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Pet Vaccine Disclosure Legislation

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Pet Vaccine Disclosure Legislation
by Kris L. Christine

Greetings!  
 
    World-renowned veterinary research scientist, Dr. W. Jean Dodds, and I have established The Rabies Challenge Fund, a non-profit, tax-exempt organization, to raise funds to conduct concurrent 5 and 7 year canine rabies vaccine challenge studies in the United States.  (Results of Michel Aubert’s challenge study published in 1992 demonstrated that dogs were immune to a rabies challenge 5 years after vaccination and Dr. Ronald Schultz’s serological studies have shown that dogs have antibody titer counts at levels known to confer immunity 7 years after vaccination for rabies.) Dr. Dodds is trustee of the fund and we are in the process of submitting IRS documentation for tax-exempt 501 (c) 3 status.  For more information on the fund, read the December 2006/January 2007 (Vol. 8, Issue 6) Animal Wellness Magazine features an article by Ann Brightman on the RCF entitled, How Often Does He REALLY Need a Rabies Shot? at http://animalwellnessmagazine.com/m/m86/main.htm;  Get Out Your Wallets, Rabies Challenge Fund a Reality by Nancy Freedman Smith at A Dog's Life http://www.mainetoday.com/pets/dogslife/007915.html. Aaron Miller's Lincoln County Weekly story Rabies Challenge Kicks Offs Fundraiser  http://www.courierpub.com/articles/2005/10/12/lincolncountyweekly/local_news/4news.txt Kay Liss's story Nationwide Campaign Launched to Fund Rabies Vaccine Study in the Lincoln County News at http://www.mainelincolncountynews.com/index.cfm?ID=14204; Denise Flaim's 9/19/05 story Challenging the Rabies Vaccine in Newsday http://www.newsday.com/mynews/ny-lspets4432971sep19,0,1274963.column and Nancy Freedman Smith's Story in Maine TodayNews, The Rabies Challenge Fund  http://blogs.mainetoday.com/dogslife/002976.html and Rabies Challenge Fund & Master Dog Training at the Womens Podcasting Expo - Show #42 Tue, 18 Jul 2006 12:00:00 GMT (52.2 Mb) http://www.replay-video.com/guide/index.php?start_page=http://applian.com/guide/view_podcast_details.php?show_id=2156 .   The Rabies Challenge Fund poster and more information can be accessed at http://www.rabieschallengefund.org.  Anyone wishing to have a copy of the 1992 French challenge study data from a research team led by Michel Aubert in which dogs were demonstrated to be immune to a rabies challenge 5 years after vaccination, please e-mail me.
 
    Also, in attempt to give pet owners adequate information so they do not inadvertently overvaccinate their animals, the Nation's First legislation which would have required veterinarians to provide vaccine disclosure forms to pet owners BEFORE they vaccinate their animals (cats & dogs) was filed in Maine in 2005.    The bill, LD 429, An Act to Require Veterinarians to Provide Vaccine Disclosure Forms (http://www.mainelegislature.org/legis/bills/billtexts/LD042901-1.asp http://www.dogsadversereactions.com/vaccines.html ) had been introduced on my behalf by Representative Peter Rines of Wiscasset and was vigorously opposed by the Maine Veterinary Medical Association and its members at the public hearing on February 28th and was recently defeated by Maine's Legislature.  Pet owners in CT, PA, FL, MO, MN, RI, WI and TX are working on getting similar bills filed in their states for next year's legislative sessions, and AB263 was introduced in Nevada this year (2005) http://www.leg.state.nv.us/73rd/Reports/history.cfm?ID=1803 (contact Abigail Richlin-Schwartz at gold.eagle@cox.net). 
 
The following are Board Notes (November 2005) from the Texas Board of Veterinary Medical Examiners to Texas veterinarians entitled, "Board Statement of Policy on Vaccination Protocols and Informed Consent": http://www.tbvme.state.tx.us/news.htm then click on "November 2005 Board Notes".  This link http://www.tbvme.state.tx.us/Open%20Ltr%20To%20Veterinarians.pdf will take you to their original open letter to all Texas veterinarians.  Permission to post and cross-post granted.

 

Texas State Board of Veterinary Medical Examiners

November 2005 Board Notes

 

In February 2003, the Board adopted AN OPEN LETTER TO VETERINARIANS RE: VACCINATION PROTOCOLS.  In the LETTER, the Board noted that many aspects of veterinary practice were evolving quickly, including the area of vaccination protocols – vaccination intervals, duration of immunity, risks of vaccination, and the efficacy of certain vaccines that are routinely used by many Veterinarians.  Recent studies have cast new light on these issues, prompting organizations such as the American Veterinary Medical Association, American Association of Feline Practitioners, and American Animal Hospital Association, to issue reports suggesting a need to revise some commonly accepted practices.

 

While the Board has stated that it does not intend to “micro manage” the practice of veterinarians in this area, it did recommend that veterinarians keep informed of the latest developments in vaccines and vaccinations; communicate with clients the benefits and risks associated with the administration of any given vaccine; and seek the client’s consent to the vaccinations offered.  The Board followed up with a reminder in the November 2004 Board Notes, again urging Veterinarians to review their vaccination protocols.  The Board noted that mere adherence to custom may, in some cases, be insufficient to meet the evolving standard of care for administering various vaccines.  For example, coronavirus vaccines are still being routinely prescribed for dogs and cats by some veterinarians, although recently published positions of the veterinary associations unanimously do not recommend them.

