Smiles
more support
Pet Insurance as it should be
agriapet.co.uk/vet
Volume 3 Issue 4
Agria 1007.2 Smile Press Ad 50x60 AW.indd 1
13/04/2015 16:40
Wildlife Vets International to use PLH Medical for their Imaging Solutions in The Seychelles
Spot-on solution
The first alternative
t r e v ad
Imidacloprid and Moxidectin Spot-on Unique support package focused on: Purchase retention Loyalty Repeat visits Whole family engagement Compliance through interaction
Try it now! Blipp the pack to experience Prinovox interactive packaging
new to blippar?
DOWNLOAD BLIPPAR APP
FILL SCREEN WITH IMAGE
BLIPP IMAGE INTO LIFE!
Prinovox contains Imidacloprid and Moxidectin. Legal Category POM-V . Use medicines responsibly. www.noah.co.uk/responsible. For further information and to view the full SPC please contact Virbac: Virbac Ltd, Woolpit Business Park, Windmill Avenue, Woolpit, Bury St Edmunds, Suffolk IP30 9UP. Tel: 01359 243243 Email: enquiries@virbac.co.uk www.virbac.co.uk
5221.5 Prinovox Ad VetSupplies 240x340 AW.indd 1
16/04/2015 14:57
May 2015, Volume 3, Issue 4
Veterinary Supplies Magazine (VSM) is the magazine and web/digital resource for the UK community of veterinarians with purchasing authority for equipment, technology, pharmaceuticals and services. Publishing Director Scott Colman t. +44 (0)7595 023 460 e. scott@futurepublishingsolutions.com Editorial Ally Gau t. +44 (0)7769 310 286 e. ally@vetsuppliesmag.com e. ally@futurepublishingsolutions.com Advertising Sales Nicholas Catterall t. +44 (0)7730 762 136 e. nic@vetsuppliesmag.com e. nic@futurepublishingsolutions.com Circulation & Finance Manager Emma Colman t. +44 (0)7720 595 845 e. emma@futurepublishingsolutions.com Web / Digital Jonny Jones t. +44 (0)7803 543 057 e. jonny@futurepublishingsolutions.com
Contents
Welcome to VSM
W
elcome to the latest issue of Vet Supplies Magazine, which features our review of BSAVA Congress – as well as a look at what’s new in the Microchipping industry. The other sections are, as ever, fillled with some diverse content from our valued contributors, ranging from equine opthalmology through to practice telephony. Last month we replaced the Equipment and Pharmaceutical sections with a new section “Clinical and Surgical” which encompasses everything that is relevant to vets and nurses both in clinic, and in the operating room. We’re always interested in new developments in these sectors, so please keep us posted! Next in line for our attention is the editorial side of VSM. We’re happy with the product news side of the magazine, but we’re keen to balance it
1
out with even more articles, particularly ones which delve into the realities of life in practice, which draw together suppliers and vets and engage them in topical discussions, and which will get products and equipment into the hands of vets and practices. Suppliers and vets who are interested in getting involved in product road testing, editorial contributors, and suppliers with product news to share are all invited to contact us. We look forward to hearing from you.
Ally
About our APP Sponsor (Direct Medical Supplies) DMS Direct Medical Supplies offers a comprehensive range of critical care, IV administration, surgical, and wound-care products to the healthcare and veterinary market. DMS is committed to offering customers more than your normal supplier, by providing unique products and general everyday
requirements for the operating room, intensive care, nursing, wound-care, and infection control. DMS provides a one-source multi-product choice that enables customers to manage their consumable supplies in an efficient and costeffective manner.
Design & Production Jo Ross t. +44 (0)7740 468 667 e. jo@futurepublishingsolutions.com Editorial: All submissions will be handled with reasonable care,
General News
but the publisher assumes no responsibility for safety of artwork, photographs, or manuscripts. Every precaution is taken to ensure accuracy, but the publisher cannot accept responsibility for the
p3-8
vetsuppliesmag.com, click on “Free Subscription – Register Now” and follow the prompts. No responsibility for loss occasioned to any person acting or refraining from acting as a result of material in this publication can be accepted. VSM is published nine times in 2015 by Future Publishing Solutions Ltd, and is a registered trademark and service mark of Future Publishing Solutions Copyright 2015. Future Publishing Solutions Ltd. All rights reserved. No part of this publication may be reproduced or used in any form (including photocopying or storing it in any medium by electronic means and whether or not transiently or incidentally to some other use of this publication) without prior permission in writing from the copyright owner except in accordance with the provisions of the Copyright, Designs, and Patents Act (UK) 1988, or under the terms of a licence issued by the Copyright Licencing Agency, 90 Tottenham Court Road, London, W1P 0LP, UK. Applications for the copyright owner’s permission to reproduce any part of this publication should be forwarded in writing to Permissions Department, Future Publishing Solutions Ltd, Lea Green Farm, Lea Green Lane, Church Minshull, Nantwich, Cheshire, CW5 6ED. Warning: The doing of an unauthorised act in relation to copyright work may result in both a civil claim for damages and criminal prosecution.
Lea Green Farm, Lea Green Lane, Church Minshull, Nantwich, Cheshire, CW5 6ED
n + 44 (0)1270 522 132 n info@futurepublishingsolutions.com n www.futurepublishingsolutions.com
Contents
subscription, or to change your name and address, go to www.
Companion Animal
p10-16
Clinical & Surigcal
p18-22
Spotlight – Microchipping
p24-28
Equine
p30-39
Practice Matters
p40-47
Spotlight – BSAVA Review
p48-51
VSM
to qualified subscribers in the UK and Europe. To apply for a
Farm – Large Animal
p52-56
n
Subscriptions: Veterinary Supplies Magazine (VSM) is free
VOLUME 3 ISSUE 4
accuracy of information supplied herein or for any opinion expressed.
QUALITY SUPPLIERS OF BESPOKE ANAESTHESIA SOLUTIONS
We design, manufacture and sell veterinary and medical equipment in the UK. NorVap specialises in vaporisers, anaesthesia machines and associated products. Our design and service engineers have years of experience within the industry and all our products are CE certified. Because we both design and manufacture, we have the ability to respond to our customer’s requirements within short time-scales and can also design and brand individual products, producing a bespoke range of items for a specific customer guaranteeing product exclusivity.
https://www.facebook.com/pages/Norvap/461696333945615 https://twitter.com/Norvap https://plus.google.com/103893154540048791651/about https://www.youtube.com/channel/UC1AmVR4KY6BeuX8aw6CcOGA
NorVap Ltd Unit 11A, Sandylands Business Centre, Carleton New Road, Skipton, BD23 2AA, England Tel: +44 (0)1756 700687 | Email: sales@norvap.com | Web: www.norvap.com
General News Rehoming organisation all set to insure older pets with Agria Pet Insurance
S
ince the launch of the Agria Pet Insurance scheme to give rehomed pets of any age access to insurance, German Shepherd Rescue Elite (GSRE) is the first charity to ‘go live’, and is now ready to activate free policies themselves. GSRE’s partnership with Agria allows the registered charity to activate 5 weeks free insurance policies for adopted dogs as they leave for their new home, regardless of their age. Adopters can then follow this up with a permanent lifetime policy from Agria, again with no age restrictions. Most pet insurance policies
attach a maximum age limit for starting a new policy, which excludes older pets from the comfort of insurance. Agria’s scheme for rehoming organisations removes this limit. By giving rehomed pets of any age both immediate insurance when they’re collected and their adopters the confidence this can be continued for the long term, Agria aims to help older rescue animals find their ‘forever’ homes. Rehoming organisations joining the scheme are given easy online access to set up 5 weeks free insurance policies, with activation that’s a simple addition to adoption
administration. When a new owner continues their free insurance to a full lifetime policy, the charity can also earn commission. Allison Clarke and Lizzy Brown founded German Shepherd Rescue Elite in 2012, and now, over 400 dedicated volunteers span the country from Chesterfield to Cornwall. Between them, they undertake significant fundraising to help care for German Shepherds in need and educate the public about ownership of this large working breed. Allison says, “Our adopters always ask about insurance. Now we’re partnered with Agria not only can we set up a policy for their new pet to go home with, we can also reassure owners that they’ll be able to continue the insurance policy, no matter how old their dog is.” Lorraine Tannatt Nash, Partnerships Manager for Agria Pet Insurance said, “We’re so delighted that GSRE is the first to be up and running, ready to activate Agria 5 weeks free policies. They are such a wonderful charity doing an enormous amount to help unwanted and
3
neglected German Shepherds, we hope that having access to insurance will make it easier for their older dogs to find forever homes.” If your practice supports a rehoming organisation, do let them know about Agria’s scheme for rehomed pets. Setting off with insurance not only makes rehomed pets less likely to be returned if they become unwell, but the prospect of a lifetime policy, whatever their age, could just clinch the decision to adopt a pet. As well as helping rescued pets and introducing new owners to a crucial part of responsible pet care, insuring animals with Agria can also help the charity you support earn money, too. To find out more about Agria’s rehoming organisation scheme, or for the link to pass on to the charity you support, please see www.agriapet. co.uk/rehoming.
For further information t +44 (0)1296 611604 w www.agriapet.co.uk/rehoming
down the front of the ICC building to raise funds for the charity. “The different roles you have do influence the slant you take when you go forward and that’s one of the reasons I signed up to the abseil, anything I can do I will,” she said. “What is also very dear to my heart is the membership and I realise the members and the volunteers are very much a community, I think that’s what is very special about the BSAVA.” She added: “You have to
For further information t +44 (0)1452 726700 e administration@bsava.com w www.bsava.com
n
volunteers around me; a team I’m very privileged to be able to lead,” she said. “I have got so much out of the BSAVA that has been useful in my own daily life and work and I want to have discussions with people about how the BSAVA can help their development too.” Tricia has had a number of roles for the BSAVA, including working in Scotland, in membership development and as chair of PetSavers - and she completed an abseil at Congress
VOLUME 3 ISSUE 4
I
ncoming BSAVA President Tricia Colville is excited about the year ahead and has outlined key elements of her strategic vision. Better regional communications, support for professional development and expanding the volunteer network are among her goals, as is raising the profile of the BSAVA’s charity division PetSavers. “It’s an honour to be asked to take on this role, but I don’t see it as just my year, it’s also for the team of
understand the pressures that first opinion practitioners are under and the questions they are being asked. Fundamentally to me we have wanted very much to get back to continuing to improve our communications within the regions. The other thing we’re working really hard on is the massive volunteer network and realising how time is becoming at more of a premium, so we want more support for that.” Tricia said Congress is the flagship BSAVA event and illustrates the diversity of the profession, so she is looking forward to helping to build on previous successes with new innovations in 2016.
VSM
New President to lead veterinary community
General News 4
Cheltenham Pet Crematorium Opens. Helping Pet Owners Say Goodbye
S
aying goodbye to a faithful friend is never easy, but with the opening of a new pet crematorium owners will have the opportunity to do so in their own way, in peaceful surroundings. This includes a Memorial and Wildlife Garden designed by local pupils who will show it to special guest Adam Henson at the official opening. Adam Henson, farmer and television countryside presenter, is to officially open the Cheltenham Pet Crematorium. Adam lives on a farm, and can bury his dogs at home, but he understands that others are not so lucky “Pet crematoriums provide a key service for pet owners, their family, friends and even other pets, as a place to say goodbye, Not everybody has the opportunity to bury their pets at hme, so if they’ve got somewhere where they can take their pet to say goodbye I think that is a good thing.” Pupils from Tewkesbury School’s Year 9 Horticultural Group have helped to design the Memorial and Wildlife Garden based on a brief. The pupils discussed pet bereavement as part of a workshop with Young Gloucestershire before considering ideas for a remembrance
garden such as secluded areas and a water feature to create a feeling of sanctuary. Gary Brown, Regional Manager of CPC says: “Everyone is different and this is why community involvement is important, to spread the message that losing a pet for many is similar to losing a family member. Some clients take comfort from talking to a bereavement advisor and selecting a casket for their pet’s
V
eterinary professionals seeking to build on their behaviour knowledge won’t want to miss the opportunity to hear from Professor of Biology and world-renowned dog expert, Dr Ray Coppinger on the origins and behavioural drivers of our favourite pet. Vets and nurses commonly find themselves fielding questions from confused owners on how they should train their dog, or deal with a behavioural problem, set against a background of the wolf-pack and alpha dog debate that continues to roll on in training circles. Professor Coppinger is the author of many books on the evolution of the domestic dog including “Dogs: A New Understanding of Canine Origin, Behavior and Evolution”. He will be the guest speaker at the Annual COAPE Association of Applied Pet Behaviourists and Trainers (CAPBT) Conference to take place on the 20th June in Leamington Spa, Warwickshire. The agenda includes 7 hours of top
ore hm r t i w ... r you fo nts to clie
VSM
il.e sm t bou a
n
VOLUME 3 ISSUE 4
based in Tewkesbury and is named Cheltenham Pet Crematorium to emphasise that CPC offer its services to a wider area.
For further information t +44 (0)1684 857494 e cheltenham@cpccares.com w www.cpccares.com
A chance to hear world-renowned biologists at Applied Behaviour Conference
Lifetime pet insurance...
Join us
agriapet.co.uk/vet
Agria 1007.2 Smile Press Ad 107x156 AW.indd 1
ashes in person, while others prefer to write in the books of remembrance or just to sit in the garden and reflect.” To mark the official opening of Cheltenham Pet Crematorium, Adam, with the help of some of the pupils is to plant a tree in the garden. Clients, vets and other invited guests have the opportunity to look around the crematorium and learn more about pet bereavement. The new pet crematorium is
13/04/2015 16:22
behavioural CPD, including talks on ‘What, if anything, is a dog?’ and ‘What makes a dog tick?’. Vet and Senior Veterinary Advisor at CEVA Animal Health, Dr Sarah Endersby, will also speak and delegates will be able to pose questions to the panel on behavioural conundrums for expert advice. The conference is open to everyone, including non-members. CAPBT is offering veterinary professionals a special registration rate of just £75 for the day. More details are available on www.capbt.org/conference and those wishing to register should click on the ‘veterinary professionals offer’ to get through to the booking page and the special rate. Woodland Grange Hotel, the venue for the conference is also offering a special bed, breakfast and dinner rate of just £92.40 for all attendees. For more information w www.capbt.org
IS MOVING Quantum Vet Diagnostics, the specialist wet chemistry division of Woodley Equipment is relocating on 1st June 2015 from their base in the South East of England, to move into a recently aquired property adjacent to Woodley Equipment Company at their head office in Horwich, Lancashire in the North West of England. Who are Quantum Vet Diagnostics and what do we do? - We are a dedicated wet chemistry division, of Woodley Equipment Company, which includes laboratory & technical support departments. - We are the UK’s largest supplier of veterinary wet chemistry systems. - We have a nationwide team of six experienced Field Service Technicians. - Our customers enjoy accurate chemistry results & first class customer service ensuring uninterrupted provision of laboratory services in-practice. - We can offer a full rental package including Biochemistry, Haematology, Blood Gases/ Critical Care, Electrolytes and Coagulation analysers. “New Quantum Premises, Same Great Service”
Quantum Vet Diagnostics offer out of hours support: 5pm to 8pm Weekdays 9am to 1pm Saturdays & Sundays and most Bank Holidays
Uniquely Structured Pricing
Quantum Vet Diagnostics are fully aware of the financial constraints that some practices find themselves in and offer an “All Inclusive” approach to the pricing structure, which not only includes a regular supply of reagents, regular maintenance visits and all parts and servicing, but also to help assist the practice in their long-term financial planning, the price is fixed for five years.
The Quantum System Includes As Standard:
• An All Inclusive Reagent, Support and Maintenance Package • Out Of Hours Technical Support • Fixed Price For 5 Years • Regular Preventative Maintenance Visits • Part of The Woodley/Quantum Complete Laboratory System including Biochemistry, Haematology, Blood Gases/ Critical Care, Electrolytes and Coagulation analysers • Optional Endocrinology Analyser (TOSOH AIA-360)
General News 6
Quantum Veterinary Diagnostics, a division of Woodley Equipment Company, is moving New Quantum Premises – Same Great Service
Q
uantum Vet Diagnostics, the specialist wet chemistry division of Woodley Equipment is relocating on 1st June 2015. The Quantum office and production facilities at Pulborough in West Sussex will close on 31st May 2015 after six years and Quantum will move to recently acquired new premises, adjacent to Woodley Equipment’s Head Office in Horwich, Lancashire. Quantum Vet Diagnostics is passionate about first class customer service and support for the lifetime of the analyser, so this move is made with their customers in mind. The benefits include: • Both Quantum and Woodley orders can be shipped together • Product development, Service and Technical support are now combined on one site
•
Our in-house laboratory has increased fourfold in size • On-site Biomedical Scientist at all times • Quantum will now complete all delivery and invoicing procedures As a Quantum customer, you will have full access to the comprehensive range of veterinary products supplied by Woodley Equipment Company including the Woodley Complete Laboratory System: Biochemistry, Haematology, Blood Gases/ Critical Care, Electrolytes and Coagulation analysers and product development will now be alongside our seven Biomedical Scientists in technical support. Uniquely Structured Pricing Quantum Vet Diagnostics is fully aware of the financial constraints that some practices find themselves in so we offer an “All Inclusive”
approach to the pricing structure. This not only includes a regular supply of reagents, regular maintenance visits, all parts and servicing but also helps assist the practice in their long-term financial planning as the price is fixed for five years. The Quantum System Includes As Standard: • An All Inclusive Reagent, Support & Maintenance Package • Out Of Hours Technical Support • Fixed Price For 5 Years • Regular Preventative Maintenance Visits • Part of The Woodley/Quantum Complete Laboratory System including Biochemistry, Haematology, Blood Gases/
DEPUY SYNTHES VETERINARY SOLUTIONS
VOLUME 3 ISSUE 4
n
VSM
A Complete Portfolio of Services for You and Your Practice.
