One Health Collaboration

Michelle Barbieri, DVM, MS, speaks to first and second-year medical students at the John A. Burns School of Medicine One Health Symposium in September. Dr. Barbieri is a Veterinary Medical Officer with NOAA and currently leads the Hawaiian Monk Seal Research Program. She shared her passion for conservation medicine and ecosystem health through the lens of her work with the endangered Hawaiian monk seal, discussing her team’s approach to threats posed from toxoplasmosis, canine distemper (morbillivirus), stray fishing gear, and rising sea levels. Her engaging presentation helped demonstrate the One Health concept: the inextricable interconnection of human, animal, and environmental health.

African Swine Fever

African Swine Fever (ASF) virus is a highly contagious Asfivirus that can cause serious disease and death in domestic and feral swine. The disease originated in Africa, then spread to Europe (2007) and Asia (2018). In 2021, the disease was detected in the Dominican Republic and Haiti, marking the first time the disease was diagnosed in the western hemisphere in 40 years.

ASFV is transmitted directly between pigs or indirectly via Ornithodoros ticks, ingestion of infected meat, or fomites. Meat from infected animals can remain infectious for up to 5 months.

After exposure, the incubation period is between 3-19 days. In the peracute form, sudden death may be observed. In the acute form, pigs demonstrate high fever, vomiting, diarrhea, abortion, and mortality (up to 100%). Less virulent subacute or chronic forms are often seen with less intense symptoms and lower mortality. A small number of animals can become lifelong carriers. No vaccine or treatment for this disease exists. The disease does not infect humans and poses no food safety threat.

International travelers should understand the risk of bringing ASF into the US, declare items and farm visits to US Customs, and avoid farms or locations with pigs for at least 5 days upon return.

Greater Good Charities Bring the Good Fix Program to Kauai

Submitted by Leilani Sim-Godbehere, DVM

Greater Good Charities will be offering a gift to our Kauai community through their Good Fix program. This is one of the charities that was instrumental in the Paws Across the Pacific program in Oct. 2020 when over 600 shelter animals were flown from the main Hawaiian islands to the U.S. mainland for adoption.

The Good Fix program will establish a humane mass trap-neuter-release program targeting the free-roaming cat overpopulation problem on Kauai. Some owned cats will also be included in the totals. Good Fix will work with local volunteers and will also deploy a team of specialized trappers throughout the island to maximize the number of cats sterilized. The program will encompass dual licensed HQHVSN (High Quality High Volume Spay Neuter) vets and MASH style experts to complete the work. The goal is to sterilize 15,000 cats over the year in 6 rounds. Sterilized cats will also be microchipped and FVRCP vaccinated. Dates are set for Oct 3-8 & 11-16, 2021; Jan 23-28, 2022; Jan 31-Feb 5, Mar 27-Apr 1 & Apr 4-9, 2022.

Besides public outreach, Greater Good Charities is inviting our veterinary community to learn more and participate in their program! Vets/techs interested in participating can contact the veterinary medical director of Greater Good Charities, Dr. Ruth Parkin, at ruthparkin@greatergood.org for an application. It is all volunteer work, but travel and accommodations for the medical team members who commit to an entire clinic session would be covered. Any non-medical persons interested in helping with trapping or other volunteer aspects can also contact Dr. Ruth Parkin. Participating vets will also be offered $150 vouchers to offset cost of dog spays for clients who might benefit from the financial support.

There is a plan in progress to address relocation of cats in certain wildlife/bird sensitive areas. It may become part of a “farm/barn-cat” program. The team is aware that this topic is high priority. The team is also aware of the Toxoplasma issues on island and will be including educational information on their community outreach to encourage the public about the importance of controlling overall free-roaming cat numbers.

Dr. Ruth Parkin and Dr. Julie Levy made a productive initial visit to Kauai on June 22 and 23,2021 for a site visit and to meet with local veterinarians and groups involved with animal welfare. They were delighted at the warm welcome they received and they look forward to working for the benefit of Kauai and hopefully our sister islands as well.

