The Royal Veterinary College has established the Nestlé Purina RVC Intensive Respiratory Centre to provide advanced critical care for patients with severe respiratory diseases. The Centre will offer small animals the UK’s most advanced level of respiratory care with equipment that is more frequently found in human intensive care units, such as a state-of-the-art mechanical ventilator, a critical care monitor and specially made oxygen units (kennels).
Advances in veterinary care mean that animals are able to undergo more invasive procedures, such as extensive thoracic surgeries including cardiopulmonary bypass operations. These patients require more intensive post-operative care, including mechanical ventilation in some cases. The acquisition of this state-of-the-art equipment, to enable such an advanced level of care, has been made possible through sponsorship from Nestlé Purina.
Respiratory diseases are fairly common in companion animals – however there are limited options for treatment for animals that are severely affected with life-threatening respiratory failure. To date new techniques and treatments that have been developed for human patients with severe respiratory diseases have not been applied to animals. Some of the activities of the centre will involve evaluating the effectiveness and appropriateness of using some of these newly developed techniques on small animals.
“The RVC is perfectly placed to pioneer innovative treatment to improve the lives of animals with severe respiratory problems,” said Daniel Chan, Lecturer in Veterinary Emergency and Critical Care at the Royal Veterinary College.
“We’ve got the expertise of specialists in internal medicine, emergency and critical care, surgery, anaesthesia, diagnostic imaging and clinical nutrition – by combining these skills and with the support of Nestlé Purina, we will be able to deliver a comprehensive programme of care. This co-ordinated approach is unique.”
Specialised training modules and lectures for veterinary students, nurses and practitioners, will also be delivered as part of the Centre’s remit and the Centre is also creating a forum for clinicians and researchers from across the world to share information about advances in this field.
Vetoquinol is introducing new flip-off plastic caps on its injectable range to make the products more user-friendly.
Marbocyl 10% is the first product to benefit. The new caps mean it is no longer necessary to have the aluminium caps which were used to protect the rubber bung and were not always easy to remove. Other products in the injectable range will be adapted throughout 2008.
“Vetoquinol is continuously looking at ways to improve its products,” explains Vetoquinol’s Alvin Cerely. “The phasing out of aluminium caps and the introduction of flip-off lids is a definite improvement in the use of our injectable antibiotics.”
The awards are to recognise outstanding veterinary practices that have demonstrated exceptional performance and innovation in areas crucial to the future success of the profession.
There are three categories: Leadership and Management Skills, Team and Self-Development, and Veterinary Start-Ups.
The three category winners will each win day and evening tickets to SPVS Congress 2025 on Thursday 30th January for three team members, plus overnight accommodation at the Hilton Birmingham Metropole.
Shortlisted practices will each win a book of their choice.
The deadline for submissions is Friday 18th October 2024.
https://spvs.org.uk/business-excellence-awards/
The National Office of Animal Health has launched http://www.pethealthinfo.org.uk/, a new website that bills itself as: "A 'one stop shop' featuring a wealth of animal health information and advice to help owners and potential owners to make decisions about their pets' healthcare."
I must say, full marks to NOAH and the web designers 9xb for a really polished website that presents information in a very easy-to-navigate format. First class job.
In general, the site content seems very good too. There's help for owners deciding what pet to buy, health guides for various common conditions for each species, first aid advice, and much more.
Personally, I think it would have been a nice tweak to offer something a tad more interactive in the section about picking a pet - something that actually made suggestions depending on your answers to the questions the site poses.
I also wonder how useful the Vet FAQs are likely to be. There are so many possible questions a pet owner might have, that a slightly random list seems to me to be of limited use.
But these are small points in the grand scheme of things. Overall, an excellent production, and one you may want to link your practice website to.
Petproject is updating its ProReward 100% Liver treats and have added three new varieties to the range, a low fat 100% Chicken, hypoallergenic 100% Venison and 100% Icelandic Cod which is high in Omega-3 fatty acids.