 

The Board believes that veterinarians are becoming aware of the vaccination issues and changes are being made.  Some are beginning to discuss with their clients the concept of “core” versus “non-core” vaccines.  Clients are also becoming better informed on vaccination issues.  One area that is still of concern is that of informed consent.  Indications are that not enough is being done to inform the client of the need for the offered vaccines and the securing of informed consent.  This simply involves a veterinarian providing enough information about the vaccines to the client so that he or she can give a reasoned consent to the recommended vaccines.  This, in turn, requires a discussion of risks versus benefits of vaccination on a pet-by-pet basis.  The benefits of certain vaccines, for example, distemper and parvovirus, are well known health threats and do not require detailed explanation, while a vaccine for Lyme Disease, where risk is not the same in all locations, may need more explanation.  Options to a vaccine may be available.  Less frequent vaccinations may provide the necessary protection in many cases.

 

Once the risks and benefits of the vaccines have been explained to a client, the veterinarian should seek the client’s consent for the recommended vaccines.  A written “authorization to vaccinate” is recommended, but if a written authorization is not used, the patient record should be carefully noted to show that the client approved the vaccines after an explanation of benefits and risks.  Examples of model consent forms are now widely available.

 

Informed consent is not a new concept in veterinary medicine.  Veterinarians routinely seek consent for treatments for their patients.  The Board believes that informed consent should become the standard for vaccination protocols as well.  Veterinarians are urged to consider this matter with the goal in mind of improving veterinary services for all their patients.


   It's official -- the lawfirm of the Chicago lawfirm of Childress Duffy Goldblatt, Ltd. (petvaccine@childresslaw.net) 312-494-0200 -- attorneys Roy R. Brandys and John Sawin-- has posted an announcement on their website about the NATIONAL pet vaccine class action lawsuit that their firm is undertaking at http://www.childresslaw.net/CM/Custom/Custom52.asp "arising from the misrepresentation of the need for vaccinations for your pets."
 
Please educate yourself to make sure you don't needlessly overvaccinate your companion animals.   Following are three recent stories on the issue as well as an excellent article from Animal Wellness and links to various articles on pet vaccines.
 
Pet Vaccines Informed Consent Posters/Flyers you can use free of charge: (my Meadow is the yellow lab in 3 of the posters) http://www.zbirdbrain.com/PetAdvocatesTownHallCISPics.htm 
 
Shots Fired, by Denise Flaim Whole Dog Journal November 2006, Volume 9, No.11    http://www.whole-dog-journal.com/cgi-bin/udt/um.logon?client_id=wholedogjournal&return_url=/issues/9_11/features/15855-1.html (Note:  "Schultz" in the following quote is Dr. Ronald Schultz of the University of Wisconsin School of Veterinary Medicine, whose canine vaccine challenge studies form part of the scientific base for the American Animal Hospital's 2003 and 2006 Canine Vaccine Guidelines.)
The 2006 AAHA canine vaccination guidelines single out four vaccines that are “musts” for every puppy: canine hepatitis (the adenovirus-2 vaccine), distemper, parvovirus, and rabies.

The guidelines recommend that the first three vaccines in that list be administered in a three-part puppy series, boostered at one year, then readministered no more than every three years.

Schultz  notes that “no more than” could also be interpreted to mean “never again.” He points to studies that show that dogs properly immunized in puppyhood maintain lifetime immunity to canine hepatitis, distemper, and parvovirus.

“Every three years is probably a completely arbitrary number,” Dr. Rogers adds. “I’ve told my clients that after one year of age they don’t need to vaccinate anymore.” Rogers estimates that in nine years, he has used this protocol on some 30,000 dogs – “and I haven’t had one vaccine ‘break’ [failure].”

 
Are Our Pets Being Over-Vaccinated?  by Melissa Burden http://www.thedogplace.org/Projects/VACCINES/Dodds.Vaccines_Protocol-0606.htm or http://www.presspublications.com/pages/specialreports10.asp     Jean Dodds, DVM, a world renowned vaccine research scientist, in Santa Monica, CA, told The Press many boosters are unnecessary.

    “Why should we be giving pets foreign substances when they do not need them,” said Dodds, who has researched the vaccination guidelines for over 30 years. Veterinarians, she said, have been giving annual vaccinations simply because it’s assumed they are needed and were recommended by the United States Department of Agriculture.

    “There never was any data that suggested vaccines must be given yearly,” Dodds said. “Veterinarians assumed there was data but there wasn’t.”  Vaccines like parvovirus and canine distemper are responsible for many diseases of the immune system in dogs, she contends. Anemia, arthritis, epilepsy, thyroid disease, liver failure, diabetes, allergies and other conditions, she believes, are linked to vaccines.

    “Approximately five to 10 percent will develop problems,” Dodds said. “That increases to 20 percent in pure breeds.”  Irish Setters, Great Danes, German Shepherds, weimaraners and akitas are at higher risk of developing Hypertrophic Osteodystrophy, a bone disease that causes a 107 degree fever, pain, and the inability to walk as a result of vaccinations, she said. 

   “But there is really no breed that is not at risk,” she said.  The only vaccination needed, she asserts, is the rabies vaccine because it is legally required.  Dogs’ and cats’ immune systems mature fully at 6 months old, she explained. If canine distemper, feline distemper and parvovirus vaccines are given after 6 months, a pet has immunity for the rest of its life.

