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Kate F. Hurley, DVM, MPVM
Koret Shelter Medicine Program Director
Center for Companion Animal Health
University of California, Davis
www.sheltermedicine.com
www.facebook.com/sheltermedicine
 Emerging, re-emerging
                          and zoonotic diseases
Pets and ferals 




                               New pets


Public and private $$$
          


                               Euthanasia
• Help animals
  before they
  become homeless
• Help animals
  become re-homed
• Help animals while
  they’re homeless:
  practice shelter
  medicine
• Individual treatment
  • Inspires public support
  • Improves staff and
    volunteer commitment
  • Facilitates compliance
  • Feels great
…must balance individual animal needs with population health
• Infectious disease
  management
  • Increases number of
    animals that survive to
    adoption
  • Decreases suffering in
    the shelter
  • May improve public
    perception
• We had a litter of 7 puppies who seemed to have kennel cough…Two of the
  seven pups got pretty sick and depressed so our clinic sent out blood
  samples to the lab and it came back barely positive (1:50) for
  distemper. The pups were 9 weeks old at the test and had been given their
  first shots at 6 weeks of age, three weeks earlier. I took the other five
  puppies to my home 8 days ago. The test came back last Friday and we
  euthanized the two that were in the clinic, however, they were much better
  that day. Well, the 5 pups I have at home are now almost completely well
  from the "kennel cough" , are happy playful, eating well puppies. Is this just
  a phase of distemper? Should I just euthanize these 5 pups now and be
  done with it or wait it out since they seem to be healthy (about 90% better)?
  We also have three adult dogs in the main kennels being treated for kennel
  cough. Their test also came back as a low positive for distemper… Could
  these tests all be false positives or should we be better safe than sorry and
  euthanize all?
• “We just wanted to thank you so
  much for helping to save our
  lives. Because you cared so much
  to help the shelter we have been
  happy and healthy and are
  awaiting our forever homes. The
  horrible distemper never got
  US…but we and the staff are
  forever grateful for all your time
  and effort in helping us get a
  second chance at a happy life.”
…more than half the battle is already lost.
• Prevention
  • Vaccination
  • Sanitation
  • Parasite control
  • Stress reduction
  • Nutrition
  • Air quality
  • Facility design
  • Population density
• “Hey Doc, Before attending EXPO in Atlanta and attending your
  workshop many cats died. We were sick all the time. Sometimes
  dropping like flies. Since your workshop less than 10
  cats/kittens a year. We no longer move the cat out of the cage
  everyday to clean. We give them play things that can be
  disinfected well. We have a much better air exchange. Our
  hand disinfectant is at least 67% alcohol. We don’t overcrowd.
  We are much better about cross contamination. We are aware
  of the effects of stress and handling. Etc. etc. etc. All things I
  learned at your seminar. I will always be indebted to you.”
… a perfectly healthy population is still not the end goal.
• OUR PRODUCTS:
• Improved shelter conditions
   • Facility design
   • Animal comfort
   • Staff and public health
• Increased shelter adoptions
   • Improve animal health and public
     image
• Decreased shelter intake
   • Research and correct reasons for
     homeless and unwanted animals
• Humane communities
   • Conserve resources to support
     preventive programs
Education              Behavior

 Disease mgt.                                       Foster care

                        Decreased intake
Husbandry                Healthy animals
                      Committed employees           Facility design
                       Increased adoptions
                          Happy public
                         Shelter support
    Spay/neuter                               Population
                                              management
                        Legal issues
Healthy versus URI care days


            4500

            4000
            3500

            3000

            2500
Care days
            2000                                         URI
                                                         Healthy
            1500

            1000

            500

              0
                   May    August   November   February
                                   Month




    23-33% of care days per month
   10,169 cat care days/year = $$$?
Average decrease in monthly sick care days: 29%
1,132 fewer sick days summer after versus before
• Sent: Thursday, February
  25, 2010 7:50 AM
  To: Kate Hurley
• Subject: Feline Sickbay @
  SacSPCA
• Never in my wildest
  dreams would I have
  believed I'd see the day
  with ONE cat in feline
  sickbay!!! Today is that
  day!

