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Feline Infectious
Disease Control
Karen Hiestand BVSc MRCVS
     Field Veterinary Officer

             Reg Charity 203644 (England and Wales) and SCO37711 (Scotland)
Cats Protection
What Do We Do?
  •UK only charity

Education
  •Public
  •Veterinary Profession


Neutering
  •Early Neutering
  •Financial assistance
  •Ferals


Rehoming
  •Reuniting owned animals
  •Accepting strays and handed in cats
  •Rehabilitate and rehome
Today's Talk - Overview
Why are infectious diseases a problem?

A few specific cases
        Cat ‘flu
        Feline Parvovirus
        Ringworm
        FeLV
        FIV


How we contain disease
Why do cats in shelters get sick?

Immune System!!!
Stress
Host susceptibility
Transient population
Different bugs from
 different places
Shelter environment
 factors
Population density
Cat ‘flu
What is it?




Feline herpesvirus (FHV)
Feline calicivirus (FCV)
Chlamydophila felis
Bordetella bronchiseptica
Cat ‘flu
Clinical Signs
   Sneezing
   Runny nose and eyes
   Conjunctivitis
   High temperature
   Quiet and subdued
   Loss of appetite
   Dribbling
   A cough or loss of voice
   Gingivo-stomatitis
   Lameness
Feline herpesvirus

Feline rhinotracheitis virus
Who’s got herpes?
Cats will be lifelong ‘carriers’
  Virus shedding
  Shedding may last up to 14 days
  Virus survives in environment for only
   18hrs
Infectious Diseases – Cat ‘flu




       Feline herpesvirus
Feline herpesvirus
Feline calicivirus

Constantly mutates – clever!
Virus survives in the environment for up to 10d
Cats can become ‘carriers’
  50% still shedding 75 days after infection
  Most cats stop shedding 1 year after infection
  Some will be lifelong carriers - without symptoms!


20-30% of cat population estimated to
 be shedding
Infectious Diseases – Cat ‘flu




        Feline calicivirus
Feline calicivirus
                    (VSD)
New strain known as ‘Virulent Systemic Disease’
  Swelling of head and paws
  Flu signs
  Jaundice
  Bleeding from nose and bowel
  Death

All ages can get it
Even Vaccinated cats
Chlamydophilosis

A bacteria
So likes to piggy back on viruses
Got to treat it right or it sticks around
Easy to kill in environment
Spread by direct contact only
Infectious Diseases – Cat ‘flu




      Feline chlamydophilosis
Cat ‘flu
  What do you do??

      VACCINATE

Isolate and barrier nurse
Good nursing care
Can’t kill the virus
Antibiotics for secondary
infections
Decongestants
Feline Parvovirus

Also known as:
parvo
enteritis
panleucopenia


What is it?
Virus
Bad news
Feline Parvovirus

Clinical Signs
Sudden death with no
signs
Lack of appetite
High temperature
Weight loss
Severe vomiting
Severe diarrhoea with
blood and mucus
Dehydration
Feline Parvovirus
Greatest disease threat to any rescue
    facility
Very high death rate, particularly in
    unvaccinated kittens
Feline Parvovirus

Diagnosis

Kitten post mortem
Blood test
Faecal sample
Feline Parvovirus
                What do you do?

                   VACCINATE

Isolate and barrier nurse
Good nursing care
Can’t kill a virus
Oral fluids
Antibiotics for secondary infections
Vaccinate in face of outbreak
Use the right disinfectants
Infectious Diseases - Ringworm
Ringworm
What is it?
A fungus known as a dermatophyte
It’s not gonna kill anyone, so why is it a
 big problem?
Ringworm

Clinical Signs

Hair loss
Crusting and scaling
Itching
Can mimic other skin diseases
Can look like anything – or nothing
Infectious Diseases - Ringworm
Ringworm

REMEMBER RINGWORM IS A
   ZOONOTIC DISEASE
Ringworm

Diagnosis
Woods lamp
Hair culture
Ringworm
What do you do?
Isolate and barrier nurse: spores
Oral medication
  
      Itraconazole (Itrafungol; Janssen) for 5 week course


Topical treatments
   Miconazole shampoo (Malaseb; VetXX), Enilconazole (Imaverol; Janssen), Lime sulphur

If long haired may need clipping
Use the right disinfectants
Ringworm
CP says:
      2 CLEAR CULTURES BEFORE HOMING

Things to Remember:
Ringworm spores can survive up to 2 years
Appropriate disinfectants are: Bleach or Virkon
  (Peroxygen compound)
Steam cleaning
FeLV & FIV

What are they?
   Feline Leukaemia Virus (FeLV)
   Feline Immunodeficiency Virus (FIV)