No effect

    However, if another vaccine is given a year later, antibodies from the first vaccine neutralize the second vaccine, producing little or no effect.Not only are annual boosters for parvovirus and distemper unnecessary, they subject a pet to potential risks of allergic reactions and immune-mediated hemolytic anemia, a life threatening disease that generally has unknown causes, said Dodds. There is no scientific documentation to back up label claims for annual administration of these vaccines, she said.

Dr. Bob Rogers, DVM, Critter Fixer Pet Hospital, in Texas, agrees.

“Dogs and cats no longer need to be vaccinated against distemper, parvo, and feline leukemia every year,” Rogers said. “Once the initial series of puppy or kitten vaccinations and first annual vaccinations are completed, immunity…persists for life. Not only are annual boosters for parvo and distemper unnecessary, they subject the pet to the potential risk of adverse reactions, he added.

Vaccines against Corona virus, Leptospirosis, and Lyme disease for dogs should be avoided, he said.

“The duration of immunity for vaccines for diseases like rabies, distemper, and parvovirus have been shown to be 7 years,” Rogers said. “More importantly it has been scientifically proven that, after the initial series, when vaccines are re-administered, the immune status of the patient is not enhanced. Antibodies from the initial vaccine block the subsequent vaccines from having any effect. In cats, the risk of Vaccine Associated Fibrosarcomas can be reduced by avoiding adjuvanted vaccines and unnecessary vaccines like chlamydia for cats.”

Dodds and Rogers suggest pet owners ask their veterinarians to perform vaccine antibody titer tests, which test antibodies for distemper and parvovirus annually after the initial series of vaccines.

Purdue University's Great Dane Health & Vaccine Study:  http://www.vet.purdue.edu/epi/gdhstudy.htm
 
Pet Vaccination:  An Institutionalized Crime by Catherine O'Driscoll http://www.whale.to/vaccine/driscoll1.html
 
NBC-Still Vaccinating Your Pet Every Year? That May Not Be Necessary and May Even Cause Harm  http://msnbc.msn.com/id/8572826/

Schultz, Dog Vaccines May Not Be Necessary http://www.news.wisc.edu/8413.html (Dr. Ronald Schultz of U.Wisconsin School of Veterinary Medicine)

Should Vets Warn About Vaccines? http://www.newsday.com/features/columnists/ny-lspets4348332jul18,0,403799.column

Necessary or Not?  Some Veterinarians and Pet Owners are Questioning Vaccines: http://www.concordmonitor.com/apps/pbcs.dll/article?AID=/20050612/REPOSITORY/506120373/1013/NEWS03
Vaccinating Pets Could Do More Harm than Good (NBC Channel 4 Los Angeles) http://www.nbc4.tv/news/4448558/detail.html
Veterinarian warns over-vaccination can harm pets http://www.wistv.com/Global/story.asp?S=3408959&nav=0RaPaSJX
Improving Veterinarians' Income a Top Goal of  AVMA President-elect candidate Childers http://www.avma.org/onlnews/javma/mar04/040315g.asp
Developing Common Sense Strategies for Fiscal Responsibility: http://www.dvmnewsmagazine.com/dvm/article/articleDetail.jsp?id=61694
ABSTRACT (2004):  Serum antibody Titres to Canine Parvovirus, Adenovirus and Distemper Virus in Dogs in the UK which Had Not Been
Annual Vaccinations May Harm Your Pet Newsday, Denise Flaim 4/3/06 http://www.newsday.com/news/columnists/ny-adcova4687741apr03,0,3250447.column?coll=ny-rightrail-columnist  Quotes from this article:  "Labels aren't guidelines:
Another problem is byzantine labeling and clever marketing on the part of vaccine manufacturers.

"The label means nothing," Schultz says simply, noting that vaccines licensed for one year and three years are often the same product. "The label has an arbitrary and capricious annual revaccination requirement, and it takes an act of Congress to take it off" - literally. Schultz says the Department of Agriculture has applied to remove the language, a legislative process that he estimates will take seven years.

While many veterinary colleges have moved toward vaccine protocols of every three years for core vaccines that are "modified live viruses," or MLV, such a parvo, distemper and adenovirus, others suggest that immunity lasts far longer - Schultz among them. "Duration of immunity is whatever is determined by the studies, and those studies show that duration of immunity is seven to nine years, which is a lifetime."

Veterinary immunologist Jean Dodds of Santa Monica, Calif., another popular lecturer on the vaccine topic, stresses that overvaccination can overwhelm the immune systems of dogs......"
 
 
    Below is an article from the Lincoln County Weekly about the letter that Maine's Agriculture, Conservation & Forestry Committee sent to the Maine Veterinary Medical Association on June 3, 2005 strongly recommending that veterinarians in the state give pet owners vaccine disclosure information.  Pet owners I have beeen coming into contact with have stated that their veterinarians are still not giving them any disclosure materials.
    Please e-mail me back if you would like a copy of the letter to the MVMA or have any questions.
 
