Canine Influenza Update 4/14/15 AM

An article dated 4/12/15 out of Cornell University by Joe Swartz, stated the Influenza outbreak in Chicago may be caused by a new strain of Influenza. The new strain (H₃N₂) is from Asia, and is currently in wide circulations in Southern China and Korean dog populations.

The outbreak was originally attributed to the H₃N₈ strain which was first identified in the US dog population in 2004 at Greyhound race Tracks and some boarding kennels.

Currently testing is being done at the National Veterinary Service Laboratories in Ames, IA, to see if they can determine if two different strains exist in the Chicago outbreak. The New H₃N₂ (Asia) strain has also shown to cause infection and respiratory illness in cats.

The fact that a lot of the dogs tested positive to the old influenza dog virus testing and some did not leaves them to suspect that two strains may currently be in Chicago.

I have personally talked to the spokeswoman at Cornell University and she said they should know in about two weeks whether the current vaccine we have will protect against both strains. The bad news is that if the canine influenza vaccine does not protect against the new strain, it would likely take several months to develop a new vaccine. Therefore the overall preventative advice is to avoid bringing your dog to places where dogs congregate such as dog parks, beaches, etc. until we know more. We will forward new information as it becomes available.

Summary

As it stands, we do not currently know whether the vaccine we currently have will protect against the current influenza virus that is going through Chicago, unfortunately it is the best we have until we know more.

The recommendations to avoid dog parks and areas where dogs congregate continue to be the best practice. We also continue to advise having your dog vaccinated for the strain we know about since it has not been confirmed if both strains are in the Chicago area.  As always we want what is best for your pets and will continue to keep you updated as we know more.

Thank you,

-Dr. Rex Bailey and Dr. Lauren Fairchild 

E-Cigarettes and Pets Do Not Mix

E-cigarettes are sparking heated debates as lawmakers, medical professionals and industry grapple over the relative safety of the nicotine-delivering devices. But for pet owners, there is no debate. Nicotine poses a serious threat of poisoning to dogs and cats, and e-cigarettes back a powerful punch. The problem is that many pet owners don’t realize it. 

Pet Poison Helpline has encountered a sharp uptick in calls concerning cases of nicotine poisoning in pets that ingested e-cigarettes or liquid nicotine refill solution. In fact, over the past six months, cases have more than doubled, indicating that along with their increased popularity, the nicotine-delivering devices are becoming a more significant threat to pets. While dogs account for the majority of cases, nicotine in e-cigarettes and liquid refill solution is toxic to cats as well. “We’ve handled cases for pets poisoned by eating traditional cigarettes or tobacco products containing nicotine for many years,” said Ahna Brutlag, DVM, MS, DABT, DABVT and associate director of veterinary services at Pet Poison Helpline. “But, as the use of e-cigarettes has become more widespread, our call volume for cases involving them has increased considerably.” In an effort to educate pet owners before an accident occurs, Pet Poison Helpline offers this important safety information. 

What are e-cigarettes? 

E-cigarettes are simply another way of delivering nicotine. Designed to resemble traditional cigarettes, the battery operated devices atomize liquid that contains nicotine, turning it into a vapor that can be inhaled. The most recent craze is flavored e-cigarettes, which are available in an array of flavors from peppermint to banana cream pie, and everything in between. 

What makes e-cigarettes toxic to pets? 

The aroma of liquid nicotine in e-cigarettes can be alluring to dogs, and flavored e-cigarettes could be even more enticing. The issue is the amount of nicotine in each cartridge, which is between 6 mg and 24 mg. So, each cartridge contains the nicotine equivalent of one to two traditional cigarettes, but purchase packs of five to 100 cartridges multiply that amount many times over, posing a serious threat to pets who chew them. For example, if a single cartridge is ingested by a 50-pound dog, clinical signs of poisoning are likely to occur. But if a dog that weighs 10 pounds ingests the same amount, death is possible. Dogs of any weight that ingest multiple e-cigarette cartridges are at risk for severe poisoning and even death. In addition to the toxicity of nicotine, the actual e-cigarette casing can result in oral injury when chewed, and can cause gastrointestinal upset with the risk of a foreign body obstruction. Some e-cigarette users buy vials of liquid nicotine solution for refilling e-cigarette cartridges. The solution is commonly referred to as “e-liquid” or “e-juice.” The small bottles hold enough liquid to fill multiple cartridges, meaning they contain a considerable amount of nicotine. Pet owners should be very careful to store them out of the reach of pets. 

