Letter from the President – Aug 2020

Aleisha Swartz, DVM
HVMA President

I hope this message finds you all well. This has been a challenging year so far for us all, regardless of practice type. The support from one another has made a significant positive impact on the ability to be more resilient in the face of incredible uncertainty and change. 

The HVMA Executive Board has been working hard to provide support for members, the veterinary community in general as well as the animals and people of Hawaii. We are coming up with creative solutions to continue to provide continuing education opportunities, increase connection between members, and are participating in the emergency response in partnership with HI-EMA.  Please be sure to renew your membership. Even though the annual conference will not be as we hoped in 2020, we are still working hard on your behalf and your dues help keep this organization going.

Since March HVMA has received donations of 2 containers of dog/cat food as well as coupons for several thousand bags of food from Greater Good. The Humane Society of the United States donated the cost of transportation of a recent shipment. This food is available to pet owners suffering from COVID-related financial hardship through community foodbanks and human service agencies.  We have also shared food with local humane societies for their pet food banks. We are currently supporting efforts to secure donations of feed for horses whose owners are also suffering from financial hardship. And during all of this we are working with HI-EMA in disaster response as needed, most recently in the hurricane near miss (thankfully). 

While we were trying to flatten the curve, reduce the spread of COVID and continue our practice of veterinary medicine we were confronted with another painful reality. A bystander recorded the murder of George Floyd on a public street and the experience that exists for so many people became impossible to avoid any longer.  Some may ask what does this have to do with veterinary medicine? A video recently released by the Multicultural Veterinary Medical Association in partnership with 9 other diversity, equity, and inclusion (DEI) affinity organizations highlights the existence of racism and discrimination in our profession. The video was shared at the AVMA HOD meeting last week and I highly encourage everyone to watch it. We are fortunate in Hawaii to live in a place with greater diversity than most, but we are not exempt from racism. There is a need to become more informed as individuals and take action to change the lack of diversity and presence of racism in the profession.  For more information including resources, links to other affinity organizations, and how to get involved visit https://www.mcvma.org/wakeup.  

The American Association of Veterinary Medical Colleges (AAVMC) has also recognized the importance of increasing diversity and states that “racism is a public health issue, and every sector of society has a role to play in finding a cure.”  Visit the AAVMC’s website for more information on what steps they are doing to increase diversity in our profession. They host a podcast shared on a youtube and soundcloud channel for those interested in becoming more informed, links can be found here https://www.aavmc.org/diversity/diversity-and-inclusion-on-air.

If you have feedback on what the HVMA can do to increase diversity, equity and inclusion in veterinary medicine in Hawaii please contact me. 

Aloha,
Aleisha Swartz

AVMA House of Delegates Updates

Submitted by HVMA HOD Representatives Leianne Lee Loy and Carolyn Naun

The first Virtual Annual House Of Delegate (HOD) Session was held on July 30 and 31, 2020. Regular Annual Meeting Agenda included: Veterinary Information Forum with open mic discussion, candidate introductions, officer speeches, Informational meeting (AVMF, PAC, PLIT, CVTEA, COE), Reference Committee, and the district caucuses.  

Highlights of the meeting:
Discussion, cases and stories of HOD COVID-19
Diversity and Inclusion in Veterinary Medicine
Two Resolutions Approved: Revised Policy on Antiparasitic Resistance and Transportation of Research Animals for the Purpose of Research, Testing, and Education

Election results:
AVMA President Elect 2020-2021: Jose Arce
AVMA Vice President 2020-2022: Sandra Faeh

Continuing Education Opportunity with AVMA

This summer, the AVMA’s first Virtual Convention will take place August 20-22. Take a step back from the day-to-day and rekindle your energy and passion for veterinary medicine—without leaving your home!
Tracks include:

  • Cannabis Symposium
  • Companion animal medicine
  • Food animal / equine
  • Practice management
  • Professional development
  • Public and corporate practice
  • Veterinary technology