depuysynthes.com
Veterinary
Critical Care and Coagulation analysers • Optional Endocrinology Analyser (TOSOH AIA-360) We can give you dedicated support by experienced staff who truly understand your needs. Quantum has a team of professionals covering every aspect of the business, including a team of six field service technicians, seven Biomedical Scientists and six area Account Managers. For further information e sales@quantumvetdiagnostics.com t 01204 695045 w www.quantumvetdiagnostics.com
General News 8
Together for Dogs and Cats at the ADCH Conference 2015 O
ver 400 animal rescue and rehoming enthusiasts met for the 30th annual conference of the Association of Dogs and Cats Homes in Bournemouth on the 22nd and 23rd of April. The Association, which acts as a platform for identifying and disseminating information on best practice and for raising the standards of animal welfare, launched its revised Code of Practice at the event. Newly elected Chairperson Claire Horton (CEO of Battersea Dogs and Cats Home) urged members to look at the recently published document that sets an agreed minimum level of care, disease control etc which members must meet. Amongst the exhibitors was MDC, the award winning and well-respected provider of animal
handling products who demonstrated the ‘Smart Carrying Combo’. The sturdy basket and accessories adheres to the ADCH Codes recommendation for cats to be transported in a suitably sized and firmly secured cat carrier with suitable ventilation. The perfect addition to the adoption process for those specializing in cat (and small animal rescue and rehoming) the combination includes a non toxic PVC coated basket, deep plastic base tray, exact fitting Vetbed, rainproof cover and a sachet of catnip as a treat for feline travelers! Both the baskets and the new chunky molded plastic handles are available in a number of colours and can be coordinated to match specific rescue or veterinary branding. Leyla Rutter (Chief Executive Newcastle Dog and Cat Shelter) was
the lucky recipient of the MDC prize draw at the conference. She won not only the Smart Carrying Combo but also a selection of other MDC products including the Arms Length (poop scoop), Eco Bags and Eco Bag Dispenser. Keen not to leave any goodies behind, when asked if she was going to be able to take everything on her flight, Mrs Rutter said, “I’ll make the basket and its contents my hand luggage!” For further information... t +44 (0) 1582 655600 e mdcexports@btconnect.com w www.MDCExports.co.uk
NEW EU LICENSED PROBIOTICS
VOLUME 3 ISSUE 4
n
VSM
AVIPRO AVIAN for all birds and vet-only Pro-C Professional for rabbits and furries AVIPRO PLUS IS NOW PREBIOTIC ONLY - FOR ALL SPECIES
For more information about the Vetark range, please contact Vetark Professional +44-(0)1962-844316, or email: info@vetark.co.uk Visit the website: www.vetark.co.uk VSM ads2014.indd 1
Available from your veterinary wholesaler
15/05/2014 14:43
Refresh Your Knowledge on Sheep Medicine this Spring with the Second Edition of a Bestseller Philip R. Scott | May 2015 | 449pp | ISBN: 9781498700146 | £77.00 £65.45 Praise for the previous edition “...any practice that does any work with sheep, whether hill or lowland, commercial or lawn mowing, should buy a copy of this book... the illustrations alone make this textbook worthwhile, and the layout is excellent.” —Veterinary Times New to this edition • Includes separate chapters on the respiratory system and the foot • Includes new diseases and conditions including Schmallenbergh virus, anthelmintic resistance, CVM, pelvic nerve paralysis, and updates on Blue tongue disease • Presents new treatments as well a new names for parasites and bacteria • Contains new clinical cases • Includes more than 800 all new colour images and illustrations, including images from ultrasound and radiology
Save 15% on this title and all CRC Press veterinary books Visit: http://bit.ly/sheepmedicine15 to automatically receive your discount Expires 31/07/2015
To view the entire collection, visit: www.crcpress.com
Companion Animal 10
Diagnostic Algorithm Category Added to Vetstream’s Canis, Felis and Lapis
A
new Diagnostics Algorithm Category has been added to Vetstream’s point-of-care resources - Canis (for dogs), Felis (for cats) and Lapis (for rabbits). The algorithms have been designed to help veterinary subscribers investigate, diagnose and treat a variety of conditions in dogs, cats and rabbits. Canis, Felis and Lapis are peer-reviewed online clinical resources offered by Vetstream, a leading supplier of digital reference content to the veterinary profession.
Together with the related service Equis (for horses), they feature content from more than 900 leading veterinary clinicians from around the world and are updated weekly. They are accessible from any internet-enabled device. The new Category on Canis includes 18 diagnostic algorithms provided by Clinician’s Brief, (Educational Concepts, LLC dba Brief Media, Tulsa, OK, USA). Conditions covered include canine urinary incontinence, dyspnea and
vomiting. 13 diagnostic algorithms, again provided by Clinician’s Brief, have been added to Felis with feline cutaneous mass and feline weight loss among the conditions covered. Diagnostic algorithms on Lapis, covering topics including polydipsia/polyuria, seizures and weight loss, have been written by Molly Varga BVetMed CertZooMed DipZooMed MRCVS, and reviewed by Anna Meredith MA VetMB PhD CertLAS DZooMed DipECZM MRCVS. Vetstream says it plans to add more than 180 additional diagnostic algorithms to Canis, Felis and Lapis over the next six to nine months. Elizabeth Green, President of Brief Media, commented: “The Diagnostic Algorithms from Clinician’s Brief, which detail differential diagnosis and treatment options in over 120 different small animal signs and diseases, have proved extremely useful and applicable to veterinarians
in North America. Related content and an archive of over 4,300 articles, including the Cardiac Sounds Library, at cliniciansbrief.com are linked and available to Vetstream subscribers.” Dr G Mark Johnston MRCVS, Managing Director of Vetstream, added: “Canis, Felis and Lapis are already unrivalled online sources of the latest clinical information for veterinary professionals to help them provide the highest standard of clinical care. With the addition of diagnostic algorithms, prepared by experts in their field, we are now providing a tool for the investigation, diagnosis and management of a variety of conditions.”
For further information t +44 (0)1223 895818 e enquiries@vetstream.com w www.vetstream.com
Feeding the diabetic companion animal
VOLUME 3 ISSUE 4
n
VSM
D
iabetes can be a challenging condition to treat, requiring bespoke and tailored care – and this is particularly apparent when it comes to feeding diabetic dogs and cats. The primary focus of dietary treatment is usually to minimise clinical signs of the condition by reducing the high blood glucose levels in the bloodstream. However, vets must also avoid the glucose dropping too low which could lead to the development of a hypoglycaemic episode. Diabetes mellitus affects an estimated 0.25-1% of the dog and cat population, occurring when insufficient insulin is produced by the pancreas (Type 1 disease) or when there is a failure of peripheral body cells to respond to insulin (Type 2 disease). The condition is more commonly seen in older dogs and cats and certain breeds are predisposed. The majority of diabetic dogs suffer from a Type 1-like disease but around 80% of diabetic cats have a Type 2-like disease.
The right diet ROYAL CANIN’S Diabetic diets are designed to support cats and dogs with diabetes mellitus and are available in dry and wet diets for both species. ROYAL CANIN’S range of canine and feline Diabetic diets should be the pet’s sole source of food unless advised otherwise by a veterinary surgeon. The diets have been designed to meet the animal’s nutritional needs, whilst also offering a mix of fibres which are beneficial to diabetics. This includes soluble fibre to slow down the rate of digestion and optimise a slow, consistent release of sugar into the bloodstream.
Managing diabetes Whilst effective management of diabetes mellitus involves many key aspects, including resolving any complicating factors, exogenous insulin therapy and consistent exercise to help maintain a healthy body condition, dietary management is key to treating to the condition. However, this is not just a matter
An online support tool to help pet owners track home care of a diabetic pet In April this year, ROYAL CANIN launched a new online tool for the owners of diabetic cats and dogs to track the home care of their pets, thus giving the veterinary team greater visibility of what happens between visits to the practice. The
of choosing the right diet, but also feeding it in the correct way. Consistency is key to the feeding plan. Dogs and cats should be fed set meals of the same food, the same amount and at the same time each day. Feeding at least twice daily is desirable to avoid dramatic peaks and troughs in blood glucose.
diabetic module forms part of Vet Follow Up, free software already used by over 900 practices to support their patients through the weight loss process. Vet Follow Up Diabetic allows owners to record the time of insulin injections and meals, the success of insulin injections and the pet’s daily food intake. This information is all displayed on a single page in graph format for the veterinarian, allowing the veterinary team to spot trends and problems at a glance. Marianne Lomberg, Veterinary Marketing Manager for ROYAL CANIN, comments: “As a vet in practice, I remember asking pet owners about changes in the diabetic patient’s routine since their previous visit and often they struggled to recall precise details. This tool is easy to access from any web-enabled device and allows pet owners to record their pet’s home care on a daily or
weekly basis. It helps take some of the guess-work out of taking patient histories, and the convenient graphic format of the veterinary practice view allows vets and pet owners to share a visual understanding of events. I’m excited about providing our clients with his tool which will take the hassle about daily reporting of home care, and very excited about the positive impact this could have on cats and dogs with diabetes mellitus. For more information about ROYAL CANIN’s range of Diabetic diets or about getting Vet Follow Up software for your practice, visit vetportal.co.uk or contact your veterinary business manager. For further information t +44 (0)845 300 5011 w www.royalcanin.co.uk
A MILLION
AND COUNTING... SynoquinÂŽ is the number one brand, recommended above all others by Independent Veterinary Practices.
In July last year we sold our one millionth pack.
We don’t need to say anything else really. 0800 867 283 www.vetplus.co.uk
Companion Animal
Elanco launches ScratchTracker™ App
12
E
lanco Animal Health, manufacturer of Comfortis®, Trifexis® and Atopica®, has launched an innovative ScratchTracker™ App to provide dog owners with a simple way to monitor pruritus in their pet and share the results with their vet. ScratchTracker uses a scoring scale that has been developed by veterinary dermatologists and is proven to be an accurate and consistent way for pet owners to assess pruritus in dogs. The App will help veterinary surgeons track how a dog is responding to treatment and identify reasons for an increase in the dog’s level of itchiness. After downloading
ScratchTracker from the Apple App Store or Google Play, pet owners should follow the instructions to add their dog’s details and set up reminders. They can also add their vet’s contact details to enable them to be emailed the results. Using a simple sliding scale, pet owners will be asked to rate how itchy their pet is by agreeing to a statement such as ‘Extremely severe itching/almost continuous: itching doesn’t stop whatever is happening, even in the consulting room’ or ‘Moderate itching/regular episodes: itching might occur at night, but not when eating, playing or exercising’. The reading will then be submitted
and ScratchTracker will convert it to a numerical score tracking history for the veterinary surgeon. Alice Laurens, DVM MRCVS, product manager at Elanco Animal Health, says: “The ScratchTracker App is a useful tool to track pruritus in dogs for either a short period of time or for dogs suffering from a lifelong condition such as atopic dermatitis as part of a long term management programme.” For further information... e elancoCAH@elanco.com w www.elancoanimalhealth.co.uk.
13 REASOnS Why yOU ShOULd ChOOSE MiCro-id’S ULTIMATE PET IdEnTIFICATIOn PACKAGE Lifetime guarantee A choice of 12mm microchips or the Original Mini-Chip Available in 2 different implanters ISO compliant microchips compatible with the Pet Travel Scheme Members of the MTA (Microchip Trade Association) Swiss engineered & European manufactured quality guaranteed Lifetime registration onto Petlog All microchips have an anti-migration coating Paper, on-line or electronic registration Ultimate Pet Recovery Service Tag We’re confident you’ll LOVE our Full sales, technical & marketing support products and services. from our UK offices Get in touch for your FREE sample. Competitive prices Call freephone 0808 123 2447 Global suppliers to over 50 countries.
Can your supplier offer you all this?
sales@micro-id.co.uk www.microidglobal.com
VOLUME 3 ISSUE 4
n
VSM
• • • • • • • • • • • • •
VSM-MYTAG-220x156mm-1014.indd 5
28/11/2014 09:43
Companion Animal 14
Ceva launches new ‘Protecting your Pet from Parasites’ booklet C eva Animal Health, manufacturer of Milbactor®, Vectra® 3D and Vectra® Felis, has launched an informative new client booklet entitled ‘Protecting your Pet from Parasites’. Providing an overview of the common parasites that can affect dogs and cats in the UK, the booklet features information on the ways that pets can become infested, how to tell if a pet is infected and the potential health problems that may result from an infestation. Covering both ectoparasites and endoparasites, the educational leaflet focuses on fleas, ticks and worms (including roundworms, tapeworms, and lungworm (Angiostrongylus vasorum)). It also highlights the importance of routine treatment to help prevent infestation and transmission of diseases. At the end of the booklet
there is a useful check list to help pet owners and their vets determine the parasites that pose the greatest threat to their pet. The booklet takes into account a variety of factors such as whether there is more than one pet in the household, whether the pet scavenges or hunts wildlife or whether there are children in the household. “Recent research1 carried out by Ceva demonstrated that pet owners are increasingly confused by what parasites are being treated by their current antiparasitic regime,” comments Rob McLintock MRCVS, companion animal business unit manager at Ceva Animal Health. “The new booklet will provide owners with a comprehensive overview of both ectoparasites and endoparasites and facilitate discussion between clients and their vets to assess the
best treatments on a case by case basis.” Ceva has recently launched the Ceva Protection System for dogs, a simple two-step solution featuring Milbactor and Vectra 3D to provide comprehensive ectoparasite and endoparasite protection with one monthly topical treatment and one flavoured tablet. The Ceva Protection System also features Vectra Felis, offering fastacting flea protection for cats, and Acclaim® for sustained treatment of the pet’s home environment. References1 536 cat and dog owners, February 2015 For further information t. +44(0)14947 81510 e. customerservicesuk@ceva.com w www.ceva.co.uk
The Ultimate Microchip Solution R DOGS PING FO ? P I H C LSORY RE YOU COMPU ADY, A E R E ’R - WE
Reliable : Swiss engineered, guaranteed for life Compatible : meets require legal and ISO standards Durable : over 20 years' industry experience Stable : anti-migratory coating
VOLUME 3 ISSUE 4
n
VSM
Traceable : full backtrack system with registration on
All formats now available in our Owner Information Pack Proud to be a member of the Microchip Trade Association
Pet-ID Microchips Ltd www.pet-idmicrochips.com tel +44 (0)1273 837676 sales@pet-idmicrochips.com
Companion Animal 16
“Gimmick-free” MDC stand voted delegates’ choice at BSAVA 2015 W
hilst some offered free cocktails, cupcakes or coffee, it was an exciting new veterinary product that caused the ‘wow factor’ and drew the crowds to the ‘small but perfectly formed’ MDC stand this year. The company won the ‘Delegates Choice Stand Award’ for their friendly approach and willingness to provide help and advice to people visiting to view the ‘Smart Oxygen’ cleverly displayed on plinths with an integrated backdrop to highlight each unit. The trophy was presented to Miranda Luck and the team on the final day of the congress. Miranda says “We were so surprised when Farah Malik (BSAVA Congress Committee Chair) came over and presented us with the award. There were over 1000 trade stands at the show and for us to have been chosen
by the delegates was a huge honor. Thank you to everyone who visited and voted for us”. Smart Oxygen is a simple and effective way to administer oxygen or nebulizing therapy. It is a cleverly designed PVC cover which encloses an MDC basket and attaches to an oxygen source. Designed to live in the prep room, the unit can remain ‘always at the ready’ for respiratory emergencies, pre and post GA oxygenation and is also proving useful for small animal and exotics nebulization. The clear plastic material allows complete patient visibility so that patients can be continually treated and monitored without the anxieties produced with masking or nasal cannula. The units on display drew great attention not only in the exhibition hall but also within the veterinary practical workshop ‘supporting the
trauma patient’ where the Smart Oxygen was used within a tailored session delivered by expert Karen Humm (MA VetMB CertVA DipACVECC DipECVECC FHEA MRCVS) a lecturer in Emergency and Critical Care at QMHA. The Smart Oxygen is already a firm favourite with those who used it during its trial period including staff at one of London’s busiest practices – RSPCA Putney Animal Hospitals. Staff Nurse Fiona Brown said: “The Smart Oxygen is great and used constantly. We tend to use it when an emergency patient with breathing difficulties comes whilst we get everything ready to treat them. It’s also proving very useful for rabbits before
and after anesthesia”. Further information about MDC’s Smart Oxygen and other humane animal handling equipment and operator protection can be found on their website. For further information t +44 (0) 1582 655600 e mdcexports@btconnect.com w www.MDCExports.co.uk
Royal Canin Weight Management Clinic Celebrates 10 Years Of Leading The Way In Fighting Obesity
Dog Rocks also help prevent tear stain – try it in-store this month, Spring 15 discounts available
VOLUME 3 ISSUE 4
n
VSM
T
Available direct or from ALL Pet & Vet Wholesalers
his year, Royal Canin’s Weight Management Clinic at the University of Liverpool is celebrating its 10-year anniversary. In addition to providing a specialist referral service for managing overweight and obese cats and dogs, the centre coordinates various clinical studies aimed at improving our understanding of the pet obesity epidemic. Using a combination of an individualised diet plan and lifestyle changes, the clinic has seen that cases under their care lose an average 20% of body weight, with the most successful losing over 40%. These results eclipse weight loss performance for people who use a diet to lose weight, where 5-10% of weight loss equates with success. The clinic has also pioneered the use dual-energy X-ray absorptiometry (DEXA) to determine the amount of body fat lost by each patient. To date, the combined fat loss from all patients exceeds a tonne! Alex German, a Reader in Small Animal Medicine at the University of Liverpool and lead at the Royal Canin Weight Management Clinic, said: “Through 10 years of research, we have shown that obesity is a complex and challenging disease that dramatically impacts the animal’s quality of life. We now know that tailoring a weight management plan to the individual is the best way to achieve long-term success. Our clinic is dedicated to improving the
welfare of companion animals, and we will continue to conduct clinical studies to help us better understand the problem. For instance, our studies have shown that rapid growth during the first months of life can increase the chance of a cat becoming obese later in life. We now need to determine the factors involved, so as to develop insights into how to prevent this important disease in our pet companions.” Lee Danks, Veterinary Scientific Support Manager at Royal Canin adds: “The Royal Canin Weight Management Clinic was the first of its kind in Europe and, ten years on, Alex and his team continue to provide innovative and lasting solutions for overweight companion animals. Not only have we seen great success through individual referral cases, but 51 scientific articles have been published in peer-reviewed journals as the team continues to research obesity in pets, helping us to both refine and better understand various methods in obesity management and prevention.” The next 10 years will see the University of Liverpool weight management team take greater strides in tailoring weight loss, obesity prevention and improving the quality of life of UK pets. For further information t +44 (0)845 300 5011 w www.royalcanin.co.uk
Clinical & Surgical 18
Bayer Wound Spray Gel launches at BSAVA Congress
T
his year’s BSAVA Congress saw the launch of an innovative new product from the experts at Bayer Animal Health: RemendTM Wound Spray Gel, which represents a valuable contribution to veterinary wound management. An exciting edition to the RemendTM range, the Wound Spray Gel contains Remend’s advanced, structurally modified hyaluronic acid (HA). This unique cross-linked formulation provides a matrix for cellular events that occur during the proliferative phase of the healing process; this has been shown to enhance healing1, and can promote rapid wound closure in horses, cats and dogs. RemendTM Wound Spray Gel is easy to apply, and provides vets with a new tool to assist with effective wound management. Georgie Hollis BSc from The
Veterinary Wound Library - www. vetwoundlibrary.com commented on the role RemendTM Wound Spray Gel may play in the healing process: “Managing wounds can be challenging in veterinary practice; the progression of wound healing can be influenced by many factors, and selecting an appropriate product to apply should be based on the needs of the individual wound. A product that provides a moist healing environment and support of the proliferative phase ensures that cellular activity is optimised, helping to improve healing times and minimise scar tissue.” The benefits of using hyaluronic acid based biomaterials in wound repair have been demonstrated in a study in horses and dogs, where the use of crosslinked HA was able to improve both healing times and the quality of the
healed tissue1 RemendTM Wound Spray Gel is designed for use as part of the overall management of wounds; additional measures such as lavage, debridement and control of infection are equally important, as is giving consideration to any secondary factors that may delay healing if not addressed. The product aims to achieve greater compliance amongst owners by providing an effective management option that is easy to apply. A single application may be sufficient to enhance wound closure in fresh uncomplicated wounds; however more complex wounds may require multiple applications in order to accelerate closure.
