Rabies kills...vaccinate your pets!

A recent report from South Carolina stated that 3 cats were euthanized because they were exposed to a rabid raccoon. One of the cats was acting strangely and may have actually  been infected with rabies (it is being tested). The other two cats appeared healthy, but none of them had been vaccinated for rabies, so the only options were to euthanize the animals or quarantine them for 6 months. In South Carolina, such a quarantine entails keeping the animals at a veterinary clinic or in a cage in an isolated room or yard, 24 hour a day. The owners did not want to quarantine the cats so they chose to have them euthanized instead. If the cats had been vaccinated, a much shorter and easier quarantine period could have been applied. Rabies vaccination is a cheap, easy and effective way of protecting pets and the public.

If you care about your family and your pets, vaccinate you pets against rabies.

More information about rabies is available in our Resources page.

Psittacosis

The National Association of State Public Health Veterinarians (NASPHV)  has recently released a comprehensive document about psittacosis. This is a disease of people caused by the bacterium Chlamydophila psittaci (formerly known as Chlamydia psittaci). Psittacosis usually causes flu-like disease but can cause severe pneumonia and other problems. Chlamydophila psittaci is most commonly carried by healthy psittacine birds (those in parrot family) but can also be carried by non-psittacine birds including pigeons and doves. It is an uncommon disease in people but sporadic cases and outbreaks do occur. While treatable, psittacosis is often overlooked in the early stages of illness if the physician does not know the patient has had contact with birds. People that own or have contact with birds should know about psittacosis, and the NASPHV document is an excellent resource.


This disease is another good example why people should make sure their physician knows what types of animals they own or have contact with.

I've been diagnosed with MRSA....could my pet be the source?

Methicillin-resistant Staphylococcus aureus (MRSA) is a multidrug resistant bacterium that is often referred to as a 'superbug'. It is an important cause of disease in people, both in hospitals and in the general population. It can also infect various animal species, including dogs and cats. A small percentage of healthy people and animals (1-3%) carry MRSA without knowing it, and usually without ever having any problems. Unfortunately, increasing awareness of the potential for healthy pets to carry MRSA has led to excessive focus on pets in some situations. While transmission of MRSA between people and pets can happen, it is probably more common for it to go from people to pets, than pets to people. Pets should not be 'blamed' for human MRSA infections without good evidence, and there are only certain situations where evaluating pets is currently indicated.

Here are some important points from the Canadian guidelines for management of community-associated MRSA in people.
  • Testing of pets for MRSA carriage should only be considered when there is recurrent MRSA in the household and transmission is ongoing despite the implementation of household infection control measures.
  • Testing of pets should only be done as part of an overall investigation of the household. Testing of pets but not human household contacts is not indicated.
  • Removal of the pet should only be considered in exceptional circumstances, and removal should be temporary. Such circumstances could include households where controlling contact with the pet is not possible and/or when people in the household are being treated to eliminate MRSA carriage. The beneficial effects of pet contact should be considered in any discussion about removal of the pet from the household.
If you have MRSA, wash your hands frequently, limit contact with your pet's face and do not touch wounds on your pet. These should greatly reduce the risk of MRSA transmission.

Clostridium difficile in dogs

Clostridium difficile is a bacterium that is an important cause of disease in people and has been getting a lot of press lately in this area. Associated with that has been a lot of questions about C. difficile in dogs. Here are some facts to ponder:

  • C. difficile is thought to be a cause of diarrhea in dogs in the general population, although its true role in disease is still unclear. C. difficile infection in dogs may cause mild to moderate diarrhea that is treatable.
  • Some (<5%) healthy dogs can carry C. difficile in their intestinal tract. They may never have a problem with it.
  • Dogs that visit human hospitals have much higher rates of C. difficile carriage, but we currently don't have any evidence that they are at higher risk for disease. They probably ingest the bacterium from the hospital environment and patients' hands.
  • We are highly suspicious that C. difficile can be transmitted between people and pets (in both directions), but pets are probably not a major source of infection for people.