Find out more and register here

Diversity and inclusion

As you know, diversity and inclusion has become a salient issue over the past several months. AVMA leadership has listened, and the HOD passed recommendations to the Board of Directors outlining some actionable steps. The Multicultural Veterinary Medical Organization released a thought provoking video that we recommend you watch if you have not seen it already: https://www.youtube.com/watch?v=j7Pl4YX_QNc

Given recent events in Washington involving a Member of Congress who is a veterinarian, we wanted to clear up one misunderstanding we have heard regarding the use of member dues. AVMA does take an active role in advocating for the profession and championing the legislative causes that affect us. This effort is nonpartisan in nature.  However, in accordance with federal law, your AVMA dues cannot be used toward political campaign contributions.

The AVMA’s Political Action Committee is a separate entity supported by individual contributions from members. AVMA PAC does support veterinarian Members of Congress, as they understand the challenges faced by our profession and the issues you care about, without regard to party affiliation. You can reach AVMA PAC to provide feedback or to make a contribution at avmapac.org

Here is a link to the statement from AVMA regarding the reported interaction between Rep. Ted Yoho and Rep. Alexandria Ocasio-Cortez: https://www.facebook.com/avmavets/posts/10163691028363990

Rep. Ted Yoho is retiring from Congress at the end of this year.

What to do when marine wildlife need help?

Submitted by Michelle Barbieri, DVM


There are lots of ways that you can help Hawaii’s marine wildlife, both as an individual and if your clinic gets calls or inquiries. It may be completely normal for an animal (such as a green sea turtle or Hawaiian monk seal) to rest on the beach, but those sightings are informative even if the animal is safe and healthy. You can encourage clients to report sightings or concerns by calling the state-wide Marine Animal Stranding and Reporting Hotline at (888) 256-9840. This menu-based hotline will divert calls to the island- and wildlife-specific point of contact, and if the call comes in after hours, it will be checked first thing the next day, so always leave contact information for follow up questions. This is the best go-to contact number to keep at the front desk of your clinic or stored in your phone.

Many species (especially sea turtles and marine mammals) are protected by law. That means that even if you are a licensed, practicing, and well-intentioned veterinarian, conducting medical procedures on them requires specialized permits and expertise, so it should always be done by appropriately trained and permitted stranding response personnel. If your clinic gets a call about a marine animal in need, it is best to refer them directly to the Stranding Hotline for assistance. Please do not attempt to treat an animal yourself.

It is also important to give wildlife a safe distance, avoid approaching, touching, or otherwise disturbing them because rest is important to their biology, and they can be a danger to your safety. You can also help by advising clients to keep pet cats indoors, which will reduce the risk of disease spread, namely toxoplasmosis.

Between Jan-July 2020, 18 monk seal pups were born in the main Hawaiian Islands: 5 on Oʻahu, 11 on Molokaʻi, and 1 each on Kaua‘i and Hawaiʻi Island. Encountering female seals that are nursing their pups is a situation in which it is important to be especially cautious, as these seals in particular can be aggressive.

The Fishing Around Seals and Turtles program provides guidelines on how to fish safely around these animals and what to do if a fisherman accidentally hooks one while fishing. Again, if someone contacts you about an entangled or hooked animal please refer them to the stranding hotline.

If you suspect illegal or suspicious activity, it can be reported to: (a) the Hawaii DLNR Division of Conservation and Resources (DOCARE) hotline at (808) 643-DLNR, or preferably on the DLNRTip App for your mobile device; or (b) NOAA Office of Law Enforcement Hotline (800) 853-1964. The Stranding Hotline links to DOCARE as well.

For additional information contact: RespectWildlife@noaa.gov
For immediate assistance or to report marine wildlife emergencies call: 1-888-256-9840
If you are interested in having electronic materials with this information that you can print and post at your clinic, please contact Dr. Michelle Barbieri.

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.

