Ruminations

Blog dedicated primarily to randomly selected news items; comments reflecting personal perceptions

Thursday, September 16, 2021

Calling In At The Veterinarian Clinic

(Credit: iStock/Getty Images)
"[You go from] not having enough prior -- veterinarians and technicians -- to even worse during the pandemic, where everyone else has to work harder and more."
"Instead of having your average emergency shift, one patient every half-hour, you now have four every hour you're trying to deliver care to. Something's gotta give, right?"
Dr. Karl Jandrey, associate dean for Admissions and Student Programs, University of California, Davis
 
"When you're dealing with food production and food safety, because of meat inspection and zoonotic disease, which are diseases that can be spread from animals to people,  the need for vets] is hugely important. Especially when you think about international trade."
"Some people like to go into research, and they never even dealt with an animal in a feedlot, or a pet, but they just go into biochemical research or disease control."
"[It's not just about] loving animals. There's also a real intrigue or interest in biology and I think that veterinary training is probably one of the most robust ones as far as comparative medicine, because we look at all these different species."
"And so the background that we have in biology, embryology and so forth is a very strong part of our training."
Louis Kwantes, president, Canadian Veterinary Medical Association
RIVERSIDE, CA - JUNE 18: Dr. Gabrielle Rosa (right), with the ElleVet Sciences project, applies flea and tick medication onto Jacob, Trisha Salers (left) 6-year old chiweenie dog, at the Riverside Access Center in Riverside on Friday, June 18, 2021. The ElleVet Sciences project, an initiative begun last summer with the help from local veterinarians, is a mobile clinic van to help homeless people and those less fortunate and their pets with free veterinarian basic services. (Photo by Will Lester/MediaNews Group/Inland Valley Daily Bulletin via Getty Images)
Dr. Gabrielle Rosa (right) works with a Chiweenie mixed-breed dog and his owner at the Riverside Access Center in Riverside, Calif. “The challenges facing the veterinary profession are complex,” writes Zoetis CEO Kristin Peck, “but the bottom line is simple: To take care of our animal family members, we must take care of the veterinary profession.”   Will Lester—MediaNews Group/Inland Valley Daily Bulletin/Getty Images

There are reports of a global shortage of veterinarians and veterinary technicians. This did not happen overnight, there has been a long-standing shortage of these animal specialists. These are highly trained professionals trusted to know their specialty in medicine and care for animals. They are not necessarily recognized for either their training or their acquired expertise in following their professional standards of care, and nor do their salaries reflect those of others in the biomedical community. 

They face frustration when diagnosing a condition inimical to the life and health of a pet, recommending appropriate treatment and citing the cost to a pet owner. Diagnostic equipment, surgeries and drugs reflect the kind of situations seen in humans under health care awaiting operations and treatment to allow them to live with chronic conditions. Costs are comparable. But people tend to balk at paying the fees associated with animal treatment, mostly because it can be viewed as an unaffordable expense on limited incomes.

Dr. Kelly Butler owns Ottawa's Vanier Animal Hospital. (Submitted by Dr. Kelly Butler)

The issue of veterinarian shortages has become more acute, however, since the onset of the global pandemic; more people are adopting pets at a time when their lifestyles changed either temporarily or permanently and they spend more time at home. With more pet ownership, complicated by new COVID-19 social distancing and methods put in place to protect all concerned, examinations take longer to conduct, and less time is available to service everyone with appointments. 

Made all the more complex by veterinarians and technicians working overtime to keep up with the calls, eventually going to shorter operating hours.

Toward the end of 2020, 18 percent of Canadian pet owners took on a new pet since the start of the pandemic where at that time 55 percent of households had a pet and since then the numbers have steadily risen. An increase in demand for pet care is the natural outcome of an increase in pet ownership.

The need to increase the number of graduating vets by 3.5 to four percent was highlighted in a study by the Canadian Veterinary Medical Association. At the current rate of 2.5 percent growth, the retirement rate about three percent, demand for greater numbers of veterinarians may peak in 2040. Veterinary medicine requires a post-secondary education before applying to any of the five accredited colleges in Canada, located in Charlottetown, Montreal, Ontario, Saskatchewan and Alberta.