Petproject says that after speaking with vets and dog owners it found that many customers had switched on to ProReward because it had helped their dog through a stressful situation such as a trip to the vet or meeting strangers.
ProReward treats are fresh cuts of unprocessed meat and fish that are gently dried to enhance the flavour and lock in the nutrients. Petproject says the intense flavours are similar to those you experience when eating a dried strawberry.
According to the company, the new design uses less packaging and the new varieties will provide veterinary practices with more choice for customers wanting to avoid feeding processed derivatives to their dogs. ProReward is also available in large tubs for use in the consulting room.
Petproject will be embarking on a number of activities to raise brand awareness to get dog owners looking for ProReward products. A free sample pack is available for practices wanting to try ProReward, to request yours or for more information please email info@petproject.co.uk or call 020 8444 1800.
Biomérieux says the new test, which is used on the Biofire Spotfire System, detects seven infectious respiratory pathogens (six viruses and/or a strain of bacteria*), from a nasopharyngeal swab, in under 20 minutes.
The company says the new test’s ability to distinguish between viral and bacterial infections is important for ensuring antibiotics are used appropriately to reduce the risk of resistance.
Biomérieux says VetFire can be used to make informed decisions about when to isolate and treat animals when respiratory infections are suspected, to mitigate the impact of an outbreak in a contained area, such as a yard, by allowing rapid quarantine measures, and perhaps in time as a standard test ahead of animals travelling for competition, to ensure they are fit and healthy.
VetFire is commercially available in United Kingdom, Ireland and France, with possible expansion plans to other countries in the near future.
https://www.biomerieux.com/corp/en/our-offer/clinical-products/vetfire.html
*Equine Herpesvirus type 1, Equine Herpesvirus type 4, Influenza A, Equine Rhinovirus A, Equine Rhinovirus B, Equine Adenovirus 1, Streptococcus equi equi
A rural social scientist has argued in this week's Veterinary Record that the dwindling influence of vets in the public health arena threatens food safety in the UK. Philip Lowe, from the Centre for Rural Economy at the University of Newcastle, argues that a shift in practice from treating animals used for food on farms to looking after pets in urban communities, is largely to blame. The proportion of time vets in private practice spent treating animals used for food halved between 1998 and 2006. Most vets run their own businesses, and pet owners have proved a more sustainable and lucrative source of income than farmers. Professor Lowe sympathises with the need to make money, but laments this drift towards the profession turning into "another private sector service industry." He says this fails to make use of vets' considerable and wide ranging expertise, adding: "I would argue that it also diminishes the public standing of the whole profession. I certainly couldn't imagine the medical establishment in this country accepting a role that marginalised public health, even if the NHS did not exist. More seriously for all of us, I believe that not involving vets in this important area also puts food safety in the UK at risk. "At the same time we live in an age when there is real and widespread public concern about welfare standards for farm animals, threats from animal diseases old and new (such as blue tongue, bird flu and swine flu), and food safety." Professor Lowe says that in the past, the veterinary arm of government traditionally provided leadership for the profession that was embodied by the Chief Veterinary Officer and was underpinned by the proportion of vets' income derived from public funding. But this is no longer the case, and is further undermined by the percentage of vets employed by government having shrunk from 11% to 4% over the past 40 years. Professor Lowe argues that the profession needs to rethink its role and the direction in which it is travelling. He says there needs to be more specialist support and training for student vets and novice practitioners so that they are not put off from farm practice before they have had a chance to develop their skills and confidence in this area. However, he cautions against returning to the stereotype popularised by the fictional James Herriot vet, who was depicted as a mainstay of the rural community: "The farm vet's position and respect for their expertise needs to be restored, but not in the old Herriot mould. He or she has to take on the much greater challenge of risk and welfare regulation and management across the whole food system".
Royal Canin has announced a new Approved Weight Management Centre programme for vet practices across the UK.
As part of the programme, a number of practices across the UK will receive ‘Centre of Excellence’ status for managing overweight or obese cats and dogs educating clients on prevention.