Legislative Update

New animal laws enacted in 2021:

Act 31 – Establishes the crime of sexual assault of an animal. Standard veterinary, animal husbandry, and conformation judging practices are exempt. Effective June 7, 2021.

Act 91 – Protects veterinarians from civil liability for rendering emergency aid to an animal, even if an owner is not available to consent to care. Requires veterinarians to report suspected animal cruelty or the injury or death of an animal as part of a staged fight. Protects veterinarians from civil liability for making such reports. Effective June 25, 2021.

Act 182 – Bans the unsupervised tethering of a dog under the age of six months. Bans tethering in a configuration that endangers the dog. Bans the use of tow or log chains to tether a dog. Effective July 6, 2021.

Act 5, Special Session – Requires dog and cat owners to have microchip identification implanted in their dogs and cats, and to register the microchip number and the owner’s contact information with a microchip registration company. Requires animal organizations to implant a microchip in all stray dogs and cats in their custody that do not have microchip identification. Effective January 1, 2022.

Specialty/ER Service Interruption

The Hawaii Board of Veterinary Medicine has recently reinterpreted Hawaii’s veterinary practice law and begun rejecting the practice of veterinary sponsorship. This practice previously allowed many out-of-state specialists to share their services with our clients on a short-term or intermittent basis. All of us have benefited from referring our clients to visiting dermatologists, radiologists, surgeons, as well as our few emergency care centers that operate 24/7. This interruption in veterinary sponsorship has limited service hours at emergency clinics and worsened the backlog of surgery cases in Hawaii.

If your clients are being affected, please encourage them to file a complaint with the DCCA and Board of Veterinary Medicine to insist that they must immediately return to honoring the practice of veterinary sponsorship in Hawaii as clearly allowed by HRS 471(2)-5.

HVMA Supports PAWS Across the Pacific

When the pandemic reduced flights to and from Hawaii last spring one little-known impact was that on our local animal shelters. Many island shelters and rescues rely on transport of dogs and cats to the continental US for placement options when no adopters are found locally. The cancellation of flights reduced the availability of space for pets to catch a ride. Shelters across the state made every effort to foster and house the increasing number of animals but many reported this was reducing their capacity to help other animals in need. 

Greater Good Charities (GGC) stepped in to assist and coordinate an unprecedented rescue flight in this time of emergency. GGC had previously supported the Hawaii community by donating thousands of pounds of pet food since the pandemic began. A multi-organization effort supported by HIEMA and HVMA resulted in the safe transport of nearly 600 dogs and cats from Hawaii to Seattle. On October 28 a charter Hercules C-130 cargo plane flew from Oakland, CA to Lihue, then Honolulu, Kahului and Hilo picking up animals along the way. All pets were examined by a veterinarian and given a health certificate prior to the flight and a large team including veterinarians were available at Boeing Field in Seattle to ensure the animals were comfortable and healthy on arrival. Many pets were adopted within days of arrival. For more information and photos and video on the largest ever pet rescue flight visit GGC Paws Across the Pacific Page.

This is the first part of an emergency support effort from GGC that will include providing emergency sheltering supplies, disaster sheltering training and more to area animal welfare organizations.

Mahalo to the sponsors who helped make it happen: The Animal Rescue Site, Banfield Foundation, Royal Canin, VCA Animal Hospitals, PEDIGREE Foundation, Petco Foundation, Tito’s Handmade Vodka, Healthy Paws Pet Insurance & Foundation, MuttNation Foundation, Kamaka Air Inc, Air Charter Service, and Jackson Galaxy.

Microchip Regulation Update

On July 1, 2020, the City and County of Honolulu implemented mandatory microchip identification for cats and dogs over the age of four months. This replaces the City and County of Honolulu’s dog license tag requirement, but does not replace the requirement that cats allowed outdoors have visible identification. Any dog or cat without a microchip who is impounded by Hawaiian Humane Society or taken into custody by an animal rescue nonprofit must have a microchip implanted before release. The microchipping obligation does not apply to private individuals returning lost pets or to veterinary clinics, but we hope you will urge your clients to comply with the law. Clients with a new pet who is already microchipped should be informed that they have 30 days to update the pet’s microchip with their owner information.