 The average annual wage for a veterinarian has a range of between $30,229 to $139,667. The top rate in Canada is realized in Alberta, at $145,253, and the average wage across the country tops out at $97,657. The profession includes diverse roles, such as food safety inspectors as well as those working in the farming and dairy industries in large animal practise.

Approximately half of all vet techs burn out of the field within the first five years, and 35 percent of them burn out at some point. The Covid-19 pandemic has only magnified that trend.
Approximately half of all vet techs burn out of the field within the first five years, and 35 percent of them burn out at some point. The Covid-19 pandemic has only magnified that trend.

Each veterinary school posts its own entry requirements, offering a four- to five-year university degree in veterinary medicine, following which a national certification examination takes place. The graduating veterinarian then requires a provincial licence to practise. And then there's human nature itself and how aspiring vets relate to animals. Dr.Kwantes points out that a high GPA does not necessarily equate with a love of animals, much less good communication skills. "A number of schools ... are looking at different entrance requirements" with a view to accommodating those who may not have the grades, but would make great vets.

According to the Canadian Veterinary Medical Association's 2020 study, close to one in five clinics scaled back hours of operation reflecting a shortage of vets to fill shifts. Open position likelihoods are highest in Quebec and Saskatchewan with the average clinic looking to hire 1.4 veterinarians and 1.8 technicians. In Alberta where 1,800 practising vets look to the province's needs, there are 370 vacancies. In British Columbia the province is anticipating a shortage of 500 vets by 2024,

Infographic of various veterinary statics from the AVMA membership database
"Mean age at the time of graduation has increased since 1975, raising concerns that career length for veterinarians may be decreasing, potentially exacerbating veterinarian shortages." 
"Worryingly, a large number of board-certified veterinarians are nearing retirement within the next 15 years, which may increase the shortage of board-certified veterinarians unless there is a substantial increase in the number of younger veterinarians pursuing board certification."
"Most states had a ratio of 1,000 to 1,500 housing units for every 1 veterinarian. States with the lowest number of housing units per veterinarian were mainly located in the West Central and Mountain Regions."
"The motivation behind the demographic analysis was to provide information that would help policymakers improve their workforce planning and address issues such as veterinarian shortages and high educational debt among veterinarians, said Frederic B. Ouedraogo, PhD, lead author on the report and assistant director of economics in the AVMA Veterinary Economics Division. Other professions conduct similar analyses, such as a 2016 census identifying 953,695 actively licensed physicians in the United States."
"In 2018, the U.S. population of veterinarians who were 65 years old or younger was 102,000, a 30% increase from 2007. More than 3,000 veterinarians graduated from the 30 U.S. veterinary colleges in 2018, and approximately 750 U.S. citizens graduate from foreign veterinary colleges every year."
American Veterinary Medical Association

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Wednesday, January 08, 2020

Australian Bushfire Toll on Koalas

"They're in shock, they're stressed, they've never seen humans or been in a car before."
"We anaesthetize them, then cut away the dead skin, bathe them, treat them with cream, gauze and bandages."
"We had to euthanize him [one koala]. He was brought in from a drought area last week, his organs were so badly damaged. It was very sad ... you try so hard to save them."
"We can't always relocate them ... a change in diet may kill them."
"We don't find bodies [in a search through scorched bush]. The fire was so intense that all that was left was ash."
If they have burned off their claws and they don't grow back properly, they can't climb and they can't live in the wild."
Sue Ashton, spokesperson, Port Macquarie Koala Hospital, Australia

"All the animals that have survived not only have no place to go back to, they don't have food sources left."
"In a fire, the insects get wiped out too, the smaller animals who eat ants and other insects won't have food. Possums and gliders, if there are any left -- most of them have been killed -- they eat leaves and fruit, which have all been destroyed."
Dr.Valentina Mella, Port Macquarie Koala Hospital
Australia’s wildfire crisis is taking a heavy toll on the animals and their habitat
Australia’s wildfire crisis is taking a heavy toll on the animals and their habitat Credit: EPA

Several days ago ecologists from the University of Sydney released an estimated total for the number of animals that have died as a result of the wildfires ravishing Australia; an unbelievable 480-million altogether. According to veterinarian Dr. Melia, the extent of the wildfires in Australia will lave long-term consequences not only for koalas, whose very specific diet has been disastrously impacted, but many other animals, as well.