Certain risk factors for C. difficile carriage or infection are known, including antibiotic use (people and pets), advancing age (people) and admission to a hospital (people and pets). Some of these are not avoidable. General considerations for C. difficile prevention include:

  • Don't use antibiotics unless they are actually required. This goes for people and pets.
  • Wash your hands regularly.
  • Avoid contact with dog stool, especially diarrhea.
  • Enjoy your pet. There is always a risk of disease transmission but the risk of getting C. difficile from your pet is not something to stay up worrying about.

Indoor cats and vitamin D

We've made statements supporting keeping cats indoors in different posts, and on our Cats fact sheets in the Resources section. There were many reasons for this, including keeping your cat safe from predators and other cats, and reducing the risk of infectious disease exposure. Outdoor cats are much more likely to pick up various infectious diseases, some of which can be harmful to the cat and some of which can be spread to people. This is a particular concern in households with people that are at increased risk of infection or where infections might result in more serious disease (i.e infants, elderly, people with compromised immune systems, pregnant women).

Recently, a comment was submitted in response to one of those posts. It questioned whether indoor cats would get enough vitamin D. It's a logical question and a good example of the differences between animal species. In people and some animal species, sunlight (UV light) exposure is important for production of vitamin D. Vitamin D is an essential vitamin and numerous health problems have been associated with vitamin D deficiency.  However, cats are very poor at producing vitamin D in response to sunlight exposure. They get their vitamin D from their food. In the wild, cats get it from the prey they hunt. Pet cats get it from good quality pet foods that are supplemented with vitamin D.

Cats do not benefit from sunlight, from a vitamin D standpoint, so concerns over vitamin D should not be a factor in deciding whether your cat goes outside or not.

Dog bite prevention week

It's National Dog Bite Prevention Week in the US.  This is a  good time for dog owners, parents and the general public to think about ways to avoid bites from dogs and other animals. Dog bites are very common; many cause only minor injury, but some can even be fatal. It is estimated that 4.7 million people in the US are bitten by dogs each year, and that 800 000 of these people require medical attention for their dog bites, and that 10-34 people die as a result of their wounds.  In the majority of cases, people are bitten by a dog they know, either their own or a neighbour's dog, but strays and other dogs may also bite. Not owning a dog, therefore, does not make someone immune to the risks. Someone who does not know how to interact with a dog could be at higher risk of being bitten when they do encounter a dog. It is very important that children be taught when they should not and when they may approach a dog, and how to safely interact with a dog to reduce the risk of being bitten. It is also critical for people to know what to do if they are bitten.

Some key points to teach children:
  • Never approach a strange dog
  • Be careful and quite when approaching a dog - never make sudden movements or loud noises
  • Do not play with a dog without adult permission and supervision
  • Never disturb a dog that is eating, sleeping or taking care of puppies
  • Never take something out of the mouth of a dog
  • Avoid direct eye contact with strange or aggressive dogs
  • "Be a tree": If confronted by a strange or aggressive dog, remain still and quiet
  • If knocked over by a dog, curl into a ball and remain still
  • Tell any adult about any bite. Try to remember as many details as possible about a dog that bites so that the owner can be found and the rabies vaccination status of the dog verified
A comprehensive document on a Community Approach to Dog Bite Prevention has been published by the American Veterinary Medical Association.
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Stray kittens

While visiting my parents this weekend, we came across a litter of stray kittens in the backyard. This is not an uncommon event and many people obtain their cats this way. Adopting stray kittens can be a great way to get a cat because it provides  a good home for kittens that would otherwise end up increasing the feral cat population. However, there are some things to consider to reduce the risks to your family and your other pets.

Various bacteria that can cause diarrhea in people can be carried by kittens, including Salmonella and Campylobacter. These are shed in the stool of infected animals, and people can become ill from handling the animal or stool-contaminated areas. Kittens may have higher rates of carriage of these bacteria than adult cats. Another bacterium that can be carried commonly by kittens is Bartonella henselae, the cause of cat scratch disease. This is transmitted by bites, scratches and fleas, and is just one reason for proper flea control.