What happens when e-cigarettes are ingested by pets?

Nicotine poisoning in pets has a rapid onset of symptoms – generally within 15 to 60 minutes following ingestion. Symptoms for dogs and cats include vomiting, diarrhea, agitation, elevations in heart rate and respiration rate, depression, tremors, ataxia, weakness, seizures, cyanosis, coma, and cardiac arrest. 

What to do if a pet is exposed? 

Because nicotine poisoning can happen so rapidly following ingestion, prompt veterinary care can mean the difference between life and death for a pet. Home care is not generally possible with nicotine exposure due to the severity of poisoning, even in small doses. Take action immediately by contacting a veterinarian or Pet Poison Helpline at 1-800-213-6680. As always, prevention is the best medicine. E-cigarettes, cartridges and vials of refilling solution should always be kept out of the reach of pets and children. 

SOURCE: http://www.petpoisonhelpline.com/2014/09/e-cigarettes-pets-mix/   Published on September 2, 2014

Protect Your Pet During Winter and Cold Weather

Keep pets indoors and warm 

The best prescription for winter's woes is to keep your dog or cat inside with you and your family. The happiest dogs are those who are taken out frequently for walks and exercise but kept inside the rest of the time. 

Don't leave pets outdoors when the temperature drops. 

During walks, short-haired dogs may feel more comfortable wearing a sweater. No matter what the temperature is, windchill can threaten a pet's life. Pets are sensitive to severe cold and are at risk for frostbite and hypothermia during extreme cold snaps. Exposed skin on noses, ears and paw pads can quickly freeze and suffer permanent damage. 

Take precautions if your pet spends a lot of time outside

A dog or cat is happiest and healthiest when kept indoors. If for some reason your dog is outdoors much of the day, he or she must be protected by a dry, draft-free shelter that is large enough to allow the dog to sit and lie down comfortably but small enough to hold in his/her body heat. The floor should be raised a few inches off the ground and covered with cedar shavings or straw. The doorway should be covered with waterproof burlap or heavy plastic. 

Help neighborhood outdoor cats 

If there are outdoor cats, either owned pets or community cats (ferals, who are scared of people, and strays, who are lost or abandoned pets) in your area, remember that they need protection from the elements as well as food and water. It's easy to give them a hand. 

Give your pets plenty of food and water 

Pets who spend a lot of time outdoors need more food in the winter because keeping warm depletes energy. Routinely check your pet's water dish to make certain the water is fresh and unfrozen. Use plastic food and water bowls; when the temperature is low, your pet's tongue can stick and freeze to metal. 

Be careful with cats, wildlife and cars 

Warm engines in parked cars attract cats and small wildlife, who may crawl up under the hood. To avoid injuring any hidden animals, bang on your car's hood to scare them away before starting your engine. 

Protect paws from salt 

The salt and other chemicals used to melt snow and ice can irritate the pads of your pet's feet. Wipe all paws with a damp towel before your pet licks them and irritates his/her mouth. 

Avoid antifreeze poisoning 

Antifreeze is a deadly poison, but it has a sweet taste that may attract animals and children. Wipe up spills and keep antifreeze (and all household chemicals) out of reach. Coolants and antifreeze made with propylene glycol are less toxic to pets, wildlife and family. 

Speak out if you see a pet left in the cold 

If you encounter a pet left in the cold, document what you see: the date, time, exact location and type of animal, plus as many details as possible. Video and photographic documentation (even a cell phone photo) will help bolster your case. Then contact your local animal control agency or county sheriff's office and present your evidence. Take detailed notes regarding whom you speak with and when. Respectfully follow up in a few days if the situation has not been remedied. 

 SOURCE: http://www.humanesociety.org/animals/resources/tips/protect_pets_winter.html 

Ebola Virus

The death of an international traveler diagnosed in the U.S. as having the Ebola virus disease (EVD), coupled with the precautionary measure by Spanish health officials to euthanize the dog of an exposed healthcare worker, have raised questions and concerns among veterinarians and the public alike:

How will the U.S. react if faced with an increased number of EVD patients?

Is there any chance that what happened in Spain could happen here?

Is it even possible for dogs to get EVD or spread it to humans?

We know that you and your clients are looking for answers, and we’re working to get information for you. The AVMA is collaborating with the U.S. Centers for Disease Control and Prevention (CDC) and USDA along with other agencies and experts and is tapping into the broad expertise of our member veterinarians to develop information for our members and the public. We will strive to ensure that veterinarians have a prominent voice as these issues are discussed and decided in the United States.

