Author: J. Yoshicedo, DVM

Equine Influenza Virus (EIV) Outbreak on Hawaii Island

Alert to veterinarians statewide regarding an ongoing Equine Influenza Virus (H3N8) outbreak observed on the Big Island of Hawaii. The disease appears to be limited to Hawaii Island at this time. The HDOA Animal Disease Control Branch is monitoring the situation and if you have diagnosed EIV in a horse, please contact the deputy state veterinarian in your county to assist us with tracking the disease event.

Hawaii County: Dr. Kim Kozuma (808) 974-6503 or (808) 365-4346
Maui County: Dr. Rick Willer (808) 873-3559
Kauai and Honolulu Counties: Dr. Travis Heskett (808) 483-7131

Quick Facts about Equine Influenza

Etiologic agent: Influenza type A, H3N8.
Species affected: Currently, only horses. The literature suggests that dogs and cats can become infected.
Transmission:
• via droplets and aerosols formed by coughing and sneezing
• direct or indirect contact with nasal discharge
• shedding of the virus often precedes clinical signs
• short incubation period, usually one to three days
• virus is typically excreted only 7-10 days after infection
Clinical signs: Acute respiratory disease, beginning with high fever (up to 106°), coughing, nasal discharge, and occasionally mild swelling of submandibular lymph nodes. Secondary bacterial infections may develop. Healthy adult horses will typically recover within one to three weeks,
although there may be a persistent cough.
Diagnosis: Can be presumed based on history, clinical presentation, and ruling out other causes of fever
• HDOA’s Veterinary Laboratory does not perform diagnostic testing for Equine Influenza.
• A number of mainland veterinary diagnostic laboratories can test for Equine Influenza and other infectious etiologies which can cause similar clinical signs. Contact the mainland laboratory of your preference for specific guidance regarding sample collection, preservation, and submission.
What has been observed in this event:
• Infection has been self-limiting, lasting approximately two to three weeks.
• Vaccinated horses were less likely to develop clinical signs than unvaccinated horses.
• Clusters of ill horses have been observed associated with equine events.
• Practicing good biosecurity reduces the likelihood of spread.

For more information, visit the website of the Hawaii Dept. of Agriculture, Animal Disease Control Branch at http://hdoa.hawaii.gov/ai/main/eiv/ or contact the Animal Industry Division at (808) 483-7106.

Thanks to Jenee Odani, DVM, DACVP and Dr. Travis Heskett, DVM, DACVP who contributed technical information for this article. [3/7/18]

2018 Legislative Update

HVMA Opposes SB2260

SB2260 requires veterinarians, upon request of the owner of an animal, to make available a copy of any prescription that the veterinarian has previously prescribed the animal free of charge. This bill will have a public hearing on Tuesday February 20, 2018 at 9:00AM at the Hawaii State Capitol conference room 229 by the Senate Committee on Commerce, Consumer Protection, and Health. Read the complete bill text (brief) here.

Please send in written testimony opposing this bill via the Hawaii State Legislature website (steps detailed below) by Monday Feb 19th 9am and consider testifying in person at Tuesday’s hearing.

HVMA opposes SB2260 because it places unnecessary legislative burden on veterinarians and is of questionable value to the public. According to Hawaii Revised Statutes 471-10, licensed veterinarians in Hawaii are required to practice by “the recognized principles of medical ethics of the veterinary profession as adopted by the Hawaii Veterinary Medical Association and the American Veterinary Medical Association”. According to the AVMA Principles of Veterinary Medical Ethics Section V.b.iii., “Veterinarians are obligated to provide copies or summaries of medical records when requested by the client.” Prior prescription information is already contained within a patient’s medical record and available upon request by the client (owner of the animal). In regards to current prescriptions, Section VII.f.iii. states: “Veterinarians are entitled to charge fees for their professional services: A veterinarian shall honor a client’s request for a prescription or veterinary feed directive in lieu of dispensing, but may charge a fee for this service.” AVMA’s Policy on Client Requests for Prescriptions states: “Veterinarians shall honor client requests to prescribe rather than dispense a drug (AVMA Principles of Veterinary Medical Ethics). The client has the option of filling a prescription at any pharmacy.”

Please make the voice of veterinarians heard and submit your testimony today:
1. Go to the Hawaii State Legislature website.
2. In the upper right hand corner, either “Sign In” to your account or “Register” if you do not have an account.
3. Once signed in, click on “Submit Testimony” (first orange button in the middle of the page).
4. Under “Enter Bill or Measure” enter SB2260 and click “Get Hearing”.
5. Complete your testimony submission (you may upload a document or enter your testimony directly on the webpage) and click “Submit”.
6. Feel good about participating in the legislative process and shaping the practice of veterinary medicine in Hawaii!

The Hawaii State Capitol is located at 415 South Beretania Street in downtown Honolulu. If you have never testified in person before and have questions about the process, please feel free to email us at contact@hawaiivetmed.org.

Other Current Pending Legislation

HB2498 – Establishes and appropriates funds for one full-time equivalent permanent veterinary medical officer position within the Department of Health. HVMA SUPPORTS.

HB1823 – Defines emotional support animals and makes it a misdemeanor to knowingly make a misrepresentation regarding a service dog or emotional support animal.

