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Ask the Vet: The truth about ticks and heartworm prevention in our northern climate

4/19/2013

2 Comments

 
Q: Ticks seem to be a big deal. Have they become more of a problem and a concern, or are we just hearing more about them?

Ticks are a big deal. Ticks once confined to certain geographic regions have expanded their ranges. The type of number of diseases that a certain species of tick may be carrying has changed dramatically in a relatively short time period as well.

For example, let’s look at Ixodes Scapularis, the deer tick, which we see in our area. When I moved to this region a decade ago, we were mainly seeing dogs infected with Lyme Disease. The majority of these dogs had the classic signs of fever, joint pain that shifted from leg to leg and lack of appetite. Gradually, we started seeing sick dogs that mimicked some of the signs of Lyme but weren’t testing positive. We began sending off blood panels to the lab to look for an expanded range of tick diseases and started commonly coming across another bacteria carried by ticks, Anaplasma.

Today, we are dealing with ticks that are co-infected, or carrying multiple bacteria capable of infecting us and our dogs. Prevalence maps of dogs in St. Louis County show one in six dogs test positive for Lyme Disease or Anaplasma or both. 

Dogs are considered “sentinels” for tick diseases. In other words, the risk a dog has for contracting one of these diseases directly correlates to the risk to humans in the region. There is a vaccine to protect against Lyme Disease but nothing currently for Anaplasma. At-risk dogs should be vaccinated for Lyme Disease and placed on a tick preventative. Interestingly, there is no evidence that cats are susceptible to either of these diseases.


Q: Many pet owners are skeptical about the value of heartworm prevention in our northern climate. We don't get many cases here. Can I go without heartworm medicine for my dog?

I speak with many people who are skeptical about the need for heartworm preventative. In reality, we do have a low incidence of heartworm disease this far north because our mosquito season is so short and the conditions aren't ideal for mosquitos to harbor heartworm disease. But that’s not the case just a couple of hours south of here. Any dog traveling to the Twin Cities has a real risk of coming into contact with a mosquito potentially carrying the heartworm infection.

In my practice, based on the recommendation on the Companion Animal Parasite Council, we have moved toward recommending heartworm preventative on a year-round basis. Something that the majority of the public does not know is that most heartworm preventatives on the market treat not only heartworm but also the roundworm and hookworm internal parasites. Both of these intestinal parasites have the potential to infect people, something called a zoonotic disease. 

When you look at data from the Centers for Disease Control and Prevention, about 10,000 people annually are diagnosed with roundworm infections. These infections can lead to neurologic conditions and potential blindness in humans. The majority of puppies and kittens are infected with roundworms, as are raccoons that may be using our backyards as latrines which our pets can easily come into contact. Roundworms are spread through the fecal/oral route. Children are at the greatest risk of infection, as they tend not to practice appropriate hand washing, spend time in sandboxes that pets frequent and indiscriminately put items into their mouths.

Keeping our dogs on year-round preventatives deworms our pets on a monthly basis, stopping these infections, which have the potential to harm people. Heartworm preventative is just one of the benefits of using these products on a monthly basis.

2 Comments

Ask the Vet: Parasite preventative questions

4/12/2013

4 Comments

 
Q: With warmer weather coming, what do Twin Ports pet owners need to know about preventing ticks, fleas and other seasonal parasites?

Veterinarians are armed with preventatives that are safe and highly effective at stopping ticks, fleas, heartworm disease and intestinal parasites. Pet owners and their vets should evaluate each pet’s lifestyle and then chose the appropriate preventative medicine. The biggest thing I can stress to owners is that preventatives work only if they are given to the pet.

Everyone is different when it comes to how they remind themselves to give their pets preventatives. The majority of the monthly flea, tick and heartworm treatments come with reminder stickers that can be placed on the calendar to remind when the next dose is due. Owners also can enroll in monthly email reminder systems or download smart phone apps that send reminders.


Q: If my cat stays inside all the time, do I really need to worry about parasite prevention?


When talking about parasites, we need to first break it down into the categories of internal and external parasites and then take an honest look at the cat’s environment. Internal parasites include those that live inside the cat, such as roundworms in the intestines. External parasites are those that live on the surface of the cat, such as fleas and ticks.


An indoor-only cat living in an apartment complex is in a dramatically different risk category from a cat allowed outdoors during the day. This is where it becomes important to make the distinction between a preventative program and a monitoring program.

 
Cats spending time outdoors should be on a preventative program for internal and external parasites. Cats living exclusively indoors should be monitored for parasites. Cats have a strong prey drive, so even an indoor cat may catch an occasional rodent, putting it at risk of contracting parasites. Owners can typically detect external parasites such as fleas and ticks, but a microscopic exam is needed to test for internal parasites.


I frequently hear people say that they aren’t seeing parasites in their pets’ stools, so they think their pets don’t have parasites. But internal parasite detection isn’t that easy. For the majority of intestinal parasites, we never see the adult worm. The adults stay attached to the lining of the intestines and lay eggs that are shed in the stool—nature’s way of infecting other animals. When a veterinarian checks a stool sample, he or she is looking for these microscopic eggs.

Low-risk cats may not need a preventative but should have a stool sample checked annually to monitor for parasites. All cats, regardless of lifestyle, should visit the veterinarian yearly for a discussion about the animal’s lifestyle and a physical exam to ensure that the cat is on an appropriate preventative health-care plan.

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    Dr. Amanda Bruce and staff

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