                              And still a year later (3/8/2011)
• Board member/advisor
• As-needed service
    • Outpatient
    • Shelter visit
•   Surgery
•   Part time/full time staff
•   Multiple shelter contract
•   Leadership
• Consultation
  •   Outbreak control
  •   Shelter health
  •   Facility design
  •   Data analysis
• National outreach
  organizations
• Academic
  •   Internship
  •   Residency
  •   Masters/PhD
  •   Clinical instruction
  •   Academic/research
Shelter based
research can
provide
knowledge to
help both shelter
and pet animals
www.humanealliance.org      www.aspcapro.org




   www.acc-d.org/        www.animalsheltering.org
• Association of Shelter
  Veterinarians
   • www.sheltervet.org
   • $5 for students!
• Continuing education at major
  conferences, VIN
• Shelter medicine programs:
  residency, research, student
  teaching, shelter service
   • > half of U.S. vet schools
• Standardized recommendations
• 2 published textbooks
• Board specialty proposed
                                  Wiley-Blackwell
• ASV: Veterinary Medical
  Guidelines for Spay-Neuter
  Programs
• JAVMA July 1, 2008,
  Volume 233; No. 1, page
  74




                               Google: veterinary medical
                               guidelines for spay-neuter
• American Animal
  Hospital Association:
  shelter dog vaccine
  guidelines
• 2006 (update coming
  soon)
• Pages 19-26
                          Google: aaha canine vaccine guidelines
• American Association
  of Feline Practitioners
• JAVMA Nov 1, 2006
  Volume 229; No. 9;
  page 1430
• Update coming soon



                            Google: aafp feline vaccine guidelines
• Published by the ASV
• Recommended minimum
  and ideal standards of
  care
• For shelters, rescues,
  foster parents,
  sanctuaries



                           www.sheltervet.org
Kate F. Hurley's Presentation on Shelter Medicine Best Practices
Kate F. Hurley's Presentation on Shelter Medicine Best Practices

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Kate F. Hurley's Presentation on Shelter Medicine Best Practices

