Wednesday, May 20, 2009

Pet Health: Vaccines...What's the Controversy?

I am old enough now that I can still recall the days of taking my dachshund, Rusty to our veterinarian in Westerville OH and getting his "rabies, distemper, and lepto" vaccines (those were the days BEFORE parvo...if you can believe that). I remember Rusty having a reaction (hives) and we opted to not vaccinate for lepto anymore, but it was only after a long discussion with our veterinarian.

As you may have seen in another recent post I had, the Alabama House just okayed the use of 3 year rabies vaccines in that state

Fast forward to this morning as I spent a good 20 minutes on a pet forum carefully crafting an answer to someone who thinks that veterinarians are scamming clients by charging too much for vaccinations and that everyone should just buy the vaccines from the local farm and feed store. I followed that by reviewing news video from Georgia about vaccines can be problems for pets...(here's the linkbut you will have to search for "pet vaccines" to see the video)

WHY all the controversy? Why do "pet experts" on the Internet or in the media think that they know more than veterinarians??

We know that vaccines help prevent disease...that much is fact as we have seen from the literal extinction of smallpox, the reduction of polio, and our low rate of rabies among our dogs and cats. We also know that some vaccines create a longer lasting immunity than other vaccines. But, if you listen to the media (and I referenced this in the last posting) you would think that millions of pets are dying from vaccines and that these newer guidelines mean that you don't have to go to the veterinarian at all!! I am continually amazed at the sheer amount of BAD information on this subject that is prevalent in the mass media and the new media of the Web.

Let's do a little history here: When vaccines for pets first became prevalent (around the 1950s-1960s) little research was done as to the duration of immunity created by the vaccines. The manufacturers of vaccines said "re-vaccinate annually" and veterinarians did so. Also, vaccine technology has changed...we have moved from using "killed" viruses to modified live viruses and even recombinant DNA technology to create vaccines. As we have gotten "smarter" about vaccines, veterinary science started making changes to recommended protocols.

Around the mid 1990s, this topic really gathered steam as scientists and veterinarians started searching for a correlation between an aggressive cancer in cats (fibrosarcoma) and vaccines. Some people also believed that there was a connection between recent vaccine events and immune mediated problems in dogs. Science has shown that some cats do develop these terrible cancers when they are injected (vaccines, antibiotics, etc), but not all cats will develop them. I saw one study from showing that about 1 in 30,000 cats develop this cancer.

Both the American Veterinary Medical Association (AVMA) and the American Animal Hospital Association (AAHA) recommended going to an extended vaccine protocol as the science and information got better. This happened as early as 2001 and some veterinarians had already changed protocols at that time. The majority of veterinarians now recommend vaccinating for "core" vaccines, like canine distemper, feline distemper, canine parvovirus, and rabies every 3 years instead of annually. Other vaccines, like feline leukemia, Bordetalla, Lyme Disease, and others, should be used based on the risk factors that your individual pet has. The best way of determining those factors is to have an open discussion with your veterinarian.

So far, this seems pretty straightforward...but the confusion and the controversy comes about when people equate veterinary visits with vaccines. I can't stress this enough....the most important reason to see your veterinarian is to have a good physical examination done on your pet. I recommend twice yearly examinations, but all pets should go at least once yearly. Also, trying to save money by vaccinating your pets yourself is also a potential for disaster. First, how do you know that the vaccines have been handled properly at your local farm/feed store or pet store? Next, do you know all the components of the vaccine you are about to give? What if your pet isn't at risk? Why should you give that vaccine?

Veterinarians and their staff members want your pet to be "immunized" not just poked with a needle. If you have questions or concerns about your pet's vaccine schedule, talk with your veterinarian. Find out your pet's risk factors and the potential effects of not vaccinating. Titer tests are available to check antibody levels for certain diseases, but be forewarned that they are not 100% understood (is your pet truly protected) and they can be quite a bit more expensive than the vaccines themselves.

You can also post questions to veterinarians at www.PetDocsOnCall.com. Our doctors will be sure to provide you with accurate information that you can trust...after all, its from a veterinarian!

This topic is still quite controversial and has many tangents and side avenues to explore. I welcome your comments and questions and hopefully we can both learn a little bit more about keeping our furry friends safe!

Sunday, May 17, 2009

Alabama Okays 3 Yr Rabies Vaccines

This week, the state of Alabama joined most of the rest of the US in allowing veterinarians to administer 3 year rabies vaccines for pets instead of yearly boosters.