How are they spread between cats?
How are they diagnosed?
What is the quality of life for infected cats like?
What is the long term outlook for infected cats?
Transmission of FeLV & FIV

FeLV                     FIV
Mating/Fighting         Mating/Fighting
Mutual grooming         Less easy to transmit
Sharing food/water      Approx. a third of
bowls                    kittens of FIV positive
All kittens of FeLV     queen will be infected
positive queen will be
infected
Signs of FeLV & FIV
             FeLV                             FIV
Can’t fight off other diseases Can’t fight off other diseases
High temperature               High temperature
Weight loss                    Weight loss
Lethargy                       Lethargy
Cancerous tumours              Gingivitis
Anaemia                        Anything else you can
Usually young-middle aged imagine!
cats
Diagnosis
•Who to test?
•Do you test any?
•What’s the prevalence
     in your area?

Some suggested ‘at risk’ categories:
Sick cats
Intact adults
Kittens of FIV positive queens
Orphan kittens
Feral/Stray cats
Cats going communal area
Anything vet suspicious of – clinical signs
In contact cats
Before spending lots of money
Difficult Decisions

 What are you going
  to do with results?
Euthanaise positives?
Rehome?
Quality of Life: FeLV & FIV

FeLV                             FIV
85% of infected cats die        CP home them: must be
within 3 years of infection so   healthy and suitable indoor
CP policy is euthanasia          home only
Very low incidence of this      Can live a long time
disease in UK                    Euthanasia for positive
Vaccination available           ferals and sick cats, and
                                 those that won’t enjoy life
                                 indoors
                                 No vaccine available in
                                 UK
CONTAINING DISEASE
Why know about the
bugs??

What’s a Fomite?


We are the major source
of infection transmission!!
Containing Disease
Personal Protective Equipment
 Apron
 Gloves
 Oversuit
 Sleeves
 Overshoes
 Hat or hood on oversuit
 Mask?
 Goggles?

Idea is all items should be disposable
Containing Disease
                    The 10 Commandments

1.    Understand the disease you’re fighting
2.    Use a disinfectant that is effective against the disease.
3.    Deal with infectious cats last
4.    Wear and use Personal Protective Equipment (PPE)
5.    Use footbaths
6.    Have separate cleaning utensils per cat
7.    Use disposable litter trays and food bowls or return trays and bowls to
      same cat
8.    Use disposable bedding or soak in disinfectant before washing on hot
      cycle
9.    Wash contaminated bedding last and separate from other bedding
10.   Use knowledge of bug to decide what to do with environment
Thank You!

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Feline Infectious Disease Control Overview