  • 1. Kate F. Hurley, DVM, MPVM Koret Shelter Medicine Program Director Center for Companion Animal Health University of California, Davis www.sheltermedicine.com www.facebook.com/sheltermedicine
  • 2.
  • 3.  Emerging, re-emerging and zoonotic diseases Pets and ferals   New pets Public and private $$$   Euthanasia
  • 4.
  • 5. • Help animals before they become homeless • Help animals become re-homed • Help animals while they’re homeless: practice shelter medicine
  • 6. • Individual treatment • Inspires public support • Improves staff and volunteer commitment • Facilitates compliance • Feels great
  • 7. …must balance individual animal needs with population health
  • 8. • Infectious disease management • Increases number of animals that survive to adoption • Decreases suffering in the shelter • May improve public perception
  • 9. • We had a litter of 7 puppies who seemed to have kennel cough…Two of the seven pups got pretty sick and depressed so our clinic sent out blood samples to the lab and it came back barely positive (1:50) for distemper. The pups were 9 weeks old at the test and had been given their first shots at 6 weeks of age, three weeks earlier. I took the other five puppies to my home 8 days ago. The test came back last Friday and we euthanized the two that were in the clinic, however, they were much better that day. Well, the 5 pups I have at home are now almost completely well from the "kennel cough" , are happy playful, eating well puppies. Is this just a phase of distemper? Should I just euthanize these 5 pups now and be done with it or wait it out since they seem to be healthy (about 90% better)? We also have three adult dogs in the main kennels being treated for kennel cough. Their test also came back as a low positive for distemper… Could these tests all be false positives or should we be better safe than sorry and euthanize all?
  • 10. • “We just wanted to thank you so much for helping to save our lives. Because you cared so much to help the shelter we have been happy and healthy and are awaiting our forever homes. The horrible distemper never got US…but we and the staff are forever grateful for all your time and effort in helping us get a second chance at a happy life.”
  • 11. …more than half the battle is already lost.
  • 12. • Prevention • Vaccination • Sanitation • Parasite control • Stress reduction • Nutrition • Air quality • Facility design • Population density
  • 13. • “Hey Doc, Before attending EXPO in Atlanta and attending your workshop many cats died. We were sick all the time. Sometimes dropping like flies. Since your workshop less than 10 cats/kittens a year. We no longer move the cat out of the cage everyday to clean. We give them play things that can be disinfected well. We have a much better air exchange. Our hand disinfectant is at least 67% alcohol. We don’t overcrowd. We are much better about cross contamination. We are aware of the effects of stress and handling. Etc. etc. etc. All things I learned at your seminar. I will always be indebted to you.”
  • 14. … a perfectly healthy population is still not the end goal.
  • 15. • OUR PRODUCTS: • Improved shelter conditions • Facility design • Animal comfort • Staff and public health • Increased shelter adoptions • Improve animal health and public image • Decreased shelter intake • Research and correct reasons for homeless and unwanted animals • Humane communities • Conserve resources to support preventive programs
  • 16. Education Behavior Disease mgt. Foster care Decreased intake Husbandry Healthy animals Committed employees Facility design Increased adoptions Happy public Shelter support Spay/neuter Population management Legal issues
  • 17.
  • 18.
  • 19. Healthy versus URI care days 4500 4000 3500 3000 2500 Care days 2000 URI Healthy 1500 1000 500 0 May August November February Month 23-33% of care days per month 10,169 cat care days/year = $$$?
  • 20.
  • 21.
  • 22. Average decrease in monthly sick care days: 29% 1,132 fewer sick days summer after versus before
  • 23. • Sent: Thursday, February 25, 2010 7:50 AM To: Kate Hurley • Subject: Feline Sickbay @ SacSPCA • Never in my wildest dreams would I have believed I'd see the day with ONE cat in feline sickbay!!! Today is that day! And still a year later (3/8/2011)
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30. • Board member/advisor • As-needed service • Outpatient • Shelter visit • Surgery • Part time/full time staff • Multiple shelter contract • Leadership
  • 31. • Consultation • Outbreak control • Shelter health • Facility design • Data analysis • National outreach organizations • Academic • Internship • Residency • Masters/PhD • Clinical instruction • Academic/research
  • 32. Shelter based research can provide knowledge to help both shelter and pet animals
  • 33.
  • 34.
  • 35. www.humanealliance.org www.aspcapro.org www.acc-d.org/ www.animalsheltering.org
  • 36. • Association of Shelter Veterinarians • www.sheltervet.org • $5 for students! • Continuing education at major conferences, VIN • Shelter medicine programs: residency, research, student teaching, shelter service • > half of U.S. vet schools • Standardized recommendations • 2 published textbooks • Board specialty proposed Wiley-Blackwell
  • 37. • ASV: Veterinary Medical Guidelines for Spay-Neuter Programs • JAVMA July 1, 2008, Volume 233; No. 1, page 74 Google: veterinary medical guidelines for spay-neuter
  • 38. • American Animal Hospital Association: shelter dog vaccine guidelines • 2006 (update coming soon) • Pages 19-26 Google: aaha canine vaccine guidelines
  • 39. • American Association of Feline Practitioners • JAVMA Nov 1, 2006 Volume 229; No. 9; page 1430 • Update coming soon Google: aafp feline vaccine guidelines
  • 40. • Published by the ASV • Recommended minimum and ideal standards of care • For shelters, rescues, foster parents, sanctuaries www.sheltervet.org