As for the koalas, the animal hospital specializing in koala rescue and rehabilitation, believe fully two thirds of the local koala population around Port Macquarie perished in the fires that swept the area six weeks earlier. Desperate for food and water, the koalas facing an uncertain reality totally new to them in its virulent, wide-sweeping impact, venture out of the burned bush that was their home, to cross roads and go into back gardens, placing themselves in danger, risking death by traffic or being attacked by peoples' dogs.

There are now 75 koalas in care at the Port Macquarie hospital. The blazes that destroyed 8.4-million hectares of bushland in Australia left an estimated 40 percent of the country's 80,000 endangered koalas dead. Around 390 kilometres' distant, north of Sydney, the hospital has taken in an unaccustomed number of koala patients, resulting from the heavy toll the wildfire crisis has taken on the habitat of the marsupials.

Australia has suffered severe drought for several years of late. That, leading to extremely tinder-dry conditions, along with record high temperatures have seen wildfires ravaging the country since summer's start. Koalas have been brought into the hospital by exhausted firefighters, by homeowners fleeing the fires, and by passing evacuees spotting the little animals collapsed at the side of the road.

Four veterinarians are assigned to treat each of the rescued koalas, at the hospital. One person for each paw, and a fifth to monitor heartbeat and breathing as the teams work around the clock in an effort to treat each new arrival as expeditiously as possible. Following surgery, staff change bandages, re-dress wounds regularly, and treat burns to sensitive noses and ears. There are fourteen intensive care units, and they're always full.

One koala discovered at the side of a major highway had burnt arms, nose and ears. A man stopped his car, held up traffic, then rescued the koala, now on its way back to health. The animal's paws were "like charcoal" when it was brought to the hospital. Routinely, hospital staff keep a record of the GPS co-ordinates to identify where the koalas are found. When the six to nine months of recovery is over, under normal circumstances they are released back to the wild, in the area from which they came.

All that is changed now; there is nothing 'normal' about the situation faced in Australia with the deaths of almost a half-billion animals as a result of an unstoppable wildfire situation. Responders now are advised to kill orphaned joeys immediately, reflecting the lack of availability of long-term care. In the hospital, one koala sits with its joey, in her arms, evacuated from Hawkesbury before the fires struck.

They're fed a diet of pureed pumpkin and corn during their five weeks of intensive one-on-one care, leading to recovery. Koalas eat only particular types of eucalyptus leaves, meaning that koalas from different areas require a diet of leaves typical of the area from which they come, and many of those areas have been burned beyond redemption.

Australia, one of the driest places on the globe, is no stranger to bushfires. This summer's wildfires, however, are seen as unprecedented in their ferocity and their spread. They began earlier in the season and have spread far more widely than ever before. There are 25 Australians dead as a result of the wildfires, and thousands of homes have been destroyed. Fires in New South Wales are predicted over the next few days to join those burning in Victoria, forming a 'mega blaze'.

Hospital personnel at the Port Macquarrie hospital are contemplating something fairly new to their experience; that with habitat so critically destroyed, there is an uncertain future before the injured koalas, who may have to become permanent wards remaining residents of the hospital.

Rebecca Turner, left, Sheila Bailey and Cheyne Flanagan treat a koala named Sharni from Crowdy Bay National Park for burns at the Port Macquarie Koala Hospital in Australia on Nov. 29, 2019. Flanagan says koala bears are coming to the hospital traumatized and dehydrated as a result of the worst wildfire season in Australia's history. (Nathan Edwards/Getty Images)

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