For further information… w www.vetcentre.bayer.co.uk
PLH Medical and Wildlife Vets International move forward together to help endangered wildlife
VOLUME 3 ISSUE 4
n
VSM
W
ildlife Vets International is a British Charity, created to provide veterinary support and skills to conservationists saving endangered species. WVI believes that training key people in conservation medicine will contribute to sustainable, long-term solutions for saving wild animals and the people with whom they share their world. As the interface between wild animals, people and their livestock increases, the risk of extinction from disease is on the rise. Achievements combating wildlife crime and improving ecosystems could be redundant with the emergence of disease in these small populations. An Island Archapelego in the Indian Ocean, The Seychelles has unique fauna and flora that is found nowhere else on earth. Unlike many other ocean islands where the wildlife has been decimated by over harvesting of both plants and wildlife by visiting sailors and the introduction of alien plants, mammals and reptiles, The Seychelles has seen few extinctions. It therefore remains the paradise that people travel the world to see. However, the paradise is fragile. While extinctions are few, most of the iconic species are under threat from habitat change (non-native plants grown commercially or privately) and rats, cats
and introduced snakes continue to undermine natives species attempts to thrive. Turtles are poached for their shells and Mud turtles, as the native terrapins are called, live in muddy marshes that continue to be developed. Therefore many are found homeless wandering the roads and subsequently come in to contact with moving cars. Marine Conservation Society, Seychelles, has formed a partnership with Banyan Tree Resorts to rescue, rehabilitate and protect these species in particular. There are less than 200 red bellied mud turtles so every individual counts. In forming the rehabilitation centre, MCSS invited WVI to provide veterinary expertise into the planning and also to provide some training for the few local vets who have no expertise in wildlife. In February 2015, avian and reptile surgeon, Johanna Storm, visited the islands, providing much needed training and equipment. The islands have no dedicated wildlife facilities or diagnostic equipment. Turtles and terrapins are difficult to diagnose without x-ray due to most of their body being covered by a shell and so it is imperative to get the best x-ray solution out to them as soon as possible before mud turtles die due to lack of diagnosis. PLH Medical, a leading
Agfa Healthcare Distributor will be providing the support, expertise and equipment for the project. They will be delivering the Agfa Healthcare CR15X digitiser and with its compact design, advanced workflow and imaging management software and its facility to process all cassette sizes- Including the clever dental cassette - it was the obvious choice for the Wildlife Team. Also, with the recent and really exciting development of the Needle Phosphor Imaging Plate for the CR15X,much higher levels of diagnostic clarity will be realised than were possible with the use of the traditional Phosphor CR plates.This amazing new technology allows for the achievement of high end DR quality for a considerably less investment. Nothing in animal healthcare can be considered ‘average’. A vet must deal with different species
with vastly varied health concerns and often in very challenging environments. Its comprehensive range of market leading imaging solutions enables PLH Medical to help vets meet this challenge with easy to use, up-to-date technology, providing consistent image quality . For computed radiography (CR) or direct radiography (DR), PLH Medical provides a range of proven solutions that achieve excellence in imaging. Thousands of UK customers are all backed by their reliable support and service organisation offering the help and advice needed to meet all the demands of modern veterinary healthcare. For further information t +44 (0)1923 237521 e sales@plhmedical.co.uk w www.plhmedical.co.uk
Mount International United Services Ltd
Ultrasound , CT Scanners & X-Ray Systems “When Quality Counts”
Mount International United Services offer a wide range of clinical Imaging products and services well in the reach of most veterinary centres. Market leaders in both medical and veterinary equipment since 1997, MIUS are trusted to provide cost effective solutions when price is important and quality paramount. Sales and service of : •
• • • •
New and refurbished ultrasound scanners
Refurbished CT scanners DR X-Ray systems X-Ray generators Repair centre for endoscopes and ultrasound probes
ORDERS BEING TAKEN NOW FOR CT SCANNERS Contact us today to discuss you CT scanner requirements
PLANNING
INTEGRATION
INSTALLATION
Mount International United Services Ltd
Edison Close, Waterwells Business Park, Gloucester, GL2 2FN
www.mius.org.uk
sales@mius.org.uk 01452 729380
Clinical & Surgical 20
Vetronic on... Monitoring oxygen levels
A
few years ago monitoring oxygen levels in anaesthetic circuits was not common practice. Those that were fortunate to have oxygen analysers as part of their monitoring system would have some values to refer to but for most of us, an assumption was made that the patient was receiving near 100% oxygen and for the most part that was all we needed to know. Things are different now however. Recent years have seen the emergence and growth of oxygen generators and concentrators and these are commonplace in many practices for both small and large animal. The output of these devices is usually very good, running at typically 93-96% pure oxygen. There is some decline in purity at higher rates but the extent of the drop in percentage will depend on the age of the machine and the actual flow rate required. Does this matter? Well, yes I think it probably does. When good old BOC was delivering your oxygen, you could absolutely rely on it being 100%. With concentrators, the delivered oxygen content could vary a lot. I have seen some concentrators drop to as low as 55% when asked to run at the top end of their
range. These same concentrators will happily deliver 93% at 2L/min. So there is a problem. You cannot be certain any longer on the actual oxygen content of the delivered gas and hence the amount that your patient is receiving. This may not have much of an implication for a fit bitch spay but may be a different story for an elderly patient with a degree of lung compromise such as Congestive Heart Failure, Obesity or Emphysema. There has also been a change in opinion on delivering 100% oxygen to horses during anaesthesia due to the increasing awareness of absorption atelectasis. This phenomenon involves the rapid uptake of oxygen from alveoli leading to their collapse, a situation that is prevented by increasing the amount of nitrogen in the delivered gas mix. With these two preceding situations in mind Vetronic Services was keen to provide oxygen monitoring as part of its range of products. Oxygen monitoring was already available in our high-end monitors but including oxygen measurements typically resulted in an extra ÂŁ1000 on the bill. It was felt that there was a need for a reliable, low cost oxygen analyser that could be
used in a variety of clinical situations. After some research and a little time the ICON unit was designed. ICON stands for In Circuit Oxygen aNalyser. This is a battery powered galvanic sensor device with some remarkable features. Firstly, the unit has been designed to run on a standard AA battery for over a year when used for 8 hours daily. This means the unit is always ready to go and that frequent replacing of batteries is not required. Secondly, the galvanic sensor has been chosen for its long life. The sensor has a life of 900,000 %-hours. This means that it will last for around 5 years in 21% oxygen environments and for over a year in 100% oxygen environments. Because the sensor will not be exposed to 100% oxygen all of the time, the predicted minimum life of the sensor in general practice is around two years. One further situation where ICON can be used and where standard anaesthetic monitoring equipment can be difficult to use is in oxygen tents, particularly those fed by an oxygen concentrator. ICON can sit quite happily on the wall of the cage, fixed by either magnetic strips or velcro and will constantly monitor the oxygen levels. This can
be invaluable where oxygen levels are not known and where there is repeated opening of the tent door. ICON is already in production and comes with 22mm/15mm connectors for small animal circuits. A large animal anaesthesia machine adaptor is in development so that ICON can be used in the inspiratory limb of equine anaesthetic circuits. ICON is available from Vetronic Services priced at ÂŁ275.00 + VAT. At the end of the life of the galvanic sensor, a new one can be fitted for a fixed fee of ÂŁ100.00 + return postage. More information about the ICON, including a short video, can be found on the Vetronic web site For further information t +44 (0)1626 365505 e enquiries@vetronic.co.uk w www.vetronic.co.uk
Designed by vets... For vets
VOLUME 3 ISSUE 4
n
VSM
ICON - simple, low-cost oxygen concentration monitoring
VitalMonitor software - display your monitoring data on any PC and instantly generate individual anaesthetic records
www.vetronic.co.uk To find out more contact us on:
Tel: 01626 365505 | Fax: 0870 129 4705 | Email: enquiries@vetronic.co.uk
2015 Special Offers ● Slit head otoscope ● 28 lense ophthalmoscope
Save 20%!! No VAT
● 2 x lithium ion, metal rechargeable handles ● Twin port charger with Auto On/ Auto Off ● 3 x metal tips - 4.0mm, 6.0mm & 7.0mm HEINE compatible Price from only
£719.00!! Includes VAT
Code 700.020.023
● Slit head pocket otoscope ● 18 lense pocket ophthalmoscope
Special Show Price £719.00 inc VAT
Save 20%!! No VAT
● 2 x high impact, plastic, battery handles ● Choice of 3 x black plastic tips - 4.0mm, 6.0mm & 7.0mm or 2 x metal 4.0mm and 6.0mm
Prices start from only
Set shown Code: 700.010.010
£259.00!! Includes VAT
Code Tips 700.010.010D Black Plastic 700.010.010 Metal
Albert Waeschle Veterinary Telephone: 01202 607092 Fax: 01202 650022 Email: sales@aw-vets.com www.aw-vets.com
Special Show Price £259.00 inc VAT £299.00 inc VAT
Clinical & Surgical 22
CVS Extends MiPet Range C
VS has boosted its fast-growing own brand MiPet range with the addition of two new products. The first of the new arrivals is Endectrid, a broad-spectrum spot-on flea and worming product with licensed efficacy in dogs, cats and ferrets against a range of parasites, including lungworm. The second is Quantex, a worming tablet for dogs and cats, with licensed efficacy against tapeworm. The MiPet range, offered to practices within the group and to members of its buying group, MiVetClub, already includes a range of 15 nutraceutical and pharmaceutical products with waiting room retail products and life stage pet food set to follow later this year. Sara Armitage, Director of Product and Buying at CVS, explained: “Offering an affordable, high quality own brand range, supported by our veterinary teams, is an effective way for us to build loyalty to our practices and to manage the supply of products both to them and on to owners. We are the first
corporate group to offer an extensive own brand range and feedback has been very positive. The MiPet range is also available to members of our buying group MiVetClub. “We will continue to grow the range and expect to launch a number of additional products later this year.” Key to its success is CVS’ ability to attract ambitious veterinary staff whilst continuing to invest
in the development of their clinical skills and in research to drive the profession forward. It also provides the business support to ensure its diverse range of small animal, large animal and equine practices achieve their full potential. CVS’ guiding principles include a commitment to excellence in all aspects of its work and a focus on building long-term relationships with its customers and
suppliers. The company works in close partnership with the wider veterinary profession and industry colleagues. For further information t +44 (0)1379 644288 e admin@cvsvet.com w www.cvsgroupplc.com
So you’ve got a website... what next? A website is only as effective as its content.
We’ve assembled a team of vets and animal health writers who produce professionally written content to engage with your site visitors on a range of pet health and lifestyle subjects. Our content products include bespoke articles, news items, newsletters and “ask the expert” Q&A forums all produced with outstanding value for money.
VSM
Do you have a steady source of professional, engaging and search engine optimised information that keeps your website fresh? Using your own staff to write is To discuss your business needs contact us at: time consuming and expensive, that’s why info@vitalpethealth.co.uk or call 07855 742 426 we’ve created a cost effective solution.
VOLUME 3 ISSUE 4
n
Veterinary Expert & Writer - Paul Manktelow
www.vitalpethealth.co.uk half-page-ad.indd 1
18/09/2014 11:01
Microchipping Spotlight 24
Vetark Tips... Implanting Microchips Into Exotic Animals
T
he rise in popularity of exotics pets means the demand for microchipping of non-CITES exotic species (as these must be microchipped anyway) is increasing due to a desire for permanent identification. As Petlog and most other microchip database providers allow the registration of details relating to any microchip, regardless of the species, on their system, this can
prove a viable method of increasing the chance of a lost pet being returned safely. Should you be asked to implant a species you are unfamiliar with, check the recommended implant location before agreeing to undertake the procedure as it can vary. The BVZS recommends the following broad-brush guidance to implant sites:
Implant sites should be swabbed with antiseptic before insertion and manual pressure applied following it. In some animals, particularly reptiles and amphibians, tissue glue should be used to seal the wound following implantation. Other potentially easier more suitable sites are also being developed in fish. Anaesthesia for microchip implantation is at the discretion of
Guidance to implant sites Fish
Midline, anterior to dorsal fin
Amphibians
Lymphatic Cavity dorsal lymph sac
Lizards
Lateral aspect of left femoral area over quadriceps muscle, if too small, skinny or absent then subcutaneously on caudal half of left flank
Snakes
Left flank, anterior to cloaca
Chelonians
Subcutaneously in left hind leg (Intramuscular in thin-skinned species) Left pectoral muscle, excluding Ratites, in which the pipping muscle or base of neck
the Vet performing the procedure. Restraint should be suitable in the case of birds larger than budgerigar size, reasonably sized reptiles, fish and most mammals. Thin skinned reptiles, smaller birds, amphibians will usually require anaesthesia. The needle size of mini-microchips like petDetect’s 8mm mini is better suited to smaller patients due to a reduced size of the entry site. Similarly, microchips with proven reliability and longevity should always be used in long-lived exotics species like parrots and tortoises. For more information on the mini microchips visit http://www.petdetect.com/understand_microchips If you are uncertain about microchipping any exotic pet, contact the BVZS for advice, and if necessary refer the animal to a specialist exotics vet. Detailed information is also available in the FVE / WSAVA agreed document at http://www.wsava.org/educational/ microchip-identification
is more suited Birds
Medium / Small: Between Scapulae
Mammals
Large: Left mid-neck subcutaneously
For further information t +44 (0)1962 844316, w www.vetark.co.uk
VOLUME 3 ISSUE 4
n
VSM
AVID urges practices to remind owners to update their details
O
ne of the often overlooked parts of pet microchipping is the vital importance of keeping contact details up-to-date. It is something which is easily forgotten when pet owners move or have a change of telephone number.
Not only does this mean it could delay or prevent a pet owner getting their pet back again, it will also soon be a legal requirement for dogs that have been microchipped to have upto-date contact details. AVID, which manages the UK
PETtrac Database, makes leaflets and posters freely available for vet practices, rescue centres and dog wardens to use to encourage pet owners to keep their details up-todate. Please contact the AVID sales team if you would like these materials.
For further information t +44 (0)800 652 7 977 w www.petchipupdate.com
Microchipping Spotlight 26
Virbac to Help Practices Promote National Microchipping Month W ith the introduction of compulsory microchipping in the UK fast approaching, Virbac has created a National Microchipping Month Support Pack. The pack has been put together to help practices raise awareness of the importance of microchipping during National Microchipping Month this June. The pack contains a range of promotional and educational items including:
• A poster which can be individually customised to include practice-branding and a promotional offering • A large BackHome display poster for the wall, the window or wherever it can best promote the practice • C o l o u r- c o o r d i n a t e d bunting and balloons to frame waiting room displays and windows
• Eye-catching ‘wobblers’ for reception desks and shelves to remind clients to chat to reception and book their microchipping appointment.
The introduction of the Microchipping Support Pack follows the recent introduction of Mini Chips to Virbac’s BackHome® microchipping range. At just 8 mm long and featuring an anti-migration coating, the new Mini Chips can be implanted with a needle a third smaller than the standard ones, making them suitable for almost any species. Sarah Walker MRCVS, BackHome Product Manager, explained: “With microchipping soon to become compulsory for dogs across the UK, this year’s National Microchipping Month is the ideal platform to raise awareness of its importance in all species and to
remind clients that they will soon be required by law to ensure that their dogs at least are protected with a microchip. The new BackHome Mini Chip has a 34% smaller needle than our standard needles and this can minimise any stress and discomfort to pets during implantation. “The resources in our Microchipping Support Pack are bold, colourful and eye-catching. We hope that, with the creative teams that exist within each practice, you can promote National Microchipping Month successfully using imaginative displays and use this opportunity to engage with your clients.” For further information t +44 (0)1359 243243 e enquiries@virbac.co.uk w www.my-virbac.co.uk
Choose your chip supplier wisely says Pet-ID
VOLUME 3 ISSUE 4
n
VSM
A
s the legislation for Compulsory Microchipping of Dogs draws closer there are concerns over the misconception that all microchip suppliers offer the same level of product and service. It is important for implanters to understand the route they are sending their customer down when determining which microchip supplier to use. Whilst the microchip itself is tiny, the implications of choosing the right supplier and database are immense. Practices need to consider many factors, the quality and reliability of the product, the back-up and service they receive from their chosen supplier and most importantly the longevity of the database onto which that microchip is registered. There are a considerable number of “cheap chips” and new suppliers coming into the marketplace, however Pet-ID Microchips have been providing animal identification solutions for over 20 years. “All our microchips are registered onto the Petlog, run by The Kennel
Club, and the only database to have achieved ISO 27001 (stringent control of information security systems and processes). We know that Petlog will still be around for many years to come and so if a pet microchipped today is lost or found in the future, they have the best possible chance of reunification.” Pet-ID Microchips supply ISO standard (11784/5) high quality Swiss-engineered microchips in a variety of formats with precision engineered needles, providing effortless implantation. With a proven track record for quality, reliability and longevity, together with registration onto Petlog, choosing a chip supplier, such as Pet-ID Microchips, will ensure you are safe in the knowledge that you have made the best decision for your client. For further information t+44 (0)1273 837676 w www.pet-idmicrochips.com
Innovation in Imaging
Advanced Image Processing Technology
Direct Radiography Solutions
Looking for an affordable way to move from conventional to digital imaging?
Easy upgrade to DR without any change in your conventional X-Ray system.
Look no further than Agfa’s compact table top Computed Radiography (CR) systems.
Our new ultra thin, ultra light designs enables quick and effortless integration into a standard bucky tray.
Our Computed Radiography solutions are truly outstanding:
These advanced Panels use High Definition X-Ray Imaging Technology. This technology allows more detailed image data to be viewed than ever before!
• All images are scanned in high resolution. • Very fast processing speeds. • Fully automatic loading and unloading of cassettes. • CD Burner with image viewing software. • Body part specific algorithms for Equine and Small Animal Radiography. • Processes all plate sizes including clever intraoral dental. Be the first to see how the generation of new Computed Radiography systems can help you achieve first class digital imaging at an affordable price.
t: 01923 237521 f: 01923 232216 w: www.plhmedical.co.uk
Our solutons now come as wireless versions for even easier integration. Together with exclusive Metron guided mark up and reporting features we believe our DR solutions are truly second to none. Book your demonstration now to see for yourself the future of Veterinary Imaging!