  • 1. Feline Infectious Disease Control Karen Hiestand BVSc MRCVS Field Veterinary Officer Reg Charity 203644 (England and Wales) and SCO37711 (Scotland)
  • 2. Cats Protection What Do We Do? •UK only charity Education •Public •Veterinary Profession Neutering •Early Neutering •Financial assistance •Ferals Rehoming •Reuniting owned animals •Accepting strays and handed in cats •Rehabilitate and rehome
  • 3. Today's Talk - Overview Why are infectious diseases a problem? A few specific cases Cat ‘flu Feline Parvovirus Ringworm FeLV FIV How we contain disease
  • 4. Why do cats in shelters get sick? Immune System!!! Stress Host susceptibility Transient population Different bugs from different places Shelter environment factors Population density
  • 5. Cat ‘flu What is it? Feline herpesvirus (FHV) Feline calicivirus (FCV) Chlamydophila felis Bordetella bronchiseptica
  • 6. Cat ‘flu Clinical Signs  Sneezing  Runny nose and eyes  Conjunctivitis  High temperature  Quiet and subdued  Loss of appetite  Dribbling  A cough or loss of voice  Gingivo-stomatitis  Lameness
  • 7. Feline herpesvirus Feline rhinotracheitis virus Who’s got herpes? Cats will be lifelong ‘carriers’ Virus shedding Shedding may last up to 14 days Virus survives in environment for only 18hrs
  • 8. Infectious Diseases – Cat ‘flu Feline herpesvirus
  • 10. Feline calicivirus Constantly mutates – clever! Virus survives in the environment for up to 10d Cats can become ‘carriers’ 50% still shedding 75 days after infection Most cats stop shedding 1 year after infection Some will be lifelong carriers - without symptoms! 20-30% of cat population estimated to be shedding
  • 11. Infectious Diseases – Cat ‘flu Feline calicivirus
  • 12. Feline calicivirus (VSD) New strain known as ‘Virulent Systemic Disease’ Swelling of head and paws Flu signs Jaundice Bleeding from nose and bowel Death All ages can get it Even Vaccinated cats
  • 13. Chlamydophilosis A bacteria So likes to piggy back on viruses Got to treat it right or it sticks around Easy to kill in environment Spread by direct contact only
  • 14. Infectious Diseases – Cat ‘flu Feline chlamydophilosis
  • 15. Cat ‘flu What do you do?? VACCINATE Isolate and barrier nurse Good nursing care Can’t kill the virus Antibiotics for secondary infections Decongestants
  • 16. Feline Parvovirus Also known as: parvo enteritis panleucopenia What is it? Virus Bad news
  • 17. Feline Parvovirus Clinical Signs Sudden death with no signs Lack of appetite High temperature Weight loss Severe vomiting Severe diarrhoea with blood and mucus Dehydration
  • 18. Feline Parvovirus Greatest disease threat to any rescue facility Very high death rate, particularly in unvaccinated kittens
  • 19. Feline Parvovirus Diagnosis Kitten post mortem Blood test Faecal sample
  • 20. Feline Parvovirus What do you do? VACCINATE Isolate and barrier nurse Good nursing care Can’t kill a virus Oral fluids Antibiotics for secondary infections Vaccinate in face of outbreak Use the right disinfectants
  • 22. Ringworm What is it? A fungus known as a dermatophyte It’s not gonna kill anyone, so why is it a big problem?
  • 23. Ringworm Clinical Signs Hair loss Crusting and scaling Itching Can mimic other skin diseases Can look like anything – or nothing
  • 25. Ringworm REMEMBER RINGWORM IS A ZOONOTIC DISEASE
  • 27.
  • 28. Ringworm What do you do? Isolate and barrier nurse: spores Oral medication  Itraconazole (Itrafungol; Janssen) for 5 week course Topical treatments  Miconazole shampoo (Malaseb; VetXX), Enilconazole (Imaverol; Janssen), Lime sulphur If long haired may need clipping Use the right disinfectants
  • 29. Ringworm CP says: 2 CLEAR CULTURES BEFORE HOMING Things to Remember: Ringworm spores can survive up to 2 years Appropriate disinfectants are: Bleach or Virkon (Peroxygen compound) Steam cleaning
  • 30. FeLV & FIV What are they? Feline Leukaemia Virus (FeLV) Feline Immunodeficiency Virus (FIV) How are they spread between cats? How are they diagnosed? What is the quality of life for infected cats like? What is the long term outlook for infected cats?
  • 31. Transmission of FeLV & FIV FeLV FIV Mating/Fighting Mating/Fighting Mutual grooming Less easy to transmit Sharing food/water Approx. a third of bowls kittens of FIV positive All kittens of FeLV queen will be infected positive queen will be infected
  • 32. Signs of FeLV & FIV FeLV FIV Can’t fight off other diseases Can’t fight off other diseases High temperature High temperature Weight loss Weight loss Lethargy Lethargy Cancerous tumours Gingivitis Anaemia Anything else you can Usually young-middle aged imagine! cats
  • 33. Diagnosis •Who to test? •Do you test any? •What’s the prevalence in your area? Some suggested ‘at risk’ categories: Sick cats Intact adults Kittens of FIV positive queens Orphan kittens Feral/Stray cats Cats going communal area Anything vet suspicious of – clinical signs In contact cats Before spending lots of money
  • 34. Difficult Decisions What are you going to do with results? Euthanaise positives? Rehome?
  • 35. Quality of Life: FeLV & FIV FeLV FIV 85% of infected cats die CP home them: must be within 3 years of infection so healthy and suitable indoor CP policy is euthanasia home only Very low incidence of this Can live a long time disease in UK Euthanasia for positive Vaccination available ferals and sick cats, and those that won’t enjoy life indoors No vaccine available in UK
  • 36. CONTAINING DISEASE Why know about the bugs?? What’s a Fomite? We are the major source of infection transmission!!
  • 37. Containing Disease Personal Protective Equipment  Apron  Gloves  Oversuit  Sleeves  Overshoes  Hat or hood on oversuit  Mask?  Goggles? Idea is all items should be disposable
  • 38. Containing Disease The 10 Commandments 1. Understand the disease you’re fighting 2. Use a disinfectant that is effective against the disease. 3. Deal with infectious cats last 4. Wear and use Personal Protective Equipment (PPE) 5. Use footbaths 6. Have separate cleaning utensils per cat 7. Use disposable litter trays and food bowls or return trays and bowls to same cat 8. Use disposable bedding or soak in disinfectant before washing on hot cycle 9. Wash contaminated bedding last and separate from other bedding 10. Use knowledge of bug to decide what to do with environment

Editor's Notes

  1. Non Governmental organisation,