In addition, the Hawaiian Humane Society will no longer be updating their microchip registry. Instead, they are recommending that veterinarians help pet owners register their information with the microchip manufacturer or with a free online database such as FoundAnimals.org. Pet owners who have microchips implanted by your clinic also have a legal obligation to register their contact information with an online registry within 30 days. Please do not send microchip information to the Hawaiian Humane Society at this time.

Another provision of the new law requires that any intact dog impounded as stray three times in a 12-month period must be spayed/neutered before the dog can be returned to its owner unless a licensed veterinarian finds the dog is medically unfit for sterilization.

Questions or comments may be directed to the Hawaiian Humane Society at info@hawaiianhumane.org or 356-2200.

Update from Hawaiian Humane Society

July 1 marked the implementation of the most significant overhaul of Oahu’s animal welfare ordinance in 25 years. It made changes in three major areas:

  • Stray animal handling
  • Pet identification
  • Routinely stray dogs

The pet identification provisions are expected to affect the greatest number of pet owners.

FAQs

What law has changed?
Revised Ordinance of Honolulu Chapter 7: Animals and Fowl

How did the rules change regarding stray animal holding?
Hawaiian Humane now has legal custody of any stray dog or cat with microchip identification after five days in its care, down from nine. Dogs wearing a current county license tag still must be held for a minimum of nine days. The kenneling fee for stray animals has increased to $10 per day from $2.50. There is still no kenneling charge for animals reclaimed within 24 hours. This is not a legal requirement, but Hawaiian Humane is urging pet owners who travel, particularly if they will not have email or cell phone access, to list their pet sitter or veterinarian as a secondary contact on their microchip registration in the event that their animal gets lost while they are away.

What are the new rules for pet identification?
All dogs and cats are now required to have microchip identification. Pet cats allowed outdoors are still required to have visible identification. That is highly recommended for dogs, as well, but not legally required.

What if you have a current dog license?
Owner information can still be updated with the City and County of Honolulu. No new dog licenses are being sold and licenses can no longer be renewed.

What about microchip registration?
Clinics that wish to upload microchip information should do so with the manufacturer’s database, not Hawaiian Humane. Hawaiian Humane is no longer maintaining a separate microchip database for Oahu and pet owners are no longer legally required to register their microchips with Hawaiian Humane. Under the new ordinance, pet owners who have microchips implanted have 30 days to register their contact information with the microchip manufacturer or a free online database. Similarly, they have 30 days to update any changes to their contact information or to transfer ownership of a pet.

What does the new law say about routine strays, or “frequent fliers”?
Any dog brought to Hawaiian Humane as stray three times in a 12-month period must be spayed/neutered before the dog can be returned to its owner, unless medically contraindicated. Sterilization services will be offered at the Community Spay/Neuter Center, but owners may request that Hawaiian Humane transfer a dog falling under this requirement to a private veterinary clinic upon confirmation of a spay/neuter appointment.

What do we do if someone brings us a lost pet?
Hawaiian Humane remains the official pet lost and found for Oahu. If you need help identifying the owner of a microchipped pet, call the admissions team at 356-2285.

COVID-19 and Your Pet

Updated April 5, 2020

How to Best Protect Your Pet

  • Stay home and follow social distancing orders from authorities. Studies show COVID-19 is often spread by those who are not yet showing symptoms of disease. Consider yourself infected and take the proper precautions to protect your community.
  • DO NOT take your pet to a veterinary clinic for wellness visits, vaccinations, or elective procedures (such as spay/neuter) that may be safely delayed for a few months.
  • If you are concerned with your pet’s health issue, CALL YOUR VET. Many vets are practicing telemedicine with established and new clients and patients, and will be able to make a tentative diagnosis and prescribe medication over the phone or after an online consult.
  • If you are diagnosed with COVID-19 but do not need to be hospitalized, you can still safely care for your pet. Practice good hygiene practices by washing your hands before and after interacting with your pet, not kissing or sharing food with your pet, and avoiding close contact (hugging, sleeping together). If possible, wear a facemask to reduce your spread of virus particles.