Stray kittens are also more likely to carry Toxoplasma, a parasite that is a concern in pregnant women and immunocompromised individuals. Other intestinal parasites such a roundworms are also a concern. Kittens are more likely to have these parasites than adult cats.  Stool contamination of the haircoat is presumably more common in kittens as well because they are not as good about cleaning themselves as adult cats.  So just handling a kitten, even if you avoid its stool, may result in exposure to some of these parasites and bacteria.

Rabies is always a concern, and widespread exposure of people to rabies has occurred from infected litters of kittens.  While uncommon, rabies is a major concern because it is almost invariably fatal. Any stray (or recently rescued) animal that starts acting strangely should be considered a rabies-suspect and be taken to a vet immediately. [More information on rabies, and other topics, is available in our Resources page].

Stray kittens can also carry various infectious diseases that can be transmitted to other cats in the household, such as feline leukemia virus, panleukopenia, rhinotracheitis and calicivirus.

Overall, the risks from adopting stray kittens are low, but they are real. If you are going to adopt/rescue a stray kitten, keep these things in mind:
  • Take the kitten to your vet as soon as possible to identify any health issues and determine the required vaccination, deworming and flea control program
  • Wash your hands after handling the new kitten
  • Keep the new kitten in a confined area while litterbox training is underway to reduce accidents throughout the house
  • If you have another cat, make sure it is up-to-date on vaccinations before the kitten comes into the house.
  • If the kitten gets sick, make sure it is taken to a vet. If it dies suddenly, make sure you take it to your vet to determine whether testing for rabies is required.
  • Pregnant women and households with immunocompromised individuals should not adopt stray kittens.

Reptile shows....wash your hands!!

Last weekend, my family and I went to an (indoor) aviary for an outing because the weather was particularly miserable. A new addition to this facility was a large reptile encounter exhibit. As part of this, people were encouraged to handle a bearded dragon (a type of lizard) and a large python. Contact with the animals was extremely popular with most people, including one of my daughters. She held the snake (twice) and the bearded dragon. Part of me was enjoying the experience and seeing what she got out of the encounter, but the infectious disease side of me had some concerns.

Petting zoos and similar animal contact events carry an inherent risk of infectious disease transmission. Outbreaks of various infectious diseases have been reported, mainly associated with farm animals. Reptiles are a particular concern because they can have high rates of Salmonella carriage. Terrestrial reptiles like bearded dragons and pythons are lower risk than species like aquatic turtles, but these animals can still be the source of salmonellosis in humans.

Petting zoos can be entertaining and educational, and fairly safe if run properly. However, deficiencies are often present. At this facility, there were multiple hand hygiene stations, consisting of alcohol-based hand sanitizers, which are very effective. Food and drink were banned in the area and there were staff supervising all animal contacts. These are all good things, however the best measures are useless if they are not used or enforced. While I made sure that my family carefully cleaned their hands, we were definitely in the minority. The hand hygiene stations were not particularly easy to access and there was't one present at the exit, so if you weren't looking for it you would probably just leave. Further, despite the signs, staff allowed people to eat and drink in the area where they were handling reptiles. Allowing people to eat and drink, and not providing easy access to the hand sanitizers (two pretty basic measures) were major problems and greatly increase the risk of disease transmission.

I'm not suggesting we should avoid petting zoos. My kids enjoy them and we will surely attend a few this summer. The key with animal contact exhibits is common sense....avoid high risk animals, keep you hands out of your mouth and wash your hands thoroughly when leaving (even if you didn't touch an animal since you probably touched other surfaces). Some animal species are particularly high risk, including young poultry and young ruminants (e.g. calves, lambs, goats). Reptiles fit into this high risk group, which is why I had more concern about this event than a standard petting zoo. People with compromised immune systems should avoid animal contact, particularly with calves, chicks, lambs and reptiles.

