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Feline Infectious Disease
         Control




  Maggie Roberts BVM&S MRCVS
  Director of Veterinary Services

              Reg Charity 203644 (England and Wales) and SCO37711 (Scotland)
Cats Protection
What Do We Do?
  •UK only charity

Education
  •Public
  •Veterinary Profession
  •Others in animal welfare

Neutering
  •Early Neutering
  •Financial assistance
  •Ferals

Rehoming
  •Reuniting owned animals
  •Accepting strays and handed in cats
  •Rehabilitate and rehome
Today's Talk - Overview
Why are infectious
 diseases a problem?

A few specific cases
        Cat ‘flu
        Feline Parvovirus
        Ringworm
        FeLV
        FIV

How we contain disease
What makes cats different?

Cats were originally solitary hunters.
Not evolved to live in close proximity with other
 cats.
Cats can be carriers of disease without showing
symptoms
Why do cats in shelters get sick?

Immune System!!!
Stress
Host susceptibility
Transient population
Different bugs from
 different places
Shelter environment
 factors
Population density
Direct (from cat to cat)
Disease        Saliva e.g. FeLV
transmission   Sneezing e.g. cat ‘flu
               Fighting e.g. FIV
               Rubbing e.g. Ringworm

               Indirect (from people or
               objects)
               Pens e.g. Ringworm
               Litter trays e.g. Coronavirus
               Food bowls e.g. FeLV
               People’s hands,
                 shoes etc e.g.
                 Parvovirus
Cat ‘flu
What is it?




Feline herpesvirus (FHV)
Feline calicivirus (FCV)
Chlamydophila felis
Bordetella bronchiseptica
Cat ‘flu
Clinical Signs
   Sneezing
   Runny nose and eyes
   Conjunctivitis
   Ulcers
   High temperature
   Quiet and subdued
   Loss of appetite
   Dribbling
   A cough or loss of voice
   Gingivo-stomatitis
   Lameness
Feline herpesvirus

Feline rhinotracheitis virus
Who’s got herpes?
Cats will be lifelong ‘carriers’
  Virus shedding
  Shedding may last up to 14 days
  Virus survives in environment for only
   18hrs
  Spread by direct and indirect
    contact
Infectious Diseases – Cat ‘flu




       Feline herpesvirus
Feline herpesvirus
Feline calicivirus

Constantly mutates – clever!
Virus survives in the environment for up to 10d
Spread by direct and indirect contact
Cats can become ‘carriers’
  50% still shedding 75 days after infection
  Most cats stop shedding 1 year after infection
  Some will be lifelong carriers - without symptoms!


20-30% of cat population estimated to
 be shedding
Infectious Diseases – Cat ‘flu




        Feline calicivirus
Feline calicivirus
                    (VSD)
New strain known as ‘Virulent Systemic Disease’
  Swelling of head and paws
  Flu signs
  Jaundice
  Bleeding from nose and bowel
  Death

All ages can get it
Even vaccinated cats
VSD
Chlamydophilosis

A bacteria
Likes to piggy back on viruses
Got to treat it right or it sticks around
Easy to kill in environment
Spread by direct contact only
Infectious Diseases – Cat ‘flu




      Feline chlamydophilosis
Cat ‘flu
     What do you do??

        VACCINATE

Isolate and barrier nurse
Good nursing care
Can’t kill the virus
Antibiotics for secondary
infections
Pain relief
Decongestants
Reduce stress
Specific testing may not be
necessary?
Infectious diarrhoea
Causes
Viral agents       Worms
Parvovirus         Roundworms
Coronavirus        Tapeworms

Bacterial agents   Protozoan agents
Campylobacter      Giardia
Salmonella         Coccidia
E Coli             Tritrichomonas
                      foetus
Feline Parvovirus
Also known as:
parvo
enteritis
panleucopenia

What is it?
Virus
Bad news
Spread between cats by
direct or indirect contact
with contaminated faeces
Survives in the
environment a long time
Feline Parvovirus

Clinical Signs
Sudden death with no
signs
Lack of appetite
High temperature
Weight loss
Severe vomiting
Severe diarrhoea with
      blood and mucus
Dehydration
Feline Parvovirus
Greatest disease threat to any rescue
    facility
Very high death rate, particularly in
    unvaccinated kittens
Feline Parvovirus

Diagnosis

Kitten post mortem
Blood test
Faecal sample
Feline Parvovirus
What do you do?

