1. Clinical updates - WSAVA



WSAVA Bulletin: Issue date: 22.1.2020Please read this Bulletin in the language of your choice using Google Translate. We hope you like it. Please let us know what you think.1. Clinical updatesHeadlineWSAVA clinical update: Dermatology cases can be challenging to diagnose and treat. Review this case study on a skin allergy presentation given by Dr Oh Soon Hock at #WSAVA2018 in which he explores the ‘circle the dragon’ treatment method. shotHeadlineSkin: necrotizing fasciitis in dogsTeaserLearn more about diagnosis, pathogenesis, treatment and outcomes in this article from our Educational Partner Vetstream’s Canis resource.Main storyIn dogs, necrotizing fasciitis (also known as flesh-eating disease) is caused by a form of localized streptococcal infection with systemic toxemia. The infection can progress from a small skin lesion to a large region of necrosis and ulceration within several hours, often with systemic signs of shock (Streptococcal Septic Shock Syndrome). Blunt trauma can also initiate the problem. Signs are characterized by rapidly advancing infection of skin and subcutaneous tissues including muscle and fat with severe local pain and high mortality. Progression to systemic shock syndrome can be rapid. DIC and multiple organic failure - respiratory, hepatic and renal occur terminally. Prognosis is generally guarded to poor.Read the full article here: in droboxHeadlineResources from the WSAVA’s Global Educational PartnersTeaserCheck out these updates on dermatology:Main storyClinician’s BriefAcute Moist Dermatitis evaluation of Enterococcus faecium SF68 as adjunctive therapy for oclacitinib-responsive adult atopic dermatitis in dogs. Webinar VetDermatological manifestations of internal disease in dogs and cats CanisSkin: deep pyoderma: étébooksDERMATOLOG?A PR?CTICA I De la A a la Z. What’s new at the WSAVA?HeadlineLAST CALL:? Don’t miss out on seven hours of FREE CE available to WSAVA members at the Webinar Vets’ 2020 Virtual Congress?on February 1!Teaser?Register today to receive your discount code: story??Thanks to our collaboration with The Webinar Vet, WSAVA members will receive seven hours of free continuing education (CE) at its Virtual Congress on February 1, 2020.? Content includes a range of clinical and personal development topics, plus a live CE event sponsored by MSD, dedicated to the eradication of rabies.? WSAVA members from Tier 1 associations also receive free access to the whole event, while members from Tiers 2 and 3 are entitled to discounted access.?Virtual Congress 2020 is the world’s largest online veterinary congress. It goes live at midnight (GMT) on 1 February and runs for a 24-hour period, providing 18 hours of CE to ensure delegates in all time zones can access lectures at a time to suit them.? Registration includes the opportunity to watch all 18 hours of CE either live or as recordings at a convenient time for up to 12 months afterwards.? This year, for the first time, three hours’ CE will be offered in Spanish. ?Register today to take advantage of this important WSAVA member benefit!??Logo in drobox??HeadlineAn appeal from the President of the Australian Veterinary AssociationTeaser??Dr Julia Crawford, President of the Australian Veterinary Association (AVA), recently shared her thoughts on its members’ response to the bush fires and appealed to fellow members to help those directly affected. Our global veterinary community stands shoulder to shoulder with our Australian colleagues who are working so hard to care for the millions of animals affected by this disaster. Main story?This is a photo of a tree. One tree. One tree on ancient coastal sand dune that just happens to be in the middle of a city that has grown around it. I pass this tree every morning on the traditional lands of the Gadigal people of the Eora nation.?This tree is host to brushtail and ringtail possums, flying foxes, microbats, lizards, magpies, currawongs, butcherbirds, noisy miners, figbirds, owls, kookaburras, koels and channel bill cuckoos and insects I can’t begin to name.? This is a single city tree which also holds the park together and stops the sand slipping away down the hill to Bondi.? This tree and the others in the park allow us city dwellers to escape for a moment. ?The background of this tree is smoke. ?I think about this summer and the endless fires and try to imagine each individual tree that we have lost, as a habitat, a host for abundant life, and the extent of the damage becomes reality.? It’s an accident of employment that I live here and work here and established a family here. My career could have taken me just as easily to Grafton, Port Macquarie, or to the South Coast, and when I speak to those in affected practices feel that it could so easily have been me and my family dealing with the horror of these unprecedented fires. All of us who are not immediately affected feel intensely for those who are. The amazing response to our appeal for help via Vets Beyond Borders AVERT is evidence of this. I haven’t yet met a veterinarian who does not do a significant amount of pro-bono work. This may be for wildlife or for clients that are experiencing hardship. We are naturally empathetic and caring and create our own communities. ?The problem at the moment in affected practices is that their entire community is devastated. If they haven’t lost homes, then someone close to them has. Their clients, their clients’ pets and the wildlife that they have always looked after are suffering. ?I am appealing to you as President of the AVA as a member or a supporter to give to our Veterinary Benevolent Fund.?? Please help us to support those practices financially and emotionally, their families, their community and their wildlife, now and into the future. ?This is my appeal. We are vets and we help and