Social Media
Microchipping Spotlight
IDentifier – now even more IDentifiable!
28
A
354
C
M
Y
CM
MY
CY
CMY
VOLUME 3 ISSUE 4
n
VSM
K
with a test keyring, User Manual and fter many requests Pet-ID a handy drawstring bag supporting Microchips has produced the Pet-ID Microchips logo. their IDentifier scanner in pink! “Having listened to customer With the legislation for Compulsory Microchipping of Dogs comments, we decided to run fast approaching it is very important a limited edition of just 100 pink that all those involved with lost and scanners.” say Pet-ID Microchips. found pets has a scanner to hand. Proudly manufactured in the UK, the pink IDentifier is the latest addition “Not only is the pink IDentifier a limited edition, but we have also to a long-standing favourite with pledged a donation to Breast Cancer implanters. Care for every pink IDentifier sold, As with all their IDentifiers, it is powered by a 9 volt battery that and are delighted to be associated with such a worthy cause”, say can be simply and easily replaced, Pet-ID Microchips. “We launched it removing the need to wait for it to at Crufts 2015 where we received an recharge, as is often the case with overwhelming interest. “You would USB powered scanners. It has an easy to read LCD and automatically never lose a scanner as bright as that!” said one delegate, as she was switches off when not in use. drawn to our stand by it.” All IDentifiers comply with ISO 11784/5 and read both FDX-B (ISO) For further information and older style FDX-A (FECAVA) microchips. They come in a sturdy SFG Half Page Advert ART_OL.ai 1 t+44 (0)1273 837676 plastic carry case padded within to04/03/2014 15:19 w www.pet-idmicrochips.com protect the scanner in transit, along
Equine 30
Wiley Brings Together The Latest Equine Ophthalmology Research
T
he joint online publication of a special virtual issue of 22 ophthalmology papers from Equine Veterinary Journal, Equine Veterinary Education and Veterinary Ophthalmology, brings together all the latest research in equine ophthalmology.
Devised and compiled by a panel of prestigious guest editors1 The Current State Of The Art brings together papers on some of the most significant advances in equine clinical ophthalmology into a single issue, making them more readily available to a wider
audience. The issue contains information of direct relevance to all sectors of the veterinary profession from general practitioners and specialists to researchers, surgeons and students, covering common diseases, surgical procedures and outcomes. “The goal was to provide broad access to the most current information applicable to every stratum of the equine veterinary profession,” said Mary Lassaline. “Subsequently, a salient feature is that many of the papers included are collaborations between veterinary ophthalmologists with a special interest in horses, equine practitioners with a special interest in ophthalmology, private practitioners and those in academia, and academicians from different institutions.” Subjects covered include seven papers on new approaches to the diagnosis and treatment of ulcerative and non-ulcerative keratitis in the horse. There are three articles on novel approaches to corneal surgery and a further three on corneal neoplasia. Six papers provide valuable data regarding long-term outcomes following surgical intervention for Equine Recurrent Uveitis (ERU), glaucoma, and cataracts. Finally, three articles present new information regarding retinal and orbital disease. Professor Celia Marr, Editor
of the Equine Veterinary Journal said: “The key purpose of the EVJ is to disseminate information to help the enhancement of specialist knowledge at every level of the veterinary profession. By collating the most important and up-to-date ophthalmology research into one easy resource the new special issue does exactly that.” 1 Mary Lassaline, member of the Veterinary Ophthalmology Editorial board and Veterinary Ophthalmologist in the Department of Surgical and Radiological Sciences at UC-Davis School of Veterinary Medicine, California David A. Wilkie, Editor of Veterinary Ophthalmology and Professor at Veterinary Clinical Sciences Comparative Ophthalmology Ohio State University Tim Mair, Editor of Equine Veterinary Education based at Bell Equine Veterinary Clinic, Kent Celia M Marr, Editor of Equine Veterinary Journal, based at Rossdales, Newmarket.Clinical equine ophthalmology:
For further information e cs-journals@wiley.com w http://bit.ly/1bi0RG0
Hyonate® strengthens Merial Equine Range
VOLUME 3 ISSUE 4
n
VSM
H
yonate® (sodium hyaluronate), an established treatment of lameness in horses due to non-infectious inflammation of joints, joins Equioxx®, the first COX-2 specific NSAID for horses, in the Merial stable, providing vets with a choice of treatments for inflammation and joint disease. According to Merial’s equine marketing and technical manager, Louise Radford MRCVS “The beneficial effects of HA supplementation are attributable to the anti-inflammatory effects, improvement in viscoelastic properties of the synovial fluid, and interaction with the synovial membrane affecting pain transmission and joint metabolism¹,” Hyonate® joins Merial’s portfolio of market leading equine
products including the UK’s first anti-ulcer prescription medicine GastroGard® (omeprazole), ProteqFlu® vaccines, the first and only in Europe to contain the most recent Florida Clade 1 and clade 2 strains, and tried and trusted wormers, Eqvalan® (ivermectin) and Eqvalan® Duo (ivermectin+ praziquantel) Reference Williams V.S. Intraarticular Hyaluronic Acid Supplementation in the Horse: The Role of Molecular Weight, Journal Equine Veterinary Science. Vol 27, No 7 (2007) Hyonate® 10 mg/ml Solution for Injection contains
Sodium Hyaluronate available from Merial Animal Ltd. Legal category: POM-V. refer to product packaging use.
and is Health Please before
For further information… t +44 (0)845 6000123 e ukcompanionanimal@merial.com w www.merial.com
CONTAINS
RICHMOND/07
STRAIN
NEW
Precisely richmond 1/07 fully oie
OIE
CLADE 2
SPECIFIC
2 014
®
New ProteqFlu® contains a Richmond 1/07 flu strain, and is the first and only licensed vaccine to do so. Richmond 1/07 belongs to Florida Clade 2, the group of antigenically related viruses responsible for almost all equine flu outbreaks in Europe since 2011.1 Containing both Florida Clade 1 and Clade 2 virus strains, new ProteqFlu® is now the only vaccine fully aligned with 2014 OIE recommendations.1
Reference: 1. OIE Expert Surveillance Panel on Equine Influenza Vaccine Composition, OIE Headquarters, 4 March 2013. Available at: http://www.oie.int/our-scientific-expertise/specific-information-and-recommendations/equine-influenza/ (accessed August 2014). OIE = World Organisation for Animal Health
Use Medicines Responsibly Merial Animal Health Ltd CM19 5TG, UK. ProteqFlu® and ProteqFlu®-Te are registered trademarks of Merial Ltd. © Merial 2014. All rights reserved. Legal category UK. POM-V , IE- POM . New ProteqFlu®–Te contains Influenza A/eq/Ohio/03, Influenza A/eq/Richmond/1/07, Clostridium tetani toxoid. New ProteqFlu® contains Influenza A/eq/Ohio/03; Influenza. Read packaging before use. For further information call the Merial Customer Support Centre on 0845 6014236
Equine 32
EquiSal Tapeworm: the saliva test to detect tapeworm burdens in horses
VOLUME 3 ISSUE 4
n
VSM
U
ntil now, it has been difficult to detect tapeworm burdens in horses as worm egg counts do not reliably detect tapeworm eggs and blood tests are costly and inconvenient. The EquiSal Tapeworm Test has been researched and developed over several years by experienced scientists at Austin Davis Biologics Ltd (ADB) and has been statistically validated using samples from horses where the number of tapeworms was counted at post mortem.
The test process To carry out an EquiSal Tapeworm test, saliva is collected with a specially designed swab and returned to the lab using a freepost bag included with the test kit. A preservative solution provides sample stability for over 3 weeks, ensuring the sample arrives at the lab in good condition. Results are emailed with low, borderline or moderate/ high diagnosis and worming recommendations.
The test The EquiSal Tapeworm Test measures tapeworm-specific antibodies in saliva and is capable of identifying horses with a low burden, or a moderate/high burden with a sensitivity of 83% and specificity of 85%. Treatment is recommended for horses diagnosed with a moderate/ high burden (1+ tapeworms). A borderline result can also be assigned according to the statistical analysis and treatment is also recommended for this diagnosis. A sensitivity of 83% means that 17% of horses identified with tapeworms at post mortem were misclassified as low by the test, but all of these had a burden of less than 20 tapeworms (in most cases, much less). This is an important observation as the expert view is that the presence of up to 20 tapeworms is not pathogenic. The evidence shows that the EquiSal Tapeworm Test correctly identifies all pathogenic burdens. ADB hopes that the scientific validation paper will soon be published in a peer reviewed journal, but proceedings are being held up as a patent application is in progress, allowing the disclosure of full methods in the research paper.
Inclusion in targeted worming programmes EquiSal Tapeworm testing can be used alongside worm egg counts (WEC) to enable a targeted worming approach to be undertaken for roundworms, strongyles and tapeworms. EquiSal’s current tapeworm incidence levels show that approximately a quarter of horses tested during 2014 required treatment for tapeworm burdens. This indicates that the vast majority of horses receiving tapeworm anthelmintics do not need treating.
Independent assessment of EquiSal Tapeworm Test A small independent comparison of the EquiSal Tapeworm Test and the long-standing serological tapeworm ELISA run at Diagnosteq was carried out at Bransby Horses Rescue and Welfare by their consultant vet, Jeremy Kemp-Symonds. The results showed good correlation of diagnosis and strong positive correlation of actual test result values, with a Pearson’s correlation of 0.77. EquiSal can sometimes provide a low diagnosis of tapeworm burden when blood testing may diagnose a high burden in the same horse. This is because salivary antibodies have much less memory of previous infections than blood antibodies. In several incidences during ADB’s validation experiments, the blood test diagnosed moderate/high burdens in horses with no tapeworms present at post mortem, whilst EquiSal diagnosed these horses with a low burden.
Stocking EquiSal Tapeworm EquiSal Tapeworm tests are available to veterinary surgeons and SQPs at trade price allowing a more complete worm control programme and worming advice to be offered to their customers. Austin Davis Biologics (ADB) are able to offer a service where vets and SQPs are provided with tapeworm burden diagnoses to report back and advise their customers, or alternatively ADB can report the results back directly to horse owners. ADB’s preferred model is for the results to be fed back to vets and SQPs so that customers are provided with all round advice. Additionally, vets and SQPs can ensure that correct wormers are prescribed when required, and ensure worm burdens are managed appropriately in horses. Retesting after worming for tapeworm A question ADB is often asked is “how long do tapeworm-specific antibodies remain in saliva following worming?” ADB conducted a pilot trial in 2014 to address this and has a larger trial planned for 2015 to obtain statistically significant results. EquiSal Tapeworm testing was carried out on horses every 2 weeks following worming treatment for tapeworm. Data collected from this trial demonstrated that, in most cases, a substantial reduction in tapeworm-specific antibodies was seen within 2-3 weeks following treatment. In one horse, the antibody levels took longer to reach low burden status, although the antibody levels started dropping straight after worming.
It is important to understand that the picture is complicated if the horse becomes reinfected by tapeworm larvae after worming treatment. Tapeworm reinfection was seen in some horses in the trial. In a poorly managed paddock, reinfection can obviously happen very easily. But, given that the tapeworm’s life cycle requires an intermediate host (an oribatid mite), even well managed paddocks containing horses with high tapeworm burdens could harbour infected oribatid mites within the grass. This means that there is still a reinfection risk after worming for horses grazing in these circumstances too. The end goal is, of course, to break the tapeworm’s life cycle and prevent horses becoming infected. Horses diagnosed as having a low burden at the start of the trial maintained low burden status throughout the trial. These pilot trial results suggest horses with a tapeworm burden can be retested 2 - 3 months after worming to check the tapeworm burden status. This follow-up test to confirm that the treatment has been effective would be beneficial and would enable horse owners to feel confident in their tapeworm control programmes.
A note about resistance Frequent use of wormers puts tremendous selection pressure on the worms to adapt to survive this continuous medication onslaught. The result is a relentless, steady emergence of resistance. There are increasing reports of resistance in small redworms (cyathostomes) to various wormer drugs, which serves as a warning for the management of tapeworm burdens. Widespread resistance in tapeworms would have devastating consequences, especially as there are only two effective drugs (praziquantel and pyrantel embonate) for the control of tapeworm in horses. Reducing the frequency of treatments reduces the selection pressure for resistance, so regular testing for tapeworm can effectively decrease the selection pressure by minimising exposure to tapeworm treatments.
For more information e enquiries@equisal.com w www.equisal.co.uk
ROUTINE TESTING, NOT ROUTINE WORMING
EquiSal Tapeworm
The saliva test for tapeworm Offer your customers a more complete worm control package • Scientifically validated and easy to use • Have results emailed to you to advise your customers or simply sell kits where the owners are emailed directly
Visit www.equisal.com enquiries@equisal.com By Austin Davis Biologics Ltd.
Equisal trade ad 133x90 quarter pg 0415.indd 1
Now available at trade prices to veterinary surgeons, SQPs and retailers
13/04/2015 08:19
“Hind gut inflammation can be associated with behavioural issues in ridden horses.”
“As a busy equine veterinarian I have become increasingly aware of a link between low grade hind gut inflammation and behavioural issues or poor performance in competition horses. Over the last twelve months I have been evaluating all horses presenting with mild to severe behavioural issues when ridden; that have no physical evidence of any underlying orthopaedic or other clinical conditions. I have tested for the presence of hindgut inflammation using the SUCCEED™ Equine Fecal Blood Test™ (FBT). In many of these cases, the FBT results have revealed an increase in albumin loss in the dung consistent with an inflamed hind gut wall. Gastroscopy of most of these horses failed to reveal any evidence of stomach lining ulceration. In all of these cases I removed the cereal content in their diet and started them on SUCCEED™ Digestive Conditioning Program™ . The results have been quite startling. Within a few days many of these animals became significantly calmer, less resistant, more forward going and have stopped misbehaving when ridden, much to the relief of their worried riders. SUCCEED is an excellent product that I now routinely feed as part of my management of all horses demonstrating intestinal disturbances, loss of condition, poor performance or have developed behavioural issues when ridden. Feeding SUCCEED is unlikely to be the panacea for all horses that have behavioural difficulties when ridden, but I am convinced that many horses demonstrating such behaviour are avoiding work because they are uncomfortable as a result of reversible low grade hind gut inflammation.”
Dr David Platt BVSc, CVR, PhD, DEO, FRCVS David Platt Equine Limited Tel: 07768 572617
The SUCCEED™ Equine Fecal Blood Test™ and SUCCEED™ Digestive Conditioning Program™ are available from premier veterinary wholesalers. In England
In Ireland
www.succeed-equine.co.uk/vet For more information, contact Dr. Emma Hardy: ehardy@freedomhealthllc.com 01522 309946
SUCCEED Digestive Conditioning Program and the SUCCEED Equine Fecal Blood Test are quality products from Freedom Health LLC. © 2015 Freedom Health LLC. All Rights Reserved.
Equine 34
Guidance from BEVA on the employment of overseas veterinary graduates
T
he British Equine Veterinary Association (BEVA) has issued guidelines to help vets employ overseas veterinary graduates successfully. While employers should not discriminate based on nationality, language or place of graduation, BEVA believes they have a duty to ensure all employees have the required level of linguistic and clinical skills to enable them to undertake their role safely and effectively. The advice explains how to interpret English Language Qualification test results, highlights European Veterinary Schools that have not been approved by European Association of Establishments of Veterinary Education (EAEVE) and reminds employers that compulsory Extra Mural Studies (EMS) is unique to veterinary schools in the UK and Ireland. Each year many foreign veterinary graduates register to work in the UK. By providing this advice BEVA hopes that employers will find it easier to navigate the differences between graduates from various veterinary schools across Europe, to uphold the reputation of the profession. Mark Bowen, President Elect of BEVA, commented: “At a time when politicians are debating language skills amongst medical graduates, it is useful to remind employers of the complex language skills
required to provide the public with the service they expect. This guidance should assist employers in identifying the skilled workforce they need, while navigating the complexities of different English Language Qualifications and different veterinary qualifications.” Tim Greet, former BEVA President and a candidate for RCVS Council, continued: “Whilst not condoning any discrimination based upon nationality, it seems only common sense to make sure that a new employee, from whatever background, can cope with the necessary level of communication, so fundamental in modern veterinary practice. A certain level of practical skill should also be expected to avoid compromise to patient welfare and to underpin continued professional development.” The Veterinary Schools Council is supportive of the guidelines. A spokesperson for the Council said: “It is a valuable document that should be helpful to any employer who is considering recruitment of a veterinarian from the EU.”
For further information w www.beva.org.uk
VOLUME 3 ISSUE 4
n
VSM
ProActive Equine Business Workshops to Boost Bottom Line
A
series of three, one day equine business workshops to help practice owners and managers identify financial performance opportunities for their business using key performance indicators (KPIs) are
planned for 2015. John Goulding BVMS MRCVS, managing director at St.George’s Veterinary Group, Wolverhampton will lead the workshops with Lisa Male of Three Spires Training, using
key performance indicators and the Balanced Scorecard approach (BSC), as vital tools for monitoring business performance, explains Louise Radford MRCVS of organiser, Merial Animal Health Ltd. “The workshops, entitled ‘Knowing Your Numbers’ will integrate Merial’s ProActive Insight equine benchmarking system to provide comparisons and insight into the financial areas where the business can focus time and effort to get the best returns,” says Louise. “The BSC approach will be used to integrate different management aspects such as internal processes and team dynamics that all work together to create a successful customer experience.” Julian Samuelson MA VetMB MBA MRCVS, Managing Director of Bell Equine Veterinary Clinic, who helped design the ProActive Insight system prior to its launch in 2013 comments: “John has a passion for numbers and detail which, together with his analytical approach to the financial management of veterinary practice, will be sure to offer perceptive guidance that will help delegates to improve their practice performance.” “Working with the ProActive Insight data amassed across a wide
range of equine practices in the UK to create an ‘artificial practice’ to use on the day, the workshops are designed for practice owners, partners and managers and will utilise current trends and headline benchmarks to discuss strategies to improve practice performance. “Delegates will be provided with the tools and inspiration to better understand, interpret and implement financial, customer focus and service KPIs,” she concludes The events take place as follows; 9 June 2015 Aztec Hotel, Bristol BS32 4TS 1 July 2015 Mercure Leeds Parkway, LS16 8AG 13 October 2015 Holmewood Hall, Peterborough PE7 3BZ
Booking is via a £50 deposit per delegate, refundable on attendance, or if preferred, will be donated to World Horse Welfare. Workshop places are limited to 2 per practice and will be allocated on a first come first served basis, so book early to avoid disappointment. For further information... t +44 (0)870 6000123 e ukcompanionanimal@merial.com
WE DON’T JUST SELL GOOD PRODUCTS, THEY’RE WORKS OF ART, REALLY..