Paycheck Protection Program Update from AVMA

The AVMA Advocacy team worked very hard to influence and improve the Paycheck Protection Program. The Small Business Administration recently released data on the loans and the uptake by the veterinary profession has been significant. About 56% of veterinary practices took PPP loans totaling an estimated $2.1 Billion, with over 80% of the loans being less than $150,000.  Over 200,000 jobs in veterinary practices have been protected. A blog posting with data and an infographic can be found at https://www.avma.org/blog/covid-19-loans-are-supporting-veterinary-teams-and-patients.

Congress is working on additional legislation that will impact the PPP, which could include retroactive changes.  It is expected to pass before Congress leaves for their August recess.  AVMA is actively seeking measures to ensure favorable tax treatment of PPP loan proceeds, and for a streamlined forgiveness process for loans below $150,000, which would include the vast majority of veterinary PPP loans. We have a Congressional Advocacy Network Action Alert out on the tax treatment of PPP funds that can be found at https://avmacan.avma.org/avma/app/onestep-write-a-letter?0&engagementId=508320.

2020 HVMA Conference Cancelled

Dear HVMA Members,

Thank you so much for your positive feedback and support for our annual conference. We sincerely want to meet your expectations and provide the same quality CE and warm fellowship that we have in the past. We regret that we have decided to cancel our 2020 Annual Conference (November 12th-15th) due to multiple factors relating to the COVID-19 pandemic, including limited capacity in our exhibit hall and lecture rooms to accommodate physical distancing requirements, increased risk of spreading SARS-CoV-2 in an indoor convention involving many people from outside of Hawaii, and the unknowns of the COVID-19 situation in the fall.

HVMA will hold our Annual Business Meeting virtually on November 14, 2020, and will also be offering monthly CE webinars starting in July 2020. We will be planning to hold our next full in-person Annual Conference during November 11-14, 2021 in Honolulu, Hawaii.

Please let us know if you have any suggestions for virtual CE topics or other ways the HVMA can support you. May you, your veterinary teams, and your families stay well and safe during these challenging times.

Aloha,
Your HVMA Board

In Remembrance – Dr. Jessica Massengale

Jessica Massengale, DVM

Dr. Jessica Claire Lee Massengale, 34, of Kaneohe, Hawaii, died peacefully on Thursday, July 9, 2020. She was born in Huntington, West Virginia, on May 18, 1986 to Roger and Debra Massengale and baptized as a child at First United Methodist Church, Paintsville, Kentucky.

A life-long learner, Jessi received her high school diploma in 2004 from Virginia Episcopal School in Lynchburg, Virginia, graduated in 2008 from Midway College with her Bachelor Degree in Equine Therapy and earned her Doctorate of Veterinary Medicine in 2014 from Auburn University. She was a dedicated and beloved doctor of animals at Haiku Veterinarian Clinic in Kaneohe. She loved all things pertaining to horses and rode on Equestrian teams for both Virginia Episcopal School and Midway College. She had an adventuresome spirit, was learning to kayak, and especially enjoyed hiking with her dogs.

In addition to her parents, she is survived by her sister, Sarah Anne and brother-in-law Mårten Waern, Stockholm, Sweden; maternal grandmother, Clara Marcum, Ashland, Kentucky; paternal grandmother, Norma Jean Massengale, Wayne County, Kentucky; aunts, Catherine (Fred) Waits, Shelbyville, Kentucky; Linda (John) Lash, Athens, Georgia; uncle, Scott Massengale, Wayne County, Kentucky; and many cousins. Her family, a host of friends, colleagues, clients, and her faithful dog companions, Bodhi and Marley, will miss her.

Memorial contributions may be made to your local animal shelter, pet charity, or allow an animal to adopt you in Jessi’s memory.

Letter from the President – April 2020

Aleisha Swartz, DVM
HVMA President

I hope this finds you, your ohana, staff and colleagues in good health. I don’t think any of us would have predicted the rapid changes that have occurred across the planet since the January newsletter. Normal as we knew it and our regular daily operations feel like a bit of a distant memory right now. But thankfully in every dark cloud there are many silver linings.