HB2060 – Removes the word “Examiners” from the names of the State Board of Chiropractic Examiners, Board of Dental Examiners, Board of Examiners in Optometry, and Board of Veterinary Examiners. Renames the boards with titles that more accurately reflect their scope and duties. HVMA defers to BVE stance.

HB2072 – Prohibits certain restraints and tethers that endanger or deny sustenance to a dog. Specifies penalties.

HB2081/SB2566 – Appropriates funds to the Department of Land and Natural Resources to provide assistance and supplemental funding to the National Wildlife Research Center of the U.S. Department of Agriculture to conduct pilot field studies to evaluate control tools and develop a management plan to reduce the rose-ringed parakeet population on Kauai.

HB2270/SB2501 – Requires the Department of Human Services to establish ohana zones where homeless persons may reside. Appropriates funds.

SB2014 – Requires persons convicted of animal cruelty to register with the attorney general. Requires animal shelters, animal breeders, and pet stores to check whether an individual has been convicted of animal abuse when the individual applies to work or volunteer, or purchases or adopts an animal. Establishes penalties. Prevents persons convicted of animal cruelty from possessing, owning, or working in close proximity to animals. Requires police officers to be trained in identifying and investigating animal abuse.

SB2289 – Establishes the offense of sexual assault of an animal. Provides for impoundment and forfeiture of a sexually assaulted animal.

SB2435 – Requires the Department of Health to contract with a nonprofit animal rescue group to oversee caretakers of feral cats. Exempts registered caretakers of feral cats from state laws and county ordinances relating to the feeding and confinement of cats. Establishes a trap-sterilize-return process.

SB2461 – Establishes the offense of “misrepresentation of a service animal”. Changes the term “service dog” to “service animal” and amends the definition of that term to conform with the Americans with Disabilities Act of 1990

SB2929 – Establishes the Hawaii spay/neuter council to be administratively attached to the department of Commerce and Consumer Affairs. Establishes the Hawaii spay/neuter special fund. Imposes a fee on pet food to support the Hawaii spay/neuter grant program to spay and neuter dogs and cats. Makes an appropriation.

Happy New Year 2018

Aloha HVMA Members,

Hau’oli makahiki hou! We are glad you are a part of our veterinary community here in Hawaii. Membership registration is open, so please renew your membership at https://hawaiivetmed.org/membership/

Your HVMA membership allows us to help support you in your professional life. We seek to keep you informed on current events and provide legislative advocacy on issues pertinent to veterinarians in Hawaii. We provide members-only online content including classified ads, job postings, relief vet listings, and an online directory of member clinics. At our annual local conference, we bring in top-notch speakers and offer discounted registration to all current members. Through our organization, you will find networking, volunteer, and leadership opportunities.

Please let any of your new colleagues know that 2017 DVM graduates qualify for reduced membership dues ($50) in 2018, and 2018 DVM graduates receive complimentary HVMA membership in 2018. You do not need to be an AVMA member to be apply for HVMA membership, and if anyone needs help finding sponsors, just contact us. Please also notify us if you have reached the golden age of 65 and have 20+ years paid dues to qualify for Life Member status (membership dues waived).

We enjoyed seeing so many of you at our conference this past October, and hope to see many more at our 65th Annual Conference from November 8-11, 2018. Save the date!

As we continue to work to make the HVMA more accessible and relevant to its membership, please bear with us through the changes as we move to digital communications, and send us any feedback, suggestions, or interest in volunteering at contact@hawaiivetmed.org.

With warm aloha on behalf of your HVMA Board,

Jill Yoshicedo, DVM

 

Participate in Our Membership Survey

Help improve the HVMA to better serve you! We are surveying both current and non-HVMA members. Each survey participant may enter to win our drawing for free HVMA membership in 2018. We will hold the drawing during our Annual Conference Social on Saturday Oct 28th from 6-8:30pm at the Hilton Waikiki Beach Hotel. You will not need to be present to win. Take the survey here!

Animal Welfare Symposium

CABI and UC Davis are offering 6 hours of CE credits for a one day animal welfare symposium on June 27, 2017. The symposium will be held at UC Davis, but remote attendance is also possible in webinar form. Topics will focus on the subject of animal behaviour problems and veterinary approaches to dealing with them. Further information available here: http://www.cabi.org/vetmedresource/animals-behaving-badly/

Passing of Allen Y. Miyahara, DVM

We are sorry to report that Dr. Allen Yasuki Miyahara, 88, a doctor of veterinary medicine for the Department of Animal Sciences at the University of Hawaii at Manoa and an Army veteran, died at home on April 2, 2016. He was born in Honolulu. He is survived by wife Sue K.

Memorial Service will be held on Wednesday April 27 at Hosoi Garden Mortuary. Visitation: 5 pm. Services: 6 pm. Casual attire. No flowers. No monetary offerings.

Dr. Miyahara was a pioneer in the veterinary field, and established many veterinary organizations including the Hawaii Veterinary Medical Association, the University of Hawaii pre-veterinary student program, and Human-Animal Bond programs in both Hawaii and Japan. He served as Vice President of the American Veterinary Medical Association, re-vitalizing the position by directly connecting with each veterinary school campus and passing on his vision of a strong, united veterinary profession.

We are grateful for his mentorship and countless contributions to our profession both locally and internationally.