To gain approved centre status, practices are required to establish a formal Weight Management Clinic and work as a team to refer clients with overweight pets through the clinic. The chosen practices will receive bespoke training from a member of the Weight Management Team, to provide them with the skills and protocols to discuss obesity with clients and encouraging vets, nurses and receptionists to work together to raise awareness of obesity.
Shelley Holden from the Weight Management Team said: "This is a unique platform for practices across the UK to take advantage of and really excel in addressing weight management issues in practice and tackling prevention. We are excited to currently work with an elite group of practices, all committed to raising awareness of obesity in cats and dogs."
Royal Canin has so far given nine clinics 'Centre of Excellence' status. They all now discuss body condition scoring with patients to identify whether the pet is in ideal condition. If overweight or obese, they are then referred for further advice and support to their weight clinic. The weight clinic is a complimentary 30 minute appointment with a weight management nurse, followed by ongoing monitoring, personalised advice and telephone support. Approved clinics also educate owners about prevention during puppy parties, puppy and kitten vaccinations, and at neutering to ensure owners are aware of the health risks of weight gain from the outset.
Jo Hammett BVSc MRCVS, Owner of The Stocks Vets (pictured right), said: "We have received bespoke training from Royal Canin to achieve centre status, giving our team the confidence to discuss the sensitive issues surrounding weight with clients, in addition to tackling education. This has really helped break down barriers in approaching the topic with clients about their pets’ weight and we are finding they are now much more open with the team during consultations, which is a major achievement in itself."
For more information about the Approved Weight Management Centre programme, contact your veterinary business manager or visit www.royalcanin.co.uk.
The 2025 programme features 35 speakers from across the globe, delivering content across seven learning streams tailored to all levels of ECC experience—from new graduates to advanced practitioners.
Among the speakers this year are Elle Haskey, ECC nurse at the Royal Veterinary College, Helen Philp a Critical Care specialist at UC Davis in California, and Matt Rendle an RVN with experience in nursing care for many species from ants to elephants.
Simon Hagley, ECC Specialist and Clinical Director at Vets Now Manchester, who co-led the programme design with Racheal Marshall, RVN and Head of Clinic Nursing Standards, said: “We’ve built this year’s programme around delegate feedback, bringing back favourites like our ‘Controversies’ and ‘Joined Up Thinking’ sessions, while introducing new content that reflects the evolving landscape of ECC such as antimicrobial theory and practice, discussion panels on important consensus statements, and a stream looking at cutting edge medical developments and treatment modalities.
"Whether you’re just starting out or working at an advanced level, there’s something here for you.”
Racheal added: “Our goal is to create a dynamic, interactive learning environment. From practical workshops to non-clinical sessions on wellbeing and communication, we’re equipping delegates with the tools they need to thrive in high-pressure ECC settings.”
ECC Congress 2025 is open to all veterinary professionals, including vets, vet nurses, students, and graduates.
Animal Care Assistants and Veterinary Care Assistants can attend for the same rate as students.
Tickets range from £60+VAT for exhibition-only access to £575+VAT for full two-day attendance.
Gala Dinner tickets are sold separately.
vets-now.com/congress
The Department for Environment, Food and Rural Affairs (Defra) has today released details of the strategy for rolling out vaccination across England.
Under EU law, vaccination can only be carried out in a Protection Zone. As vaccine starts to be delivered by Intervet, vaccination will, therefore, commence in the Protection Zone only. Once vaccination is progressing across the Protection Zone, the intention is to extend or modify the Zone county by county, in order to permit further vaccination. The strategy has been developed and agreed with a Core Group of industry stakeholders. It is designed to be flexible, taking into account the changing nature of the disease, such as moving zones, the varying levels of disease risk in the zones and the availability of vaccine.
More details of the vaccination strategy, alongside indicative prices for the vaccine, can be found on the Defra website: http://www.defra.gov.uk/animalh/diseases/notifiable/bluetongue/control/vaccination-rolloutplan.htm
The Royal College of Veterinary Surgeons Council and the Veterinary Nursing Council have decided that there will be no increase in registration and retention fees for veterinary surgeons and veterinary nurses for 2012.
