Worms and Germs Blog : Animal Health & Diseases : University of Guelph : Ontario Veterinary College : Zoonotic Diseases : Guelph, Hamilton, Ontario

It seems like whenever a hit TV show or movie features an animal, there's concern about the "101 Dalmatians effect," whereby there's a mad rush to get the animal for a pet. When 101 Dalmatians was a hit movie, there was a huge spike in sales of this rather unusual breed - a breed which is certainly not for everyone. This results in unqualified breeders and puppy mills churning out marginal or poor quality pets and people getting a pet that really doesn't suit them. The end result can be a lot of disappointment, heartache and abandoned pets. This pattern has been repeated with various other breeds and animal species, and there is concern that the same will happen with guinea pigs as a result of the new Disney movie G-Force.

In terms of human health, guinea pigs are relatively benign. Bites and scratches are probably the biggest concern, and are often the result of improper handling. Bites can become infected from bacteria in the guinea pig's mouth or from bacteria on the person's skin. Allergies are also a potential problem. The number of diseases that are known to be transmitted by them is relatively small, and the risk of disease transmission is rather low.

Lymphocytic choriomeningitis virus (LCMV) is a concern with all rodents. It typically only causes disease in people with compromised immune systems, but can result in fatal infection. The risk of a guinea pig carrying this virus is likely greatest in animals from large rodent breeding facilties and when there is contact with wild rodents.

Ringworm is perhaps the most common infection that people get from guinea pigs (apart from infections following bites). Even healthy guinea pigs can carry the fungus that causes this disease.

Guinea pigs can carry Salmonella, but they are quite susceptible to infection and usually get quite sick. The risk of a healthy guinea pig shedding Salmonella, especially for a prolonged period, is pretty low. The risk is presumably greatest shortly after purchase.

Rabies is always a potential problem in mammals but the risk is very low with small rodents such as guinea pigs. (Very low isn't zero though, since hamsters have been sources of potential rabies exposure).

There are other potential problems too, but they are all quite rare.

The keys to reducing the risk of infection are:

• Purchase a guinea pig that looks healthy, is eating well, has no skin lesions or diarrhea, and is active and alert. Ideally, purchase an animal from a local breeder as opposed to a store that might have obtained the animal from a large breeder, via an animal warehouse, hundreds or thousands of miles away.
• Learn how to properly handle a guinea pig to reduce the risk of bites and scratches, as well as injury to the animal.
• Keep pet guinea pigs away from wild rodents.
• Use good general hygiene. Wash your hands after handling the guinea pig and after contact with bedding.
• Thoroughly wash any bites or scratches.
• Take particular care in the period shortly after purchase.
• Even though the cost of the guinea pig is less than the cost of a vet visit, a veterinary examination is important when the animal is sick. Apart from our ethical responsibility to take care of our pets, it's important to make sure that illness isn't caused by a disease that can be transmitted to people.

More information about the diseases mentioned above is available on the Worms & Germs Resources page. While we don't have a specific guinea pig info sheet yet, much of the information on the hamster information sheet also applies to guinea pigs.

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One more post about illogical and dangerous activities associated with animals and young children and I'll hopefully get off the subject for awhile. I came across this daycare's website today. Keep in mind (again) that the the Centers for Disease Control and Prevention (CDC) recommends that children less than 5 years of age not have contact with reptiles, and that the  Compendium of Measures to Prevent Disease Associated with Animals in Public Settings published by the National Association of State Public Health Veterinarians states that wild or exotic animals may not be appropriate in school settings. The photo gallery from this particular daycare included some great pictures of things that you should NOT do with young children. Some of the more striking example are below:

1) Letting a large snake wrap its body around the neck of a young child.

 2) Letting a young child kiss a snake.

3) Letting a child touch a turtle.

4) Letting a young child pet a pygmy hedgehog. (Like reptiles, hedgehogs very often carry infectious pathogens, including Salmonella.)

I wonder...

• whether anyone made sure these children immediately washed their hands after they touched the animals.
• how may kids but their hands in their mouths before they washed their hands. (Probably almost all of them, considering the "animal visit" probably went on for quite a while.)
• whether this activity took place in the same area where the children later ate lunch or a snack.
• whether the parents knew that this was going to happen.