And above all, WASH YOUR HANDS.

A good source of information about animal contact events and infectious diseases is available from the National Association of State Public Health Veterinarians.

Salmonella-contaminated pet food

The CDC has released the findings of an investigation of a prolonged multistate outbreak of salmonellosis that was linked to dry dog food in 2006-2007. This outbreak implicated two different dog food brands, both made by the same manufacturer in the same plant in Pennsylvania, as the source of a particular strain of Salmonella Schwarzengrund.  The strain infected numerous people, and was also found in some dry dog food samples and stool samples of dogs that were fed the food, with which the affected people had had contact. No illness was reported in the pets. It is unclear whether people were infected from contact with the food or contact with the pets' stool.

This is the first report of  salmonellosis associated with dry pet food. Previous outbreaks have been associated with contact with raw pet treats such as pig's ears. Overall, the risk from contact with dry pet food is quite low, although this outbreak clearly demonstrates that some risk exists. Handwashing after contact with pet food should greatly reduce the already low risk.

This report is certainly not a reason not to feed your dog or cat a commercial pet food. One concern that I have is that this report will (and already seems to) be used by proponents of raw meat diets as support for this feeding practice. Feeding of raw meat has been clearly shown to increase the rates of shedding of potentially dangerous bacteria such as Salmonella. Illness and death from these bacteria have been identified in dogs fed raw meat. The high rates of Salmonella shedding in raw-fed dogs are a significant public health concern, and these concerns have been previously reviewed. Outbreaks of human salmonellosis have not been reported in association with raw meat feeding. This could indicate minimal risk, but could equally be due to lack of identification of sporadic cases that would be more likely with raw food than large-batch commercial contamination or better hand hygiene practices associated with raw meat handling. 

- The risk of Salmonella exposure is still much lower with good quality commercial pet food compared to raw meat.
- Wash your hands after handling pet food (of any variety), as well as food and water bowls.
- Care should be taken when handling animal stool to avoid any direct contact with it.  Wash your hands after picking/cleaning up any type of stool, even if you use a plastic bag or a designated scoop to do so.

Fido fights allergies

Although allergies are not an infectious disease that can be transmitted from animals to people, many a household is declared a “pet-free zone” because one or more of the people who live there is allergic to our furry friends. But for many others, the itchy, watery eyes, sniffles and constant need for antihistamines are a small price to pay for the companionship of their beloved pets.

It's estimated that as many as 15% of people are allergic to pets such as dogs and cats. But a new study from Germany has come out that shows that having Fido around when you're very young may actually help decrease the likelihood that you'll develop allergies later on. In the study, infants who lived in a house with a dog were less likely to develop allergies to things in the air such as pollen and dust by the time they were six years old, compared to children that did not live with a dog. This may be because having a dog around exposes an infant to certain allergens that help “train” the immune system from an early age not to over-react and therefore cause allergies. There was no significant difference in the likelihood that a child would develop allergies specifically to dogs between the two groups.

The American Kennel Club lists several dog breeds that tend to cause fewer problems for people with allergies. But in truth there is no such thing as an non-allergenic dog (or cat) – it’s a matter of degree, and also depends very much on an individual person’s immune system, and your symptoms may also depend on how many other allergens you are exposed to at the same time. Most adults cannot be “cured” or their allergies, but if you have allergies and suspect that your pet may be contributing to them, talk to your doctor about things you can do to try to reduce your symptoms to a more liveable level.

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West Nile virus in dogs and cats

One thing that has become very clear around my house the past few days is that mosquito season has arrived. Along with the annoyance, buzzing and itching, mosquitoes are of concern because they can transmit various viruses, including West Nile virus. While West Nile season tends to be later in the summer and fall in most regions, West Nile virus awareness and mosquito bite avoidance should be considered whenever mosquitoes are around.

