Category: Important News

Avian influenza virus detected in Oahu wastewater

On Wednesday 11/13/2024, the Department of Health announced they had detected H5 virus from a wastewater processing plant on Oahu. This testing is a part of routine testing of wastewater facilities across the US by the CDC. Due to the type of testing performed, the presence of the avian influenza virus was detected, but no sequencing has yet been conducted to confirm whether this is the highly pathogenic strain of avian influenza also known as HPAI, H5N1.

During the outbreak of highly pathogenic avian influenza within the United States over the past 2 years, Hawaii has been the only state in the US without a confirmed case of H5N1 in humans or animals. H5N1 can spread rapidly between birds, and has been found more rarely in mammals such as humans, cows, and pigs. There is no evidence of sustained human-to-human transmission of H5N1 in the United States.

There are no reports of human or animal H5N1 cases in Hawaii and the overall risk of H5N1 to humans and animals within the state remains low.

The Hawaii Department of Agriculture (HDOA) already maintains strict bird import laws that require permits, inspections, health certificates, identification requirements and in some cases, isolation periods prior to importation into Hawaii. Due to recent widespread outbreaks of highly pathogenic avian influenza on the mainland, HDOA has further restricted the importation of birds from areas experiencing outbreaks and has required pre-entry avian influenza test protocols. In addition, HDOA has placed an embargo on importing birds through the mail.

While the Department of Health continues to investigate the source of the H5 virus detected, veterinarians and the public should continue to be vigilant for illness or mass die-offs in poultry or waterfowl flocks.

Symptoms of avian influenza in poultry and other birds include:

  • Sudden death without any prior symptoms of illness
  • Lack of energy and appetite
  • A drop in egg production or soft-shelled, misshapen eggs
  • Swelling of the eyelids, comb, wattles and shanks
  • Purple discoloration of the wattles, comb and legs
  • Gasping for air (difficulty breathing)
  • Nasal discharge, coughing, sneezing
  • Twisting of the head and neck (torticollis)
  • Stumbling or falling down
  • Diarrhea

Specialized BHI swabs for AI PCR testing of poulty and waterfowl are available from HDOA. In poultry, collect oropharyngeal swabs; in waterfowl, collect cloacal swabs. Swabs can be pooled and stored in the BHI media refrigerated for up to 1 week prior to submission to the Halawa Veterinary Laboratory. Please see these instructions and contact Dr. Raquel Wong at the HDOA Animal Industry Division (808-483-7100) to obtain the appropriate media and swabs.

Talking points for the public:

  • The risk of H5N1 to humans and animals in Hawaii is currently low.
  • Do not touch sick or dead birds without appropriate personal protective equipment such as gloves, facemasks, protective gowns and footwear.
  • Poultry or other bird owners should increase biosecurity for their flocks.
  • Multiple sick or dead birds should be reported to the HDOA Animal Industry Division.

More information can be found in these resources:
Hawaii Department of Agriculture (HDOA)
Hawaii Department of Health (DOH)
Centers for Disease Control and Prevention (CDC)
United States Department of Agriculture (USDA)

AVMA Updates – Summer 2024

The AVMA House of Delegates approved revisions to the policy that provides ethical guidance for all veterinarians, restructuring it to improve clarity and usability. Among the changes, the policy now features a Code of Conduct with three sections: provide competent medical care, prioritize patient welfare in balance with client needs and public safety, and uphold standards of professionalism.
Read more

Two new surveys find lack of support for midlevel practitioner. Both the American Association of Veterinary State Boards and the Veterinary Management Groups said they support better utilization of credentialed veterinary technicians as part of the answer to workforce issues.
Read more

Revised CPR standards issued for dogs and cats. The first update to the life-saving RECOVER guidelines since 2012 emphasizes speed and standard techniques. Changes include a streamlined CPR algorithm and new drug dosing charts. 
Read more

AVMA MENTORSHIP

Any AVMA member with less than 10 years of professional experience can now get free professional mentoring through MentorVet Connect, brought to you by the AVMA. Learn more.

2024 HVMA Conference Registration Now Open

This year we are moving our annual conference to the Hawaii Convention Center! Labs will be offered on Nov 6-7, 2024, and a full slate of lectures will fill Nov 8-10, 2024. Lecture topics include behavior, cardiology, anesthesia, soft tissue surgery, exotics, and more! 

Registration is now open for attendees and exhibitors. Remember to log in to your HVMA online account to receive the discounted registration rates for active members. Accommodations will be across the street from the convention center at the Ala Moana Hotel.

Check out our conference page where you can find lab details and our conference schedule. Please join us for great RACE-approved CE, our lively exhibit hall, food, and fellowship, and get to know your local vet community! 

Hawaii State Board of Veterinary Medicine Updates

New temporary permits are now in effect!

