Oahu | Hawaii VMA

Canine Influenza Detected in Hawaii

We wanted to alert our membership that canine influenza (H3N2) was detected on Oahu in four dogs from three families at two separate clinics. All affected dogs had been recently boarded at a single facility. Canine influenza virus can cause respiratory disease in dogs that can resemble kennel cough. Less commonly, more severe illness can be observed, especially in dogs that have an underlying health condition.

At this time, there does not seem to be any known spread to other dogs in the local community. Transmission of H3N2 canine influenza virus from dogs to cats has been reported in other outbreaks. To date, there is no evidence that transmission to humans can occur.

Veterinary clinics should take precautions to avoid transmission of the virus between dogs. The AVMA recommends that dogs with clinical signs suggestive of respiratory disease be separated from other dogs. This includes the waiting area, facility entrance/exit, examination/treatment area, and hospitalization ward. Personnel should wear personal protective equipment and disinfect the facility and potential fomites with an appropriate disinfectant. Many commonly used disinfectants are effective against influenza viruses. The EPA maintains a list of products that are registered for use against influenza viruses.

The best test to diagnose acute clinical infections is the PCR test on deep nasal (preferred) or pharyngeal swabs. Viral shedding peaks early in the infection, so the test is of highest value within the first 1-2 days of the onset of clinical signs. Avoid using cotton-tipped wood shaft swabs for sample collection because those materials may inhibit the PCR reaction. Please check with the laboratory ahead of time for their preferred storage tubes; in general, avoid using tubes with additives or gel media.

If you know of any confirmed cases, please contact Hawaii Department of Agriculture at hdoa.vls@hawaii.gov. HVMA leadership is monitoring the situation and can be reached at: public_relations@hawaiivetmed.org. There is also a private Facebook page for HVMA members (veterinarians only) and a specific chat thread to discuss this topic. The Center for Food Security and Public Health has an excellent review of canine influenza. The AVMA and the CDC also have good information available on their websites.

Legislative Update 2022

The Hawaii Veterinary Medical Association (HVMA) seeks to amend Chapter 471, Hawaii Revised Statutes, to better define the practice and parameters of veterinary medicine and veterinary telemedicine to protect consumers and their pets from inadequate, improper, or unlicensed veterinary care. Further, because there is a shortage of licensed veterinarians in Hawaii, HVMA is proposing to provide for the temporary permitting of out-of-state veterinarians and providing for international veterinary school graduates to qualify for licensure examination in Hawaii.

The COVID-19 pandemic and its associated restrictions brought about consumer demand for telehealth in the field of veterinary medicine. Telemedicine has allowed consumers more access to veterinary services for their pets, particularly in areas where access to veterinary care is limited. However, HVMA is aware that the use of telemedicine may also be abused without an established veterinary-client-patient relationship. Without actual physical examination of a pet, veterinary services rendered through telemedicine alone can be inadequate and below the standard of veterinary care. The addition of telehealth definitions and the telemedicine section will help to clarify the practice of veterinary telemedicine and assist the Hawaii Board of Veterinary Medicine in ensuring consumers in Hawaii receive proper and licensed veterinary telemedicine services.

Additionally, the pandemic highlighted the shortage of veterinarians available to provide specialty and routine veterinary care for Hawaii’s people and their pets. At times, veterinary emergency hospitals were unable to operate 24/7 and surgeon schedules were completely booked for months due to the inability to fill these staffing shortages by temporary permit. In one specific case, there was a veterinary surgeon within the state that could have assisted during this period, but due to her international veterinary school degree, was unable to sit for Hawaii’s state licensing exam due to a technicality in the administrative rules. These amendments are critically important to prevent such veterinary care shortages in the future, and ensure that all qualified veterinarians are allowed to sit for the Hawaii state licensing exam.

This bill has currently been introduced to the House (HB 1598) by Representatives Johanson, Hashem, and Nishimoto; and into the Senate (SB 2798) by Senators Lee, Gabbard, Keith-Agaran, Misalucha, Acasio, Ihara, and San Buenaventura . Please take the time to thank them for their support, and write your local representative to ask for theirs!