Most of the attention about West Nile virus has been paid to humans, horses and birds, because of widespread illness and death in those species. Dogs and cats can certainly be exposed to West Nile virus if they are bitten by an infected mosquito; just like people and other animals. However, there are very few reports of West Nile virus infection in dogs, and even fewer in cats. Most dogs and cats that are infected do not  develop signs of disease and simply develop antibodies against the virus. 

Even if dogs or cats develop West Nile virus infection, there is no risk of transmission to other animals or human. This is because there is never a large enough amount of virus in the blood of these animals for a mosquito to pick it up and transmit it to another animal or person. The virus also can't be transmitted by direct contact with an infected dog or cat. West Nile virus is not found in saliva, so it is also unlikely to be transmitted by an animal (instead of an insect) bite.

There is no reason to be concerned about transmission of West Nile virus from your pets. If you live an area where West Nile virus is present, you should take precautions to avoid mosquito bites, such as avoiding mosquito-dense areas, wearing insect repellent with DEET, wearing long pants, long sleeves and socks when outside, avoiding peak mosquito hours (dusk and dawn) and eliminating any areas of standing water where mosquitoes can breed.

Pets and strep throat

Another question that I periodically get asked is about pets (mainly dogs) and strep throat. The usual situation is a household where there has been strep throat in multiple family members or where someone, usually a child, has had repeated bouts of strep throat. People ask whether their pet could be the source.

Strep throat is caused by Group A Streptococcus, a bacterium that can be found in the throat and on the skin of some healthy people. Strep throat and impetigo are the most common diseases caused by Group A Streptococcus, although severe (‘invasive’) infections can occur, including ‘flesh-eating disease’. Group A Streptococcus is typically spread between people, both from people that are sick and healthy carriers.

Group A Streptococcus carriage by dogs and cats is extremely rare, and it is unlikely that they are involved in transmission to people. There were some older studies implicating dogs in transmission of Group A Strep, however there were weaknesses in the methods used by those studies which probably lead them to misidentify other types of Streptococcus that are often found in dogs as Group A Streptococcus. There is currently no convincing evidence that pets are a source of strep throat infection, although the possibility cannot be completed dismissed.

I have had questions about treatment of pets when recurrent strep throat infections were present in a household, which is not supported by any evidence and could lead to problems like antibiotic resistance and side-effects from antibiotic use such as diarrhea. It’s hard to say whether there is any indication to test dogs or cats when recurrent strep throat is present in a household. Collection of a throat swab by a veterinarian and culture of the swab is fairly easy to do. It’s not unreasonable to consider that but a few things must be remembered:

- Even if Group A Streptococcus is found in a pet, it does not mean that the pet is spreading it. The pet might just be an ‘innocent bystander’ that was infected by a family member. It makes no sense to test the pet if the rest of the household is not being tested.
- Proper identification must be performed by the laboratory to differentiate Group A Strep from other strep. Just finding
Streptococcus’ is not useful.
- There are no guidelines for what to do in the unlikely event that a pet is identified as a carrier.


Overall, pets are not likely a major (or even minor) source of strep throat. If strep throat is circulating within a household, it's most likely being spread between people.

Parvovirus and Fifth Disease

Numerous outbreaks of Fifth Disease have been reported internationally. That, itself, is not particularly newsworthy because outbreaks are quite common and disease is typically mild.  In children, Fifth Disease typically causes a rash on the face, trunk and limbs. The same type of rash can occur in adults, as can joint point or swelling. Severe complications can develop in pregnant women. There is no vaccine. Fifth Disease is caused by Parvovirus B19, a fact that sometimes leads to questions about dogs because of peoples' awareness about canine parvovirus.

Canine parvovirus is a highly infectious cause of life-threatening diarrhea in dogs, mainly puppies. Canine parvovirus vaccination is a very important component of routine vaccines for dogs.

Questions often arise about whether dogs can be a source of Fifth Disease, or whether people with this disease can infect dogs. The parvovirus that causes Fifth Disease is not the same virus that causes disease in dogs. Human parvovirus cannot infect dogs, nor vice versa.