Equine 36
The bone resorptive processes of navicular syndrome and Osphos速
A
condition affecting the navicular bone structures, navicular syndrome often occurs in both front feet and is most typically seen in mature riding horses, with thoroughbreds and warmbloods being more susceptible. If left untreated it can lead to significant and even disabling lameness, with common manifestations including a shortening of the stride and increased tendency to stumble due to altered foot placement. Navicular syndrome can lead to an imbalance in the bone remodelling process, resulting in excessive navicular bone resorption and/or abnormal mineralisation. This leads to more of the bone being dissolved than is replaced, leading to mineral loss and a weakening of the bone structure over time.
VOLUME 3 ISSUE 4
n
VSM
Hoof anatomy Located within the hoof, the navicular bone (a sesamoid bone) and the navicular region, is an important structure in relation to lameness, particularly in the front feet. Newer imaging techniques have shown that damage to the soft tissues in the region may be significant contributors to lameness and that multiple causes may result in visible lameness. Diagnosis If a horse is displaying signs indicative of navicular syndrome, after a thorough lameness evaluation, there are additional methods of establishing whether navicular syndrome is a likely cause. These methods include nerve blocks as well as radiographs. The visual lameness evaluation will help establish if medical intervention is required and by performing a palmar digital nerve block, you can determine if the pain is coming from the navicular area; the horse will usually show significant improvement while trotting in hand and on the lunge after desensitisation. Grades of severity exist and a radiographic examination will better determine the condition of the navicular bone. Typical signs of the disease may vary from an asymmetrical shape and poor definition between the cortex and medulla to the presence of large cyst-like lesions and new bone formation in advanced stages of the disease. Areas of increased resorption are often seen in diseased navicular bones. Bisphosphonates Osphos速 solution for injection contains the bisphosphonate Clodronic acid and is administered intramuscularly. Clodronic acid has a strong
affinity for calcium phosphate resulting in up to 80% of the absorbed compound being taken up by the bone, preferential accumulation occurs in the areas where bone metabolism is most active, such as a diseased navicular bone. They then act to inhibit osteoclast activity, decreasing levels of resorption in the navicular bone and balancing the bone remodelling process. Bisphosphonates also decrease the number of osteoclasts by inhibiting osteoclast activity and inducing apoptosis. When an osteoclast comes into contact with the coated mineral of the navicular bone and begins the resorption process the bisphosphonate is released, penetrating the osteoclast and inhibiting its activity. Direct effects include decreased acid production and enzyme activity along with a disruption of the cytoskeleton, leading to a loss of the ruffled border. The result is decreased resorption activity, balancing the bone remodelling process and reducing mineral loss. In many cases this in turn alleviates the associated pain, resulting in an improvement in lameness. Osphos Osphos 60 mg/ml Disodium clodronate (as 51 mg/ml Clodronic acid solution) is administered by simple intramuscular injection and is the only UK licensed product for the control of clinical signs associated with the bone resorptive processes of navicular syndrome. How Osphos works Osphos uses the bisphosphonate Clodronic acid to help restore the balance between resorption and remodelling in diseased bone. Osphos binds to hydroxyapatite crystals on the navicular bone which are taken in by the osteoclast during bone resorption. This inhibits osteoclast activity by preventing them from adhering to the bone surface and inducing osteoclast cell death. This helps to reduce mineral loss. Simple administration Osphos solution for injection is presented in a 15 ml vial sufficient to treat one horse. It is administered via intramuscular injection and should be evenly spread over 2 to 3 injection sites. Suitable sites for injection; Centre of the lower neck, Pectoral muscles and Gluteal muscles. The recommended dosage is 3 ml per 100 kg of bodyweight and the IM injection route provides a quick and easy route of administration with a full dose being administered in minutes.
Figure 1. Hoof Anatomy
Figure 2. Biosphosphonates
Figure 3. IM Injection Routes Efficacy A recent study shows that horses with navicular syndrome responded positively to treatment with Osphos with a clinical improvement in lameness visible at 28 days after treatment1. Lameness in 74.7% of horses improved by at least one grade at 56 days after treatment. Well tolerated Osphos was well tolerated in clinical trials with any recorded side effects being mild and transient in nature. Only 1.6% of treatments resulted in signs of colic and only 0.8% of injection sites showed any reaction which resolved without medical intervention within 2-3 days. 1 Frevel et al (2014), Multicentre field trial to evaluate the effectiveness of clodronic acid (as disodium clodronate) for navicular syndrome, BEVA Congress Scientific Proceedings 2014 Repeat treatments Osphos has proven efficacy at 6 months post-treatment in 65.8% of cases. Treatment with Osphos may
be repeated from 3 months onwards depending on results and level of work that the horse is in. Complementary care A holistic approach is beneficial when treating lameness; husbandry, management, shoeing and exercise should all be considered for the best results. Remedial farriery: Trimming and shoeing can greatly aid in correcting and maintaining foot balance; this is particularly important when dealing with navicular syndrome. Exercise: Controlled exercise has been proven to be beneficial. Interim analgesia: It may be advisable to prescribe non-steroidal anti-inflammatory drugs in order to relieve pain associated with the condition. Concurrent administration of Phenylbutazone has been shown to be well tolerated. For further information w www.dechra.co.uk/osphos
A stride forward From the innovators in equine health
Easily administered via intramuscular injection
Well tolerated1 in clinical trials
Osphos contains the bisphosphonate Clodronic acid. It is the only UK licensed product for the control of clinical signs associated with the bone resorptive processes of navicular syndrome. Lameness in 74.7% of horses improved by at least one grade 56 days after treatment. Mild transient colic was only seen following 1.6% of treatments.
Proven efficacy1 at 6 months post-treatment
Learn more online
dechra.co.uk/osphos
Call our equine team
01939 211200
With Osphos the benefits are clear‌
For further information contact: Dechra Veterinary Products Limited, Sansaw Business Park, Hadnall, Shrewsbury, Shropshire SY4 4AS www.dechra.co.uk Tel: +44 (0)1939 211200 Fax: +44 (0)1939 211201 Registered Office: 24 Cheshire Avenue, Cheshire Business Park, Lostock Gralam, Northwich CW9 7UA. Registered in England and Wales, Company Registration No.5385888. Dechra Veterinary Products Limited is a trading business of Dechra Pharmaceuticals PLC. Osphos contains Disodium Clodronate 60 mg/ml as Clodronic acid 51 mg/ml. Please refer to package inserts UK: POM-V 1 Frevel et al (2014), Multi-centre field trial to evaluate the effectiveness of clodronic acid (as disodium clodronate) for navicular syndrome, BEVA Congress Scientific Proceedings 2014. Use medicines responsibly: www.noah.co.uk/responsible
Equine 38
Management of distal limb wounds and their complications Bryan O’Meara Bryan O’Meara MVB MVM(R) CertES(Orth) Dipl. ECVS MRCVS is a European Specialist in Equine Surgery operating as an independent consultant working with a number of veterinary practices/clinics and private clients throughout the UK. Bryan graduated from Dublin University in 2003. Since qualifying he completed specialist training in Equine Surgery. This was in conjunction with Glasgow University and O’Gorman Slater Main in Newbury. He has previously worked on the Curragh in Ireland and with Sport horses in the South of England. He is particularly interested in standing surgery where it improves patient safety. Bryan regularly acts as a consultant and speaker at customer training sessions for Chanelle Animal Health UK
H
VOLUME 3 ISSUE 4
n
VSM
ippocrates once stated that “Healing is a matter of time”. Generally wounds will heal given time and as veterinarians we hope that our intervention aids wound healing. This article details the investigation of non-healing wounds of the equine distal limb, their causes and their treatments. Wounds over tendons: Firstly, wounds to tendons although very serious can be managed and the prognosis may be better than traditionally believed. In a study by Jordana (2010) in Veterinary Surgery, 82% of horses with surgically treated flexor tendon and ligament lacerations survived >1 year after initial injury, with 55% returning to an equal level of performance and 27% to a lower level of performance. It is well established that extensor tendon injuries largely heal successfully once afforded appropriate time and treatment. A septic focus or foreign body, movement and a fistula secondary to a septic synovial infection are the common reasons why wounds associated with tendons don’t heal. It is imperative to establish why wound healing has not occurred. It is prudent to ultrasonographically assess the tendon for an area that would benefit from debridement or identify a foreign body that was not evident previously. Generally I do not suture tendons, as it is common for equine wounds to be grossly contaminated. On occasion a septic focus can be associated with a tendon suture and this should be remembered
during your investigations. Distension of the synovial structure should be carried out if a fistula is suspected. The prognosis is generally believed to be poor with such injuries, however there was a study by Turlough McNally (2012) that used tenosynoviotomy as a treatment for infection of the digital flexor tendon sheath and this resulted in 5 of 7 returning to intended use with 2 horse’s requiring euthanasia. Interestingly, three of the horses that survived had a time from injury to treatment of 3 weeks to nearly 2 months. Is this technique a suitable salvage procedure for horses with synovial fistula and long standing digital flexor tendon sheath infection? A thorough investigation is required when presented with a synovial fistula associated with a tendon sheath. Usually the fistula is within an area of proud flesh. Is there a foreign body or septic focus/ necrotic tendon and has a bacterial culture been obtained? Often an affected horse is non painful or at least less painful when the synovial structure is discharging via the fistula and becomes painful when distension of the tendon sheath occurs as the wound closes. Debridement of proud flesh followed by closure of the wound and immobilisation (usually with a bandage cast) is my treatment of choice coupled with appropriate antimicrobial treatment both locally (e.g. intravenous regional perfusion and by intrathecal injection on alternate days) and systemically. Similar treatment is required for those wounds that don’t involve a tendon sheath but are
associated with a tendon such as mid cannon injuries of the flexor tendons. Immobilisation with a bandage cast is my favoured option. In time the cast can be split length ways to form a distal limb splint however it is not uncommon for further bandage rubs to occur and for the splint bandage to be only partially effective. A good team of people and organisation is required to ensure that a bandage cast can be placed properly. Casts are notorious for cast rubs. This new injury may well be associated with the flexor tendons and can be worse than the original wound and so there is understandable consternation from a horse’s owner when it is suggested that further immobilisation using another cast is required!! Close monitoring is required and removal at the first sign of discomfort is advisable. It is surprising how well midcannon flexor tendon lacerations heal, however patience is required as two years from injury is often the required convalescence time. Beware of communication via the wound in the tendon to the digital flexor tendon sheath by propagation of infection through torn tendon fibres. Furthermore, when the cast is removed there will be purulent material present and there will be proud flesh. I foolishly (through lack of experience) attempted debridement of these wounds. It must be remembered that the proud flesh has been laid down in an attempt to cover the tendon and its removal will often result in the tendon being exposed or the granulation tissue weakened so that it will subsequently break down.
I favour medical treatment of these proud flesh wounds after immobilisation has established a covering layer of proud flesh. It is difficult to recommend chemical debridement (such as copper sulfate) as it results in indiscriminate cell damage of the epithelial cells. I have found Vulketan® gel to be a very useful treatment in these cases following cast removal, although the manufacturer does not have evidence on use in this way. Wounds in high motion areas: Heel bulb lacerations are the classic “movement” proud flesh wound. Similarly the dorsal aspect of the fetlock, the calcaneal bursa/point of hock wound and extensor tendon carpal wounds often have prolonged healing and proud flesh formation due to movement of the associated joint. My advice is to keep an open mind as there may be another reason why the wound is not healing such as bone involvement, a septic focus within a tendon or foreign body or wound infection. Ideally always culture, and perform a radiographic examination and ultrasonographic examination before the presumption that it is movement alone that is preventing healing. A bandage cast is generally the treatment of choice for movement. Box rest and a Robert Jones bandage are alternatives however are sometimes not sufficient. Wounds over bone: Sequestrum formation associated with the cannon (e.g. secondary to wire wounds) is common. My general rule when dealing with
Equine
Wound breakdown associated with tendon movement. Local wound management and a committed veterinarian and owner are required.
Chronic sequestrum. Once the offending fragment of bone was removed the wound healed well with appropriate wound management. References Engelen, M., Besche, B., Lefay, M.-P., Hare, J., & Vlaminck, K. (2004). Effects of ketanserin on hypergranulation tissue formation, infection, and healing of equine lower limb wounds. The Canadian Veterinary Journal. La Revue Vétérinaire Canadienne, 45(2), 144–149. Jordana, M., Wilderjans, H., Boswell, J., Dewulf, J., Smith, R. K. W., & Martens, A. (2011). Outcome after Lacerations of the Superficial and Deep Digital Flexor Tendons,
Suspensory Ligament and/or Distal Sesamoidean Ligaments in 106 Horses. Veterinary Surgery, 40(3), 277–283. doi:10.1111/j.1532950X.2011.00814.x Mc Nally, T. P., Slone, D. E., Hughes, F. E., & Lynch, T. M. (2012). Tenosynoviotomy for Sepsis of the Digital Flexor Tendon Sheath in 9 Horses. Veterinary Surgery, 42(1), 114–118. doi:10.1111/j.1532950X.2012.01033.x Stashak, T. S., & Theoret, C. L. (2011). Equine Wound Management. John Wiley & Sons.
VSM
Vulketan – a new licensed treatment: Vulketan gel (ketanserin) is a potent serotonin-S2-receptor antagonist and has a stimulating effect on fibroblast proliferation and collagen synthesis. It also results in improvement of the microcirculation by local effects on vasculature. Improved blood supply and subsequent oxygen and nutrients to the wound could play a part in reducing formation of exuberant granulation tissue. Ketanserin has no antibacterial activity in vitro but indirectly contributes to controlling infection by antagonising the serotonin-induced suppression of macrophages (further details on request from Elanco). In summary, Vulketan® gel is an adjunctive treatment for prevention of exuberant granulation tissue and to encourage wound healing in the horse. It is not a panacea and it will not heal sequestra or wounds where there is movement of a tendon beneath a wound, thus underlying issues need to be diagnosed and appropriately managed. In my experience it has produced positive results, helping to reduce infection and proud flesh formation and encouraging wound healing. The information in this article reflects the opinion of the author and has been independently written. Supported by Elanco animal Health, manufacturer of Vulketan.
39
n
Proud flesh associated with “infected” wounds: There are occasions where despite antimicrobial treatment and acceptable wound management that chronic infection occurs resulting in proud flesh. Stashak and Theoret’s book entitled Equine Wound Management outlines the reasons why wound infection prevents healing. These include separation of wound edges, accumulation of exudate, a reduction in vascular supply by microthrombus formation, prolongation of the inflammatory phase, digestion of collagen by proteolytic enzymes, the binding
of bacteria to matrix proteins preventing mesenchymal cells from binding and the release of endotoxins inhibiting growth factor and collagen production. I tend to keep an open mind with these cases. Firstly (as previously outlined), rule out bone, tendon involvement or the presence of a foreign body. Identifying the causative organism and the correct antimicrobial treatment is generally the key to successful treatment. A histopathological sample can also be useful to identify more rare causes of nonhealing wounds such as a fungal or parasitic infection or the presence of a tumour (most commonly sarcoid). Pythiosis, an oomycete parasite is a pyogranulomatous infectious disease that grossly causes striking plaques of granulation tissue; thankfully not present in the UK but beware of horses that have travelled from South America among other warm and humid foreign climes. Achieving an effective concentration of appropriate antimicrobial is important – check dosage regimes and compliance and instigate an intensive course of intravenous regional perfusions until infection is controlled. Debridement is useful as is topical antibiotic therapy. Manuka honey has positive effects as regards the treatment of infection and debridement. Vulketan® gel was reported by Engelen et al. (2004) to reduce development of infection associated with hypergranulation tissue in an article in the Canadian Veterinary Journal (45:144-9).
VOLUME 3 ISSUE 4
sequestrum formation is - if it is not discharging (i.e. a fistula is not present) then it is likely the wound will resolve without surgical treatment. On occasion the sequestra that do not discharge have recurrent localised swelling and it can be difficult to tell if this is just inflammation or infection/ cellulitis. Often there is a visible fistula surrounded by proud flesh and this tract allows for the sequestrum to be identified and removed more easily. An ultrasonographic examination of the affected bone edges is useful as it allows for the sequestered bone edges to be defined as they may well extend beyond the area of proud flesh. Splint bone fractures can result in sequestrum formation. Many splint bones don’t require removal to allow the wound to heal but on the other hand case management can be frustrating with displaced bone fragments. Generally their removal can be achieved as a standing procedure under sedation and local anaesthesia in a placid and amenable animal. The risks of splint bone luxation/destabilisation or catastrophic fracture is not insignificant with splint bone fracture injuries and this should be contemplated when making decisions as regards a treatment plan and the need for general anaesthesia. Remember that ideally the proximal portion of a splint bone should not be removed and the integrity of the inside splint bone should be respected most especially but not exclusively with regards to the medial splint bone of the forelimb because of its joint supporting function. Furthermore, always check for suspensory ligament involvement as it may be a traumatic injury to this structure that is causing the horse’s lameness and not the more obvious sequestrum and associated proud flesh. Similarly, a splint bone fracture as far distal as the mid cannon can communicate with the lower/middle carpal joint, so keep this in mind during your investigations. Once the sequestrum is removed, the wound and proud flesh will dramatically improve within a few weeks. I am generally aggressive with surgical debridement of the proud flesh present, and leave the wound to develop a confluent granulation tissue bed before removing bandaging. I then start twice daily treatment with Vulketan® gel to assist the healing process.
Practice Matters 40
Sarah Brown Cards. Adding a personal touch to practice communications
S
arah Brown Cards is a small, but perfectly formed company which creates a range of cards for vet practices. Having worked in a vet practice for nearly 20 years, Sarah has great insight into the unique relationship between vet and client. She felt that offering vets the opportunity to share their condolences on the passing of a beloved pet, or to congratulate them on the arrival of a new pet, would be a lovely way to build this important relationship, and Sarah Brown Cards was born, 11 years ago. Sarah is a talented watercolour artist, and all the cards in her ranges
are designed and created by her. She has ranges for cats, dogs small animals and horses, with new cards being added regularly. Most well known for her sympathy cards, Sarah also has a range of seasonal cards, get well soon cards, welcome cards and new pet cards. She can produce personalised cards on request, and is always open to new ideas! For further information t +44 (0)1986 893953 e sarah@sarahbrowncards.co.uk w www.veterinarysympathycards.com/
Specialising in sympathy cards for pets Having worked within the Veterinary Profession for 20 years, I know how much client’s appreciate receiving a condolence card after the loss of a pet. Combining my background knowledge along with my love for watercolour painting I have produced an individual range of quality cards, which are exceptional value for money and are very different to others available to the veterinary market, making this a sympathetic way to promote your practice. The cards are printed on a stylish textured surface measuring 140mm x 140mm, with envelopes provided.