The Alabama House passed the bill unanimously and now it only needs the Governor's signature to become law.

I think that this is a great story, BUT...again, there seems to be a media bias against veterinarians in general. If you listen to the anchor as she gets ready to pitch the story to the reporter she talks about "costly veterinary visits" and how this law will help to reduce the number of veterinary visits. Then the reporter says that the law "allows pet owners to go to the vet once every 3 years".

Ok...I get the idea that they are focusing on the change from a 1 year vaccine protocol to a 3 year protocol, but it's still a good idea to take your pet to the veterinarian at least once a year...twice is actually better. As I used to tell my students when I was teaching at the veterinary hospital..."a second exam is a second chance to find little issues before they become BIG problems!"

So...for those of you pet owners in Alabama...CONGRATULATIONS! Your pets will be at less risk for the rare vaccine adverse events. BUT, please ignore what the media has told you and continue to keep up a routine visit schedule with your veterinarian!

Tuesday, May 12, 2009

Pet Health: Greenies?

Once again I am amazed at the audacity and single-mindness of ConsumerAffairs.com!

Several weeks ago, I reported at PetDocsOnCall.com how Nutro, the parent company who acquired the rights to make Greenies, has decided to only sell their product in pet specialty stores and through veterinarians. Seems pretty straight forward...

Well, enter ConsumerAffairs.com...they took the same story and on May 4th released an article titled Nutro Pulls Greenies Dental Chews from Supermarkets. In this article, the journalist describes all of the terrible obstructions that have happened with pets who have been given Greenies. In fact, I became aware of their story simply because it was being repeated in various forums across the Internet, without the additional information that they will still be sold through veterinarians and certain pet stores.

First the facts: Have Greenies caused impactions in the past? The answer is most certainly yes, but so have pig ears, cow hooves, rawhides and many other numerous dog chew products. The most cited caseof Greenies is the Dachshund in New York who became obstructed after eating a Greenie and died of complications several days later. The owners attempted to sue the maker of Greenies for $5 million dollars for "product fraud". Now...the really interesting part...in the papers I read at the time (this was 2005), the lawsuit clearly stated that the owners had cut the Greenie into smaller pieces. The packaging that I remember said that cutting the treat was not advised.

Next, all dog chew toys should really be labeld "PG" for parental guidance. Some dogs get very excited about the whole chewing activity and often swallow pieces of material that won't pass or digest in a timely manner. As mentioned above, this happens with rawhide and many other products too, not just Greenies. BUT...rawhide obstructions aren't generally traceable to a brand name. Not too mention that the Internet has grown to a point where people from across the country or the world can get together and really attack a product they find fault with.

Finally, note that the majority of complaints on the ConsumerAffairs website are complaints from prior to 2007 when Greenies were reformulated. The one complaint from 2009 did not conclusively show that the Greenies were the issue. The x-ray was non-conclusive and the owner did not pursue other diagnostics or treatments. So...how can she KNOW that Greenies were the issue....

I am just stunned that ConsumerAffairs continues such strong attacks on Nutro...it's almost vendetta like. Note the last paragraph of the story.."A division of...FDA has denied it is investigating NUTRO products Inc, whose pet foods are the subject of more than 700 complaints..." I fail to see any sense of objectivity in anything that ConsumerAffairs does...

Again, I will gladly admit to my ignorance when and if a problem can be shown with the Nutro foods. But for now, I think ConsumerAffairs should forget about the possibility of a class action lawsuit against Nutro and look towards other issues.

Saturday, May 9, 2009

Dog Health: Puppy Mills

Last night, the National Geographic channel aired a special Dog Whisperer episode about puppy mills. As always, there was lots of footage of poorly cared for dogs in wire cages and an abundance of tear-jerking emotional pictures and stories. All in all, I thought the episode was fairly typical for this topic. But again, I fail to understand why there are never any veterinarians interviewed in these stories. Hearing about the horrors of this type of a life for a dog would mean more to me coming from a veterinary professional.

