on Millpledge Veterinary stand J60, which also supports the work of WVI.
Hill's Pet Nutrition and Cat Professional are working in partnership to improve knowledge of feline lower urinary tract disease by giving complimentary copies of 'Caring for a cat with lower urinary tract disease' by UK feline specialists Dr Sarah Caney and Professor Danièlle Gunn-Moore to veterinary professionals and owners of cats affected by the condition.
Feline lower urinary tract disease is thought to affect up to 10% of cats, with particular prevalence in the indoor cat population and it is often a complex and distressing condition for cat owners to tackle.
Hill's has sponsored 1000 copies of 'Caring for a cat with lower urinary tract disease' , and is giving away vouchers which allow the recipient to visit the Cat Professional website (http://www.catprofessional.com/) to download an interactive copy of the book.
'Caring for a cat with lower urinary tract disease' is the third title in the successful 'Caring for a cat' series. Renowned cat behaviourist and bestselling author, Vicky Halls reviewed the book in glowing terms: "Feline lower urinary tract disease is a complicated subject for owners to fully appreciate so it is wonderful, at last, to have one book that contains all the necessary information that can be recommended to everyone"Hill's Pet Nutrition are distributing the complimentary vouchers to owners who contact their customer service freephone line for advice on the condition (0800 282438 - 9am - 4pm, Monday to Friday). Veterinary Professionals using the free Urolith Analysis Service offered by Hill's, or the Hill's Veterinary Technical Enquiry Line to gain help and advice on nutritional management of Feline Lower Urinary Tract diseases are also able to claim a complimentary voucher to redeem.
Adrian Pratt, Veterinary Affairs Manager for Hill's comments "FLUTD is a difficult disease to manage, let alone explain to fully to an owner. What Sarah and Danielle have done here is fantastic and will help owners better understand their cat's problem. That can only be good for the pet"
Hill's has added to its range of Science Plan Snacks with a large biscuit size, big bag version for large breed dogs. The 400 gram packs are available as Large Breed Light and Large Breed Healthy Mobility Snacks at a launch price of £2.49 (normal recommended retail price £4.99).
The company says that this follows fantastic feedback from veterinary practices about Science Plan Snacks, and requests for more variants tailored to fit the needs of their client's pets.
The Science Plan snack range offers products across five areas of functionality which, according to Hill's, have proven to be highly motivating for clients: light, immunity support, healthy mobility, oral care and skin & coat. There are adult variants across the range and puppy variants in immunity support and skin & coat.
For further information, please contact your Hill's Territory Manager or Hill's customer service on 0800 282438.
The company is offering up to £50* worth of vouchers to use at J.A.K Marketing Ltd when purchasing GI diets (including canine and feline recovery packs). It is also offering a ‘buy three get one free’ deal on its recovery packs, which also come with complimentary Get Well Soon counter displays for practice receptions.
To promote its range of complete liquid diets for tube feeding critically ill patients, Royal Canin is giving practices which order three packs a free Vygon Vet Nutrisafe tube feeding kit worth £9.49. The kit contains 12 syringes, a drawing up straw and three different sizes of feeding tubes. The company says its liquid diets are specifically designed for tube feeding, offer precise nutrition for critically ill patients and can be accurately delivered with the Vygon tube feeding kits.
For further information, contact your Royal Canin Veterinary Business Manager.
* Spend £199 on GI diets (including canine and feline recovery packs) and receive a £20 voucher from J.A.K Marketing Ltd., spend £399 and receive a £50 voucher. The vouchers will be emailed direct to the practice from J.A.K. There is a 14 working day lead time on this. All offers are valid for the UK and NI and end on 31 March.
Providing a service for everyone from the richest to the poorest, veterinary surgeons probably have a better insight than most to the effects of inequality in society.
Whilst most people can probably think of one or two government policies which contribute to inequality, Sebastian's fully-referenced book is perhaps the first to identify the entire alphabet's worth, and collate them in an easily digestible format (it's only a 45 minute read).