 Regards,  Kris L. Christine
Founder, Co-Trustee
The Rabies Challenge Fund
 
Lincoln County Weekly -- June 16, 2005
State Recommends Veterinarians Provide Vaccine Disclosure
by Aaron Miller
 
    AUGUSTA -- A state committee recently encouraged Maine veterinarians to inform pet owners of the recommended interval for administering vaccines.
    Senate Chair Sen. John Nutting and House Chair Rep. John Piotti wrote to the Maine Veterinary Medical Association President Matt Townsend earlier this month, asking veterinarians to provide pet owners with that information.  The association consists of Maine veterinarians and volunteers and represents over 90 percent of veterinarians in Maine.
    The June 3 letter came after the state's Committee on Agriculture, Conservation and Forestry voted Wiscasset Rep. Peter Rines' proposed legislation requiring veterinarians to provide vaccine disclosure forms ought not to pass.
    The Maine Veterinary Medical Association opposed Rines' LD 429, a bill that would require a veterinarian to provide a vaccine disclosure form to the owner of a cat or dog before vaccinating those animals.  The proposal came after Kris Christine, of Alna, said she inadvertently learned her veterinarian administered a vaccination her pet did not need.
    The vaccine disclosure is aimed at releasing information regarding proven or demonstrated durations of immunity as well as advantages and disadvantages of vaccines.
    "We strongly encourage Maine veterinarians to inform pet owners of the recommended interval for administering a vaccine and potential risks associated with that vaccine," Nutting and Piotti wrote.  "We realize that immunology is not a static field and the science is complex.  We do not propose to dictate the detail of information provided.  We do, however, want to emphasize the importance of information being available at veterinarian's offices."
    Nutting and Piotti requested the Maine Veterinary Medical Association apprise the Committee on Agriculture, Conservation and Forestry of any materials or guidelines developed by the association in regard to the committee's request.
    "We would like to know the extent to which these guidelines or materials are being incorporated in your members' veterinary practices," Nutting and Piotti wrote.
    In an interview June 14, Townsend said that the Maine Veterinary Medical Association is not opposed to the committee's request.  Townsend added that the veterinary association is currently in the process of including information about vaccines on the association's website.  Different opinions on vaccinations and protocols are planned to be posted, he said.
    "We have never been opposed to the legislature saying we'd like for you to offer some type of pamphlet," Townsend said.  "But we have questions about what pamphlets we should use."
    The committee does not make any recommendation in the June 3 letter.
    "I don't think a pamphlet is the one answer or the best answer," Townsend said.  "It is a step that can be quite helpful for a lot of clinics.  The whole concept we are in favor of."
    Although pleased with the committee's request, Christine remains skeptical.
    "I personally don't believe a majority of veterinarians will provide disclosure," Christine said.  "I think it will be necessary for the committee to introduce the bill in December."
    If veterinarians refuse to disclose vaccine information, Christine recommended pet owners contact their representatives.
    "Pet owners are entitled to full disclosure," Christine said.  "They deserve to know how long these vaccines have been proven for immunity."
    Aaron Miller may be reached at amiller@courierpub.com.
  
    Below http://www.animalwellnessmagazine.com/mag/v72/72/p42.htm is the first in a series of timely articles on pet vaccinations appearing in the April 2005 issue of Animal Wellness Magazine.  In the article, they extensively quote Dr. Ronald Schultz, Chair & Professor of Pathobiological Sciences at the University of Wisconsin School of Veterinary Medicine, whose challenge studies form the base of the American Animal Hospital Association's 2003 Canine Vaccine Guidelines .
    The American Animal Hospital Association's 2003 Canine Vaccine Guidelines are accessible at Leeburg Training http://www.leerburg.com/special_report.htm or http://www.britfeld.com/dvm.htm scroll down to Canine Vaccine Guidelines and click on For .pdf file of the webpage to Canine Vaccine Guidelines article, click this piece of text.
 
    The following are quotes from the article that I found especially interesting and once again illustrates why Representative Rines' LD 429, An Act to Require Veterinarians to Provide Vaccine Disclosure Forms is so important to pet owners -- they simply will not have access to this information otherwise.   Excellent Source for Dr. Schultz's challenge studies on vaccine durations of immunity: http://www.ivis.org/advances/Infect_Dis_Carmichael/schultz/chapter_frm.asp?LA=1 You might also want to access Dr. Robert Rogers' website presentation on veterinary vaccines at http://www.newvaccinationprotocols.com/.
 
Regards,  Kris L. Christine
Founder, Co-Trustee
The Rabies Challenge Fund
 
    “I have studies that show duration of immunity at seven to nine years for all the core vaccines except rabies, and even on an antibody basis I can show that rabies gives much longer protection than three years,” says Dr. Schultz.
 
    Although AAHA recommends vaccinating against distemper every three years after the initial puppy shots, challenge studies have shown that the minimum duration of immunity can last five to seven years, and perhaps even longer. In fact, titers have indicated that dogs can be protected for nine to 15 years. “To be honest, although canine distemper is a core vaccine, I think a dog only needs to receive it once in his life,” says Dr. Schultz. “The same goes for canine parvo and adenovirus-2. That’s the vaccination program I’ve been practicing on my own dogs without any difficulty whatsoever. We’ve never had a vaccine-preventable disease occur.”
   
    "challenge studies indicate that a vaccinated kitten can remain protected from feline parvo for eight years."
For more information on Vaccine-Associated Feline Sarcomas from the American Veterinary Medical Association and why it is so important to have enough information so you do not overvaccinate your pet, click on this link:  http://www.avma.org/vafstf/vafstf01.asp.