Ebola virus in animals
At this time, the CDC states that there have been no reports of dogs or cats becoming sick with Ebola or of being able to spread the virus to people or animals. Even in areas of Africa where Ebola is present, there have been no reports of dogs or cats becoming sick with the virus.

The chances of a dog being exposed to Ebola virus in the U.S. are very low. Exposure requires close contact with bodily fluids of a person with symptoms of Ebola infection. This is why it is important for individuals symptomatic with the disease to avoid contact with animals and others to the extent possible. We do not yet know whether or not a pet’s body or fur can transmit Ebola to people or other animals.

Ebola virus in people
Ebola is spread through direct contact (through broken skin or mucous membranes in, for example, the eyes, nose, or mouth) with:

• Blood or body fluids (e.g., urine, saliva, sweat, feces, vomit, breast milk, and semen) of a person who is sick with the virus
• Objects (like needles and syringes) that have been contaminated with the virus
• Infected fruit bats or nonhuman primates

Ebola is not spread through air, water, or food, with the exception of handling or consuming infected bushmeat (food derived from wild animals, such as fruit bats and nonhuman primates). There is no evidence that mosquitos or other insects transmit Ebola virus, and only a few species of mammals (e.g.  humans, nonhuman primates, and fruit bats) are noted to be susceptible and capable of spreading the virus.

Symptoms of Ebola in people may appear anywhere from 2 to 21 days (average 8 to 10 days)  after exposure and  include fever, severe headache, muscle pain, weakness, diarrhea, vomiting, abdominal pain, and unexplained hemorrhage (bleeding or bruising).

Source: https://www.avma.org/KB/Resources/Reference/Pages/Ebola-virus.aspx

Pancreatitis

Pancreatitis is an inflammation of the pancreas caused by leakage of the digestive enzymes and causing the pancreas to "digest itself." Pancreatitis can be acute (sudden) or chronic (happening over a course of time.) Both acute and chronic forms are serious and can be life-threatening. Middle-aged dogs appear to be at increased risk of developing pancreatitis. Certain breeds are more prone to the disease, particularly Schnauzers and Yorkshire terriers. Pancreatitis is more common in overweight dogs. When pancreatitis occurs in an overweight dog it is more likely to cause serious illness.

Causes of Pancreatitis

Multiple factors can contribute to the development of pancreatitis including:

Certain medications: The medications most suspected of causing pancreatitis include azathioprine (Imuran Rx), potassium bromide (used for seizure control), l-asparaginase (a chemotherapeutic agent) and zinc used as a dietary supplement.

• Infections
• Metabolic disorders: Including hyperlipidemia (high amounts of lipid in the blood) and hypercalcemia (high amounts of calcium in the blood)
• Obesity
• Trauma and shock
• Scorpion stings

Nutrition also plays a major role. Dogs with high-fat diets, dogs that have recently eaten the trash, are fed table scraps, or 'steal' greasy people food have a higher incidence of the disease. In addition, dogs that have previously had pancreatitis or abdominal surgery appear to be more at risk.

Preventing Pancreatitis

Because fatty foods are a common cause of pancreatitis, it is good to limit the amount of fat in your dog?s diet. Be especially careful around the holidays as extra table scraps and fat trimmings in the garbage can trigger pancreatitis.

Symptoms of Pancreatitis

The signs can vary from mild gastrointestinal upset to collapse and death. However, most dogs have some signs of GI upset, such as:

• Vomiting
• Not eating
• Painful abdomen, hunched appearance
• Fever or below-normal body temperature
• Diarrhea
• Depression
• Dehydration which can be evaluated by noting sunken eyes, dry mouth, and increased skin turgor (skin tents when pinched)
• Difficulty in breathing
• Heart arrhythmias
• Inflammation of organs that surround the pancreas
• Infection and hemorrhages throughout the body

All or some of the signs may be present with pancreatitis, but are not specific for pancreatitis, and can be seen with many gastrointestinal diseases and conditions.

Diagnosing Pancreatitis

Pancreatitis can be diagnosed by looking at blood chemistries and biopsies. While biopsy is the gold standard, unless surgery is called for, these are not generally performed because of their invasive nature.

