Kate F. Hurley, DVM, MPVMKoret Shelter Medicine Program DirectorCenter for Companion Animal HealthUniversity of California, Daviswww.sheltermedicine.comwww.facebook.com/sheltermedicine
Emerging, re-emerging and zoonotic diseasesPets and ferals New petsPublic and private $$$ Euthanasia
• Help animals before they become homeless• Help animals become re-homed• Help animals while they’re homeless: practice shelter medicine
• Individual treatment • Inspires public support • Improves staff and volunteer commitment • Facilitates compliance • Feels great
…must balance individual animal needs with population health
• Infectious disease management • Increases number of animals that survive to adoption • Decreases suffering in the shelter • May improve public perception
• We had a litter of 7 puppies who seemed to have kennel cough…Two of the seven pups got pretty sick and depressed so our clinic sent out blood samples to the lab and it came back barely positive (1:50) for distemper. The pups were 9 weeks old at the test and had been given their first shots at 6 weeks of age, three weeks earlier. I took the other five puppies to my home 8 days ago. The test came back last Friday and we euthanized the two that were in the clinic, however, they were much better that day. Well, the 5 pups I have at home are now almost completely well from the "kennel cough" , are happy playful, eating well puppies. Is this just a phase of distemper? Should I just euthanize these 5 pups now and be done with it or wait it out since they seem to be healthy (about 90% better)? We also have three adult dogs in the main kennels being treated for kennel cough. Their test also came back as a low positive for distemper… Could these tests all be false positives or should we be better safe than sorry and euthanize all?
• “We just wanted to thank you so much for helping to save our lives. Because you cared so much to help the shelter we have been happy and healthy and are awaiting our forever homes. The horrible distemper never got US…but we and the staff are forever grateful for all your time and effort in helping us get a second chance at a happy life.”
• Prevention • Vaccination • Sanitation • Parasite control • Stress reduction • Nutrition • Air quality • Facility design • Population density
• “Hey Doc, Before attending EXPO in Atlanta and attending your workshop many cats died. We were sick all the time. Sometimes dropping like flies. Since your workshop less than 10 cats/kittens a year. We no longer move the cat out of the cage everyday to clean. We give them play things that can be disinfected well. We have a much better air exchange. Our hand disinfectant is at least 67% alcohol. We don’t overcrowd. We are much better about cross contamination. We are aware of the effects of stress and handling. Etc. etc. etc. All things I learned at your seminar. I will always be indebted to you.”
… a perfectly healthy population is still not the end goal.
• OUR PRODUCTS:• Improved shelter conditions • Facility design • Animal comfort • Staff and public health• Increased shelter adoptions • Improve animal health and public image• Decreased shelter intake • Research and correct reasons for homeless and unwanted animals• Humane communities • Conserve resources to support preventive programs
Education Behavior Disease mgt. Foster care Decreased intakeHusbandry Healthy animals Committed employees Facility design Increased adoptions Happy public Shelter support Spay/neuter Population management Legal issues
Healthy versus URI care days 4500 4000 3500 3000 2500Care days 2000 URI Healthy 1500 1000 500 0 May August November February Month 23-33% of care days per month 10,169 cat care days/year = $$$?
Average decrease in monthly sick care days: 29%1,132 fewer sick days summer after versus before
• Sent: Thursday, February 25, 2010 7:50 AM To: Kate Hurley• Subject: Feline Sickbay @ SacSPCA• Never in my wildest dreams would I have believed Id see the day with ONE cat in feline sickbay!!! Today is that day! And still a year later (3/8/2011)
• Board member/advisor• As-needed service • Outpatient • Shelter visit• Surgery• Part time/full time staff• Multiple shelter contract• Leadership
• Consultation • Outbreak control • Shelter health • Facility design • Data analysis• National outreach organizations• Academic • Internship • Residency • Masters/PhD • Clinical instruction • Academic/research
Shelter basedresearch canprovideknowledge tohelp both shelterand pet animals
• Association of Shelter Veterinarians • www.sheltervet.org • $5 for students!• Continuing education at major conferences, VIN• Shelter medicine programs: residency, research, student teaching, shelter service • > half of U.S. vet schools• Standardized recommendations• 2 published textbooks• Board specialty proposed Wiley-Blackwell
• ASV: Veterinary Medical Guidelines for Spay-Neuter Programs• JAVMA July 1, 2008, Volume 233; No. 1, page 74 Google: veterinary medical guidelines for spay-neuter