 
Animal Wellness Magazine, Volume 7, Issue 2  (2005)
Vaccination:
Which ones do they REALLY NEED, and HOW OFTEN?
by Ann Brightman
When Helena took her new Sheltie puppy, Mick, to the vet for his first check-up, she felt more than a little anxious when it came time for him to receive his shots. While she wanted to protect her new friend from deadly diseases like distemper and parvo, she was also concerned about the health risks associated with over-vaccination. Although Helena went ahead with the vaccines and follow-up boosters, she was worried about subjecting Mick to subsequent annual shots, even though her vet told her she was risking her dog’s health even more by not doing so.

It’s a common quandary these days, especially as we hear more and more about the often devastating side effects of over-vaccination. How do we prevent our dogs or cats from contracting infectious diseases that can often be fatal, while also protecting them from the equally serious health consequences of too many shots? The best strategy is to learn which vaccines are absolutely necessary (referred to as core vaccines), why they’re needed, and what the minimum requirements are for each to ensure protection from disease without over-vaccinating.

WHAT ARE CORE VACCINES?
“Core vaccines are those that every dog or cat should receive, regardless of geographic location or lifestyle,” says Dr. Ron Schultz, Professor and Chair of the Department of Pathological Studies at the University of Wisconsin-Madison’s School of Veterinary Medicine. For dogs, the four core vaccines are canine distemper (CDV), canine parvovirus-2 (CPV-2), canine adenovirus-2 (CAV-2) and rabies. Those for cats are feline panleukopenia or parvovirus (FPV), feline herpesvirus-1 (FHV-1), also referred to as feline viral rhinotracheitis, feline calicivirus (FCV) and rabies. In this article, the first in a three-part series, we’ll be taking a close-up look at canine distemper, feline panleukopenia and rabies.

The eight vaccinations listed above are considered core because the diseases they protect against are distributed over a wide area and have a high mortality rate. “These vaccinations are absolutely necessary,” says Dr. Schultz. “You want the vaccine to be the first antigens to prime the immune system. You don’t want to leave it up to natural immunization or exposure.” This is because, when compared to the actual disease-causing virus, the vaccine is a safer way to protect the animal. “If the vaccine is live, it’s attenuated. If it’s killed, it can’t cause disease,” explains Dr. Schultz. “It’s true that many puppies that never see a vet get naturally immunized by exposure to distemper, as an example, but for every one that gets vaccinated, probably another would have died if the first encounter with distemper occurred prior to vaccination.”

MINIMIZING VACCINATION
Although core vaccines are necessary to protect your companion from infectious disease, even these do not need to be given on an annual basis. “That’s what we’re trying to change,” says Dr. Schultz. “What we recommend is that both puppies and kittens get the core vaccines at least once at or over the age of 12 weeks.” The 12 weeks is significant, because prior to that, many animals still have passive maternal antibodies that block immunization, which means they may not respond to the vaccine and are therefore unprotected against the disease. American Association Hospital Association (AAHA) guidelines recommend vaccinating again at one year, and once every three years after that, although even that may not be necessary.
“I have studies that show duration of immunity at seven to nine years for all the core vaccines except rabies, and even on an antibody basis I can show that rabies gives much longer protection than three years,” says Dr. Schultz.

CANINE DISTEMPER (CDV)
CDV is a highly infectious and often fatal disease that attacks the respiratory, gastrointestinal and central nervous systems. Although dogs of any age can contract distemper, puppies up to six months of age are most susceptible to the disease, which
can cause a range of symptoms from fever, loss of appetite and eye inflammation in its early stages, to diarrhea, vomiting, pneumonia, and neurological complications such as ataxia, seizures and paralysis.

Canine distemper occurs around the world not only among domesticated dogs, but also in many wild carnivores such as raccoons, skunks and foxes. “Wildlife is actually now more of a reservoir for distemper than dogs are,” says Dr. Schultz. “The virus is spread mainly by air, or by direct contact with secretions from the infected animal. The mortality rate among puppies with distemper is 50% or higher.” On the plus side, the distemper virus is very fragile and easily destroyed by outside influences. “It doesn’t live very long in the environment,” says Dr. Schultz. “It dies very quickly because it is what we call an enveloped virus. These kinds of viruses are highly susceptible to water, disinfectant and sunlight.”

Although there is only one distemper serotype, there are several genotypes. “What this means is that, from an immunologic standpoint, it doesn’t matter which distemper infects the animal, they’re all similar; the vaccine for canine distemper can protect against the different genotypes.” Dr. Schultz adds that modified live vaccines (MLV) are most effective for distemper. “In fact there’s no question in my mind that you should be using live vaccines for most of the cores. Although attenuated, live vaccines infect and replicate, and that’s how you get immunity.”

Although AAHA recommends vaccinating against distemper every three years after the initial puppy shots, challenge studies have shown that the minimum duration of immunity can last five to seven years, and perhaps even longer. In fact, titers have indicated that dogs can be protected for nine to 15 years. “To be honest, although canine distemper is a core vaccine, I think a dog only needs to receive it once in his life,” says Dr. Schultz. “The same goes for canine parvo and adenovirus-2. That’s the vaccination program I’ve been practicing on my own dogs without any difficulty whatsoever. We’ve never had a vaccine-preventable disease occur.”

Titer testing is highly effective for canine distemper, but according to Dr. Schultz, the best time to do it is at two weeks or more after the last puppy vaccination, to ensure that the animal responded to its initial vaccines. “To my mind, that’s the only time it’s of medical benefit to use a titer test for canine distemper. After that, you don’t really need to titer the animal since you can easily go five or seven years before the next vaccine.”

