HVMA Updates

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.

Veterinarians as COVID-19 Vaccinators

Submitted by the American Veterinary Medical Association

The AVMA has been working hard for the past few months, as veterinarians have been increasingly discussed as needing to be among those able to assist in efforts to vaccinate people against COVID, to have veterinarians specifically included in the declarations under the federal Public Readiness and Emergency Preparedness Act (PREP Act), which authorizes the HHS Secretary to issue emergency public health declarations and provides limited immunity from liability to those covered under the act.

As of March 12, 2021, veterinarians and veterinary students are included in the PREP Act:

· It allows veterinarians who are licensed to practice under the law of any state to administer COVID vaccines in any jurisdiction in association with a COVID vaccination effort by a state, local, tribal, or territorial authority or by an institution in which the COVID vaccine is administered.

· This also applies to veterinarians who have held an active license or certification under the law of any state within the last five years which is inactive, expired or lapsed, as well as veterinary students with appropriate training in administering vaccines. The intent is to include recently retired veterinarians who may want to help.

· Today’s amendment preempts any state law that would otherwise prohibit veterinarians or veterinary students who are a “qualified person” under the PREP Act from prescribing, dispensing, or administering COVID vaccines or other covered COVID countermeasures.

· Veterinarians and veterinary students will be afforded liability protections in accordance with the PREP Act and the terms of the amendment. However, specific conditions must be met in order for the authorization to administer the vaccines and the liability protections to apply. These liability protections apply from March 11, 2021, through October 1, 2024.

· In order for the authorization and liability protections to apply, veterinarians and veterinary students must be participating in association with a COVID vaccination effort by a state, local, tribal, or territorial authority, or by an institution in which the COVID vaccine is administered. Additional specific requirements also must be met, such as having basic certification in CPR, completing the CDC COVID vaccination modules, an observation period, etc. There is a separate section of the declaration that applies to those in the uniformed services and for federal employees, contractors and volunteers when authorized to administer COVID vaccine.

· While the liability outlined in the PREP Act is broad, it does not apply to willful misconduct, and the federal government does not provide a legal defense in the event that you are sued. Your state may have separate liability protections, along with separate requirements to qualify, and may or may not provide a legal defense. Veterinary malpractice will not likely respond to claims arising from a veterinarian intentionally vaccinating people against COVID.

More information on vaccination volunteer requirements

PREP Fact Sheet that Includes Veterinarians as Qualified Health Professionals

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.

Social Media and HVMA

by Michelle Barbieri, MS, DVM, HVMA Oahu representative

A few weeks ago, I was chatting with a friend on a run and learned about the Influencers in the Wild page on Instagram. If you haven’t checked it out, and are looking for a laugh and a bit of relief from the realities of 2020, you should. It shows bystander videos of people that are trying to get that perfect video or picture worthy of social media stardom, along with all the really poor decisions they make in that pursuit (I believe this is where TikTok comes in, but that’s really pushing the extent of my understanding!).

Why am I writing about this in the HVMA newsletter? Well, while it shows that I am far from the cutting edge of understanding what’s “in” (especially in terms of social media), I also recognize that there are lots of ways that information gets shared these days. And that is why the HVMA Board decided it was worth trying to start sharing some information on Facebook.

Some of you may have been aware of a private Facebook group called “COVID-19 discussion group for Hawaii veterinarians” that was initiated by HVMA earlier this year. We will be reframing that page to include more than just COVID-19 specific content. It will remain a veterinarian-only page. In order to join, you do not need to be an HVMA member, but we will require that those interested in joining the group answer a short questionnaire and have a current member of the group sponsor them; this helps us ensure that it is kept as a safe space for dialogue between professionals.

We will also soon have a public HVMA page that will allow us to serve as a resource to connect with our community, share information, and show the outward-facing side of the HVMA. I hope that you will all engage as these pages go live and help us maximize the potential that they have for our professional group and our community as a whole.