An interesting fact about Fifth Disease is the origin of its name. The name originates from a standard list of causes of rash from the early 1900s. This condition was the fifth on the list, and for some reason, it became known as ‘Fifth Disease’. None of the other disease were named by their ranking.

                                                                                                       
Public Domain image from Wikimedia.org

Keep the 'wild' in 'wildlife'

Sixteen people in South Carolina are undergoing rabies post-exposure treatment after having contact with a rabid baby raccoon. Additionally, 20 of their pets are undergoing quarantine.

Wildlife should be left in the wild. While some wild animals, especially babies, are hard to resist, little good usually comes from intervention of the general public. This is particularly true when well meaning people ‘rescue’ baby wildlife. Often, ‘orphaned’ wildlife are not orphans; the parents are hiding nearby and would have returned. Few animal facilities are properly equipped or licensed to properly deal with wildlife, and these ‘rescued’ orphans often end up being euthanized. Some people try to nurse these animals themselves but few can do it properly. It’s also illegal in many areas. Add that to the obvious risk of rabies, as highlighted here, and it should be clear that wildlife should be left alone. It’s also a good reminder of the need to vaccinate your pets because rabies exposure can occur in many different ways. The pets in this situation are reportedly under 45 day quarantine, which is certainly not something you want to do, but is much better than what would happen in many jurisdictions in the case of rabies exposure of an unvaccinated pet (long strict quarantine or euthanasia).

Baby raccoons are very cute and hard to resist, but like many other forms of temptation, danger, in this case in the form of infectious diseases, can lurk just around the corner. More information on rabies is available in our Resources section. 

Prescription pets

It’s not “take 2 doses of Fido and call me in the morning”, but contact with pets has been shown to be beneficial to people in hospitals and nursing homes. However, concerns have been raised about whether Fido could be spreading more than good will; from Salmonella and ringworm to superbugs like methicillin-resistant Staphylococcus aureus (MRSA).

Recently, new international guidelines for these programs were published in the American Journal of Infection Control. A joint effort of physicians, infection control personnel, veterinarians and visitation program representatives, these guidelines provide comprehensive recommendations on how to run these programs and reduce the risk of disease transmission. Among the areas covered are appropriate animals, health care for visitation animals, appropriate human-animal interaction and the roles of visitation programs, pet owners and hospitals. “The goal of these guidelines is to keep these highly beneficial animal-assisted interventions safe for all involved.  That means protecting not only the patients but the pets, as well as other people and animals the pets may subsequently interact with”, said lead author Dr. Sandi Lefebvre.

Camping with canines - tick tick not!

The warm weather is just about here, and that means the start of camping season. Lots of people love to spend time in the great outdoors during the summer, whether it’s at a summer cottage on the lake, trailer camping in a park with electricity and running water, or roughing it in a tent in the peace and solitude of a more remote wooded location. And many people bring along their faithful companions – their dogs – who enjoy the experience just as much, if not more, than we do.

But there are also dangers lurking in the forests – microscopic dangers carried by tiny insects and other bugs. Ticks in particular are problematic. Certain ticks can carry a number of diseases that can make dogs sick, including Lyme disease (caused by Borrelia burgdorferi) and Rocky Mountain Spotted Fever (RMSF)(caused by Rickettsia rickettsii ). Both Lyme disease and RMSF are more common in certain areas where the tick species that carry them are present.  You can NOT catch these diseases from your dog, but both you and your dog can be infected by the ticks that carry them. People can also be exposed to these pathogens by accidentally crushing an infected tick while trying to remove it from their dog. Ticks must be removed very carefully to ensure that the entire tick is removed, including the head and mouth pieces, without crushing it. If you're not sure how, contact your veterinarian.  Also, the sooner the tick is removed, the less likely it is to transmit certain diseases, so be sure to check your dog thoroughly for ticks when you come back from a walk in the bush.

The Minnesota Department of Health recently reported that the number of cases of (human) Lyme disease increased in that state in 2007. This could be because of spreading tick populations, more people participating in activities in tick-inhabited areas, or increasing awareness and diagnosis of the disease by physicians.