FELINE PANLEUKOPENIA (FPV)
Although FPV is sometimes referred to as feline distemper, this terminology is misleading. “When I talk about feline ‘distemper,’ I always talk about it as feline parvo or panleukopenia,” explains Dr. Schultz. “The virus that causes this disease is essentially
identical to the canine parvo virus, but not the canine distemper virus. If a dog has parvo, it can infect a cat, but this doesn’t happen with distemper.”

Most often found in kittens, FPV is a contagious and deadly disease that attacks and destroys growing cells in the intestine, blood and nervous system. It causes diarrhea, vomiting, a lowered white blood cell count, and neurological symptoms such as tremors. Kittens up to six months of age can easily die from the disease, while older cats may develop much milder signs. “There’s a tremendous age-related resistance to parvo,” says Dr. Schultz. “If the animal is less than a year old, mortality is 80% to 100%. However, I rarely see mortality in animals over a year of age, although I might see mild morbidity. Nevertheless, feline parvo is the one cat vaccin4e I absolutely insist on.”

Like canine distemper, feline parvo has worldwide distribution with outbreaks occurring most commonly in urban areas during the summer months. The disease is transmitted by direct contact, although cats can also contract FPV from the fecal matter of an infected feline. Unlike canine distemper, the parvo virus is extremely long-lived, and can remain active in the environment for months or even longer. “Parvo is what we call a naked virus and is one of the most resistant,” says Dr. Schultz. Soil contaminated with the parvo virus still has the ability to infect an animal a year later. “In fact, parvo is more often caused by environmental contamination than direct contact with an infected animal. You don’t need the infected cat to be in the environment for very long in order for it to leave the virus behind.”

As with canine distemper, MLV vaccines are very effective for preventing feline panleukopenia. “With parvo, in fact, you’d better be using live vaccines, because the killeds don’t work.” As with other core vaccines, kittens should be vaccinated at 12 weeks. Titer testing is very effective for this disease, although
challenge studies indicate that a vaccinated kitten can remain protected from feline parvo for eight years.

RABIES (RV)
Unlike distemper and parvo, rabies is a disease that can be transmitted from animals to humans, which is why rabies vaccinations are required by law throughout North America. The virus infects the central nervous system, causing encephalitis and death. Symptoms can include confusion, partial paralysis, aggressive behavior, excessive salivation and other neurological signs. Although rabies occurs worldwide, including in Asia, Africa and Latin America, some countries such as the U.K. are rabies-free. In North America, rabies is most prevalent in the eastern portions of the continent, although cases can occur anywhere. Wild animals such as raccoons, skunks, bats and foxes are the major carriers. Because rabies isn’t age-related, mammals at all stages of life can be affected with the same degree of severity. The chief means of transmission is by a bite from an infected animal.

“There are multiple strains of rabies, but the important thing is that the vaccine prevents infection with all those different strains,” says Dr. Schultz. “Although the risk of infection in domesticated animals is generally low, the public health concern is the issue. That’s what drives the regulations for rabies vaccines.” As with the other core vaccines, puppies and kittens should be vaccinated at 12 weeks. Although some states and provinces have approved a three-year rabies vaccine, some still require annual re-vaccination for dogs and cats, even though the duration of immunity based on challenge studies has been shown to be three to seven years. “The regulations vary from state to state and province to province, and even from municipality to municipality.” It’s also important to realize that a municipality might have a more restrictive requirement than the state or province it’s a part of, although not the other way around.

“Rabies titers are effective, but there’s no point running them because you’re going to have to vaccinate your animal by law anyhow,” says Dr. Schultz. However, titer testing for rabies is useful in cases where the animal has had an adverse reaction to the vaccine, or has a medical condition that could be aggravated by the vaccination. “In these situations, local municipalities will sometimes accept a letter from the vet as a reason not to vaccinate every three years, But the guardian has to understand that the animal is still considered to be non-vaccinated, and if it bit someone, it would be treated as such if it’s gone beyond the three years, irrespective of the vet’s letter. Even so, if you have a dog that for health reasons
shouldn’t be given a rabies vaccine, it’s better to take the chance of it being quarantined for biting someone than to give the vaccine and kill the dog.”

BACK TO BASICS
Vaccinations definitely have their place in disease prevention, but knowing where to draw the line is key. “I’ve seen it go from no vaccines back in the mid-1960s, to where we just kept adding one after the other,” says Dr. Schultz. The pendulum has since started swinging back again as organizations such as AAHA and American Association of Feline Practitioners (AAFP) began looking more closely at which vaccines out of the 12 for cats and 16 for dogs were really needed and why. “We used to have one manufacturer that made a canine vaccine combo with 13 different components in it. That’s not good, and that’s why it’s not available anymore.” Now, by contrast, companies are coming out with information demonstrating that their products give duration of immunity lasting several years. “All the major manufacturers are coming on board and saying that their core vaccines give at least three years immunity. To me, that’s the greatest gratification in the more than 25 years I’ve been doing this.”
 
    The following article on LD 429, An Act to Require Veterinarians to Provide Vaccine Disclosure Forms, appears in the Sunday, February 20, 2005 issuse of the The Lewiston Sun Journal and may be accessed at the link below.
 
 
Too many shots?