support each other. Dr Julia CrawfordYou can donate here: pic in drop box ?HeadlineWSAVA member KESCAVA completes fourth vaccination drive in the Northern Mara, KenyaTeaser??Partnership with Enonkishu Conservancy and World Animal Protection to fight rabiesMain story??In rural Africa, domestic dogs are important to the community as they help to guard livestock.? With rabies endemic in Kenya and 2,000 people dying annually of the disease, dog vaccination drives are a key part of the country’s Strategic Plan to eliminate human rabies. For the last four years, WSAVA member the Kenya Small and Companion Animal Veterinary Association (KESCAVA) has supported dog vaccination drives in the Northern Mara region in partnership with not for profit organization the Enonkishu Conservancy and WSAVA partner, World Animal Protection.? The most recent campaign took place on 12 and 13 December 2019.? More than 750 dogs were vaccinated.?Dr Derick Chibeu, WSAVA Member Representative for KESCAVA, explains:?“As the popularity of our campaigns has grown, more dog and cat owners are willing to vaccinate their animals. In 2019, for the first time, many were also happy for us to spay and neuter their animals, a new development in this conservative community. “In addition to contributing to reducing human deaths from rabies, our work is supporting conservation.? For instance, since?our first vaccination drive, two packs of the endangered African wild dogs (Lycaon pictus) have been more frequent visitors to Enonkishu.? This is exciting news because we believe that the entire local wild dog population succumbed to rabies between 1989 and 1991.?“Given the success of our vaccination drives, we look forward to continuing to work with Enonkishu Conservancy and World Animal Protection on these annual events.? We also thank World Animal Protection for providing all of the drugs and consumables for this campaign which covered 192 square kilometres.”“Our members take great satisfaction from helping to reduce the incidence of rabies in an area where normal government services are almost non–existent. We know that the community appreciates our efforts and, of course, nothing beats a few days out in the true African wilderness!”?HeadlineJust a few days left to make your voice heard - please complete our Vaccine Hesitancy Survey!TeaserThe World Health Organisation (WHO) has declared ‘vaccine hesitancy’ as one of the top 10 threats to global health and not without good reason. Help us play our part in overcoming the problem.Main storyAround the world, incidences of some human infectious diseases are increasing as vaccination rates decrease. Take measles as an example. The Democratic Republic of the Congo (DRC) is experiencing a protracted outbreak of over a quarter of a million cases and more than 5,000 deaths, mainly in children under five. The reason is that more than 90% of a population needs to be immunised to protect it from measles. In DRC, immunisation rates are less than 60%. But there’s another danger of poor vaccine coverage. Measles belongs to a group of highly related viruses called morbilliviruses, which can jump from one host species to another. It has recently been suggested that canine distemper virus – (CDV) might have arisen from human measles in the Americas, following human-to-dog spill-overs during measles outbreaks in indigenous people, who were exposed to the virus for the first time when they came into contact with European explorers. As CDV has spread around the world, we have seen many examples of it jumping into other species including seals, cats and monkeys. There’s more in this interesting article: remains a controversial topic, but the science speaks for itself and, as veterinarians, doing all we can to maintain herd immunity to CDV – not to mention other deadly diseases, including rabies - remains one of our most important priorities in order to maintain the health of our patients and other animals.Please help the WSAVA Vaccination Guidelines Group to understand better why owners decline vaccination for their animals, even when the medicines are affordable and readily available, by completing our survey on experiences with ‘vaccination hesitancy’. It is in three parts and takes 10-15 minutes.To thank the WSAVA Community for supporting this survey, we will select one participant at random to win a US$500 donation (or local currency equivalent) to a veterinary charity or non-profit of their choice. To enter, please provide your name and email address at the end of the survey. We are grateful to our Affiliate Member Health-for-Animals for sponsoring this prize.The survey is available in six languages in addition to English:? Chinese, ?French,?Japanese,?Portuguese,?Russian, and?Spanish.We have extended the deadline for completion to?January 31st, 2020. Click here to take the SurveyImageIn dropbox3. WSAVA Leader ProfileHeadlineMeet a WSAVA PartnerTeaserDr Karyl Hurley is Director of Science Policy and Engagement for Mars Incorporated and has been involved with the WSAVA since the late 1990s representing the WALTHAM Petcare Science Institute.? Today, as a Diamond Partner, Mars Petcare supports the WSAVA’s Animal Wellness and Welfare Committee, the Hereditary Disease Committee, the One Health Committee and the Global Nutrition Committee through brands including Royal Canin and Wisdom Health.Main storyCould you introduce yourself briefly to WSAVA members?It’s quite the privilege to address so many that I’ve worked with, befriended and learned from over the years. I’ve been a veterinarian now for nearly 30 years; I trained at Cornell, Texas A&M and NC State before moving to the UK to teach Internal Medicine at the Royal Veterinary College. In 1998, I began to work for Waltham and inherited our relationship with WSAVA on behalf of Mars Incorporated. There was a long