If you and your canine companion will be spending time in some of the wilder and woodier parts of the great outdoors, talk to your veterinarian about what you can do to protect your dog. There are vaccines available for Lyme disease and the bacterial infection leptospirosis (which is also transmissible to people). Flea and tick preventatives are also very important, and many of today’s products are very effective. People should always wear insect repellent when camping or hiking in the woods. Visit the Health Canada website for safety tips on using personal insect repellents. All dogs should be vaccinated for rabies, whether they go camping in the backwoods or they’re house-bound city-slickers.

Rabies from a bat: tragic and preventable

A recent issue of CDC’s Morbidity and Mortality Weekly Report described a case of rabies in a person from Minnesota. This person died of rabies in 2007. Approximately one month before he became ill, he held a bat in his hands and felt a ‘pin-prick’. He didn’t see a wound or blood and assumed that he had not been bitten. Since neither he nor his family knew that this type of contact was actually considered rabies exposure, he did not seek medical attention. He died approximately 3 weeks after he developed rabies. Post-exposure rabies treatment would have almost certainly prevented his death.

- Never handle a bat
- Assume all bats are rabid until proven otherwise
- Any contact with a bat is considered to be rabies exposure unless the bat has been tested and shown to be negative. All bat exposures should be reported to the appropriate public health authorities.
- Despite all the old stories, rabies exposure treatment is not horrible…it’s just a series of shots in the arm.
- Vaccinate your pets. You never know when they’ll encounter a bat…inside or out.

More information on rabies is available in our Resources area.

Horses and MRSA

Many people in the horse world have heard the hype about methicillin-resistant Staphylococcus aureus (MRSA) in horses. MRSA can cause infection in horses, just like it can in people, dogs, cats and many other animals. It’s usually what we call an “opportunistic” pathogen, meaning it usually takes advantage of a person or an animal that is already sick or injured, like someone who’s in the hospital and has just had surgery. And because MRSA is resistant to many different antibiotics, the infection can be difficult to treat. The big concern with MRSA in recent years is that infections are now sometimes occurring in people who aren’t sick, and who don’t have wounds or incisions, which is where MRSA usually likes to move in. It’s very important to find out from the start if an infection is being caused by MRSA, so that it can be prevented from spreading to other people and animals, and so that it can (if necessary) be treated with the right kind of antibiotic.

Horses are a bit of a special case when it comes to animals and MRSA. When researchers look at the DNA of MRSA from a dog or a cat, it usually turns out to be one of the common human MRSA strains (usually called a “clone”) from the same area. This means that the dog or cat probably picked up the MRSA from a person somewhere.  When researchers look at the DNA of MRSA from horses, however, they often find a different clone, which seems to be more common in horses and people who work with horses than in people in general. A very similar situation has also been discovered in pigs. The worry is that this “horse MRSA clone” can survive in and be transmitted between horses better than the human MRSA clones. That means that in order to control MRSA, just controlling it in the people won't do the trick - we need to take steps to stop the spread of MRSA in horses specifically as well.

Here are some key points to help reduce the risk of your horse (and you!) getting MRSA
:

  • Always wash your hands with soap and water (or use an alcohol-based hand sanitizer) after handling a horse, and before handling another horse.
    • This is especially important if you have touched a horse’s nose, or any cuts or wounds that the horse may have.
    • Don’t go down the row of stalls in the barn and pet every horse on the nose! They love the attention, but this is a great way to spread MRSA if it’s there!
  • New horses coming into the barn, or animals coming back from a hospital, should be kept separate from all the other animals and only dealt with after all the other horses, for 3-4 weeks.
    • This is an important measure for controlling many infectious diseases, not just MRSA.
  • If your horse has a cut that looks infected, cover it with a bandage of some kind and contact your veterinarian. Your veterinarian can culture the wound to determine if it is an MRSA infection.

