Posted on 04/22/2002 6:20:53 AM PDT by Cincinatus' Wife
Experts say annual vaccines waste money, can be risky
Debra Grierson leaves the veterinarian's office clutching Maddie and Beignet, her Yorkshire terriers, and a credit card receipt for nearly $400.
That's the cost for the tiny dogs' annual exams, including heartworm checks, dental checks and a barrage of shots.
"They're just like our children," said the Houston homemaker. "We would do anything, whatever they needed."
What many pet owners don't know, researchers say, is that most yearly vaccines for dogs and cats are a waste of money -- and potentially deadly. Shots for the most important pet diseases last three to seven years, or longer, and annual shots put pets at greater risk of vaccine-related problems.
The Texas Department of Health is holding public hearings to consider changing the yearly rabies shot requirement to once every three years. Thirty-three other states already have adopted a triennial rabies schedule. Texas A&M University's and most other veterinary schools now teach that most shots should be given every three years.
"Veterinarians are charging customers $36 million a year for vaccinations that are not necessary," said Bob Rogers, a vet in Spring who adopted a reduced vaccine schedule. "Not only are these vaccines unnecessary, they're causing harm to pets."
Just as humans don't need a measles shot every year, neither do dogs or cats need annual injections for illnesses such as parvo, distemper or kennel cough. Even rabies shots are effective for at least three years.
The news has been slow to reach consumers, partly because few veterinarians outside academic settings are embracing the concept. Vaccine makers haven't done the studies needed to change vaccine labels. Vets, who charge $30 to $60 for yearly shots, are loath to defy vaccine label instructions and lose an important source of revenue. In addition, they worry their patients won't fare as well without yearly exams.
"I know some vets feel threatened because they think, `People won't come back to my office if I don't have the vaccine as a carrot,' " said Alice Wolf, a professor of small-animal medicine at Texas A&M and an advocate of reduced vaccinations. "A yearly exam is very important."
The movement to extend vaccine intervals is gaining ground because of growing evidence that vaccines themselves can trigger a fatal cancer in cats and a deadly blood disorder in dogs.
Rogers conducts public seminars on the subject with evangelical zeal but thus far has been unsuccessful in persuading the Texas Veterinary Medical Association to adopt a formal policy.
"I'm asking the Texas attorney general's office if this is theft by deception," said Rogers, whose Critter Fixer practice won an ethics award from the Better Business Bureau in 2000. "They just keep coming out with more vaccines that are unnecessary and don't work. Professors give seminars, and nobody comes and nobody changes."
When rabies shots became common for pets in the 1950s, no one questioned the value of annual vaccination. Distemper, which kills 50 percent of victims, could be warded off with a shot. Parvovirus, which kills swiftly and gruesomely by causing a toxic proliferation of bacteria in the digestive system, was vanquished with a vaccine. Over the years, more and more shots were added to the schedule, preventing costly and potentially deadly disease in furry family members.
Then animal doctors began noticing something ominous: rare instances of cancer in normal, healthy cats and an unusual immune reaction in dogs. The shots apparently caused feline fibrosarcoma, a grotesque tumor at the site of the shot, which is fatal if not discovered early and cut out completely. Dogs developed a vaccine-related disease in which the dog's body rejects its own blood.
"That really caused people to ask the question, `If we can cause that kind of harm with a vaccine ... are we vaccinating too much?' " said Ronald Schultz, a veterinary immunologist at the University of Wisconsin School of Veterinary Medicine. "As you get more and more (vaccines), the possibility that a vaccine is going to cause an adverse event increases quite a bit."
Less frequent vaccines could reduce that risk, Schultz reasoned. Having observed that humans got lifetime immunity from most of their childhood vaccines, Schultz applied the same logic to dogs. He vaccinated them for rabies, parvo, kennel cough and distemper and then exposed them to the disease-causing organisms after three, five and seven years. The animals remained healthy, validating his hunch.