VACCINATE
 Isolate and barrier nurse
 Good nursing care
 Can’t kill a virus
 Fluids (oral or I/V)
 Antibiotics for secondary infections
 Vaccinate in face of outbreak
 Use the right disinfectants
Infectious Diseases - Ringworm
Ringworm
What is it?
A fungus known as a dermatophyte
It’s not gonna kill anyone, so why is it a
 big problem?
Ringworm

Clinical Signs

Hair loss
Crusting and scaling
Itching
Can mimic other skin diseases
Can look like anything – or nothing
Infectious Diseases - Ringworm
Ringworm

REMEMBER RINGWORM IS A
   ZOONOTIC DISEASE
Ringworm

Diagnosis
Woods lamp
Hair culture
Ringworm
What do you do?
Isolate and barrier nurse: spores
Oral medication
  Itraconazole (Itrafungol; Janssen) for 5 week course
Topical treatments
  Miconazole shampoo (Malaseb; VetXX),
   Enilconazole (Imaverol; Janssen), Lime sulphur
If long haired may need clipping
Use the right disinfectants
Ringworm
CP says:
      3 CLEAR CULTURES BEFORE HOMING

Things to Remember:
Ringworm spores can survive up to 2 years
Appropriate disinfectants are: Bleach or Virkon
  (Peroxygen compound)
Steam cleaning
FeLV
What is it?
Feline Leukaemia Virus
A retrovirus
‘Friendly’ disease spread
If mum has it – all kittens will too
Only survives for a few hours in the environment
Cats may be infected but be
 asymptomatic for some time
FeLV

Clinical Signs
Recurrent secondary
 infections
High temperature
Lethargy
Cancerous tumours
Anaemia                  Photo courtesy of Fort Dodge Animal Health

Usually young-middle
 aged cats
FeLV

What do you do?
In house test e.g. Idexx snap test
Confirm positive results
FeLV
What do you do?
Isolate suspected cases and barrier nurse
Test all in contact cats
85% of infected cats die within 3 years of
 infection
CP euthanase confirmed FeLV positive
 cats
FIV
  What is it?
  Feline Immunodeficiency
  virus
  A retrovirus
  ‘Fighting’ disease spread
  by biting and fighting
  If mum has it 1/3 of
  kittens will become infected
  Only survives for a few
  hours in the environment
  Often middle-
    aged cats
FIV
Clinical Signs
Everything!!
Recurrent secondary infections
Weight loss
High temperature
Lethargy
Gingivitis
Diarrhoea
Neurological disease
Skin disease
FIV

What do you do?
Test all in contact
cats
Separate
CP Policy
Indoor home
Euthanasia for
positive ferals and sick
positive cats
FeLV/FIV
Ideal to test everyone
– cost issue

Which cats do CP test?
Sick cats
Unneutered adult toms
Pregnant queens
Nursing queens
Kittens of FIV positive queens
Orphan kittens
Feral cats
Stray cats
Cats going communal area
Any cat known to have been in contact
Any cat the vet is suspicious of
Any cat before it undergoes extensive treatment or
surgery
FeLV and FIV in the shelter

Virus does not survive long in the
 environment
Usually needs direct contact (grooming,
 fighting) to be transmitted
Housing singly and using good hygiene is
 sufficient
Containing disease
         Why know about the
         bugs??

         What’s a Fomite?


         We are the major source
         of infection transmission!!
Containing Disease
Personal Protective Equipment
 Apron
 Gloves
 Oversuit
 Sleeves
 Overshoes
 Hat or hood on oversuit
 Mask?
 Goggles?

Idea is all items should be disposable
Containing Disease
 Keep infected cat isolated
  from all other cats
 Wear and use Personal
  Protective Equipment
  (PPE)
 Use suitable disinfectant
  that is effective against the
  disease
 Clean and handle infected
  cat last
Containing disease
Have separate cleaning utensils for
 isolated cat
Use disposable litter trays and food bowls
 or return trays and bowls to same cat
Containing
   Disease


 Use disposable bedding or soak in
  disinfectant before washing on hot cycle
 Wash contaminated bedding last and
  separate from other bedding
 Use footbaths containing disinfectant
Containing disease
        Deep clean area for
         5 continuous days
         after housing
         infected cat
        Steam clean first if
         possible
        Stop the movement
         of cats in or out
Disease prevention


Avoid over-crowding
Keep cats singly or only with cats from the
 same source
Use full height sneeze barriers
Quarantine new arrivals and isolate sick
 cats
Disease prevention
Reduce stress as much as possible
Health check by a vet
Screen for disease where possible
Good preventative medicine
Vaccination
  Core - essential in all
rescue facilities as a
minimum
  FHV
  FCV
  FPV
  Rabies in endemic
    area
Vaccination

Non-core – depends
on risk, funds
available
FeLV
Chlamydophila
felis
Bordetella
bronchiseptica
Thank You!