Rabies vaccination...an Olympic event

In Beijing, 700 000 dogs have recently been vaccinated against rabies in order to combat the growing rabies epidemic there, and reduce the risks to people attending the 2008 Olympic games.

Unfortunately, rabies is common in China, with the number of cases increasing dramatically over the last decade.  In 1996, there were 163 humans deaths due to rabies. This number increased to 3380 in 2007.  Because of the seriousness of disease, the number of deaths and the low vaccination rate in dogs, a mandatory vaccination policy for dogs has been put in place. Free rabies vaccination is provided annually for each licensed dog. This could have a tremendous impact on the number of rabies cases, at least in certain regions. Control of rabies in rural areas is more problematic because of the lack of an organized registration and vaccination system for dogs in those areas. Perhaps not surprisingly, most cases of rabies occur in these rural regions.

So, the 2008 Beijing Olympics may have benefits for the dogs of China as well, or at least those in Beijing. This is certainly a preferred approach to the reports from last year of mass killing of thousands of dogs (including pets).  Let's hope this progressive approach continues and the impact of this horrible disease decreases.

On a related note, the latest human death from rabies in Beijing was a person who was bitten by a stray dog two months before he became ill. He didn't seek medical attention at the time of the bite, he just cleaned the wound himself.  If he had been treated for possible rabies exposure, he'd be alive today.  While rabies is uncommon in many areas, no bite from an animal should be taken lightly.  Rabies should always be considered and appropriate measures taken. More information about rabies is available in our Resources section.

The Great Indoors - Keeping Kitty Content

Many a cat owner still believes that a cat’s natural habitat is outside in the great outdoors, where they can hunt mice and birds, chase insects and climb trees. Even after being domesticated and bred in captivity for hundreds and hundreds of years, house cats of all breeds still have those basic feline instincts – they love to prowl, hunt, stalk, pounce, and some delight in tearing their toys limb from limb. But from a health and infectious disease control standpoint, the great indoors is a far better place for your feline friend.

  • A cat that goes outside, especially one that hunts, is more likely to pick up bacteria like Salmonella, or parasites like Toxoplasma and intestinal worms, which can potentially be transmitted to people, whether or not the cat gets sick. Outdoor cats are also more likely to come home with parasites like fleas which, in addition to being a major nuisance to you and your pet, can also transmit tapeworms and may contribute to the transmission of cat scratch disease (bartonellosis).
  • Cats that live exclusively indoors are also not at risk of contracting two very important viruses, namely feline immunodeficiency virus (FIV, which is the cat equivalent of the human HIV/AIDS virus) and feline leukemia virus (FeLV, which is sometimes also called Fe-Leuk). These viruses are transmitted by direct cat-to-cat contact, particularly during cat fights. They cannot be transmitted to people, but they can make your cat very sick and prone to other infections, some of which may be zoonotic.
  • It’s also easier to keep track of your cat’s health if it doesn’t go outside. Changes in your cat’s drinking and litter box habits, which can be important indicators of various health problems, can be detected much faster if your cat isn’t finding alternate sources of water or places to do its “business” outside.
  • And there are still other benefits to keeping your cat indoors, including not having to worry about your kitty being hit by a car, not having to treat fight wounds and cat bite abscesses, and not having your feline friend bringing little “presents” into the house, like dead (or not so dead) rodents and birds.
“But cats belong outside!” you say. I would have to disagree. There’s no denying that many an outdoor cat has a good time romping through the grass. But if for some reason your cat also really enjoyed rolling around in Salmonella-laden manure, it doesn’t mean you should let it. The joy factor needs to be weighed against the potential health implications for you, your family and your cat. Domestic cats have been allowed in our homes for so long, it has become their “natural” environment. Forays into the great outdoors aren’t truly necessary. My cats both spend all their time indoors, and they are able to satisfy all their instincts for pouncing and playing, and believe me, they get lots of exercise. They could not be happier (nor healthier) than to watch the world go by from their warm cushion on the window sill, and content themselves with their adventures in the great indoors.


See our Resources page for more information on zoonotic diseases in cats.
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