VOLUME 3 ISSUE 4
n
VSM
They can be supplied with a simple verse inside or left blank for your own message or insert. Personalisation is available on all orders, please contact us for details. WAYSIDE, 2 THE LOKE, DITCHINGHAM, BUNGAY, SUFFOLK. NR35 2QS. UNITED KINGDOM Tel: 01986 893953 | Fax: 01986 893953 | Email:sarah@sarahbrowncards.co.uk | www.veterinarysympathycards.com
Practice Matters 42
Vet Supplies Meets... Mary Murphy Mary Murphy, Marketing Manager for Bimeda UK, Ireland & France and lead on global Bimeda marketing initiatives.
VOLUME 3 ISSUE 4
n
VSM
M
ary, when did you join Bimeda and what is your background? I joined Bimeda in September 2012. Prior to that I had worked in the marketing team at Dulux Paints Ireland for four years, where I was responsible for the coloured emulsions portfolio, PR, the in-store environment and online, as well as customer marketing. I worked on a wide array of projects and it would be difficult to pick a professional highlight. From a personal perspective, a highlight was definitely when I briefly met President Barack Obama and Michelle Obama. Dulux donated the paint required to give his ancestral hometown a makeover in time for his visit a few years ago, and I was lucky enough to be given one of the golden tickets for the occasion. What attracted you to the animal health industry? I was ready for a change and the autonomy I’d be afforded in the role at Bimeda was very appealing to me. Moving from a role which involved dealing with interior design trends and choosing the names for paint colours, to one which involved learning about faecal egg counts, lungworms and blowfly strike was a steep learning curve, but I can honestly say I love my job and am fascinated by the animal health industry. You mention that you have a lot of autonomy in your role? How many marketers are at the team at Bimeda?
Good question! Our UK & Ireland commercial teams consist of fantastic sales teams, our technical vet, Padraig Hyland and me, in the role of Marketing Manager. I am also supported by an excellent in-house design team and being surrounded by talented, dedicated people, all working towards a common goal, makes life as Marketing Manager highly enjoyable. I also lead our global marketing projects and work closely with my marketing colleague in France to ensure that our global brand is being represented consistently in the French marketplace. Though I am always extremely busy, the role offers a great deal of autonomy and a great deal of variety, which are both extremely motivating factors. So what does a typical day consist of for you? There is no such thing as a typical day! I could be working on new packaging designs, reviewing whether or not we achieved campaign objectives and why, or making sure we are ready for our trade shows. We attend around 30 farmer and vet shows each year; the biggest being London Vet, BEVA, BCVA and the Ploughing Championships in Ireland and these require a lot of preparation. Alternatively I could be briefing the design team on a new campaign, analysing sales data, supporting our sales team as they organise training sessions, writing press releases or advertorial pieces in conjunction with our vet, reviewing competitor activity, working on a new website, spending a day with a sales representative, or one of any number of other possible activities. You also mentioned global projects too. What do these involve? Bimeda is a global company and a global brand. We develop and manufacture a wide range of veterinary products which are sold in all five continents and more than seventy five countries worldwide. Some of our brands have a global presence, such as our Bimectin and Tetroxy brands. One global project I lead, for example, was the development and launch of Bimectin. com. The website not only includes
information on our Bimectin products around the world but, more importantly, contains a wealth of information on disease control, resistance and responsible use of anthelmintics, as well as information on parasite life cycles. At Bimeda, we understand that we are responsible for more than just ‘selling products’. A key part of our marketing activity revolves around ensuring that our customers and end-users have the support they need for informed, correct, responsible product use, and our global websites provide a great platform for us to reach a large audience with vital information.
That’s a lot of work for one personwhat has been your favourite project to date? In October 2013 we acquired the bolus manufacturer Telsol. The integration, subsequent launch and ongoing marketing activity to support the Cosecure bolus range has been, and continues to be, one of the highlights of my career so far. When we acquired the company, we knew that we were onto something special. The boluses are not comparable to any other product in the marketplace. They are a completely unique and premium product. However, prior to the acquisition, this story wasn’t being told effectively. I developed a strategy which involved both driving awareness of our range per se, and also driving understanding of what makes our boluses different and superior to many other bolus offerings. Getting this message across has been fundamental in achieving buy-in from both vets and farmers, and the speed at which our sales and distribution are growing, tells me we are doing something right. I wouldn’t refer to the campaign as a marketing campaign to be honest. That’s too narrow a description. It has really been a fully integrated commercial campaign, with technical, sales and marketing all working together to generate awareness of the benefits of the brand. The campaign has included many vet and SQP training sessions, the development of an educational website (cosecureboluses.com), the
placement of educational articles in vet and farmer publications on the subject of trace element nutrition, the development of ‘how to’ videos, as well as more traditional marketing elements such as press adverts and point of sale. Aside from our training programme, one of the more popular campaign elements has been the educational animation we created. Our boluses are a highly scientific offering and while the highly technical messages are easy to communicate to a vet audience, we realised that farmers were looking for something more visual and less techy. Our educational animation talks about trace element deficiencies and toxicities and clearly demonstrates how our boluses work differently to other boluses available. The campaign is ongoing and is delivering great growth for us, with the boluses proving particularly popular with vets who are looking for a scientific approach to trace element supplementation. They are encouraged by the wealth of trial data we have, which demonstrates the efficacy of the boluses, as well as the diagnostic services we support, such as forage and blood analysis. What’s next? There’s a lot of exciting activity for Bimeda in 2015; particularly surrounding our key focus areas of parasite control, nutrition, dairy production and equine. Of course, our marketing plans for the rest of the year are top secret but I would say watch this space for some exciting activity. In the meantime, if any vets or SQPs feel that they would benefit from some AMTRA accredited training on any of our key focus areas, or if they would just like to know more about our extensive product range and support services, I would encourage them to get in touch For further information t +44 (0)1248 725 400 e mmurphy@bimeda.com w www.bimeda.com
VETSAVERS Joint Venture Partnerships
Your staff – great individuals or a great team? What can Veterinary practices learn from football and rugby?
L
ife teaches us that the great players in any sphere can achieve great things. But great players on their own cannot create a truly outstanding team. For the team as a unit to be outstanding, they must train together, meld together, learn each other’s roles and responsibilities, and be aware when gaps appear in the field. Each member must become a part of that living organism, playing their part and supporting those around them. Then the effect of the whole unit becomes far more than the sum of the skills of the individuals. Continuing professional development traditionally concentrates on skills and procedures, and these are vital as the basic building blocks from which to develop the practice which will grow and thrive in the modern environment, where service and value rule supreme. A couple of examples may illustrate the power of teamwork: Client compliance relies on teamwork. Psychological studies clearly show that a person’s willingness to adhere to advice depends not only on how the advice is presented, but also on the consistency of the message: the same message from several different staff members is far more powerful than a message repeated by one person. Debt prevention is easiest when practiced by each member of
staff a client meets, from the initial registration, where financial responsibilities are explained, to the consulting room where vets and nurses must recognise where and when to provide estimates, to the reception desk, where staff understand how to ask for payment effectively. Having created a sound understanding of communication for those working within our industry in their basic course, Chunk Training takes the concept a stage further: their course ‘Caring for Clients 2 – Progressing Skills across the team’ builds on the basics to allow all staff to understand their role within the team, and to promote the concept that each and every member has their own valuable part to play in delivering exemplary service. Delivered in a unique way, as regular bite-size chunks of learning with feedback and support from tutors, Chunk Training takes client care training to a whole new level explaining not only the core concepts, but the reasons for the importance of the items learnt. Online team training is easy, inexpensive and effective. Visit www. chunktraining.co.uk to turn your staff into star team players. For further information t +44 (0)1934 235850 w www.chunktraining.co.uk
Looking to start your own practice? VetSavers has an exciting new approach to joint venture partnerships within established leisure & retail outlets, that could enable you to take that leap to practice ownership. With 30 years experience in the veterinary practice, we have the skills, expertise and knowledge to help your aspirations of running your own, successful veterinary practice, come to fruition. VetSavers partnerships offer: - An affordable and flexible route to fulfilling your ambitions - A practice where you make the clinical decisions - You choose the equipment that’s right for your practice - Potential to develop multi vet and multi site practices - Guaranteed salary from day one - Full business support - Group buying power - You keep all of your practice profits Whether you’re just starting to consider this idea or have already made the decision that a joint venture partnership is the next step in your career and are looking to find the right company to partner with, we’d love to hear from you.
Contact us: jvp@vetsavers.co.uk www.vetsaversjvp.co.uk !!!!!!!!!!!!!!!!!!!!!!!!!!!!!@VetSaversJVP /VetSaversJVP !!!!!!!!!!!!!!!!!!!!!!!!!!!
Practice Matters 44
10 Top Tips (plus a bonus one!) from Careline4vets Telephone Systems
A
re you changing your telephone System? Are you evaluating a different network provider? Are you wondering what to do next and what you need to know? Then read this, a simple explanation of VoIP Telephone Systems, lines and minutes contractual terms to be aware of: 1. All hosted voip telephone solutions require internet access to provide voice communication to your practice for your incoming and outgoing calls, and if you have a number of branches you are networking together. These must be of exceptional quality, if you plan to share both voice and data you must have a business grade router at the very least , with the appropriate settings to prioritise voice calls. Be aware that no broadband will have any agreed terms to carry your voice calls, and therefore should you suffer with voice quality issue the network company will simple say, ‘it has nothing to do with us’. There are separate provisions you can make with the correct sla for voice
VOLUME 3 ISSUE 4
n
VSM
2. Ask for the length of the Rental/Hire contract, they all have minimum term, and how much notice you need to provide to cancel. Should you need to do this, then what happens to all the hardware
and especially what happens to your telephone numbers that have now been ported to the cloud, can you move them elsewhere? 3. If the Voice Quality is not of a high standard and you are suffering, how quickly can you cancel the contract and revert back to fixed lines, together with the costs implications of doing so, or the costs of adding further Broadbands to enhance your quality of voice 4. When acquiring any Voice solution, either Fixed in your office or Hosted, calculate all the costs on the contract terms, ie by the number of months and years, to include the licenses, rental of any equipment, rental of the Internet access if separate ones are provided for the Voice and support. This will give you a true picture of your short and long term investment, you may find it’s not quite what you originally thought. YOUR TOTAL COST OF OWNERSHIP 5. When someone offers you a FREE telephone system, or from your ‘Savings’ think of what they are actually doing? No -one gives away anything free of charge, so find out the length of the contracts for the System rental, Lines, Calls and support, and don’t be surprised if they are 7 years and you are unable
to cancel or change providers without a cancellation amount that will have you in tears
support contract on a year by year basis, as I said above no one gives anything for free
6. When you agree a period of time for a contract, check the small print and make sure the clauses are also amended, for example you may sign a one year contract, but it may be a 4 year contract if you don’t provide sufficient notice, as their terms may state it automatically rolls over for a further 3 years.
10. If you are agreeing to a lease rental contract for your hardware, what happens at the end of the contract? Is it a ‘Minimum Term contract’, which means it will just continue forever until one day you figure it out? Is it a ‘Fixed term Contract’, and what happens to Title of the equipment at the end of this period?
7. Similarly, on such agreements, ensure that if any agreed terms can be signed off by the Sales representative sitting in front of you, or by one of the company directors. This is a clever little clause that no one sees. 8. Ask if you have any cooling off period, prior to anything being installed and delivered. You may change your mind, or your circumstances may change, make sure this is clearly stated on the agreement. Many practices have suffered from this, where the terms of the contract mean that the minute they have your signature, you are fully committed to the financial terms of the agreement, even if you change your mind the next day
11. Finally, whatever you have signed on the day, ensure you have taken copies of all documents and all terms, make sure that all boxes are completed and you leave nothing to be completed at a later date…. I have seen 24 month contracts turn in to 84 month contracts… I let you do the calculations even on £10 per month !!! This piece focuses on telephony systems, but the principle works across the board - you can apply the same thought process to any other purchases and agreements you are putting in place for your Practice.
9. Agree in advance any increases that may apply to your
Spvs/Vpma Congress 2016 Dates Announced S
PVS and VPMA returns to the Celtic Manor Resort on 29th and 30th January next year for SPVS/VPMA Congress 2016. The 2015 event was attended by over 450 delegates, including practice managers, vets and nurses, supported by 62 sponsors and exhibitors. The SPVS/VPMA Congress is now the largest veterinary
management congress in the UK and the very positive feedback from all who attended this year make it likely to sell out early for 2016.
For further information t +44 (0)1453 872731 w www.spvs-vpma-events.co.uk
For further information t +44 (0)845 504 6369 e enquiries@careline4vets.org w www.careline4vets.org
CUSTOM CUSTOM OPTICS OPTICS PRESENTS PRESENTS
digital radiography from
£15,995 Ex. VAT
Intuitive * fast * unbeatable value *
* PC & Software included * Free training * Free installation
* dr system [wired] £15,995 * dr system [wireless] £23,995 * cr system £10,995
for more information and a demonstration
roly@customoptics.co.uk customoptics.co.uk Prices Exclude VAT
Practice Matters 46
Accept appointments 24/7 with Vetstoria’s Online Booking Platform
V
etstoria provides practices with a system that allows pet owners to book appointments from their computer or mobile at any time of the day (or night!). This is fully synchronised with practice management software so bookings will be displayed automatically in your practice diary. The booking system is accessed directly from the practice website or Facebook page, and can also be included in the emails and SMS reminders which are sent to clients. For a seamless experience, the platform is fully branded with practice logo and colours. The process is highly customisable to suit practice-specific scheduling needs. The Vetstoria Booking platform is optimised for mobile use and enhanced by the “Smart Link” technology which enables the client to book an appointment directly from practice emails and sms messages
without having to login. Vetstoria also provides a pet portal to give the client access to their pet’s treatment (medications, food and services) and weight history. Like the booking system, it is fully synchronised with your practice
management software. The Pet Portal comes complete with a communication platform to allow online interactivity with clients. Vetstoria will be at the VPMA/ SPVS Tech Day, and looks forward to demonstrating their products to
delegates visiting their stand For further information w www.vetstoria.com e info@vetstoria.com
The benefit of promotions to your patient care By Marianne Lomberg, veterinary marketing manager, Royal Canin
A
s veterinary professionals, pet care is at the core of your business. Promotions and special offers don’t immediately chime with the dedication to improving the lives of our patients, however, running selected promotions in your practice can actually make a positive difference and encourage owners to make the change to a veterinary product for their pets. The key lies in selecting the correct promotion to meet the needs of your clients, while remaining consistent to the values of your practice.
VOLUME 3 ISSUE 4
n
VSM
Select the clients you want to reward Your client base can be divided into two groups; those who buy a specific dietary product from you and those who don’t. Your first decision is whether you need to speak to those from the first or second group as they will have different needs. Promotions for the loyal client When it comes to running a promotion for customers already buying a particular product, the focus needs to be on retaining their loyalty even longer by giving them an unexpected additional reward. This could take the form of a free storage bin for their bag or some extra product
free. An additional reward from you to thank them for making the best choice for their pet is a wonderful way to keep them loyal. The secret to running an effective promotion for loyal clients is to make them aware of the promotion. They are likely to come to your practice specifically to buy their pet food and only when it is about to run out, so a display in practice may not be enough to reach them. Try sending them news of the promotion in a newsletter or even texting them. Targeting first time buyers Pet owners who don’t yet buy the diet from you will be trying something new for their pet. Usually, someone needs the following things to be convinced to try something different: 1) Seeing the new product up close. To be effective, information about the product on promotion or the product itself needs to be shown to owners in the waiting area. It’s all about disrupting their usual path through the practice by placing something new there for them to look at. 2) A benefit for their pet. Owners want to invest in something that will have a real benefit for their pet. Explain how their pet will be
better off when eating this diet. 3) A good deal. Any first time purchase carries a feeling of risk, so an excellent way to help your clients feel they are making a good choice is to make the cost of the first purchase accessible. Smaller pack sizes are ideal for first purchases, especially if you are able to reduce the price for a limited period of time. You can also remind people of the value they are getting for their money with sales tactics, for example, “feed your cat for a week for the cost of a latte!” 4) The right amount. First time buyers need to use their new product for long enough to see the difference in their pet in order for you to gain repeat custom. It’s therefore important that a suitable pack size is promoted.
It needs to be small enough not to feel like a big financial commitment up front but big enough to last the pet for three to four weeks; time for the owner to see the visible difference in their pet. In the end, promotions in veterinary practice are not about turning it into a discount supermarket, but encouraging your clients to choose a top quality, veterinary endorsed product for their pet and to keep buying it from you. The companies providing you with products often have promotional packages ready for you. Why not speak to your sales representative about what a promotion can do for your practice? For further information w vetportal.royalcanin.co.uk.
Practice Matters
To VAT or not to VAT?
47
Peter Watkins Peter Watkins MAAT ATT qualified first as an Optician and worked as a practice manager the first half of his career. Now as an accountant at Albert Goodman LLP, a firm of Chartered Accountants in the South West, he works with clients in the firm’s Veterinary division.