HOWEVER, this story may have stimulated me to think of a potential workable plan to do away with puppy mills. If you follow any legislative alerts, you will see that regulating breeders is a common item on many states' law-making agendas this year. Right here in Indiana, a new law caps the number of dogs you can own (or breed) before you are considered to be a "commercial breeder" Many other states are looking at similar laws as well as the ideas to control pet over-population, such as mandatory spay-neuter laws. I don't know for certain, but my gut tells me that the Humane Society of the United States (HSUS) is behind many of these legislative efforts. Although I do applaud their surface efforts to help, I can't help but continue to be concerned about their less than apparant motives. Both HSUS and PETA leaders have publically declared their goal of "no-more pets".

But let's be realistic, people want to own pets and the "don't shop..adopt" program is not working. American consumers will continue to buy puppies because 1) puppies in stores are cute and 2) its really convenient.

Instead of working through legislatures, why not put some money up front to help develop an enforcement agency/operation/organization that can help police breeders and help educate future pet owners? As it stands now, each new law that passes in every state adds to a financial burden at a time when it is difficult to get funding for any project.

The website, Charity Navigator shows that HSUS has in excess of $225 Million in assets. Why not free up some of those assets to develop an organization that will work with the American Kennel Club, veterinary organizations, and other dog-related groups to come up with a workable and fair outline of "good" breeding practices that is not solely determined by number of dogs or number of puppies sold?

Think on it...I don't know how much money the AKC has, but if HSUS could give about $20 Million (10% of their assets), the AKC could chip in and partner that money with funds already allocated for the USDA for enforcement of existing laws, we might make a bigger dent in the puppy mill industry. Its all about working together and stopping the "in-fighting" that accompanies any attempt at creating new laws.

Other benefits: Breeders who met "good" breeding practices could sell puppies through any outlet they choose...to individuals or to stores. People looking for puppies could buy them through "HSUS Approved Stores" to save the difficulties of finding a "good" breeder. Portions of all sales, through breeders or stores, would be funneled back into the organization for further enforcement and inspection of facilities. And best of all, we could avoid a lot of government interference. Breeders and stores who don't meet the requirements would eventually perish from lost business and consumers, good breeders and good stores would be able to work together to get puppies into homes.

This is just a basic outline and I know that many people will have a lot of issues with it, but...it's a much better start than simply throwing up some numbers and saying you can't breed dogs if you own x number of dogs. Work with DVMs to find good breeding practices, make potential breeders outline their breeding facilities/plans and submit them to this new organization annually along with their license fees, and finally, utilize technology to help eliminate the fraud that is often associated with AKC/CKC and other kennel club registrations. Maybe even mandate microchips for all new puppies that make it to 6 weeks of age.....

This obviously needs a lot of work and, of course, a lot of money. BUT...money is something the HSUS has alot of and my gut feeling is that the AKC has a fair share too. Let's put their monies together for a good common cause and start stamping out this horrendous nightmare breeders!

Tuesday, April 28, 2009

Animal Health - Busy Week!

Wow...these last 10 days have been almost unprecendented in the time I have been involved with the Veterinary News Network. I haven't seen this much animal/animal health related news since those scary two months of the pet food recall back in 2007.

Of course, the biggest news right now is the so-called "swine flu" that continues to rack up numbers of infected people as well as the numbers of countries it has reached. I imagine we will have a rough ride over the next 2 or 3 weeks until we get a handle on just how easily this flu is spread and where the true origin is. I normally reserve my thoughts for pet and animal topics, but this one is close enough and I am continuing to see some incorrect facts associated with it.

A couple of key points that need to be discussed: First, pork is ok to eat if you want to eat pork. I keep hearing and reading news stories about countries that are banning pork products from states and countries where this new flu has hit. I have not seen any evidence that this flu can be transmitted in that way and there aren't any pigs in the US who have exhibited signs of this flu!!! Plus, properly cooking pork products will destroy any virus. I don't know about you but I only eat my steaks medium rare, not my pork chops!

Second, take normal precautions, don't freak out. Wash your hands often, cover your mouth when you cough or sneeze and dispose of tissues in the trash. Hmmm...sounds like advice my mother gave me while growing up...I wonder why we need to be reminded of it again and again.

If you are sick, stay home, don't go to work/school/church and infect your friends, co-workers and neighbors. Above all, don't go hang out with any pigs!

And finally, there are no known instances of a dog or cat becoming infected with this flu bug. So, your pets should be perfectly safe!

We have a little ways to go yet with this latest medical emergency to hit...let's keep our heads on straight and not jump to any conclusions. As the story continues to grow, the Veterinary News Network will keep focused on the animal health aspect (if there is one) and you can always check in at PetDocsOnCall.com to get the opinion of one of our staff veterinarians.