He continued his experiment by measuring antibody levels in the dogs' blood nine and 15 years after vaccination. He found the levels sufficient to prevent disease.
Fredric Scott, professor emeritus at Cornell University College of Veterinary Medicine, obtained similar results comparing 15 vaccinated cats with 17 nonvaccinated cats. He found the cats' immunity lasted 7.5 years after vaccination. In 1998, the American Association of Feline Practitioners published guidelines based on Scott's work, recommending vaccines every three years.
"The feeling of the AAFP is, cats that receive the vaccines every three years are as protected from those infections as they would be if they were vaccinated every year," said James Richards, director of the Feline Health Center at Cornell. "I'm one of many people who believe the evidence is really compelling."
Texas A&M's Wolf said the three-year recommendation "is probably just as arbitrary as anything else," and nothing more than a "happy medium" between vaccine makers' recommendations and the findings by Schultz and Scott aimed at reducing vaccine-related problems.
But many vets are uncomfortable making a drastic change in practice without data from large-scale studies to back them up. There is no animal equivalent of the U.S. Centers for Disease Control and Prevention, which monitors outbreaks of vaccine-preventable disease in people, thus keeping tabs on a vaccine's effectiveness.
Federal authorities require vaccine makers to show only that a vaccine is effective for a reasonable amount of time, usually one year. Richards notes that studies to get a feline vaccine licensed in the first place are typically quite small, involving 25 to 30 cats at most.
There is no federal requirement to show a vaccine's maximum duration of effectiveness. Arne Zislin, a veterinarian with Fort Dodge Animal Health, the largest animal vaccine maker in the world, said such studies would be expensive and possibly inhumane, requiring hundreds of animals, some of them kept in isolation for up to five years.
"I don't think anyone with consideration for animals would really want to go through that process," said Zislin, another vet who believes current data are insufficient to support an extended schedule.
Diane Wilkie, veterinarian at Rice Village Animal Hospital, said she tells pet owners that vaccines appear to last longer than a year, but her office hasn't officially changed its protocol yet. She said 20 percent to 30 percent of her cat patients are on the extended schedule.
"It's kind of a hard situation. The manufacturers still recommend a year, but they're the manufacturers," Wilkie said. "It's hard to change a whole professional mentality -- although I do think it will change."
In Houston, yearly pet examinations typically cost $50 to $135, with shots making up one-third to half of the expense. A dental check, heartworm test, fecal check and overall physical are usually included in the price. Without the shots, vets could expect to lose a chunk of that fee.
But an increasing number of vets are emphasizing other services, such as surgery. Wolf said savings on vaccines might prompt pet owners to get their pets' teeth cleaned instead. An in-house test to check antibody levels is in development.
"I definitely think there's a profit issue in there; don't get me wrong," Wilkie said. "(But) people are willing to spend money on their pets for diseases. Although vaccines are part of the profit, they aren't that big a part. We just did a $700 knee surgery."
Vaccination findings
Veterinary research challenges the notion that pets need to be vaccinated every 12 months. Some of the findings:
Dog vaccines/Minimum duration of immunity
· Canine rabies3 years
· Canine parainfluenza3 years
· Canine distemper (Onderstepoort strain)5 years
· Canine distemper (Rockborn strain)7 years
· Canine adenovirus (kennel cough)7 years
· Canine parvovirus7 years
Cat vaccines/Minimum duration of immunity
· Cat rabies3 years
· Feline panleukopenia virus6 years
· Feline herpesvirus5 or 6 years
· Feline calicivirus3 years
Recommendations for dogs
· Parvovirus, adenovirus, parainfluenza, distemper: Following initial puppy shots, provide booster one year later, and every three years thereafter.
· Rabies: At 16 weeks of age, thereafter as required by law.
· Bordatella: Use prior to boarding; may be repeated up to six times a year.
· Coronavirus: Not recommended in private homes. Prior to boarding, may be given to dogs 8 weeks or older, and repeated every six months.
· Lyme: Not recommended.
· Giardia: Not recommended.