Last year, the Councils decided that a lower than inflation increase should apply to fees for 2011 to help mitigate the impact of the difficult economic climate on veterinary surgeons and veterinary nurses. Members who are over 70 and who cease practising do not have to pay fees if they wish to remain on the Register.
Bradley Viner, RCVS Treasurer said: "We know times are tough financially for many people and hope that freezing fees will help a little. Professional regulation can be costly, but we try to keep fees as low as possible."
The RCVS financial policy remains that fee increases should be small and incremental in order to avoid a need for periodic sharp fee hikes resulting from inflationary pressures.
Fees for 2012 will be as follows:
2012 fees (£)
Veterinary surgeons
UK-practising retention fee
299
Overseas-practising retention fee
150
Non-practising retention fee
49
Non-practising retention fee (over 70 years old)
0
Registration fee
Temporary registration fee
Restoration fee
Restoration fee following voluntary removal
75
Veterinary nurses
Retention fee
61
Clark Dental has launched the new Nomad Handheld X-Ray machine from Aribex™.
According to the company, Nomad already has a superb track record as a practical, effective and recognised state-of-the-art device. It boasts a multitude of benefits and features and is suitable for many different environments. Two rechargeable batteries provide 150 exposures each, and it’s compatible with both digital sensors and traditional X-ray film.
The operator is protected by a patented internal radiation shield as well as an external backscatter shield, which the company says provides excellent protection: one operator would have to expose over 10,000 E-speed films per year in order to approach the lowest measurable dose on a monitoring badge. With a direct digital sensor, the scatter dose is even less.
For further information, please contact the exclusive UK supplier, Clark Dental, on Tel: 01270 613750 or email maria@clarkdental.co.uk
Virbac has launched Cooldent, described as a highly palatable, fast-acting tablet to freshen dogs' breath.
Claire Lewis, Product Manager, explained: "Bad breath in dogs is unpleasant and is most frequently caused by a build-up of plaque and calculus on their teeth.
"Cooldent's natural ingredients have an anti-plaque action and help both to maintain a balanced intestinal flora and to reduce gas production. They also help to freshen dogs’ mouths by contributing to the reduction of volatile compounds, produced by bacteria which can cause halitosis."
She added: "We are delighted to add Cooldent to our comprehensive dental range, alongside our VeggieDent, natural, all-vegetable, highly palatable teeth-cleaning chews for dogs and Vet Aquadent, an easy-to-use drinking water additive which helps to fight dental plaque and tartar formation in dogs and cats."
Lincolnshire veterinary surgeon David Bull MRCVS has won a Vet Futures ‘Headlines of tomorrow’ competition with his entry: ‘Vets and medics collaborate to prevent human and animal obesity’.
The competition was held at BSAVA Congress in April where Vet Futures-themed fortune cookies contained a message asking those attending ‘What future headline do you want to see?’ and providing a weblink to enter the competition.
David, a joint partner at Vets4Pets in Lincoln South and an Advanced Practitioner in General Small Animal Surgery, said: "The headline was inspired by topical issues, having ‘One Health’ in mind and the issue of obesity in our patients, as well as the general human population. I feel that these are some of the big issues of our time, especially that of obesity which has been linked to so many other diseases and is essentially a self-induced problem.
“We see so many overweight cats, dogs and rabbits on a daily basis. It seems to be becoming a more common problem, as well as seemingly more accepted in society. This is to the extent that we have some clients that come in worried because they have been told that their dog is too thin, when in actual fact they are in an ideal body condition and are being compared to overweight pets which have become perceived as normal.”
Some of the other topics raised in the competition include the veterinary profession taking the lead in tackling ‘superbugs’, veterinary surgeons topping job satisfaction and wellbeing polls and the profession taking a leading role in One Health and medical advancements.