Make a Plan for Your Pet

  • You should identify a family member or friend who can care for your pets if you need to be hospitalized.
  • Have an appropriate carrier/crate for each pet, and enough food, medication, and supplies for at least two weeks.
  • Ensure all medications are documented with dosages and administering directions. Including the prescription from your veterinarian is ideal.
  • Pets should have identification: Collar with ID tag and microchip.

COVID-19 and Pets

  • Infectious disease experts and multiple international and domestic human and animal health organizations agree there is no evidence at this point to indicate that pets become ill with COVID-19 or that they spread it to other animals, including people.
  • If you are not ill with COVID-19, you can interact with your pet as you normally would, including walking, feeding, and playing. You should continue to practice good hygiene during those interactions (e.g., wash hands before and after interacting with your pet; ensure your pet is kept well-groomed; regularly clean your pet’s food and water bowls, bedding material, and toys).
  • Out of an abundance of caution, it is recommended that those ill with COVID-19 limit contact with animals until more information is known about the virus. Have another member of your household take care of walking, feeding, and playing with your pet. If you have a service animal or must care for your pet, wear a cloth facemask; don’t share food, kiss, or hug them; and wash your hands before and after any contact with them.

CDC Recommends Cloth Facemasks

CDC recommends wearing cloth face coverings in public settings to slow the spread of the virus and help people who may have the virus and not know it from transmitting it to others. Cloth face coverings fashioned from household items or made at home from common materials at low cost can be used as an additional, voluntary public health measure.

Cloth face coverings should not be placed on young children under age 2, anyone who has trouble breathing, or is unconscious, incapacitated or otherwise unable to remove the mask without assistance.

The cloth face coverings recommended are NOT surgical masks or N-95 respirators.  Those are critical supplies that must continue to be reserved for healthcare workers and other medical first responders, as recommended by current CDC guidance.

CDC: How to Protect Yourself
CDC: Info on Cloth Masks

General information about COVID-19:

  • The betacoronavirus that causes COVID-19 is SARS-CoV-2 (formerly 2019-nCoV).
  • Person-to-person and community spread has been reported in numerous countries, including the United States.
  • Transmission primarily occurs when there is contact with an infected person’s bodily secretions, such as saliva or mucus droplets in a cough or sneeze. Transmission via touching a contaminated surface or object (i.e., a fomite) and then touching the mouth, nose, or possibly eyes is also possible, but appears to be a secondary route. Smooth (non-porous) surfaces (e.g., countertops, door knobs) transmit viruses better than porous materials (e.g., paper money, pet fur) because porous, especially fibrous, materials absorb and trap the pathogen (virus), making it harder to contract through simple touch.
  • There are currently no antiviral drugs recommended or licensed by FDA to treat COVID-19, and there is no immunization available. 
  • Cases of COVID-19 and community spread are being reported in most states.
  • The best way to avoid becoming ill is to avoid exposure to the virus. Taking typical preventive actions is key.

Have Any Pets Been Infected with COVID-19?

On April 5th, the USDA National Veterinary Services Laboratories has confirmed the presence of SARS-CoV-2 in one tiger at a zoo in New York. Read full USDA article.

While two dogs (Hong Kong) and two cats (one in Belgium and one in Hong Kong) living with people diagnosed with COVID-19 have also been reported to have been infected with SARS-CoV-2, other dogs and cats also living with infected people remain uninfected. To date the CDC has not received any reports of pets or livestock becoming sick with COVID-19 in the United States. Infectious disease experts and multiple international and domestic human and animal health organizations continue to agree there is no evidence at this point to indicate that, under natural conditions, pets spread COVID-19 to people. To date, all animal cases have had no or mild symptoms that resolved with supportive care.