The Hawaii Board of Veterinary Medicine has recently increased its bank of test questions, and has reduce the waiting period to retest following a failed attempt to pass the Hawaii state veterinary examination from 90 days to 60 days. While the HVMA had petitioned for a shorter (30 day) waiting period, we are grateful for this small improvement.

In upcoming legislative sessions, the HVMA will be looking into revising the veterinary practice law to allow temporary permittees to continue practicing veterinary medicine during this waiting period following a failed attempt to pass the State veterinary examination.

Currently, Hawaii Revised Statutes (“HRS”) section 471-8(c)(5), titled “Examinations; qualifications of applicants” states in relevant part:
“(c)(5) The temporary permit shall be valid until the results of the Hawaii state board examination taken by the permittee are known; provided, that failure of the Hawaii state board exam, the National Board Examination, or Clinical Competency Test shall immediately terminate the temporary permit;”

If you have suggestions or inquiries regarding licensure or regulation of veterinary medicine in Hawaii, please contact the Hawaii State Board of Veterinary Medicine at veterinary@dcca.hawaii.gov or (808) 586-2705.

CDC Importation Rabies Rule Update

The Centers for Disease Control and Prevention (CDC) has issued its final rule that it hopes will reduce public health risks of the dog-maintained rabies virus variant (DMRVV) associated with the importation of dogs into the United States. The final rule addresses the importation of cats as part of overall changes to the regulations affecting both dogs and cats, but the final rule does not require that imported cats be accompanied by proof of rabies vaccination and does not substantively change how cats are imported into the United States.

In this final rule, CDC aligns U.S. import requirements for dogs with the importation requirements of other DMRVV-free countries by requiring proof of rabies vaccination and adequate serologic test results from a CDC-approved laboratory. Requirements that need to be met for dogs to be imported include: a microchip, six-month minimum age requirement for admission, and importer submission of a CDC import form. The rule also requires airlines to confirm documentation, provide safe housing for animals, and assist public health officials in determining the cause of an animal’s illness or death.

The final rule was published in the Federal Register on May 13 and is effective August 1, 2024.

AVMA article: https://www.avma.org/news/dog-import-requirements-strengthened-prevent-canine-rabies-return

Here are some resources released by the CDC:

https://www.cdc.gov/importation/bringing-an-animal-into-the-united-states/dogs.html

https://www.cdc.gov/importation/bringing-an-animal-into-the-united-states/dogs-entering-us-after-august-1.html

AVMA Updates

AVMA Vitals

The AVMA has made monthly need-to-know updates available on the following topics:

  • Better integrating veterinary technicians’ robust skill set into practice
  • Highly pathogenic avian influenza found in Texas, Kansas dairy cattle
  • HHS, senators ask DEA to use marijuana restrictions
  • ACVIM issues updated guidance on canine leptospirosis
  • Number of NAVLE test takers increases; Overall scores drop
  • More veterinary colleges in line for accreditation evaluations
  • Education Department to forgive loans for some borrowers; recertification deadline extended
  • Find veterinary clinic trials
  • Two new resources support equine practitioners
  • Pet food safety resources protect patients and clients
  • Managing toxicosis cases: Tips from the experts
  • Curiosity can lead to discovery: Embracing neurodiversity
  • Discover your advocacy path
  • Stay in the know–and qualify to earn rewards
  • Help for veterinarians and animals affected by wildfires
  • AVMA Convention 2024
  • Test yourself: Animal Welfare Assessment Contest

View the full AVMA Vitals update here.

AVMA Expands Mentorship Program

Any AVMA member with less than 10 years of professional experience can now get free professional mentoring through MentorVet Connect, brought to you by the AVMA. Learn more.

2024 Hawaii Legislative Update

The 2024 legislative session is up and running! Several introduced bills may have direct impacts on veterinary practice in Hawaii. Here are the bills we are watching:

  • HB2086 / SB2749 RELATING TO HEALTH. Requires the administrator of the narcotics enforcement administration to make an emergency scheduling by placing xylazine into schedule III on an emergency basis. [HVMA working to include a veterinary use exemption]
  • HB1527 / SB2562 RELATING TO VETERINARY MEDICINE. Prohibits animal owners and their employees from performing any surgical procedures on the owner’s animal or animals. Prohibits the elastration, or castration via banding, of a pet animal. Provides that a violation of the prohibitions is a class C felony. Clarifies that the offense of cruelty to animals in the first degree does not apply to accepted veterinary practices and cropping or docking as customarily practiced when the procedures are performed by a licensed veterinarian.
  • HB1580 RELATING TO ANIMAL CRUELTY. Amends the criminal penalties for various animal cruelty offenses by increasing the category of offense
  • SB2114 RELATING TO FERAL ANIMALS. Prohibits the feeding of feral animals within a certain distance from Department of Education public school campuses; establishes fines
  • SB2564 RELATING TO PET ANIMALS. Prohibits insurers from refusing to issue, refusing to renew, canceling, or establishing higher rates for a homeowners insurance policy or dwelling fire insurance policy based on the breed of any dog that is kept on the premises. Requires any pet animal found on the premises during an eviction to be given to the owner or taken in by an animal control agency. Limits the monetary amount of pet deposits and pet rent. Clarifies that a provision allowing a lien on an animal to secure payment for caring for or feeding the animal does not apply to pet animals.
  • SB2692 RELATING TO DANGEROUS DOGS. Establishes requirements and penalties for owners of dangerous dogs. Allows for impounding of dangerous dogs under certain conditions. 