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Maggie Roberts March ITP presentation

  • 1. Feline Infectious Disease Control Maggie Roberts BVM&S MRCVS Director of Veterinary Services Reg Charity 203644 (England and Wales) and SCO37711 (Scotland)
  • 2. Cats Protection What Do We Do? •UK only charity Education •Public •Veterinary Profession •Others in animal welfare Neutering •Early Neutering •Financial assistance •Ferals Rehoming •Reuniting owned animals •Accepting strays and handed in cats •Rehabilitate and rehome
  • 3. Today's Talk - Overview Why are infectious diseases a problem? A few specific cases Cat ‘flu Feline Parvovirus Ringworm FeLV FIV How we contain disease
  • 4. What makes cats different? Cats were originally solitary hunters. Not evolved to live in close proximity with other cats. Cats can be carriers of disease without showing symptoms
  • 5. Why do cats in shelters get sick? Immune System!!! Stress Host susceptibility Transient population Different bugs from different places Shelter environment factors Population density
  • 6. Direct (from cat to cat) Disease Saliva e.g. FeLV transmission Sneezing e.g. cat ‘flu Fighting e.g. FIV Rubbing e.g. Ringworm Indirect (from people or objects) Pens e.g. Ringworm Litter trays e.g. Coronavirus Food bowls e.g. FeLV People’s hands, shoes etc e.g. Parvovirus
  • 7. Cat ‘flu What is it? Feline herpesvirus (FHV) Feline calicivirus (FCV) Chlamydophila felis Bordetella bronchiseptica
  • 8. Cat ‘flu Clinical Signs  Sneezing  Runny nose and eyes  Conjunctivitis  Ulcers  High temperature  Quiet and subdued  Loss of appetite  Dribbling  A cough or loss of voice  Gingivo-stomatitis  Lameness
  • 9. Feline herpesvirus Feline rhinotracheitis virus Who’s got herpes? Cats will be lifelong ‘carriers’ Virus shedding Shedding may last up to 14 days Virus survives in environment for only 18hrs Spread by direct and indirect contact
  • 10. Infectious Diseases – Cat ‘flu Feline herpesvirus
  • 12. Feline calicivirus Constantly mutates – clever! Virus survives in the environment for up to 10d Spread by direct and indirect contact Cats can become ‘carriers’ 50% still shedding 75 days after infection Most cats stop shedding 1 year after infection Some will be lifelong carriers - without symptoms! 20-30% of cat population estimated to be shedding
  • 13. Infectious Diseases – Cat ‘flu Feline calicivirus
  • 14. Feline calicivirus (VSD) New strain known as ‘Virulent Systemic Disease’ Swelling of head and paws Flu signs Jaundice Bleeding from nose and bowel Death All ages can get it Even vaccinated cats
  • 15. VSD
  • 16. Chlamydophilosis A bacteria Likes to piggy back on viruses Got to treat it right or it sticks around Easy to kill in environment Spread by direct contact only
  • 17. Infectious Diseases – Cat ‘flu Feline chlamydophilosis
  • 18. Cat ‘flu What do you do?? VACCINATE Isolate and barrier nurse Good nursing care Can’t kill the virus Antibiotics for secondary infections Pain relief Decongestants Reduce stress Specific testing may not be necessary?
  • 19. Infectious diarrhoea Causes Viral agents Worms Parvovirus Roundworms Coronavirus Tapeworms Bacterial agents Protozoan agents Campylobacter Giardia Salmonella Coccidia E Coli Tritrichomonas foetus
  • 20. Feline Parvovirus Also known as: parvo enteritis panleucopenia What is it? Virus Bad news Spread between cats by direct or indirect contact with contaminated faeces Survives in the environment a long time
  • 21. Feline Parvovirus Clinical Signs Sudden death with no signs Lack of appetite High temperature Weight loss Severe vomiting Severe diarrhoea with blood and mucus Dehydration
  • 22. Feline Parvovirus Greatest disease threat to any rescue facility Very high death rate, particularly in unvaccinated kittens
  • 23. Feline Parvovirus Diagnosis Kitten post mortem Blood test Faecal sample
  • 24. Feline Parvovirus What do you do? VACCINATE  Isolate and barrier nurse  Good nursing care  Can’t kill a virus  Fluids (oral or I/V)  Antibiotics for secondary infections  Vaccinate in face of outbreak  Use the right disinfectants
  • 26. Ringworm What is it? A fungus known as a dermatophyte It’s not gonna kill anyone, so why is it a big problem?