Because the situation is ever-evolving, public and animal health officials may decide to test certain animals out of an abundance of caution. The decision to test will be made collaboratively between local, state, and federal animal and public health officials. After the decision is made to test, state animal health officials will designate a state-appointed veterinarian, USDA-accredited veterinarian, or foreign animal disease diagnostician to collect the sample using appropriate personal protective equipment (PPE) and sample collection methods.

Again, current expert understanding is that COVID-19 is primarily transmitted person-to-person. This supports a recommendation against testing of pets for SARS-CoV-2, except by official order. If dogs or cats present with respiratory signs, veterinarians should test for more common respiratory pathogens.

Pets in homes with owners with COVID-19: Although there have not been reports of pets becoming sick with COVID-19, out of an abundance of caution, it is recommended that those ill with COVID-19 limit contact with animals until more information is known about the virus. If you are ill with COVID-19 have another member of your household take care of walking, feeding, and playing with your pet. If you have a service animal or you must care for your pet, then wear a cloth facemask; don’t share food, kiss, or hug them; and wash your hands before and after any contact with your pet or service animal. You should not share dishes, drinking glasses, cups, eating utensils, towels, or bedding with other people or pets in your home. Additional guidance on managing pets in homes where people are sick with COVID-19 is available from the CDC.

Keeping pets safe: For responsible pet owners, preparing in advance is key. Make sure you have an emergency kit prepared, with at least two weeks’ worth of your pet’s food and any needed medications. Usually we think about emergency kits like this in terms of what might be needed for an evacuation, but it’s also good to have one prepared in the case of quarantine or self-isolation when you cannot leave your home.

While we are recommending these as good practices, it is important to remember that, to date, there have not been any reports of pets or other animals becoming ill with SARS-CoV-2, and there is currently no evidence that pets can spread COVID-19 to other animals, including people.

Should any animal showing signs of respiratory illness be tested?

USDA and CDC do not recommend routine testing of animals for this virus. Because the situation is ever-evolving, public and animal health officials may decide to test certain animals out of an abundance of caution. The decision to test will be made collaboratively between local, state or federal public and animal health officials.

Should I avoid contact with pets or other animals if I am sick from coronavirus (COVID-19)?

You should restrict contact with pets and other animals while you are sick with COVID-19, just like you would with other people. Although there have not been reports of pets becoming sick with COVID-19 in the United States, it is still recommended that people sick with COVID-19 limit contact with animals until more information is known about the virus. When possible, have another member of your household care for your animals while you are sick. If you are sick with COVID-19, avoid contact with your pet, including petting, snuggling, being kissed or licked, and sharing food. If you must care for your pet or be around animals while you are sick, wash your hands before and after you interact with pets. More information is available on how to keep people and animals safe at https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/animals.html.

What should I do if I think my animal has the virus?

Call your veterinary clinic with any questions about your animal’s health. In order to ensure the veterinary clinic is prepared for the household animal, the owner should call ahead and arrange the hospital or clinic visit. Make sure to tell your veterinarian if your animal was exposed a person sick with COVID-19, and if your animal is showing any signs of illness. Veterinarians who believe an animal should be tested will contact state animal health officials, who will work with public and animal health authorities to decide whether samples should be collected and tested.

Rat Lungworm Disease Workshop

The University of Hawai`i at Hilo invites the public to the 6th International Scientific Workshop on Angiostrongylus cantonensis and Angiostrongyliasis (rat lungworm disease), held January 5-8, 2020, at the Hilo Hawaiian Hotel. Dr. Richard Malik (PhD, DVM) of the University of Sydney’s Centre for Veterinary Education will be leading discussion sessions for veterinarians on detection, treatment, and prevention of rat lungworm disease in domestic animals, wildlife, and livestock. There is no fee, but all attendees must register by September 1st at https://hilo.hawaii.edu/conferences/rat-lung-worm-2020/. Case study presentations are also welcome; abstracts due September 1st. For additional information, contact rlwlab@hawaii.edu.