I
recently received a call from a client of mine, asking if they should be charging VAT on rabbit food. They’d seen conflicting information online, with some retailers charging it and others not. The VAT treatment of food for many species which historically were considered non-domestic, but are now kept as pets, is not a straightforward area. It all starts with the VAT Act 1994, which states “Animal feeding stuffs…[except]…pet foods [which are] canned, packaged or prepared” are not chargeable to VAT at the standard rate. The Act does not define ‘pet’ but HMRC’s interpretation (for insomniacs, see VAT Notice 701/15) is that food for “non-pet species kept as pets…can be zero rated unless it is packaged, or held out for sale…for a pet.” ‘Packaged’ means any sealed bag, carton or container of 12.5kg or less. ‘Held out for sale’ is harder to define, but the VAT inspector is likely to ask: is the size, design, price and
location of the product aimed at an animal kept as a pet or one kept for commercial purposes, e.g. livestock. What is a pet? The animal kingdom is split into three broad categories (see below) – pets, non-pet animals kept as pets, and ‘everything else’. Food for pets is always standard rated, whilst for non-pets kept as pets it will vary depending on the nature of the product. HMRC’s categories are as follows: Pets – food always standard rated • Cats • Dogs (except working/racing dogs) • Cage birds and wild birds • Ferrets • Ornamental fish • Guinea pigs, gerbils and hamsters • Rats and mice (except if bred for research)
Non-pet species kept as pets – food may be zero rated • Rabbits • Chickens • Horses • Sheep • Reptiles Everything else – food usually zero rated • Animals not covered above, including most farm animals In Practice If you sell food for non-pets in a <12.5kg bag and/or it’s held for sale as pet food, you should be charging VAT at 20%. In a small animal practice it would be hard to convince a VAT officer on a visit that the offering is designed to attract, say, commercial breeders. If however you are selling larger containers of rabbit/horse/ chicken feed etc. then you may be on firmer ground. The legislation of course, is open to interpretation but practices
who don’t currently charge VAT on small bags of rabbit food are either waiting for the opportunity to challenge this interpretation, or have taken the view that as such a small part of their turnover comes from rabbit food that both the risk and the cost of it getting noticed during a VAT inspection are insignificant. Indeed for most practices the amount of rabbit food sold is trivial. But, it may be worth taking two minutes after reading this article just to check how your practice management software is treating these products. And finally, sharp-eyed readers will no doubt have noticed above the hint of some dog food being zerorated for VAT. Watch this space! For further information t +44 (0)1823 286096 e peter.watkins@albertgoodman.co.uk
reminders from Virtual Recall, please visit Jamie and Charlie at the Virtual Recall stand. For further information t +44 (0)208 123 3965 e hello@virtualrecall.co.uk w www.virtualrecall.co.uk
n
directly from the practice, these useful reminders will ensure higher attendance rates for routine appointments whilst continuing to enhance client bonding, customer service levels and practice communications. For a demo of the new appointment reminders, or any of the existing
VOLUME 3 ISSUE 3
C
ome and see the latest addition to Virtual Recall’s automated software at the SPVS/VPMA Technology Day – iRecall®-A, offering fully automated appointment reminders. With sms and rich text email reminders sent daily to clients,
VSM
Virtual Recall® Launches Automated Appointments Reminders – iRecall® – At the SPVS/VPMA Technology Day
Spotlight – BSAVA 48
BSAVA Congress 2015, Bigger, Better, Louder
B
SAVA Congress was my introduction to the veterinary conference scene a few years back now. I tried to hide in the corners as much as possible as I felt like an imposter as a first year vet student. Since then it has become a chance to catch up with friends, and to meet new people. This year, from Thursday morning through to Sunday evening, I barely stopped talking. I did however only manage to only attend 4 or 5 lectures, its ok though as with the evolution of BSAVA Congress the recordings are no longer in just audio format. Now for the first year ever they are in a new improved video format with both the presentation and the audio. This meant I no longer had to agonise about what lectures to go to – because the minute the recordings are available I will be watching everything! As a vet student from abroad sometimes Congress is the only time I get to see and learn about equipment – Keith from Vetronic Services spent an hour giving me a private class on small animal ventilation for example. The lectures I did manage to attend were as always very high quality. I managed to make a lot of the Shelter Medicine stream – this is something I am really interested in, as here in Slovakia there is very little support for this new area of veterinary medicine. The interactive panel discussions were a real eye opener. with some of the leading UK rescue charities telling how it really is and what works best for them. One of the most interesting points raised here was that giving cats probiotics actually reduced the incidence of diarrhoea. Another thing I was really interested to see was the www.petadoptionuk.co.uk which is a listing of pets up for adoption from different shelters across the country with many more joining. I believe technology like this will help make it easier for people to find pets to give a good home too – and for vets is an easier way to
promote adoption than just giving a list of shelters. The other stream that I really found interesting was the one on dog breeders, it is interesting how much progress is now being made to support vets in helping breeders understand and avoid congenital conditions now. I think the take home message from this is that vets are essential in pushing DNA testing, and more importantly interpreting and explaining what the results actually mean. Breeding should be for health… DNA testing, screening schemes, conformation, health and population consideration are all very important factors here. One of the ideas mentioned that I really liked was the introduction of breeder focused “testing day” events and clinics to support breed improvement and welfare. The importance of nutrition
VOLUME 3 ISSUE 4
n
VSM
Braemar Announces Winner of BSAVA Congress Prize Draw
B
raemar is delighted to announce that the winner of their free prize draw at the recent BSAVA Congress is Miss Janice Dixon of McPhersons & Partners in Rainworth, Mansfield. Janice won a £200 John Lewis gift card, which was presented to her by local area manager, Bob Smith Runner up prizes of a £50 John
Lewis voucher were Claire Tomkinson of Willow Vet Clinic, Stoke on Trent & Liz Miller of Penmellyn Vets, St Columb, Cornwall For further information t +44 (0)845 154 6586 w www.braemarfinance.co.uk
was emphasised for patients, along with vets (and poor students) by Hills who embraced new technology to bring the biggest touch screen I have ever seen to Congress, along with muffins and bacon sandwiches. Congress however is evolving, this year saw the introduction of a new BSAVA balcony area which was so much more open and relaxing than the old design (plus it had a kitchen with working coffee machine!). The big thing however this year was VetFest which replaced Party Night. Generally I find that so much promotion generally leads to high expectations which are usually not met. However in this case for the first time ever I managed to stay later than 11pm into the early hours. Someone I was speaking to explained it perfectly when they said that BSAVA had managed to cater for everyone. Splitting the evening between loads
of shorter acts instead of a single long one made it perfect along with the options of other attractions outside of the main festival hall. All in all BSAVA Congress remains my favourite veterinary conference, and one that I hope I will be attending for a long time to come! Chris Allen is probably the most well known vet student on the veterinary social media scene. His blog and social media channels are widely read, and he is a familiar face at veterinary events in the UK and further afield. Chris reports back to us on all the main events he attends, and is also our book reviewer in chief! Twitter @vetschooldiary e chris@vetschooldiary.com w www.vetschooldiary.com
A better approach to client communications Rapport is the only client communication tool that works directly with your practice management system
Rapport integrates directly with your practice management system, so you and your clients can benefit. Establishing Rapport with your clients increases practice efficiency, improves patient care and attracts more clients to your practice.
Email: rapport@vetsolutions.co.uk Tel: 0808 178 4028
www.hsrapport.co.uk
Spotlight – BSAVA 50
Stories from the Show BSAVA Congress continues to be the place to launch new companies, brands, products, services and systems, as hundreds of exhibitors enjoyed thousands of face-to-face conversations. The ‘exhibitor village’ in the stunning new Barclaycard Arena saw some innovative ways for the industry to engage with the vet profession and continues to be a vital resource for all involved, including the BSAVA itself. Below is a summary of just some of those innovations … IM3
VOLUME 3 ISSUE 4
n
VSM
IM3, suppliers of high quality veterinary dental equipment, exhibited its CR7 Imaging System and its recently launched large image dental plates for bigger animals. Ian Smith, UK sales manager said: “This is our second year at BSAVA and we always have a high level of interest from attendees. It’s so nice for the team to receive recognition for their hard work. We’re chuffed to bits.” Vetsolutions Vets can improve patient care, practice image and profitability with “the best and most advanced customer communications tool in the world” launched by Vetsolutions. “Two of the most pressing challenges that vets face today are managing the efficiency of their staff and increasing patient visits. Rapport helps vets address both challenges by making client communication efforts more efficient and effective,” said general manager Alan Moody. Johnnie Ingram, product manager, said “BSAVA Congress is so important because it’s big and it’s established – it is the place people rely on to go for the latest industry information.”
flagship activity monitor attaches to dogs’ collars and feeds clinically relevant information to an app. Product manager Robert Simpson said: “Ongoing monitoring is the biggest challenge faced by vets in managing this chronic, degenerative disease and the graphs and data also engage owners in the management process which helps improve a dog’s quality of life. “We’ve seen a really strong reaction to this and we’ve had some great conversations.” He added: “Congress is the place where you get to see lots of people that you haven’t seen in a long time and it’s nice to talk to people face to face about what they really think.”
Burtons Veterinary Equipment Three generations of the Burton family gathered at the Burtons Veterinary Equipment stand to exhibit the company’s wide range of products, from anaesthetic tables to animal cages and laboratory equipment to monitoring tools. David Burton said: “We’ve been coming to BSAVA for 25 years, over that time it has changed considerably and has obviously got a lot bigger. The reason that we have made sure we come every year is because it has always been the premier event and so it’s important that we’re seen at it.” He added: “It’s such a wonderful industry to work in and vets are generally very nice people to work with, so it’s also good to catch-up with old and new customers every year.”
BCF Technology The BCF Technologysponsored climbing wall was a big hit at Congress, acting as a high profile launch-pad for the fourth annual Vet Charity Challenge. BCF’s marketing manager Jason Rogers revealed more than £100,000 has been raised by the annual event “We always want to do something different at Congress and this is a bit interesting and fun, it’s really an opportunity to talk and have fun with customers, our whole company is based on having strong relationships with customers and providing the best equipment.” He added: “Congress continues to bring us a larger volume of people and they seem to be spending a lot more time in the exhibition, they are not so rushed, which is great.”
Vetoquinol Osteo-arthritic experts Vetoquinol launched Tractive Motion using a ‘smash the lights’ game. Their
Purina Purina launched Fortiflora, a probiotic that is clinically proven to reduce flatulence which can be an issue for concerned pet owners.
Owen Greechan, Purina’s vet team manager, said Congress is the best place to launch new products. “We plan to have more conversations than there are balloons in the dog – we’re here to showcase our products and we’re here to talk,” he said. “Getting to meet customers face to face is really important and Congress is a massive opportunity because it is a massive event within the industry, not just in this country but the rest of the world.” Bayer
Bayer launched an easy to apply wound spray gel, adding to its existing Remend range. Vicky McAlister, senior product manager at Bayer, said they were thrilled because it was absolutely brand new and unveiled at Congress. “Congress is a great time to talk to vets about our products, we do get so much interest from face-to-face conversations at the BSAVA event, it’s a great opportunity to talk and it’s the best place to launch a new product, we have increased brand awareness and had a really good reaction.” Ceva Animal Health Ceva Animal Health launched Douxo, its brand new range of topical dermatology products for cats and dogs. Product manager Adelaide Ellerington said: “ BSAVA Congress is a great place to be for product and brand awareness.”. Mark Cokayen, regional sales manager said: “Our stand has been crazily busy and the hook-a-duck has definitely attracted a lot of people. We have had over a thousand people who have entered our competition and there has been a massive uptake on our show offer, so we’re really pleased.”
Dog Rocks Carina Evans crammed a lot into her Dog Rocks stand, including the chance to win a large cuddly toy dog which was proving very popular. On winning Best Small Stand she said: “I think it’s because it’s informative, colourful without being crowded and there’s a competition. It’s also about the interaction with customers and because it is my business I care so much, it’s great to meet people face to face here at Congress. “Vet practices realise that diversifying is important, so why not give a wall of the waiting room to retail space. I think there is demand for it, especially those receptive to the natural ethos.” Braemar Finance The light at the end of the tunnel – that’s what the Braemer Finance logo represents and the company embodies that too, as financial specialists in the medical world who often support vets where banks would not dare to go. Area manager Steve Forsyth said: “From a vet’s point of view that is music to their ears, because often banks won’t support the kind of equipment and refurbishment purchases that we will. “It’s a high profile show and it’s great to have a presence here, it’s been good from a networking point of view and to catch up with some of our clients.” Elanco Elanco chose to re-launch the brand following its recent acquisition of Novartis. The first public event for the expanded company was an ideal opportunity to find out exactly what vet profession thinks, so the team made sure to ask lots of questions. Sales manager Kathryn Mecklenburgh said: “Elanco has
Spotlight – BSAVA been around in the vet industry but was very small. We are a lot bigger now and we wanted to re-launch the company with a mantra of added value and finding out what is important to vets, which is why we’ve been asking questions and capturing vets’ opinions on our interactive stand – the response has been really good.” Celtic SMR Ltd Celtic’s class 4 therapeutic laser has had “exceptional interest” with half of all stand visits focusing on that one product. Account manager John Rushby said: “It’s had exceptional interest and now we have brought it to the UK it will form the foundation of our business moving forward. He added: “Meeting vets face to face at Congress is so important.” AniLog AniLog says its cloud-based practice management software has generated good conversations with vets, but the biggest innovation of recent times is a new app which integrates with the existing tools. Ben Ashcroft said: “Vets have
been interested in the full range of software solutions we provide and our cloud-based practice management software is unique.” Orthomed Orthomed always brings a new product and this year decided to launch its catalogue to showcase the entire range available. It also ran a series of free practical workshops with attendees performing a procedure on sawbones. Simon Porter said: “It’s a good PR exercise, we have seen some of our existing customers and every time we come we have always got something new. We are known for a few core products and for our innovation, but customers might not be aware of other things we do so this is a good place to get feedback too.” MDC
Making a debut was MDC’s Smart Oxygen, a simple, instant and economical way to provide oxygen or nebulising therapy in a sealed unit. No frame assembly is required and full visibility allows vet professionals to administer oxygen
single-handed. Miranda Luck said: “MDC has been going about 50 years and started out with the founder developing a range of animal welfare products. That ethos has continued and this is the first time Smart Oxygen has been seen at the BSAVA. “It’s a simple idea and it’s proving popular with vets Vetplus At the exclusive cinemathemed stand, VetPlus launched Vetigel, a unique solution that effectively controls haemostasis within seconds. Creator Joe Landolina, who flew over from New York to be at BSAVA, said: “I wanted to develop a product that can be used quickly and easily by vets and vet nurses as well as a solution that is made from totally natural ingredients. I’m pleased to say that I’ve achieved that with Vetigel.” Avacta Animal Healthcare Avacta Animal Healthcare launched Pet Allergy Week (PAW) at BSAVA to promote the awareness of allergies in small animals.
Helen MacDonald, territory manager at Activa said: “Our PAW packs have been extremely well received. Vets who sign up receive free materials to create an informative waiting room display on allergies in pets ready for PAW week in June and they’ve been really popular.” Avacta Animal Healthcare was also exhibiting the responsive and innovative diagnostic tests that the company develops and delivers to market.
51
Norbrook Chris Geddes and Jennifer Hamilton enjoyed a cupcake with Norbrook, which launched the new dog and cat Fiproclear spray and Clearspot for rabbits and ferrets. Chris Geddes said: “BSAVA Congress is always extremely busy for us. This year we are running two competitions from our stand which are proving to be very popular. We expect to do a good deal of business again this year and our show-offers always get snapped up.”
For further information t +44 (0)1962 844316, www.vetark.co.uk
n
for Tortoises following hibernation and Zolcal-D as a highly effective calcium supplement for a wide range of species. Many copies of Vetark’s Exotics Manual were given to vets, vet nurses and students to aid in the treatment of exotics with Vetark products. Our products are available through all veterinary wholesalers.
VOLUME 3 ISSUE 4
V
etark Professional is pleased to report a highly successful time at BSAVA Congress 2015. The probiotic range was well received with many veterinarians keen to discuss the benefits of these products in practice. Pro C Professional proved to be a popular product and the company were delighted to hear many reports of its value as part of a complete care package by those who visited stand 1003 over the course of the show. Other products that received high praise include the use of Reptoboost
VSM
Vetark Probiotics well received at BSAVA Congress 2015
Farm/Large Animal 52
Early Preparation Is Key for a Successful Tupping Season -Help Your Clients Get Ready With Advice On the Role of Nutrition – By Bimeda Technical Vet, Padraig Hyland
A
s vets we are keen to get our farmers more interested in flock health both to increase the welfare and profitability of farmers and indeed the profitability of our own businesses. Veterinary flock health plans are an excellent tool for the farmer to prevent disease and maximise production. Many sheep vets are currently including parasite control, infectious disease control, lameness, fertility and nutrition as part of our client’s flock health plans. The area of nutrition trace elements offers vets the chance to make a positive impact on the bottom line of farmers, by a) diagnosing existing problems and b) giving the most cost efficient treatment advice. The area of trace element nutrition diagnosis and supply in the area can also increase the relevance of us - the vets - to the client. The key parts of the calendar, when good trace element provision is most important are ; a) the early pregnancy, including the critical flushing period and early breeding season , b) the late pregnancy and early postpartum period and c) when lambs are weaned.
VOLUME 3 ISSUE 4
n
VSM
a) Early Pregnancy Trace element issues can have a direct impact on an animal’s ability to cycle properly, to conceive and to maintain the pregnancy, so ensuring that ewes have an appropriate trace element supply can mean the difference between a successful and an unsuccessful breeding season with low lamb percentages and empty ewes. b) The Late Pregnancy and Early Post-Partum Period Trace element status in late pregnancy is critical to ensure the dam’s immune system in not compromised and also to ensure the neonatal lamb is strong, agile and with a good suck reflex as well as preventing direct deficiency disease like swayback and white muscle disease. c) When Lambs Are Weaned The lamb at grass in the UK is often
deficient in Cobalt and high in molybdenum and particularly post weaning the lamb flock can suffer from Cobalt deficiency pine, thiomolybdate induced lack of growth. This results in reduced food conversion efficiency and reduced average daily weight gain. This stops lambs reaching their profit potential and can make them more prone to internal and external parasites. The typical trace element deficiencies and toxicities we see in our sheep are copper deficiency and thiomolybdate toxicity, cobalt deficiency, selenium deficiency, and to a lesser extent zinc and iodine deficiencies. Diagnosis The diagnosis of these critical issues in the critical times relies on lab based work, physical examinations of the sheep and their performance, and a good husbandry including weighing of lambs, and performance monitoring. Blood sampling of sheep is useful but we must always be recognisant of the fact that bloodwork often does not tell the full story. Blood coppers do not give a good indicator of overall copper levels. Liver biopsy is a better gauge of true copper levels, but this still does not take into account the inhibitory and toxic effects thiomolybdate can have to copper containing-containing enzymes. This effect of thiomolybdate means that animals can have copper deficiency like symptoms even the presence
of normal copper levels. (In this situation a supply of rumen-available copper is necessary to prevent future thiomolybdate absorption) Likewise, glutathione peroxidase levels can be slow to increase following selenium supplementation, so the full story has to be considered before making important nutritional decisions. Iodine status is also difficult to ascertain with Plasma Inorganic Iodine (PII), which is the best current measurement we have at our disposal. What is also important is to diagnose the risk of these trace element problems in the future by taking into account the trace element intake in the diet as well as the intake of antagonistic substances such as molybdenum, excess sulphur, excess iron, aluminium and brassicas for example. By predicting the issues on farm, especially at key times of the year we can advise the farmer to have the appropriate supplements in place so disease and loss of production is minimised. This is preventative veterinary medicine at its best and should be a key part of flock health planning with your clients. Analytical analysis of the trace element status of forage and of borehole water as well as an ingredients list of the concentrates can be very useful in predicting the level of supplementation required in the future. Treatment: Copper and Thiomolybdate: In animals that are suffering
from thiomolybdate toxicity, what is needed is a source of rumen-available copper. This rumen-available copper binds to copper hungry thiomolybdate (sulphur and molybdenum) complexes and prevents their absorption. In the absence of adequate rumen available copper the thiomolybdate is absorbed from the rumen, and binds to copper-containing enzymes (such as monoamine oxidase, cytochrome oxidase, tyrosinase, lysyl oxidase, cytochrome C and superoxide Dismutase). This inhibits their function giving rise to the classical copper deficiency type symptoms and diseases. Vets and advisors must be particularly vigilant when advising on copper supplementation as some breeds of sheep such as texels and Leicesters are excellent at absorbing copper from their diets and are particularly prone to toxicity. Housed sheep are also much more at risk from copper toxicity than grazing sheep so this has to be factored into our advice. Cobalt The critical factor for cobalt which is needed in the rumen is the body’s complete inability to store it and the deficiency in much of our sheep grazing. Therefore a continuous supplementary supply is what is required by the rumen in order for B12 production. Monthly doing is inadequate for severely deficient pastures and ideally daily rumen available supplementation is required.