Veterinarians, like other public health stewards, are trained problem solvers and we have been working hard to solve our problems, from those at home to in our businesses and in our communities. I have been amazed seeing the innovation and effort by Hawaii veterinarians as they work to protect their teams, ensure care for animals in need and service to the people of Hawaii and beyond.

The HVMA has been working hard on behalf of members and the animals and citizens of Hawaii during the pandemic. We have proactively and successfully advocated for more flexible use of telemedicine during this challenging time to maintain care for animals while keeping people safe. We have set up a Facebook group for Hawaii veterinarians to keep in touch and share with one another and have hosted weekly virtual meetings where we discuss the current knowledge about SARS CoV-2, its impact on animals and practices. We responded to a request for assistance from HI-EMA and City and County of Honolulu to support pet owners during this emergency. During this time, we have spent many hours each week participating in HI-EMA and Honolulu Department of Emergency Management calls to ensure animal needs are met. The HVMA was able to secure a grant from Greater Good of 22 pallets of dog and cat food and 4 pallets of litter to be used for COVID-related emergency sheltering or for pet owners in need due to financial hardship so many are currently facing. The shipping to Hawaii was graciously donated by a local business and The Salvation Army was instrumental in coordinating the food delivery from California. It has been delivered to animal shelters and human food service distribution partners on Kauai, Oahu, Maui and Hawaii Island. We will continue to seek support for pet owners in financial distress so that they can continue to care for their family members during this challenging time. We know the importance of the human-animal bond is perhaps more important than ever during this time of social distancing.

I encourage you to reach out to us if there is anything, we can do to support your work and businesses. More than at any other time it is essential that we are caring for ourselves and doing what we can to stay healthy. Get lots of sleep, eat good food, enjoy the beautiful outdoors when you can and make time for self-care. We cannot care for others if we do not first care for ourselves. If you have been contemplating taking up meditation for a long time now and need a reason this is a good one. Just sitting quietly and breathing for a brief time can work wonders to help manage the stressful times a little bit better. Take care of your families and colleagues as well. Be kind to one another and give thanks to all of those working so hard to keep us safe. I feel so fortunate to be in a state that has done so much to protect its citizens. I also feel so fortunate to be surrounded by peers in a profession that is critical to preventing and solving this and the next zoonotic outbreak. The importance and need for veterinarians is greater now than ever.

On behalf of the board I wish you health and well-being in the rest of 2020 and beyond. I hope to hear more from you on what we can do to support you as a Hawaii veterinarian.

Aloha,
Aleisha Swartz

New Board Members Wanted!

2020 is an election year and we are looking for anyone interested in bringing new ideas and energy to our organization. The positions open for nominations include Pres-Elect, VP, Secretary, Treasurer, Executive VP, Oahu Reps and Kauai Rep. Please don’t be shy and contact the nominating committee for more info!

SARS-CoV-2 Animal Testing

Routine testing of animals for COVID-19 is NOT recommended by the American Veterinary Medical Association (AVMA), American Association of Veterinary Laboratory Diagnosticians (AAVLD), National Association of State Public Health Veterinarians (NASPHV), or the National Assembly of State Animal Health Officials. Nor is it recommended by key federal agencies, including the CDC and USDA.

Current expert understanding is that SARS-CoV-2 is primarily transmitted person-to-person. There is currently no evidence that animals can transmit this virus to people. In rare instances, people have spread the virus to certain animals.

Veterinarians are strongly encouraged to rule out more common causes for clinical signs in animals before considering testing for SARS-CoV-2. The CDC, USDA, and other federal partners have created guidance, including a table of epidemiological risk factors and clinical features for SARS-CoV-2 in animals to help guide decisions regarding animal testing.

The decision to test an animal should be made collaboratively between the attending veterinarian and local, state, and/or federal public health and animal health officials after careful consideration of this guidance as provided.

AVMA-AAVLD-NASPHV-NASAHO Joint Statement on Animal Testing

Hawaii State Dept of Ag Guidelines on Animal Testing


Labs with SARS-CoV-2 PCR Animal Tests