The book is available in hardback on Amazon for £10, or as an e-book for £5.99
Sebastian is on VetSurgeon.org to answer your questions about and discuss how government policies create inequality in society, here: https://www.vetsurgeon.org/001/nonclinical/f/off-duty-discussions/30455/the-a-z-of-inequality
Although you certainly don't have to have bought or read his book to take part in the discussion, you should find it £5.99 well spent.
https://www.amazon.co.uk/Z-Inequality-Sebastian-Chambers-ebook/dp/B09ZVN1HDW
The British Occupational Hygiene Society (BOHS) has announced the publication of a book on controlling skin exposure and wet work. The book aims to fill a knowledge gap about dermal exposure risk management in workplaces which are particularly affected, such as veterinary practices.
The consequences of a failure to adequately control dermal exposure to hazardous agents do not always become apparent until years after exposure, and because of this, many employers are either ignorant of the consequences or ignore the potential for ill-health until it is too late. In Great Britain, over 29,000 people are suffering from work-related skin disease and every year over 3,500 new cases are reported. Alongside this, many workers are unaware of the ways in which skin comes into contact with chemicals, or how dermal exposure can contribute to inadvertent inhalation and ingestion exposure.
Healthcare workers are susceptible. Vets and nurses are, for example, at risk from disinfectants, detergents, wet-work, latex gloves, anaesthetics, antibiotics and antiseptics, phenothiazines, formaldehyde, glutaraldehyde and liquid chloroxylenol.
The book provides an introduction to the structure and functions of the skin, information about the diseases caused by dermal exposure and the occupations and chemicals involved, regulatory requirements related to dermal exposure at work, exposure and risk assessment, and risk management strategies. It is both comprehensive and accessible, and clearly illustrated with photographs, figures and tables throughout, ensuring that it will be of practical use. As a result, BOHS believes that it will make an important contribution to increasing knowledge about control of dermal exposure, and encourage more effective control measures to be introduced in workplaces.
‘Controlling Skin Exposure to Chemicals and Wet-Work' is available for £19.99 and can be purchased on-line via RMS Publishing, www.rmspublishing.co.uk/BOHS.html and Amazon, or by posting/faxing the order form which can be downloaded from the Publications section of the BOHS website.
The BVA has announced that Young Vet Network (YVN) members can now benefit from discounted access to Vetstream, the online peer reviewed service that provides clinical information about the veterinary care of dogs, cats, horses and rabbits.
YVN members, 3-8 years graduated, will now be able to benefit from large discounts (up to 63%) on Vetstream’s services, while graduates up to two years qualified already have free access to Vetstream via Vetstart.
Further information about the new package can be found on the BVA website at http://www.bva.co.uk/youngvetnetwork/vetstream_for_yvn_members.asp
Other YVN news includes the appointment of John Remnant as the new junior graduate BVA Council representative, while senior graduate rep Louisa Rance has given an interview to VETS.TV - the new web TV service currently being piloted by BVA - in which she talks about the work of the YVN and how it is helping newly qualified vets with the challenges faced after leaving vet school.
Applications are now open for new members to join the RCVS Preliminary Investigation and Disciplinary Committees.
This is the first time that non-Council members have been able to sit on these two key committees, and follows the approval of a Legislative Reform Order (LRO) to the Veterinary Surgeons Act, which comes into force on 6 April 2013.
Under the new legislation, the two statutory committees will move through a transition period until they completely comprise independently-appointed non-Council members, by July 2015.
This move will provide regulation in line with modern practice, by ensuring that the same group of people is not responsible for setting the rules, investigating complaints and adjudication, and by bringing lay people formally into the Preliminary Investigation Committee.
The LRO will also allow the RCVS to increase the pool of people available to investigate complaints and sit on disciplinary hearings, reducing the workload on the individual Committee members whose primary appointment is to RCVS Council.
This first recruitment phase seeks:
RCVS President, Jacqui Molyneux said: "It's exciting that we can now seek to appoint non-Council members to the two committees involved in our disciplinary system - a breakthrough that has taken a long time to achieve.
"We are interested to hear from veterinary surgeons and lay people who are keen to contribute to the public good and support us in our regulatory role. It's an excellent opportunity to be part of the next chapter of the RCVS, as we become a more modern and effective regulator."
The recruitment process is being handled by Thewlis Graham Associates and details can be found at www.thewlisgraham.com. The selection committee will comprise Sir Michael Buckley, Christopher Laurence MBE QVRM TD BVSc MRCVS and Dr Joan Martin MA FCOT.