I'm not against young children having contact with animals. I think pet contact can be very rewarding for young children. However, these individuals are at higher risk for infection and it is our responsibility to protect them. Putting them in high risk situations like these is inappropriate. Animal visitation in daycares is not necessarily a bad thing, if it involves animals that are a low risk species (e.g. dogs and cats), that are healthy, and that have been temperament tested (to show they are at low likelihood of biting).  It is also important that parents provide consent for their children to participate, that good hygiene practices are used (and enforced), and that the people bringing in the animals know what they are doing.

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Cowpox is a disease caused by cowpox virus. This virus is most famous for being used by Edward Jenner to vaccinate people against smallpox (which is caused by a related virus). However, despite the name, rodents are the natural host of cowpox virus, not cows. Most human cases of cowpox are associated with contact with rodents. Cats are another important source of human cowpox infection in some areas.

Cowpox infections in people are uncommon.  Most cases occur in Europe, western parts of the former Soviet Union and parts of Northern and Central Asia. Outbreaks of cowpox can be associated with infection of pet rats at central breeding or large housing facilities, which results in large numbers of infected rats that are then shipped to many different places. Recently, outbreaks of rodent-associated cowpox have been reported in Germany and France. It is suspected that these infections are associated with a large rat breeder in the Czech Republic, however this has not been confirmed.

Cowpox causes typical "pox" lesions, like those that are seen with chickenpox. Only a single lesion is present in most cases, but multiple lesions can develop. Flu-like symptoms such as fever and fatigue, as well as enlarged lymph nodes, are also common. Severe, even fatal, disease can occur in individuals with a weakened immune system, but in most people cowpox infection causes only mild illness and resolves without treatment.

Cowpox is not a concern in many areas of the world. In regions where it is present, basic, common-sense  precautions can reduce the risk of infection.

• Contact with infected animals should be avoided. Cats are an important source, and cowpox should be considered in any cat with appropriate skin lesions in an endemic area. The same should apply to rats with skin lesions.
• Gloves should be worn when handling cats and rats with skin disease, and hands should be washed immediately after glove removal.
• If skin lesions are identified on a rat, particularly over the feet, ears or tail, the animal should be examined promptly by a veterinarian.
• Don't buy any rat with skin lesions, and if possible, avoid buying rats that were bred and/or housed in facilities with a very large number of other rats.

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If your veterinarian suspects your pet may have ringworm, there are several different ways he or she may test for the causative fungus (a dermatophyte) on your animal's fur and skin.  Some of these techniques are more useful than others in different situations.

• Wood's lamp:  A Wood's lamp is simply a special ultraviolet light.  Approximately half of all Microsporum canis strains (the most common species of dermatophyte that causes ringworm in cats and dogs) will fluoresce blue-green under such a light. This type of testing is obviously very easy to perform.  However, other debris in an animal’s hair coat may fluoresce as well, and other species of fungus that cause ringworm do not fluoresce, so this test is not useful by itself in most cases.
• Microscopy: Sometimes ringworm fungus can be seen on hair shafts from an infected pet when examined under a microscope.  However, it is easy to confuse other debris and structures for dermatophytes.  Also, not every hair on an infected animal will carry the fungus, so it's possible to miss the infected hairs altogether with this test.
• Fungal culture: The best way to diagnose ringworm is to culture the fungus from the infected individual (person or animal). In animals, one of the best ways to collect a sample for culture is to comb over all the fur and skin with a new toothbrush, and then try to grow dermatophytes from the toothbrush. This allows the fur from all over the animal to tested, rather than just one little clump of fur plucked from one area.  It can also make it easier to get a sample from the face and paws of cats, which is where these animals often carry the fungus.  Although fungal culture is the best way to diagnose ringworm, remember that fungal culture takes much longer than bacterial culture – instead of days, it may take up to three weeks to grow some dermatophytes.

It's also important to remember that dogs, and more often cats, may carry dermatophytes on their fur even when they look healthy.  A positive fungal culture from an animal with skin disease, particularly a cat, does not necessarily rule out other diagnoses, so your veterinarian may still recommend other tests as well.  However, any animal with ringworm should be treated to prevent spreading the infection to other animals and people.

More information about ringworm is now available on the Worms&Germs Resources page, and in our archives.
 