Saturday, April 25, 2009

Pet Health - Compounding Pharmacies

So the bloodbath is already starting! Here we are barely 72 hours out from getting a good clue on what killed the polo ponies in Florida last weekend and the media scavengers are already circling and trying to bring down an industry that provides needed medications and alternative means of delivering the medicines - the compounding pharmacy industry.

Compounding pharmacies are pharmacies where certain drugs can be altered in dosage, mixed together, or even flavored to help aid in the delivery of the medicine. In veterinary medicine, one very common use of compounding pharmacies is to develop a transdermal mixture of methimazole that can be applied to the inner surface of a cat's ear. This medication helps control hyperthyroidism in cats. Without these pharmacies, many cats would not be regulated well and many more owners would have a difficult time giving the needed medication to their feline friends. These wonderful pharmacies have helped many veterinarians and pet owners by such simple things as adding tuna flavor to a liquid medication.

Notice how some of the media jackals are already trying to inflame the situation by discussing "gray areas" and lack of regulation. The Palm Beach Post posted an article Thursday trying to paint all the players in this industry with the same brush...scofflaws and they "operate in a gray world with little oversight". Gosh...sounds like they are working in the same environments as the drug cartels...dingy workshops, automatic weapons, and piles of unrefined drug material lying around on top of scales and in flasks and beakers.

Luckily, another Florida paper in Ocala tells a more balanced story about compounding pharmacies. There is regulation...is it perfect? Probably not, but what industry in this world is perfectly regulated? I mean, we are in the midst of a terrible recession likely caused by the lack of oversight on Wall Street. And those financial geniuses have multiple layers of regulation...

Franck's should be probably be fined and potentially placed on some sort of probationary status, but let's not find new ways to kick them when they are already down.

This was a TERRIBLE mistake and one that I certainly hope never happens again. I imagine that the entire staff at Francks Pharmacy is in a state of despair and already looking to how they can improve their protocols so this kind of accident doesn't recur. But, I do take offense at "journalists" who sense a potential weakness and then go in for the kill without any consideration to how their actions might effect an entire industry. And, I would love to see these writers come up with some sort of action plan that doesn't involve extreme government involvement rather than just fanning the flames of persecution.

What are your thoughts? Let me know or you can join the conversation at www.PetDocsOnCall.com.

Wednesday, April 22, 2009

Pet Health - Toxins in the Food part 2

Well, a little more research today found out some interesting news. I received an email from Nutro Products who basically stated that they are unaware of any FDA investigation and that the FDA and the Center for Veterinary Medicine (the division responsible for regulating pet food) have also confirmed that there is no current or ongong investigation of Nutro Products.

Hmmm...why would the ConsumerAffairs.com article say that there was? I did a little Internet sleuthing and found out the the ConsumerAffairs people may not be the upstanding consumer protection heroes we would expect. It seems that the owner of ConsumerAffairs.com is being sued for defamation and this won't be the first time he has experienced this activity. He even proudly states that "we get sued with regularity" although he won't divulge the number.

It seems, according to Law.com that this website and its owner act as a sort of pipeline to funnel potential class action lawsuits to attorneys. The website then also acts as a recruiter to find more people to participate in the lawsuits. Just for kicks, I clicked on the "Complaint" button at ConsumerAffairs.com...the form you fill out is interesting in that it asks for your name and contact information and then asks for the name of the "perpetrator". Not for the business name or the product name...the PERPETRATOR!! In my opinion, that is some pretty strong language for someone who should be objective.

Here's my thought...did the owner of this consumer site feed Nutro food and have an issue and decide that he wanted to "get" the evil pet food company? Or, did a close friend or relative have a pet get sick and they all decided that Nutro had some nice deep pockets?

Again, I don't know all the particulars of the "500" complaints (see yesterday's post) ConsumerAffairs has received, but I am very suspicious that we have seen very few examples of blood work or necropsies done on the poor pets who died. The only consistent data is the ethylene glycol (antifreeze) present in the blood of the Italian Greyhounds who died.

So...I would say that ConsumerAffairs should probably focus on gathering more concrete data before continuing to try and place blame.

Some good news today...they may have a lead in what caused the deaths of the 21 polo ponies. I will be following that story as well and will hopefully have additional information for you soon.