  • 27. Ringworm Clinical Signs Hair loss Crusting and scaling Itching Can mimic other skin diseases Can look like anything – or nothing
  • 29. Ringworm REMEMBER RINGWORM IS A ZOONOTIC DISEASE
  • 31.
  • 32. Ringworm What do you do? Isolate and barrier nurse: spores Oral medication Itraconazole (Itrafungol; Janssen) for 5 week course Topical treatments Miconazole shampoo (Malaseb; VetXX), Enilconazole (Imaverol; Janssen), Lime sulphur If long haired may need clipping Use the right disinfectants
  • 33. Ringworm CP says: 3 CLEAR CULTURES BEFORE HOMING Things to Remember: Ringworm spores can survive up to 2 years Appropriate disinfectants are: Bleach or Virkon (Peroxygen compound) Steam cleaning
  • 34. FeLV What is it? Feline Leukaemia Virus A retrovirus ‘Friendly’ disease spread If mum has it – all kittens will too Only survives for a few hours in the environment Cats may be infected but be asymptomatic for some time
  • 35. FeLV Clinical Signs Recurrent secondary infections High temperature Lethargy Cancerous tumours Anaemia Photo courtesy of Fort Dodge Animal Health Usually young-middle aged cats
  • 36. FeLV What do you do? In house test e.g. Idexx snap test Confirm positive results
  • 37. FeLV What do you do? Isolate suspected cases and barrier nurse Test all in contact cats 85% of infected cats die within 3 years of infection CP euthanase confirmed FeLV positive cats
  • 38. FIV What is it? Feline Immunodeficiency virus A retrovirus ‘Fighting’ disease spread by biting and fighting If mum has it 1/3 of kittens will become infected Only survives for a few hours in the environment Often middle- aged cats
  • 39. FIV Clinical Signs Everything!! Recurrent secondary infections Weight loss High temperature Lethargy Gingivitis Diarrhoea Neurological disease Skin disease
  • 40. FIV What do you do? Test all in contact cats Separate CP Policy Indoor home Euthanasia for positive ferals and sick positive cats
  • 41. FeLV/FIV Ideal to test everyone – cost issue Which cats do CP test? Sick cats Unneutered adult toms Pregnant queens Nursing queens Kittens of FIV positive queens Orphan kittens Feral cats Stray cats Cats going communal area Any cat known to have been in contact Any cat the vet is suspicious of Any cat before it undergoes extensive treatment or surgery
  • 42. FeLV and FIV in the shelter Virus does not survive long in the environment Usually needs direct contact (grooming, fighting) to be transmitted Housing singly and using good hygiene is sufficient
  • 43. Containing disease Why know about the bugs?? What’s a Fomite? We are the major source of infection transmission!!
  • 44. Containing Disease Personal Protective Equipment  Apron  Gloves  Oversuit  Sleeves  Overshoes  Hat or hood on oversuit  Mask?  Goggles? Idea is all items should be disposable
  • 45. Containing Disease  Keep infected cat isolated from all other cats  Wear and use Personal Protective Equipment (PPE)  Use suitable disinfectant that is effective against the disease  Clean and handle infected cat last
  • 46. Containing disease Have separate cleaning utensils for isolated cat Use disposable litter trays and food bowls or return trays and bowls to same cat
  • 47. Containing Disease  Use disposable bedding or soak in disinfectant before washing on hot cycle  Wash contaminated bedding last and separate from other bedding  Use footbaths containing disinfectant
  • 48. Containing disease Deep clean area for 5 continuous days after housing infected cat Steam clean first if possible Stop the movement of cats in or out
  • 49. Disease prevention Avoid over-crowding Keep cats singly or only with cats from the same source Use full height sneeze barriers Quarantine new arrivals and isolate sick cats
  • 50. Disease prevention Reduce stress as much as possible Health check by a vet Screen for disease where possible Good preventative medicine
  • 51. Vaccination Core - essential in all rescue facilities as a minimum FHV FCV FPV Rabies in endemic area
  • 52. Vaccination Non-core – depends on risk, funds available FeLV Chlamydophila felis Bordetella bronchiseptica

Notes de l'éditeur

  1. Non Governmental organisation,