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For more information on ringworm, see the Worms & Germs post Ringworm: Skin fungus by any other name.  The photos here show ringworm lesions on a person's arm and on a cat's face, respectively.  (Photo credits: A. Yu, Ontario Veterinary College)

Over the past several years, studies have shown that many environmental disinfectants sold and labeled for use against the fungi that cause ringworm (which are called dermatophytes) in animals and people are, in fact, not effective when used in households and veterinary clinics.  The problem is the chemicals are typically tested against a suspension of the organisms in a test tube, but in the “real world” the fungi are usually found on small fragments of infected hairs.  Its possible that the hair shaft protects the fungus from the actions of some disinfectants.

There are a few disinfectants that have been shown to be effective against dermatophytes even when they are found on infected hairs and skin cells in the environment.  The most readily available one is household bleach, used at concentrations of 1:10 to 1:100.  Other effective products include Virkon-S® (a detergent-peroxide based product) and Peroxigard® (an accelerated hydrogen peroxide product) . An environmental spray containing enilconazole (an antifungal agent that is also found in the topical medication Imaverol®) was also found to be very effective. This product is not approved for household use, but it is approved for use in catteries. It is also licensed as a topical treatment for dogs and horses in most of Europe and Canada.

Eliminating ringworm from the household or clinic environment can be difficult, because the fungus can be found anywhere that an infected animal (or person) sheds hair or skin cells.  Here are some guidelines for environmental disinfection of dermatophytes:

• All bedding, brushes, combs, rugs, cages, etc. should be vacuumed, scrubbed, and washed with hot water, detergent, and 1:100 chlorine laundry bleach, or another effective disinfectant (see above). It is best to throw out any items that cannot be thoroughly disinfected.
• Walls, floors, lamps, etc. should be scrubbed and cleaned in a similar manner.
• Carpeted areas may be impossible to effectively decontaminate. If possible, remove the carpet and either wash in hot water and bleach, or discard it. Otherwise, frequent vacuuming with immediate disposal of the collection bag is necessary.
• Vehicle interiors should be decontaminated as much as possible in a similar manner.
• Curtains can be “dry-cleaned” at a professional cleaner.
• Clean heating vents (from the house furnace) as well as possible. If the house is heated by hot air, change the furnace filter once weekly throughout the decontamination process.
• Cleaning and disinfection of the environment should be repeated at least once every 4-6 weeks (the more often, the better) until all affected animals and people have eliminated the fungal infection.

Obviously, environmental clean-up for ringworm is quite an undertaking.  If infection can be identified early, lesions can potentially be kept covered and movement of pets can be restricted to reduce the extent and amount of environmental contamination.

Special thanks to Dr. Anthony Yu (one of the veterinary dermatologists at the Ontario Veterinary College) for providing much of the information in this post, as well at the photos.

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You may notice a recurring theme in many of our posts and on virtually all of the information sheets on the Worms & Germs Resources page: an emphasis on handwashing. There is increasing emphasis on hand hygiene (i.e. hand washing and use of alcohol hand sanitizers) education in hospitals because the hands of healthcare workers are a major (if not the most important) means of disease transmission between patients. Despite hand hygiene being easy, cheap and effective, people rarely wash their hands as often as they should, and they often don't do it properly.

Most of the research about hand hygiene that has been published has focused on its use and impact in human hospitals, but this area is now also being studied more with regard to animals and veterinary medicine. A study published earlier this year in Veterinary Microbiology provided more evidence that hand hygiene is a critical infection control measure when dealing with animals. The study, coordinated by Dr. Maureen Anderson (of Worms&Germs fame) looked at MRSA carriage rate in veterinarians who work with horses. In addition to finding a high rate of MRSA carriage among these veterinarians (which was consistent with other reports indicating that equine vets are at higher than average risk for exposure to MRSA), the study looked at factors associated with MRSA carriage. Vets that reported routinely washing their hands between farms and those that reported washing their hands after contact with potentially infectious cases had a significantly lower rate of MRSA carriage. That should come as absolutely no surprise, but it's one more piece of evidence that we need to pay more attention to this routine infection control measure, in human hospitals, in veterinary environments and in households.

Remember, the 10 most important sources of infection are the fingers on your hands!

Click here for instructions on how to wash your hands properly.

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• Direct contact with animal blood should be avoided whenever possible.
  • In particular, avoid getting animal blood on any cuts, scrapes or other broken skin, and avoid getting the blood in your mouth, nose or eyes.
• If you do get animal blood on your skin, wash it off as soon as possible.
• While it is extremely unlikely for a person to get sick from touching animal blood, make sure you tell your physician about the incident if you do become ill.

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