The webinar, which is exclusively for veterinary professionals, will include a Q&A session addressing common concerns around vaccination timing, use in Johne’s-positive herds, the role of extended colostrum feeding, and the growing issue of antimicrobial resistance.
Speakers for the event are:
Kat Baxter-Smith, Veterinary Advisor at MSD Animal Health (pictured), said: “Vaccination has an important role to play in cryptosporidiosis control, but we know that for some practices, concerns remain — particularly around colostrum management and use in herds with Johne’s.
“This session is about opening up those discussions, sharing the latest research, and addressing the barriers that may be holding back wider adoption.
"Our aim is to support vets in moving scour management from reaction to prevention.”
https://view6.workcast.net/register?cpak=7702733614498733
The webinars cover a range of clinical topics, including evaluating Brachycephalic Obstructive Airway Syndrome (BOAS), cognitive decline in senior dogs, cannabinoid therapy, feline weight loss, corneal ulcers and seizure management.
Vet and Tech says the 10-session series features speakers from top veterinary institutions.
The webinars are available both both live and on-demand.
https://www.vetandtech.com/webinars
Hill’s Pet Nutrition has launched Prescription Diet Feline c/d Multicare, formulated to manage both struvite and oxalate urinary stones. It's appropriate for cats with feline idiopathic cystitis, which accounts for an estimated 64% of all FLUTD cases. The new diet replaces x/d, which will be discontinued.
According to Hill's, a significant benefit is that c/d contains no excess salt and therefore presents no risk to cats that have hidden kidney disease. Libby Sheridan, Veterinary Affairs Manager, said: “It’s something that is always at the back of our minds when cats have shown signs of urinary tract problems: has there been damage to the kidneys that I can’t yet detect? We need to be cautious when it comes to managing urinary disease in cats. Limiting salt with careful diet formulation and therefore avoiding potentially worsening compromised kidneys is important in long term management.”
Feline c/d Multicare contains controlled levels of magnesium, calcium, phosphorus and oxalate to reduce the constituents of crystals and calculi, added citrate to reduce stone formation and enhanced levels of B6 specifically to decrease the risk of oxalate formation. Increases in omega-3 fatty acids help ensure that the inflammatory response is ameliorated, which is particularly important in the management of feline idiopathic cystitis.
Hills continue to recommend s/d for dissolution of struvite calculi and k/d in cases of feline urate calculi. Feline urinary disease is, of course, a condition that requires long term intervention to guard against recurrence and c/d Multicare is available in a variety of flavours and formats, including tender chunks in gravy pouches, 156 g tins and dry in chicken and ocean fish varieties, ensuring there is a enough choice to satisfy the most discerning of cats.
For more information call Hill’s Customer Service on 0800 282 438 or (ROI) 1-800 626002.
Dr Sarah Caney, RCVS specialist in feline medicine has launched http://www.catprofessional.com/, a new website for vets and nurses that want to become more feline friendly, and those in the animal health industry who want to be cleverer in their approach to cats.
The new site, which has been developed by Dr Caney’s own company Cat Professional Ltd, offers articles for vets and owners on various aspects of cat care, as well as detailing upcoming events and publications.
In addition, companies can access a range of consultancy services, including assistance with clinical trials and product design.
There is a facility to book training sessions and lecture slots at home and abroad with Dr Caney, who is a renowned speaker, able to combine her expertise in feline medicine with a gift for communicating difficult concepts in a way that makes learning an enjoyable experience.
Dr Caney’s latest book, ‘Caring for a Cat with Kidney Failure’ is available as an environmentally friendly download or to purchase as a hard copy from the site. Aimed at vets and cat owners, the book includes step-by-step instructions on how to give medication and better cater for a cat’s needs, providing another tool that will help owner compliance and therefore quality of life in renal failure cats.
For vets, nurses and other cat professionals, perhaps the biggest bonus is that the site provides a direct line of communication to Dr Caney and access to her vast knowledge of all things feline: from effective handling techniques to the best therapeutic protocols.