history between Mars and WSAVA well established before then. What does your role as Director, Global Scientific Policy and Engagement, Mars Incorporated involve?I’ve held a few different roles at Mars starting with Scientific Communications and moving to our Mars Corporate Scientific Affairs team. I now manage our science policies and provide internal training, strategic scientific planning and surveillance. I also manage the Mars Research Review Board which is composed of our senior leaders and ethics advisors who help us ensure that our science is robust, that animals and human participants are protected from harm and that we offer benefits to pets and society as a whole across all of Mars’ segments – food, chocolate, gum/mints/candy, pet care and personalized nutrition. What do you most enjoy about working in industry?I love that I get to use my training in science and medicine every day to help animals even though I am not ‘practicing’ in the traditional sense. The only business I’ve ever worked for is Mars which is family-owned and this allows for more long-term investments like partnering with the NIH to better understand human-animal interactions. I’m constantly learning new science, new skills and am challenged every day to make a better world for pets and people. You have been instrumental in building Mars’ long-standing relationship with the WSAVA.? Why do you think the partnership is important?Mutuality is one of Mars’ core principles so developing partnerships such as ours with the WSAVA is essential to creating long lasting bonds – a shared benefit will endure. The WSAVA’s mission is a common goal and it behoves the entire veterinary industry to support the advancement of companion animal welfare globally. Its congresses are fantastic learning opportunities but also wonderful for networking. The personal and professional relationships developed over the years have been numerous and invaluable. Case in point, I met my husband, Dr Gail Smith at the 2004 WSAVA Opening Ceremony in Rhodes, Greece.What are you most proud of from the relationship to date?In 2008, the WSAVA had established the Animal Wellness and Welfare Committee but was unable to secure industry support, so Dr Jolle Kirpensteijn, then WSAVA President, asked if Mars might consider being involved and sponsor its work. More than a decade later, I’m very proud of the work done by this team culminating in the development and signing of the International Veterinary Oath and the release of the Global Animal Welfare Guidelines. The progress of all of the WSAVA Committees, four of which Mars has specifically participated in, has been essential to aligning global views on veterinary science and advancing education and welfare.What do you think are the key challenges facing companion animal veterinary medicine over the next decade?We study to become veterinarians because we love animals, we care about their health and wellbeing and we want to make a difference. I worry that the cost and competition for admission and the subsequent debt and relatively low salary is making it a less desirable and, for some, impossible career choice. For those who do earn the degree, the pressure we place on ourselves to help pets can leave us vulnerable and compassion fatigue is all too real and prevalent. Work/life balance is also a real stressor particularly for female veterinarians raising a family. I know that there are excellent supportive programs to address these issues and I am encouraged that they will help. Could you tell us something about you that might surprise us? In 1996, I was fortunate when a retiring scientist brought me samples of a drug, he thought might be useful for hyperadrenocorticism in dogs. I started a clinical trial that showed the drug’s efficacy and so I became the first veterinarian to use trilostane clinically and then present the results at ACVIM in 1998. Is there anything else you’d like to say? Just thank you to the WSAVA for many years of friendship and collaboration and to wish all of its members a happy, healthy and successful 2020. ImagePic in drop box4. Purina Institute advertorialAdvertorial Feature from our Diamond Partner, Purina InstituteBringing Cats and People Closer: Purina Scientists Reveal a Feline-Friendly Breakthrough for Cat Allergen ReductionAllergies to cats affect approximately 1 in 5 adults worldwide.1 Many people think cat hair is the trigger for their allergy, but it is what’s on the hair – the major cat allergen, Fel d 1, a protein that cats produce in their salivary glands. After more than 10 years of research, Purina scientists discovered a way to neutralize Fel d 1 at its source in cats’ saliva – before the allergen spreads to the environment. This discovery can transform cat allergen management because it reduces exposure to the allergen, not to the cat — bringing cats and people closer together.Bousquet, P.-J., Chinn, S., Janson, C., Kogevinas, M., Burney, P. & Jarvis, D. (2007). Geographical variation in the prevalence of positive skin tests to environmental aeroallergens in the European Community Respiratory Health Survey I. Allergy, 62, 301-309. . Around the WorldHeadlineAround the WorldTeaserWSAVA leaders get married!In a demonstration of the power of our global veterinary community, two WSAVA leaders were married in December 2019! Emeritus Professor Michael Day, WSAVA Honorary Treasurer, and Professor Mary Marcondes, Co-Chair of our Scientific Advisory Committee, were married in Sao Paulo, Brazil, just before Christmas.? Michael and Mary met as members of our Vaccination Guidelines Group, while they were working on the new Latin American Vaccination Guidelines, which will be released this year. We congratulate them both and wish them many happy years together. ................
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