Please keep an eye out for calls to submit testimony on these bills in the near future. We will send out an alert once any of the bills that may impact veterinary practice are scheduled for a hearing. At that time testimony may be submitted online at https://www.capitol.hawaii.gov/.

2024 Veterinary Leadership Conference Materials

The following resources have been made available by the AVMA in light of several critical issues that have the potential to make a significant impact on the delivery of care to patients, the structure of the veterinary profession, and veterinary medicine as a whole. These resources include:

  • Veterinary Information Forum (VIF) presentations
  •  House Advisory Panel presentations
  • Workforce, Mid-Level Position & Telemedicine and VCPR backgrounders

Links:

2024 VLC AABP
2024 VLC AAEP
2024 VLC Midlevel Position
2024 VLC Telehealth
2024 VLC FDA Innovation Agenda
2024 VLC FSIS Updates Position
2024 VLC Veterinary Information Forum Workforce
Veterinary Midlevel Position Background
Telemedicine and the VCPR Background
Workforce Data Background

AVMA Update – January 2024

AVMA is seeking member feedback on proposed updates to the Principles of Veterinary Medical Ethics (PVME). Your voice matters! Submit your comments by March 4th, 2024 (you must be an AVMA member to access). 

We encourage you to pay particular attention to Section A, Part 4, Emergency Care, starting on line 151. The final wording may impact your own work life because in Hawaii, a veterinarian’s license can be revoked for failing to uphold the recognized principles of veterinary medical ethics adopted by both the HVMA and AVMA (HRS 471-10 (12)). Staying informed and engaged in shaping these guiding principles is crucial for protecting your practice while ensuring the highest ethical standards for animal care in our unique island community. Take action today by reviewing the draft PVME and sharing your feedback.

The House of Delegates met on January 4-6, 2024. Several resolutions were passed, updating and revising current policies ranging from pet loss support to animal safety. You can find the details here. 

AVMA has also published informative backgrounders on three hot topics in vet med: telemedicine and the VCPR, the veterinary workforce shortage, and the organization’s position on creating a mid-level practitioner position that would overlap duties of veterinarians and technicians. You can learn more on the AVMA blog. 

If you would like more information or have feedback for AVMA, feel free to reach out to one of us directly. 

Carolyn Naun (Hawaii Delegate) 
Jenee Odani (Hawaii Alternate Delegate) 

AVMA Update – Oct 2023

Are you looking to get more involved in influencing the future of the veterinary profession? AVMA has opportunities for you! Here are some action steps you can take right now:

  • A wide range of leadership positions are currently available. If you’re interested in volunteering some of your time, visit https://avma.org/volunteer for details.
  • Registration for the AVMA Veterinary Leadership Conference (VLC) 2024 is now open! Join us January 4-6 at the Sheraton Grand Chicago Riverwalk. Whether you are just beginning to explore the possibilities, are already an experienced leader, or anywhere in between, workshops are available to hone your skills and strategies, and you’ll have the chance to connect with like-minded people throughout our amazing profession. 

As the charitable arm of the AVMA, the American Veterinary Medical Foundation (AVMF) provides veterinarians and veterinary students with charitable resources and programs that advance the science and practice of veterinary medicine to improve animal and human health. AVMF gave an initial $20,000 to Maui Humane Society and $10,000 to Greater Good to help with wildfire rescue and recovery efforts, and has raised an additional $25,000 which can be allocated as needed. If you were impacted or have incurred out-of-pocket expenses to help on Maui, it’s not too late to apply for support!

  • Disaster Emergency Veterinary Medical Care Reimbursements are available for veterinarians providing care to animal victims of a disaster. Covered expenses may include medical supplies, medications, diagnostics, and housing for patients. Up to $5000 is available per clinic/AVMA member. You have up to nine months after the disaster to apply. 
  • Individual Disaster Reimbursement Grants for Veterinarians and Veterinary Students can provide up to $2000 for those who were personally impacted, for the purpose of providing for emergency needs, such as food, water, clothing, temporary housing, transportation and other basic necessities. 

If you would like to apply for funds, please visit https://avmf.org/grants-and-scholarships/disaster-relief

If you would like to contribute to this or other AVMF programs, you can make a tax deductible donation at avmf.org.

With aloha,
Carolyn Naun (she/her)
AVMA HOD Hawaii Delegate