The RCVS has announced that nominations are now open for the RCVS Elections and launched a new video which explains why you should consider putting your name forward.
Six seats are available on RCVS Council, each for a four-year tenure. Existing RCVS Council Members David Catlow, Jacqui Molyneux, Bob Partridge, Christine Shield, Neil Smith and Clare Tapsfield-Wright are due to retire from Council next year, but are all eligible for re-election.
Last year, for the first time in over a decade, no women candidates stood for election, and the College says it is determined to widen participation in Council amongst the whole profession.
To help veterinary surgeons learn more about what's involved in being a Council Member, the benefits it can bring and the amount of time it requires, the College has produced a short video featuring the experiences of some existing members of Council and their reasons for standing.
Gordon Hockey, RCVS Registrar, said: "We have chosen the theme 'People like you' for these videos because people on the Councils really are no different to their colleagues across all aspects of the veterinary and veterinary nursing professions. The thoughts and experiences they describe on camera will sound very familiar to many of their colleagues and peers! We need people of all ages and of varying experiences and professional backgrounds to ensure there is a healthy and diverse range of views available."
The College will also be hosting a special 'Meet the RCVS' day on Tuesday, 10 December for anyone considering standing for election but wanting to find out more first. Further information and bookings are available from Fiona Harcourt, Communications Officer (020 7202 0773 / f.harcourt@rcvs.org.uk).
Nominations are open until 5pm on Friday, 31 January 2014, allowing plenty of time to find out more about what's involved and to find two proposers.
Details about how to stand in the elections are available at www.rcvs.org.uk/rcvscouncil14.
The company says farmers should be vaccinating their flocks to help protect the cohort of ewes that missed last year’s vaccination.
Flock replacements should also be vaccinated this summer ahead of tupping.
Shearlings (one year plus) and older can be vaccinated with Cevac Chlamydia within four months before tupping and no later than four weeks before the rams go in, while ewe lambs can be vaccinated from five months of age.
The vaccine should not be used in pregnant ewes.
Fiona Lovatt BVSc PhD FHEA DSHP DipECSRHM FRCVS from Flock Health Ltd said: “It is really good news to hear that there will be good availability of EAE vaccine this year.
"The lambing season started off with some disappointing news for some farmers who were not able to vaccinate last year as they faced EAE abortions.
"We are emphasising to these farmers and others that it is essential that the youngest two years of the ewes are vaccinated before next tupping to ensure that the cohort that missed last year’s vaccination are fully covered.”
https://ruminants.ceva.co.uk.
The updated content includes instructions on interpreting blood test results and dosing with Felimazole (thiamazole), which is now available as both a tablet and a honey-flavoured oral solution.
The new Felimazole Oral Solution formulation is presented in a syringe graduated in 0.25 mg increments to ensure accurate dosing.
Thomas Johnson, Dechra companion animal brand manager said: “Consistent management and accurate treatment is key to enabling cats with feline hyperthyroidism to lead long and healthy lives.”
Dechra’s Endocrine app already covers Addison’s disease and canine Cushing’s syndrome. The inclusion of feline hyperthyroidism content aims to provide a single resource for veterinarians managing endocrine disorders in companion animals.
Dechra’s Endocrine app is available at the Apple App Store or Google Play Store
https://www.dechra.co.uk/products#/search=Felimazole
The award categories are:
Nominations are welcome from both BSAVA members and non-members.
Nominations close on 30th October 2024 and the winners will be announced on 16th January 2025.
The BSAVA awards ceremony will take place at the reinvented Congress and Expo 2025, taking place at Manchester Central in March.
https://www.bsava.com/awards.
The College says that the course is suitable for veterinary surgeons who:
The course does not offer clinical training, but the College says it will help vets identify areas for improvement and support them in building confidence and competence.
It also offers guidance on wellbeing and mentorship.
The snappily job titled Tash Goodwin Roberts, RCVS Projects Implementation Manager in the Advancement of the Professions Team, said: "As part of our commitment to supporting the workforce ambitions this is a course that can support not just the returning vets but also offers insight to those who will be supporting them.