Recommendations for cats
· Panleukopenia, herpesvirus (rhinotracheitis), calicivirus: Following initial kitten shots, provide booster one year later and every three years thereafter.
· Rabies: At 8 weeks of age, thereafter as required by law.
· Feline leukemia: Use only in high-risk cats. Best protection is two vaccines prior to 12 weeks of age, with boosters repeated annually.
· Bordatella: Use prior to boarding.
· Feline infectious peritonitis: Not recommended.
· Chlamydia: Not recommended.
· Ringworm: May be used during an outbreak in a home.
Sources: Ronald Schultz, University of Wisconsin School of Veterinary Medicine; Fredric Scott, Cornell University College of Veterinary Medicine; Colorado State University; University of California-Davis Center for Companion Animal Health.
I am familiar with Cushings in horses, having seen it in a friend's horse. The manifestations of it in dogs appears to be entirely different. Any insight you would give on dealing with it in my dog would be appreciated. No question that I would try the treatment plan. It was effective in your dog for a long time it seems, that is encouraging... What did you see in your dog as it progressed? And are there options I should ask about?
I am sorry for your loss.
It seems to me that most veterinarians are not doctors but glofified techs. Come to them with a problem and they regurgitate some standard treatment. Especially, a treatment that will bring a good, continuous revenue stream to them. If the treatment doesn't work they run more tests and prescribe the same treatment. Vets seem to be in serious need of analytical skills.
I listened to a radio pet call-in program yesterday, and they spent the entire hour on heartworm and how awful it is!! They said that if a dog (or cat?) has these worms, that the treatment may be the death of them or worse than the actual infestation because of the dead worms ... no, I'm not going to go there.
I live in AZ, and the program was local. Callers said, "This is AZ, we shouldn't have a mosquito problem here, should we??" You guessed it! The answer is "Oh, yes! Swimming pools, fountains, irrigation and our modern way of life are bringing them here."
They really made me depressed, since we don't do the HeartGuard thing. After reading this thread, I am certainly going to reconsider annual shots, and just do them and the rabies every three years!!
g
The new vet that I started our two Shelty pups with just happened to be into homeopathic veterinary medicine. While we don't use his homeopathic treatments, he claims to get good results. He gave us a stack of literature on the recent vacination controversy, and advises strongly against annual re-vaccination. In response to papers presented by national veterinarian groups, many jurisdictions are beginning to accept blood titre documents indicating a pet's vaccine blood level in place of vaccination certificates. This is an excellent compromise.
Every vet we've ever used has told us not to bother with feline leukemia shots for an indoor cat.
Her daughter, on the other hand (does not live with me ... she's with friends), is two years younger than my Bea, has a yearly dental cleaning, HeartGuard and the whole program. Her coat is bad, she wheezes and coughs, and aside from being a lovely, affectionate little dog, seems older than mine.
Best regards,
g and bea
Just FYI, the tendency to develop tarter/pario is based more on the chemistry of their mouth than what they eat... (this is true for people also) My 14 year old Labrador has perfectly white tarter free teeth and healthy gums, and has never had a cleaning... My little cocker mix that is 15 has had terrible teeth (tendency for tarter buildup and red/swollen gums) her whole life, and has needed cleaning. My two year old dalmation mix appears to be between the two. she has a little tarter already, but not bad yet. They all eat the same quality dry food.
My little dog was due for another cleaning when the possibility of Cushings disease has now put that on hold until we figure it out... more than likely she will still be better off with the cleaning, as the red gums and associated disease are a constant source of infection and she is an otherwise healthy but aging dog.
I live in Europe, and my Ibizan Hound spent the first year of his life in Spain where the disease is common. It has a very long incubation period.
When I asked my vet about it, she said that current treatment is almost worse than the disease.
While a test exists to see if a dog carries Leishmaniosis, she recommended against it because "what good would it do you to know?"
I think she's right and decided not to test my dog, but would like to know if anything new has come out in the U.S.
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