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Sunday, February 20,2005
Ashleigh D. Starke/Sun Journal
CANINE CONCERNS: Kris Christine of Alna hopes the Legislature will pass legislation requiring all Maine veterinarians to give pet owners disclosure forms on the pros and cons of vaccinations. In January 2003, her Labrador retriever, Meadow, pictured here, developed a mast cell tumor on the site of a rabies vaccination.

AUGUSTA - Like many pet owners, when Kris Christine of Alna got cards from her veterinarian reminding her that Meadow's and Butter's shots were due, she brought in her lovable Labs.

Her vet recommended that her pets have rabies shots every other year and distemper shots every year, Christine said.

But months after Meadow's biannual rabies shot in the fall of 2003, she noticed something. "He had this weird thing on his back hind side," she said. "Every time he'd run, it would swell, then it would go away."

Meadow eventually was diagnosed with mast cell cancer, which Christine believes resulted from the vaccination injection at that same spot on his leg. "It's not something you want," she said. "It's an aggressive cancer."

Veterinarians say the likelihood is very small that Meadow's cancer stemmed from the shot. However, while taking care of Meadow's cancer, Christine stumbled on a hot debate in the animal health field: How often should dogs and cats be vaccinated?

While experts stress that vaccines are vital to the health of pets, mounting research indicates vaccines can no longer be considered harmless. Research shows they can cause adverse health effects - everything from lower immunity against viruses, bacteria and parasites, to cancer - and that some vaccines do not have to be given as frequently as once thought.

In response, the American Animal Hospital Association in 2003 began recommending less frequent vaccinations for cats and dogs.

Christine, who began researching the subject after Meadow's cancer was detected, quickly became an energetic crusader, spreading information about vaccinations and questioning frequency guidelines. She believes that by following her veterinarian's recommendations, "Meadow was being over-vaccinated for years."
Ashleigh D. Starke/Sun Journal
Kris Christine of Alna hopes the Legislature will pass legislation requiring all Maine veterinarians to give pet owners disclosure forms on the pros and cons of vaccinations.
In the process, Christine said she discovered that Maine law required a rabies shot for dogs and cats every two years, despite the fact that the vaccine's manufacturer says it is good for three.

She questioned the law in early 2004, and it was changed last fall, according to state public health veterinarian Dr. Robert Gholson. The state now mandates that rabies shots be given every three years. (Saying not all veterinarians have gotten the word, Gholson is sending out a second reminder.)

Christine now hopes she will be equally successful with her next effort: to get the Legislature to pass a law requiring Maine veterinarians to disclose the pros and cons of vaccines.

Rep. Peter Rines, D-Wiscasset, is sponsoring L.D. 429, and said that since introducing the bill, the outpouring of e-mails and letters in favor has been overwhelming.

"In my tenure as a legislator I've never had this kind of response," he said. Pet owners are thanking him, and some people outside Maine have said they hope his bill will lead to similar laws in other states, he said.

"Everyone wants to do the best thing for our four-legged friends," said Rines, noting his bill is intended only to give consumers information.

But some Maine veterinarians plan to voice their opposition to the bill at its public hearing on Feb. 28. Saying they feel like they're under attack, the opponents say they see no need for disclosure forms.

The making of a crusader

After Meadow was diagnosed with cancer last year, he underwent two operations. A chunk of his back thigh was removed.

On the bottom of one of Christine's veterinarian bills in April for cancer treatment was a reminder that Meadow's distemper shot was due in November and his next rabies shot in 2005.

It upset Christine. "I said, 'He's not going to be alive then.'"

Christine said her veterinarian said the cancer did not come from the vaccine, but Christine was skeptical. She grew even more doubtful after learning that the law required dog immunizations every two years even though the rabies vaccine lasted three.

When she got the bill, Christine told her vet she had a problem giving her dog vaccinations every year or every other year.

"Here's my dog lying at my feet, suffering with a huge chunk of his hind leg removed. I thought, 'You were giving him medication that you know he doesn't need.'"

Christine found a new veterinarian and became an advocate for changing the laws and making pet owners more aware of the potential health risks posed by vaccinations. "We need the tools," she said

She is not the only one who feels that way.

Among those concerned about pets receiving vaccinations too frequently are AKC judge and former breeder Arnold Woolf of Lewiston and Larry Doyon of Munster Abbey Kennels in Minot, breeders of German shepherds. Both say they support the legislation.

Experts: Risks are low, but . . .

Christine's efforts have also met angry opposition. Last week the Maine Veterinary Medical Association came out against L.D. 429. In a Feb. 2 letter to lawmakers, MVMA President Matt Townsend did not directly spell out why the organization is opposed to the bill.

But Townsend complained that such a law would mandate "cumbersome disclosure and consent procedures for every vaccination and medication dispensed by veterinarians." It also said Christine "has launched what can only be described as an aggressive scare campaign, designed to drive a wedge of distrust between pet owners and their veterinarians."

Actually, the law makes no mention of medication other than vaccines. The law says veterinarians must provide disclosure forms informing consumers about the advantages and disadvantages of vaccines.

MVMA Executive Director Bill Bell said there is no Maine protocol on how often vaccines should be administered, and that even top researchers disagree. "The bill is vague to the point of being ridiculous," he said.

Veterinarians are worried a disclosure form would scare away some pet owners from having their dogs and cats vaccinated, which would lead to diseases coming back, Bell said. He added that the bill will increase paperwork for veterinarians without doing any good.