"Vets who have taken career breaks have often gained a huge wealth of skills which, combined with their veterinary training, makes them assets to their new teams and the professions.
“The course covers key topics to bring vets up to date with many of the professional aspects of working as a vet and also includes a range of additional content to support their journey, such as practical tips for returning, important recent updates on prescribing, as well as reflective practice and lifelong learning.
"The course also contains video interviews with vets who have already returned, offering valuable insights into how they approached their journey.
The course takes around three hours to complete.
https://academy.rcvs.org.uk
Two equine journals have joined forces to create a free online collection of their recent articles on endocrinology to raise awareness of these common disorders and to provide veterinary surgeons with what they say is a definitive source of references all in one place.
The collection of references published by Equine Veterinary Education (EVE) and Equine Veterinary Journal (EVJ) covers a range of topics within the field of endocrinology and includes authoritative review articles on insulin dysregulation2, glucocorticoids and laminitis3 and paraneoplastic syndromes4.
The initiative has been made possible with the support of British Equine Veterinary Association Trust and has been compiled by leading international authorities on equine endocrinology, Professor Philip Johnson, of University of Missouri and Professor Nicholas Frank of Tufts University, Boston and the University of Nottingham.
They say that equine endocrine disorders, such as Pituitary pars intermedia dysfunction (PPID), are becoming more promptly identified and treated, thanks to ongoing research and advances in diagnosis, pharmacokinetics and management protocols.
PPID, or Cushing's, is a progressive neurodegenerative condition that is more easily recognised in its advanced form in older horses. Surveys show a PPID prevalence rate of up to 22% in horses over the age of 155, with the odds of developing clinical signs associated with PPID increasing by approximately 20% per year after this age.
Insulin dysregulation (ID), characterised by increased insulin response to oral sugars, hyperinsulinaemia and insulin resistance, is identified in both PPID and equine metabolic syndrome (EMS)2. Both PPID and EMS have been linked to the development of recurrent laminitis with subsequent high risk of mortality6. The exact mechanisms which link insulin to laminitis remain to be clarified1 but this online collection highlights several studies, which partially address this important jigsaw7-12.
Best practice for the management of EMS is outlined by Professors Nick Frank and Ray Geor in the December issue of EVE13. The first goal is to induce weight loss, and guidelines for designing diets for obese equids are provided. Exercise and dietary management14 have been shown to reduce the clinical signs and indices of inflammation in equine metabolic syndrome13 - 15, however, further studies are needed to quantify the efficacy of these management changes on long-term outcomes.
The online collection also includes several studies addressing the diagnosis of PPID. The value of plasma adrenocorticotropin hormone (ACTH), when interpreted with seasonally adjusted reference ranges, is discussed by several authors18-20. Professors Frank and Geor advocate it as the most readily accessible test for monitoring PPID cases in a field setting, although they maintain that the thyrotropin- releasing hormone (TRH) stimulation test is more sensitive and therefore has advantages when diagnosing PPID in its early stages13.
Pergolide has emerged as the drug of first choice for treatment of PPID13. While many vets recommend the early introduction of medication in the hope that it may avert the specter of laminitis, at present, there are no trials comparing pergolide with alternatives. Furthermore, there have been no long-term studies to show that horses treated with pergolide before the onset of clinical signs of PPID have better outcomes, including a reduced incidence of developing laminitis, than horses in which treatment is delayed until clinical signs become apparent.
Professor Celia Marr, Editor of Equine Veterinary Journal said: "Better control of PPID and insulin dysregulation should lower the risk of laminitis to help improve the health and longevity of many predisposed horses and ponies.
"Raising awareness of the benefits of early diagnosis and sharing the latest research on these and other associated conditions are imperative to provide horse owners with the best diagnostic and treatment programmes for their horses. However, it is easy to under-estimate obesity: horse owners need to think about improving management of their horses' feeding and exercise in order to avert problems before they become a veterinary issue."
References