The closing deadline for applications is 5pm on Monday 4 March 2013.
The conference, which was held on 23rd May, brought together over 360 veterinary professionals for online sessions which provided them with a range of wellbeing tools to improve their mental and physical wellbeing.
The organisers say that in addition to delivering wellbeing CPD, they aimed to create community and connection. Co-organiser, vet Nat Scroggie, said: "The conference app platform was chosen for delegates to feel included and network freely with one another and session leaders. With over 2400 messages on the community board and 400 photos uploaded the feedback we’ve had about how positive the experience was for delegates has gone beyond our hopes. We’ve seen new working groups forming and a genuine sense of camaraderie around current challenges."
WellVet has reopened ticket sales which give access to session recordings and the conference community app until May 2021. Tickets are £55, discounted to £15 for students and year 1 graduates, available at: https://www.wellvet.co.uk/tickets. The box office will close on 30th August 2020.
The new award, sponsored by Krka UK, will recognise an exceptional farm vet who has been working in the dairy industry for three to five years and who has contributed significantly to the health and wellbeing of herds under their care.
Sarah Tomlinson, veterinary surgeon at Westpoint Farm Vets in Derbyshire, Technical Director of the TB Advisory Service (TBAS) and recipient of the 2020 Dairy Vet of the Year, said: “In recognising achievement among more recently qualified vets with this new award, Krka is giving the boost every young vet needs to shake off the ‘new grad’ title and instead become an ‘high performing’ vet, judged by their industry peers to be one of the best. Many vets can suffer with imposter syndrome so it is important that we accept positive acknowledgement of our work and our everyday achievements so that we can be rightly proud of what we do.”
More information about the CREAM Awards and the nomination process can be found here: https://www.britishdairying.co.uk/cream-awards-2021/
The award is to recognise the dedication of the country’s veterinary nurses and the support they give to their veterinary teams, the nation’s pets and pet owners. It is given to a vet nurse who not only cares for sick and injured pets but also encourages responsible pet ownership and improves pet welfare in their community.
The award will be presented at the BVNA Congress on Saturday 2nd October 2021, which will this year be a hybrid event with live speakers at the event in Telford and remote delegates.
David Catlow, Blue Cross Director of Veterinary Clinical Services said: “The veterinary profession faced difficult times for much of the past couple of years but vet nurses strove on to provide their usual professionalism, compassion and special care for pets and their owners.
"Now, more than ever, we need to recognise their invaluable work and the incredible reassurances and support they offer pet owners and how they are dedicated to helping the welfare of the nation’s pets in their communities.”
Last year, the award went to Chloe Mackintosh (pictured right), a veterinary nurse at RSPCA in Harmsworth, North London, who was nominated for her passion and commitment to animal welfare.
If you know a vet nurse who you believe has gone the extra mile for your pet or you believe they have made a significant contribution to animal welfare, complete the nomination form on the Blue Cross website at www.bluecross.org.uk/bvna.
Lord Rooker, Minister for Sustainable Food, Farming and Animal Health spelled out the law on dangerous dogs at the RSPCA Conference on Dogs this week, and announced the publication of a Defra leaflet which provides clear, concise and accessible information regarding the law on dogs which are dangerously out of control and dogs which are banned.
He said: "The vast majority of dog owners are responsible and the vast majority of dogs are well behaved, but recent tragic cases of dog attacks underline why we need to give absolute clarity to anyone that owns a dog on their responsibilities under the law.
"This new leaflet explains to dog owners, and people who come into contact with dogs, how the law prevents irresponsible dog ownership. It is important that people understand the law as it may deter irresponsible dog owners from allowing their dogs to be dangerous."
The leaflet outlines the following key points:
The leaflet also deals with the law on banned dogs. It explains that:
A printable version of the leaflet is available on the Defra website at http://www.defra.gov.uk/animalh/welfare/domestic/dogs.htm
Defra is also currently working on a booklet to provide guidance on the law to those who are enforcing it, including the police and local authorities.
Defra says the public leaflet, in combination with the enforcers' document, is an essential part of its strategy to promote the better enforcement of the law on dangerous dogs.
The Royal Veterinary College is embarking on an educational tour to provide advice to school children on studying and working in the veterinary sector.