Premium
UK
Veterinary Suture • Full range of Premium brand suture made to SECUROS specifications
• SECUROTRAC™ design delivers low suture memory • Cost effective • 100% Satisfaction guaranteed or your money back
Fax your order to Centaur Services 01963 351161
“for all your suture needs”
WHOLESALE DISCOUNT New Competitive applies to your Pricing SECUROS suture purchases Careline: 02963 351161 Centaur House, Torbay Road, Castle Cary, Somerset, BA7 7EU www.centaurservices.co.uk
T
Farm/Large Animal 54
Selenium Supply White Muscle Disease is one of the most common manifestations of this deficiency is seen in young lambs. Prevention is best achieved by selenium supplementation of the ewes during late pregnancy. Supplementation of growing lambs can be achieved by drenching, or more conveniently, by once off bolusing. Cosecure Offering: Throughout the UK, vets and nutritionist advisors are recommending the Bimeda CoseIcure, Cosecure and Zincosel range of soluble glass boluses. These boluses have been shown in independent trials to significantly improve fertility in ruminants. Cosecure delivers copper, cobalt & selenium. CoseIcure delivers all of these elements, with additional iodine. Zincosel boluses deliver zinc, selenium and cobalt. Bimeda, which offers the Cosecure range of soluble glass boluses, can assist with diagnostics, by organising forage and blood analysis through practices, as well as by providing accredited training to staff. The boluses use a unique soluble glass technology, which delivers exactly the same amount of trace elements every single day for up to 6 months (CoseIcure & Zincosel Sheep) and 8 months (Cosecure sheep).The smaller lamb focused Zincosel lamb and Cosecure equivalents are designed to deliver the required trace elements to growing animals and the Cosecure lamb has a convenient shorter timespan for fattening lambs over a shorter lifespan. No peaks or troughs Unlike some boluses, there
are no ‘peaks’ and ‘troughs’ of supplementation with Bimeda boluses. Supply of the trace elements is consistent and continuous. This is important as a continuous supply of copper, to prevent thiomolybdate absorption, and cobalt as no storage deposits exist in the body is important. Cosecure and CoseIcure boluses contain a unique ionic copper which is active at the same pH as the rumen, and therefore readily-available in the rumen. Rumen-available copper is vital to prevent thiomolybdate which impairs fertility. All other boluses contain copper oxide, which is only available in the abomasum and is not rumen-available. Placental transfer Of trace elements An additional benefit of these boluses is that they contribute to the healthy development of the unborn lamb; through the placental transfer of trace elements. For all farmers looking to give their lambs the best start to life, the bolus range is a quality and predictable way to do so. Planning for Weaning. A steady daily supply of cobalt will ensure that lambs do not take a step back this year. Ensure this and other trace element deficiencies are not an issue by giving Bimeda lamb Zincosel or Cosecure boluses as appropriate at least two weeks before weaning. Tupping Planning It is vital that farmers ensure that their sheep are in the best possible health and that they are not suffering from any trace element deficiencies or toxicities in the run up to tupping. Trace element issues can have a direct impact on an animal’s
ability to cycle properly, to conceive and to maintain the pregnancy, so ensuring that ewes have a healthy trace element status could mean the difference between a successful and an unsuccessful breeding season. It is common practice for farmers to give their ewes nutritional boluses around two months before tupping to ensure they are in the optimum condition to conceive. While this, in theory, is a sound approach, historically there has been little science applied to this method of getting sheep ready for the breeding season; with farmers often choosing a cheap copper oxide bolus and carrying out no diagnostic work to understand the trace element toxicities and deficiencies in their flock. We must engage farmers and take the evidence based approach. In areas of proven high molybdenum and or selenium, cobalt, zinc or iodine deficiency the Bimeda soluble glass bolus 2 months pretupping is often the best way to ensure that the ewe and ram are trace element satisfied and ready to have a productive breeding season Late Pregnancy Importance to the New-born The presence of a sustained supply of trace elements through the placenta to the lamb is critical to prevent white muscle disease and swayback in susceptible flocks. In animals that have received Cosecure boluses pretupping, the supply should still be adequate to prevent these diseases in young lambs. In other sheep, the required bimeda soluble glass bolus, where required should be done 6 weeks before lambing to allow the late developing foetus to benefit from the correct trace element supply. The bimeda boluses will contribute to the healthy
development of the unborn lamb, through the placental transfer of trace elements. Zinc Supplementation For animals which have zinc deficiencies, or are susceptible to copper-toxicity, the Bimeda Zincosel boluses, which deliver zinc, cobalt and selenium, are frequently recommended. They are used as an aid to fertility, as well as to improve hoof health and boost immunity in zinc, cobalt and selenium deficient flocks. Like the Cosecure/ CoseIcure copper boluses, Zincosel boluses will also contribute to the healthy development of the unborn lamb, through the placental transfer of trace elements. Want To Learn More? Free Training Is Available The area of nutritional supplementation training has been overlooked by the veterinary pharmaceuticals and animal health industry for years and this is something that Bimeda is looking to address in 2015 and beyond. If you are working in the animal health profession and would like more training in the area of trace element nutrition, contact Bimeda to enquire about their free of charge, accredited training sessions on the topic of trace element deficiencies and toxicities in cattle and sheep. Bimeda offers a variety of training sessions, from larger, formal events to smaller ‘lunch and learn’ sessions, which are adapted for different audiences, such as Vets and farmers. For further information t 01248 725 400 e phyland@bimeda.com w www.bimeda.com
2nd Tylosin Injection with Dairy Cattle Claim Licensed in UK by Bimeda B
VOLUME 3 ISSUE 4
n
VSM
pigs.
imeda has announced the launch of their new Tylosin base antibiotic for cattle and
Head of Technical Veterinary Services for Bimeda, Padraig Hyland, commented, ‘‘It is with great pleasure that I announce the launch of our much anticipated Bilovet 200 mg/ml solution for injection for cattle and pigs as the latest addition to Bimeda’s range of essential antibiotics. Bilovet contains Tylosin 200 mg/ml and is the second Tylosinbased injectable antibiotic to be licensed for cattle - including dairy cattle - in the UK. Bilovet is licensed in cattle for the treatment of respiratory infections, metritis, mastitis, interdigital necrobacillosis
and calf diphtheria as well as a range of pig infections, including enzootic pneumonia, haemorrhagic enteritis, erysipelas, arthritis and metritis”. Bimeda’s Head of Bimeda R+D, Xavier Molins commented on the issuing of the new marketing authorisation; “Bilovet is a completely new development for a product that includes a new species (cattle). Bimeda have made a significant investment in bringing Bilovet to market, including conducting new Environmental Risk Assessment studies according to current
guidelines and regulations.’’ Bimeda UK’s Head of Sales James Hutchings added, “The product has already attracted much positive attention from our loyal vet customers and we look forward to more launches in the near future within our focused areas of
parasite control, nutrition and dairy production.” For further information t 01248 725 400 e phyland@bimeda.com w www.bimeda.com
Farm/Large Animal
Parasitic Gastroenteritis
55
Rachel Mallet Rachel Mallet, BVM&S MRCVS, is a qualified Veterinary Surgeon, who now works as a Territory Manager for Bimeda, covering accounts in Scotland and the North of England. Rachel is passionate about animal health and about promoting best practice amongst farmers and animal owners.
Life cycle The larvae hatch from eggs on the pasture. This can happen in as little as a week when the temperature reaches 15-23oC and in cooler periods (of around 10oC) can take up to three weeks. Development of the larvae is also dependent on precipitation levels. These infective larvae (L3) will then be ingested by the animal where they bury in to the glands of the abomasum and undergo a period of development lasting around 17-21 days. Once fully developed the mature worms will erupt from the glands and reside in the abomasum where they will mate to produce eggs which are excreted in the faeces to contaminate the pasture. Clinical Disease Type 1 This occurs when Ostertagia ostertagi infective larvae (L3) are ingested by calves in their first or second year at grass. The parasites then take refuge in the gastric glands
Type 2 Type 2 occurs when the Ostertagia (L3) ingested in late autumn do not emerge immediately and instead remain in the gastric glands in a hypobiotic state. These larvae are stimulated to emerge in the late winter/early spring (Feb-May) and if the infestation is heavy then they will cause great damage as they do so. This causes an acute gastritis and in severe cases sudden death. Routine treatment at housing and or when housed will prevent this which is preferable as response to treatment is generally very poor. Diagnosis The clinical presentation of young stock on their first or second season at pasture with sudden onset profuse diarrhoea in late summer/ early autumn should prompt you to consider PGE as a differential. Previous grazing history is also useful for predicting the likelihood that PGE may be to blame. Fields
which hold young stock every year and those which have had cattle on within the last 6 months are at greater risk. A positive response to dosing with an appropriate anthelmintic is a good indicator that PGE may be to blame. Faecal samples must be collected. Generally pooled faecal samples are considered acceptable to determine if PGE is significant. If the count is greater than 1000 EPG then this is a positive diagnosis of PGE requiring treatment. It is worth bearing in mind that animals with type 2 ostertagiosis may have a FWEC of zero EPG. A very useful diagnostic tool is the measurement of blood pepsinogen. If disease is present this parameter will be increased due to the damage inflicted on the abomasal mucosa. Post mortem examination will reveal a foetid smelling abomasum. Adult worms lining the mucosal surface of the abomasum are visible to the naked eye. The diseased glands appear as raised hyperplastic nodules of approximately 2-3mm in diameter. Treatment Prompt anthelmintic treatment. When treating cattle prior to housing it is important to check that the active ingredient will be able to effectively treat hypobiotic larvae. In order to play our part in reducing anthelmintic resistance we must strategically use anthelmintics at key times based on the risk factors and ensure we administer an adequate dose for the weight of the cow. This will help to reduce the parasite burden on the pasture and protect future stock grazing that land.
VSM
Ostertagiosis
of the abomasum in order to undergo their period of development. If many worms emerge simultaneously then it can cause severe physical damage to the lining of the abomasum resulting in chronic gastritis. Disease is observed in late summer/early autumn and is accountable to the ‘mid-summer rise’ when temperatures increase and many larvae quickly develop. Affected calves will present with a decreased/ total loss of appetite accompanied by a sudden onset profuse, green diarrhoea. Generally many animals within the group are affected. These calves will suffer a severe loss of body condition (20-60kg) which will greatly increase the time taken to finish (up to three months extra). One paper suggests losses of up to £100 per head.
n
What is Parasitic Gastroenteritis? PGE occurs when parasitic infestations in the abomasum and intestines result in inflammation of the gastrointestinal mucosa. In the UK Ostertagia ostertagi is of biggest concern with Cooperia contributing to disease. In the case of Ostertagiosis, there are two manifestations (type I and type II) which result in clinical disease. The parasite causes inflammation and damage to the mucosal surface of the abomasum which impairs its functional ability. Owing to this it is characterised by diarrhoea, poor productivity and hypoalbuminaemia.
VOLUME 3 ISSUE 4
A
s spring calving comes to an end, it is time to focus on the challenges that the grazing season can present. Parasitic Gastroenteritis (PGE) is something we are all familiar with whether it is because we are incorporating prophylactic strategies into our herd health plans or because we are dealing with the aftermath when acute disease strikes. The impact of PGE on welfare and productivity is severe which is why it is vital to prevent this disease. Affected cattle will have impaired food conversion rates, exacerbated by a reduced appetite, and will require a significant investment in treatment, prophylaxis and investigation costs. All cattle will be challenged by infective larvae. Healthy adult cattle will have a rapid, effective immune response which will minimise the number of adult worms in the abomasum, and in turn reduce faecal shedding. The real difficulty is prevention in the young stock. Young naïve animals can quickly become overwhelmed with worms and shed eggs exponentially resulting in severe pasture contamination. As dairy calves are weaned early they will be ingesting significant amounts of grass at the time of mass emergence of L3; thus exposing them to a greater parasite burden. Due to this the biggest risk period is during their first season at pasture. Beef calves, whether born in spring of autumn, will remain with the dam and as a result will be consuming little to no forage prior to housing. This results in a reduced exposed to L3 in their first season at pasture. The real challenge will come when they are put to pasture the following year.
Farm/Large Animal 56
Effective anthelmintic treatment at housing will help to reduce disease later in winter. Cattle with sudden onset, severe diarrhoea may require symptomatic treatment to aid their recovery. Control/Prevention Use clean pasture where possible however on most farms this is difficult/ impossible. One solution is to dose and move animals to crop aftermath mid-summer to prevent exposure to well grazed land just before the rise in larval numbers. In animals which you know/ suspect have been exposed to a high challenge in late autumn treat using an anthelmintic which will be effective again hypobiotic larvae when housing (e.g. Ivermectin). We must rely on acquired immunity however this is slow to develop (generally a whole season at pasture, sometimes two.). In housed animals immunity may fade but will be rapidly re-established when turned out. Due to this acquired immunity adult cattle only deposit a small number of eggs on to the pasture so we must focus on the young stock when trying to tackle ostertagiosis.
Responsible use of Anthelmintics To avoid resistance: - Use anthelmintics in accordance with VMD and manufacturer guidelines. Weigh stock where possible to avoid under dosing and regularly check equipment is calibrated to deliver the correct volume of anthelmintic. - Resistance of Cooperia to anthelmintics has been detected globally including the UK. Thankfully this has not yet contributed to significant economic losses (in contrast to anthelmintic resistance in sheep) but this is an early warning to manage and use anthelmintics responsibly. - There are many risk factors which can select for anthelmintic resistance. The biggest of those is treating too frequently and under-dosing. The best practice is achieved when we appreciate that the best way to limiting selection pressure comes when we focus on treating groups or individual animals at appropriate times and realising that frequent treatments are not best practice.
My job allows me to spend time on farm discussing parasite control practice with farmers and as I travel round the country I’m impressed that more and more farmers have weighing facilities and use them when dosing. As this becomes less of an issue an area for improvement, which is often neglected, is calibration of dosing guns. Ask your farmers to intermittently check that the guns deliver the correct volume of product when dosing. Control of Worms Sustainably (COWSwww.cattleparasites.org. uk) is an initiative which aims to give the best advice to Vets, SQPs and farmers on how to deal with parasites in cattle while minimising the selection for resistance. Their guidelines are synonymous with best practice and are an excellent source of advice.
Ivermectin pour-on) - Bimectin Plus (10mg/ml Ivermectin and 100mg/ml Clorsulon injection) Ivermectin is a cost effective treatment for gastrointestinal roundworms. At the therapeutic dose Ivermectin will successfully treat the inhibited stage of Ostertagia making it an excellent choice. Bimeda provide Ivermectin in an injectable and pour-on form and also in combination with clorsulon (Bimectin plus) which can be used to treat liver fluke. - Endospec 10% (100mg/ml Albendazole drench) Our 10% albendazole oral drench makes dosing cattle for gastrointestinal roundworms straight forward. The addition of selenium and cobalt will help to combat trace element deficiencies.
How can Bimeda help? As leaders in parasite control Bimeda haS a range of anthelmintics which can be used to successfully treat Ostertagia and Cooperia. - Bimectin injection (1% Ivermectin injection) - Bimectin Pour-on (5mg/ml
Ceva appoints new Swine and Poultry Product Manager
VOLUME 3 ISSUE 4
n
VSM
F
iona Wright has been appointed Poultry and Swine Product Manager for Ceva Animal Health, to support the company’s rapidly growing Large Animal Business in the UK. Previously Swine Product Manager at Ceva, Fiona will be directly supporting the recently appointed Poultry and Swine Business Unit Manager, Nicholas Cousseau, in her new role. Fiona Wright holds a degree in business studies and previously ran an agricultural contracting and engineering business before moving back into marketing. She joined Ceva’s large animal business in 2013, initially working on the antiinfective and rehydration product ranges. Earlier this year Fiona spearheaded the launch of the swine reproduction product Fertipig® in the UK and Ireland, for which she was awarded the accolade of Ceva employee of the month. Having lived on a livestock farm for many years Fiona is
passionate about the UK’s farming industry. “Understanding livestock and living in the farming community really does help me in my role,” said Fiona. “I really enjoy my job, especially being part of such a supportive team. I have lots of exciting projects to get my teeth into this year, not least Ceva’s charity sponsorship of RABI in 2015 and our corporate sponsorship of Ladies in Pigs.” Ceva has recently launched Fertipig® to its swine reproduction range. Fertipig® is a more flexible way to induce and synchronise oestrus in sows and can be used for up to 28 days after reconstitution, for optimum usage and minimal waste. For further information t. +44(0)14947 81510 e. customerservicesuk@ceva.com w www.ceva.co.uk
For further information t +44 (0)7885 803277 e rmallet@bimeda.com w www.bimeda.com
Ionic Copper
Selenium
Ionic Cobalt
Iodine
D D D D D
Kills Fleas & Ticks Easy to use Spot-On Water Resistant Available in 5 strengths Contains Fipronil
D D D D D D
Broad Spectrum Wormer Tapeworms Roundworms Hookworms Whipworms Flavoured Tablets
PrazitelTM Plus for Dogs each tablet contains 50 mg Praziquantel, 50 mg Pyrantel Embonate (equivalent to 144 mg pyrantel) and 150 mg Febantel. PrazitelTM Plus XL for Dogs each tablet contains 174 mg Praziquantel, 504 mg Pyrantel Embonate (equivalent to 175 mg pyrantel) and 525 mg Febantel. PrazitelTM Cat each tablet contains 20mg Praziquantel, 230 mg Pyrantel Embonate. Fipnil Spot-on Solution Cat 50 mg contains Fipronil 50mg. Fipnil Spot-on Solution Dog 67mg contains Fipronil 67 mg. Fipnil Spot-on Solution Dog 134 mg contains Fipronil 134 mg. Fipnil Spot-on Solution Dog 268 mg contains Fipronil 268 mg. Fipnil Spot-on Solution Dog 402 mg contains Fipronil 402 mg. For more detailed information, warnings and dosage information, we strongly recommend that you read the data sheet enclosed with the product.
NFA-VPS MA Holder: Chanelle UK, 1st Floor, Freemans House, 127 High Street, Hungerford, Bershire, RG17 0DL. Tel: 01488 681032
Use Medicines Responsibly. (www.noah.co.uk/responsible).
www.chanellegroup.com