Treating Pancreatitis

The goal of treatment is to rest the pancreas, provide supportive care and control complications. If vomiting is severe, treatment usually consists of withholding all food, water, and oral medications for 24 hours to stop the stimulation of the pancreas. Depending on the dog's response, food can be reintroduced after a day. At that time, the dog should be fed small, bland, easily digestible meals that are high-carbohydrate, low-fat. Over a period of a week, meal size and quantity of food can be increased. The dog may need to stay on a special diet for life, or it may be possible to gradually reintroduce the former diet. High-fat diets or treats should be avoided. Since dehydration and electrolyte imbalances are common in dogs with acute pancreatitis and water intake is often restricted, fluid therapy is usually needed. Fluids are either given subcutaneously or intravenously.

Dogs that experience severe pain can be treated with pain relievers such as meperidine or butorphanol. Antibiotics are often administered prophylactically to protect against infection. If the pancreatitis was caused by a medication, the medication should be stopped. If it was caused by a toxin, infection, or other condition, the appropriate therapy for the underlying condition should be started. In rare instances where there are intestinal complications or the development of a pancreatic abscess, surgery may be necessary.

Caring for Dogs with Pancreatitis

Pancreatitis can be a very unpredictable disease. In most cases, if the pancreatitis was mild and the pet only had one episode, chances of recovery are good and avoiding high fat foods may be all that is necessary to prevent recurrence or complications. In other cases, what appears to be a mild case may progress, or may be treated successfully only to have recurrences, sometimes severe. Dogs with severe pancreatitis can recover, but may also develop fatal complications. The risk of developing fatal pancreatitis is increased in dogs that are overweight, or have diabetes mellitus, hyperadrenocorticism, hypothyroidism, gastrointestinal tract disease, and epilepsy. Dogs that suffer repeated bouts of pancreatitis may need to be fed low-fat diets to prevent recurrence.

Some dogs develop chronic pancreatitis, which can lead to diabetes mellitus and/or pancreatic insufficiency, also called maldigestion syndrome. In pancreatic insufficiency, the nutrients in food are passed out in the feces undigested. Dogs with this disease often has a ravenous appetite, diarrhea, and weight loss. Even though he is eating, he could literally starve to death. Treatment for pancreatic insufficiency is lifelong and expensive, but is possible. The dog?s digestive enzymes are replaced through a product processed from pancreases of hogs and cattle which contain large quantities of the digestive enzymes. A change in diet with added nutritional supplements may also be necessary.

SOURCE: http://www.akcchf.org/canine-health/your-dogs-health/disease-information/pancreatitis.html

Ebola and Dogs

In light of the recent outbreaks of Ebola in Africa, and the couple of confirmed cases in the US the recent question of Ebola in household pets has been brought up.  

Research shows that dogs living in endemic areas (Africa etc.) have antibodies to the virus, however, none of these dogs have become actively infected with the Ebola virus. The dogs with the antibodies also do not show symptoms of the disease.  

The likelihood of a dog being exposed to the Ebola virus outside of the endemic regions is extremely unlikely, as it requires contact with bodily secretions of a human, or other animal, with symptoms of Ebola. Despite whether or not dogs can contract the virus, there is no current research that a dog with antibodies to the virus will shed the virus. That said, there is no current evidence that a dog can infect a human with the Ebola virus. 

Click here to learn more about Ebola and pets and contact us today with any questions you may have (219) 872-4191. 

Labor Day Safety Tips for Pets

1. Do not apply any sunscreen or insect repellent product to your pet that is not labeled specifically for use on animals.

 2. Always assign a dog guardian. No matter where you're celebrating, be sure to assign a friend or member of the family to keep an eye on your pooch-especially if you're not in a fenced-in yard or other secure area.

 3. Made in the shade. Pets can get dehydrated quickly, so give them plenty of fresh, clean water, and make sure they have a shady place to escape the sun.

 4. Always keep matches and lighter fluid out of paws' reach. Certain types of matches contain chlorates, which could potentially damage blood cells and result in difficulty breathing-or even kidney disease in severe cases.

 5. Keep your pet on his normal diet. Any change, even for one meal, can give your pet severe indigestion and diarrhea.

 6. Keep citronella candles, insect coils and oil products out of reach. Ingesting any of these items can produce stomach irritation and possibly even central nervous system depression in your pets, and if inhaled, the oils could cause aspiration pneumonia.

 7. Never leave your dog alone in the car. Traveling with your dog means occasionally you'll make stops in places where he's not permitted. Be sure to rotate dog walking duties between family members, and never leave your animals alone in a parked vehicle.

 8. Make a safe splash. Don't leave pets unsupervised around a pool-not all dogs are good swimmers.

 Source: http://www.dogster.com/the-scoop/labor-day-pet-safety-tips