The tour will visit secondary schools in the following towns:
The RVC says the event is designed to demonstrate the diversity of the profession, looking at both clinical and non-clinical careers within it. RVC staff, students and recent graduates will be on hand to answer questions for all of those interested in becoming a vet, veterinary nurse or bio-veterinary scientist.
Visitors will have the chance to carry out practical veterinary and scientific skills and discover diagnosis techniques using the RVC's state-of-the-art Haptic laptop, which contains the Core Skills Trainer; a collection of computer games that use touch technology to teach key manual skills needed to become a veterinary professional.
The event will also allow attendees to compete against each other to test their aptitude for core veterinary skills.
The sessions will be open to secondary school students, teachers, parents and careers advisers. It will present information on the wide-ranging courses offered by the RVC and the differing career choices available in the sector.
Booking is essential in order to attend and can be completed at www.rvc.ac.uk/rvcontour. For further information please call 020 7468 1257 or email schools@rvc.ac.uk.
London's Savile Row was turned into a sheep field today, to highlight The Campaign For Wool; a coalition of industry groups convened by HRH The Prince of Wales to educate consumers about the benefits of wool.
As the sheep grazed, the Row's famous tailoring houses held events where the public could find out more about the natural, sustainable qualities of wool.
Douglas Cordeaux, Managing Director of West Country woollen mill Fox Brothers, one of the organisations behind the promotion said: "We have a collective responsibility to champion this versatile, sustainable and natural fibre, the production of which involves far lower carbon emissions than man‐made alternatives. We need to support farmers who are the custodians of our rural landscape and truly value the qualities of this wonderful resource, which is used to weave the finest luxury cloth you can buy."
John Thorley of the Campaign for Wool said: 'I'd like to see wool re-established as a fibre of consequence where workers get paid properly and people recognise that this animal is useful to the farming sector in a multitude of ways.'
For more information, see www.campaignforwool.org and www.savilerowfieldday.com
Every tube of Logic Oral Hygiene Gel now contains a free finger brush to encourage owners to brush their pet's teeth every day.
Ceva Animal Health product manager, Fraser Broadfoot MRCVS, said: "Daily brushing is known to be the single most effective means of removing plaque. The finger brush in each pack of Logic is ideal for administration to cats and small dogs. For medium to large dogs we also have a Logic Dental Care Kit, which includes a tube of Logic Oral Hygiene Gel and a Petosan toothbrush."
Ceva says Logic is the UK's leading veterinary dental brand thanks to high palatability and unique multi-enzyme formula, which works by enhancing the mouth's natural defence systems. In addition, a surfactant ensures that the active ingredient remains in contact with the teeth and gums.
FMDMost of you will be aware that IP8 was declared yesterday. This is a farm in the POZ that was slaughtered on suspicion after detection during surveillance visits. This has lead to further slight changes in the boundaries of the PZ and SZ. These were early lesions and initial laboratory results confirm this.
The epidemiology of the spread of FMD in the area north of Egham suggests that cattle on 4 premises in the vicinity of IP8 have been exposed to infection either via possible aerosol or fomite spread and are likely to develop disease. These premises will be culled as dangerous contacts.
BLUETONGUEThe various zones for controlling Bluetongue have now been defined. These are difficult to describe because they use roads etc. as boundaries but detailed maps and description of the boundaries are available at:
http://www.defra.gov.uk/animalh/diseases/notifiable/bluetongue/pdf/declaration-bt-pzcz290907.pdf
When farms straddle a road that is a boundary the whole of the farm is classed as being in the zone. It may be possible to put parts of a holding that is outside the zone as a separate unit with consultation with local Animal Health office.
The movement restrictions between the various FMD and BT zones are available at
http://www.defra.gov.uk/animalh/diseases/notifiable/bluetongue/movements/index.htm
Defra are worried that farmers are not reporting cases of BT because they feel there is nothing that can be done so why bother. It is still a notifiable disease and there is a need to monitor spread for various trade implications. There are, of course, likely to be welfare considerations with clinically affected cases. These will need to be addressed with veterinary consultation and may involve symptomatic treatment or euthanasia.
The prevalence of the disease in infected herds/flocks is still low with 1:53 and 1:190 being affected on surveillance.