Tuesday, June 10, 2014

The Community Task Force...

You may have read any number of my posts and wondered “What has this got to do with me?”  Well, when doctors and veterinarians are not communicating it creates additional risks to something we see as so benign, and that’s owning a pet.  Many pet owners or relatives of those with pets take for granted the potential health risks with owning a pet.  I’m not trying to come across as Chicken Little yelling “The sky is falling!!!” but these risks should be calculated and not underestimated.

Let me give you a real life scenario…I was talking to a man over the weekend that stated “I don’t believe in taking my cat to the veterinarian.”  My counter was “is your cat up-to-date on her rabies vaccine?”  Now, if you’ve read my bio you may be thinking this is my 15+ years in the veterinary/animal industry speaking…well it is and it isn’t.  Here’s the rest of this man’s circumstances…

This gentlemen is in his 60’s, is primarily homebound and is susceptible to illness due to current health conditions and he lives in a very rural area.  Although it is not common for a bat to get into his home he did admit it wasn’t impossible.  So here’s a few concerns

1.      His cat is not rabies vaccinated and although it does not have access to outside, bats are commonly found in the area.

2.      For the cat to receive the rabies vaccine, it is first examined for illness.  Concerns for disease transmission do not just include rabies, but also cat scratch disease (CSD, bartonellosis) and the transmission of intestinal parasites are some other zoonotic (disease that can be transmitted from animals to people) concerns.  If bats can get into the home, chances are rodents and other small disease carrying critters that are found out in rural areas are able to get into the home as well.

Apparently this gentleman’s physician did not recommend for his cat to have regular veterinary visits.  Yet again, here’s a situation where the two medical professions are not working cohesively.

When I go into an exam room to take the vitals of my four legged patient, acquire information from the client and discuss recommended vaccines and other services I find it imperative to inquire about the health status of all those in the household.  A common question from pet owners is “What vaccines (or tests) do you think my pet needs?”  I explain there are core vaccines that are recommended for pets based on age and socialization (example.  Those that are taking their pets to the groomer or a trainer) however there are additional vaccines that can be recommended if any of these groups of people are in the home, help clean a litter box and/or visit frequently

·         Children (especially children five and under)

·         Elderly

·         Pregnant woman

·         Persons with compromised immune systems

I do not ask the pet owner specifically what their diagnosis or condition is however I explain that recommendations are altered if there is someone in the home with any of those considerations.  Note:  in the veterinary field we do not document or ask specific information about health conditions to protect the personal information of the client.  I could write a book on these concerns, so I’m making an attempt to cut it short however I do want to mention something else…

I’ve mentioned the concerns of a pet with a zoonotic disease sharing with its human caretakers, but there is another reason why keeping our pets healthy is imperative.  There are many diseases pets can carry that do not affect people (example.  Parvovirus, feline leukemia or FeLV, distemper, etcetera), however if they contract an illness, just like us, it weakens their immune system making them more susceptible of picking up other illnesses, including those that are zoonotic.  It’s not uncommon, for example, for a puppy that has successively defeated parvovirus to soon after develop ringworm (or other fungal infection) or mange.  When a pets immune system is worn down or is in a constant state of flux, other ailments or conditions can develop that can place us at risk.  It is crucial for both animal and human medical professions to work unified in keeping patients, clients and the community safe and as free from illness as possible.

Going back to the gentlemen I spoke of early in this entry, here’s a man, in his 60’s, homebound, he has a weakened immune system with an unvaccinated cat with an unknown health status (because it does not see the veterinarian).  This is an accident waiting to happen.  Human health professionals should be recommending to anyone that is elderly, those with weakened immune systems, pregnant women and those with children in the home (or that frequently visit) to take their pets to the veterinarian.  Just as those in the veterinary professional that diagnoses pets with zoonotic disease or parasites should be recommending the pet owner (or family members) to seek medical attention and to recommend vaccinations, service and products that will protect pet owners from developing a transmissible disease.  It may take a village to raise a child, but it takes a task force of doctors, nurses, veterinarians and credentialed veterinary technicians to keep a community healthy.

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