One nationally recognized vaccine researcher, Dr. Ronald Schultz, favors the law.

While rare, vaccines can cause adverse health affects in cats and dogs, said Schultz, an expert in animal vaccinations and chair of the department of pathobiological sciences at the University of Wisconsin School of Veterinary Medicine.

"I favor anything that would better inform the potential buyer of what they need and what they're getting," he said in a telephone interview from his Wisconsin office.

A majority of veterinarians are already providing that information, but some are not, he said.

The thinking that vaccines are harmless is changing, Schultz said, adding that annual vaccinations don't help pets, and can hurt them. "For years we worked under a philosophy of 'if it doesn't help, (at least) it won't hurt.'"

What he called "an awakening" began in the 1980s when healthy cats given vaccines were getting cancer. "The odds were small, but if the odds are 1 in 1,000 that doesn't matter if it's your pet," he said.

The probability of dog vaccines causing cancer is lower than cats, he said. "But we're constantly learning. The wake-up call to the veterinarian profession was that vaccines create a risk. ... No matter how rare the adverse effects are, we don't want to give a product that's not needed."

Schultz said the veterinary profession has been using annual or biannual shots as a way to bring clients through the door for the more important exam. Convincing pet owners to come in by telling them their pets' annual or biannual shots are due should no longer be practiced, he said.

Schultz cited the newest guidelines from the American Animal Hospital Association, which in 2003 went from recommending annual distemper shots to one every three years. Under the guidelines, dogs and cats should receive core shots for rabies and distemper beginning at 12 weeks, a booster at one year, then boosters no more frequently than every three years. (Some central and western Maine veterinarians are following the recommendations, others are not. See related chart.)

All other vaccines are "optional," according to Schultz and the AAHA, and are based on the animal's lifestyle and risk. For instance, annual Lyme disease and heartworm vaccines may be important for pets living in areas where those diseases have been prevalent, but may not be necessary where they have not, he said.

Maine vets already informing

While not all researchers or veterinarians agree with Schultz, many acknowledge that the thinking regarding vaccines has changed in recent years, and that more vets are giving vaccinations less frequently.

"There's been a paradigm shift to greater focus on trying to encourage clients to see the importance of an examine and not vaccines, that vets aren't just for shots anymore," said Dr. Bill Bryant, past president of MVMA. Physical examinations at least once a year are important, he stressed, especially when considering that dogs and cats "age seven years on average for every year we age."

Part of that examination, Bryant said, involves making a recommendation on what vaccines a pet should have, based on the pet's lifestyle. For instance, a dog that is never with other animals may need less vaccine protection than one that goes to a doggie day care. An indoor cat needs less than one that roams outdoors.

In part because of that important relationship between a veterinarian and a pet owner, Bryant and at least some other Maine veterinarians remain wary of Christine's legislation. Veterinarians are already giving clients information on the risk of vaccines, he said. Central Maine Veterinary Hospital in Turner, for instance, asks pet owners to sign a vaccination consent form that outlines the concerns.

Dr. Susan Chadiman of Androscoggin Animal Hospital in Topsham said L.D. 429 is well intentioned and that the veterinarian's office "is the place for dialogue, for education." But she said she's against the bill because a mandated disclosure form would not enhance that.

"It would create a tremendous amount of paperwork," Chadiman said. "And a real concern is that it leaves wide open who's going to decide what is science, what is fact."

Christine, whose dog Meadow is now doing "very well," counters that science has already proven that the protective effects of pet vaccines last longer than even the newest recommendations. But she said her legislation is simply about a consumer's right to know.

"I think pet owners have a right to know what veterinarians know" about the effects and effectiveness of vaccines, she said.

No one would advocate giving a human a 10-year tetanus shot every two years, she said. Pet owners are consumers. "They need to know there's no benefit in giving their dogs booster shots more often ... and it does put them at increased risk for adverse side effects," she said.

The proposal

What: The bill says veterinarians "shall provide a vaccine disclosure form to the owner of a dog or cat before vaccinating that dog or cat. The vaccine disclosure form must provide information regarding the advantages and disadvantages of vaccines."

When: L.D. 429 will be heard before the legislative Committee on Agriculture, Conservation and Forestry. The public hearing has been scheduled for 1 p.m. Monday, Feb. 28, in Room 206 of the State Office Building.

 
For the dogs

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Tuesday, 1,2005

AUGUSTA - A public hearing Monday on a proposal to mandate consumers be given information about the risks and benefits of vaccines turned into a face-off, with no agreement between veterinarians and pet owners.

Veterinarians staunchly opposed legislators forcing them to give pet owners information about vaccines. They're already doing that, they said. And the science about adverse health risks from vaccines is "fluid," making it impossible to give good information, veterinarians said.

Pet owners and dog breeders who jammed into the standing-room-only hearing were on the other side of L.D. 429. They questioned why veterinarians were so opposed to giving out information.

With her little dog, Minnie, in her arms, Laura Moon of Brunswick said she favors the bill. Everyone was there because they love animals, she said. "That's why I think disclosure is so important. How as an owner, as a guardian, do you know if you don't know?"

When any activity raises potential harm, precautionary measures are warranted, even if the cause and effect are not fully understood, Moon said. "How can we make an informed decision if we don't have information?"

Joan Jordan, a dog breeder and dog obedience teacher from Woolwich, said she's seen dogs "that have had a vaccine that had had lumps and died. Personally I had a dog a couple of years ago I lost." We