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Booster jabs - fraudulent vets?

richardm

Philosopher
Joined
Aug 6, 2001
Messages
9,248
Booster jabs for animals - fraudulent practices?

Heard this story on the radio this morning:

Vets issue animal vaccine warning

They are quite clear that vaccines work and are essential to animal health.

However, they are criticising the annual booster system, saying it's unnecessary and potentially harmful.

We've heard here about sarcomas on cats at vaccination sites, so I suppose anything that reduces the number of injections is a good thing on that score alone.

So, is this going to lead to a change in practice? In these days of computerised records, is it going to be easier to bring animals in to be vaccinated when required, rather than annually?

Or is it all dubious nonsense? I can't find enough detail about what they're proposing to be able to judge, but it's notable that humans don't usually get annual boosters. Except for 'flu, because it's a different strain every year? Is it the same thing for the animal vaccines?

Edited to add: Ah, we can now edit thread titles. Excellent!
 
I'll be interested at Rolfe's response to this anyway.

It would seem that the pet owners have little choice - if I wish to put my cat into a cattery when I go on holiday, I need up to date vaccination certificates. So there is little choice but to shell out the cash.

Someone should be able to determine how long protective immunity lasts. Why are there no studies? Why no antibody testing (even if this isn't necessarily proof of protection)

From the BBC site:
"With £20 to £40 to pay and about 13m dogs and cats in the country it's an industry worth tens of millions of pounds."

What was that maths again??? - hundreds of millions more like.

Edited to add:
Maybe Rolfe is in Birmingham
The vets' warning comes as more than 6,000 vets from all over Europe gather in Birmingham for the world's largest congress devoted to domestic pet welfare.

One of the techniques up for discussion at the four-day event is pheromonotherapy, used to help cats and dogs overcome fears and phobias.
 
Deetee said:

Edited to add:
Maybe Rolfe is in Birmingham
The vets' warning comes as more than 6,000 vets from all over Europe gather in Birmingham for the world's largest congress devoted to domestic pet welfare.

One of the techniques up for discussion at the four-day event is pheromonotherapy, used to help cats and dogs overcome fears and phobias.

Rofle is certianly at a confrence
 
I saw this item on the news.

I am quite shocked to see that there seems to be no clearly defined period of immunity from these vaccines.

Is there a specific reason why this should be the case with animals? (I know that dogs vary wildly is size etc...but I didn't think that was an issue with vaccines only chemical drugs etc.)

Would it not be entirely down to the manufacturers to have this data, seeing as they were the ones who would have tested and trialled the products?
 
Re: Booster jabs for animals - fraudulent practices?

richardm said:

Edited to add: Ah, we can now edit thread titles. Excellent!

Hmm, I see we can't actually edit thread titles. I didn't mean to say that it was the vets who were being fraudulent :(

I did once ask my vet why cats got annual boosters and humans didn't - can't remember what she said, but it must have seemed reasonable. But the point is well taken about the catteries - we don't have much choice in the matter if we want to use them.
 
Deetee said:
Maybe Rolfe is in Birmingham
The vets' warning comes as more than 6,000 vets from all over Europe gather in Birmingham for the world's largest congress devoted to domestic pet welfare.
Yes, I was on my way to Birmingham when John Saxton hit the fan.

I met Badly Shaved Monkey there (with his wife - also a vet - and children). They are staying the whole weekend so you'll have to wait till Monday or whenever he recovers to hear his choice take on this lot (I've already heard it, the air was blue).

On 26th January a letter was published in Veterinary Times, which in my opinion shouldn't have been published as it stood, because it contained an unwarranted scurrilous attack on all mainstream members of the profession, and although it was partly couched in diplomatic tones, was a senseless attack on sensible existing vaccination policies. I append here the letter Badly Shaved Monkey wrote in reply, which was also published.
I was pleased to see a number of colleagues, in suggesting a review of appropriate veterinary vaccination programmes, come out in support of a well-thought-out vaccination policy.

Sadly, their homoeopathic "qualifications" seem to have been omitted from their signatures. Unaccountably, Mark Elliott's VetMFHom recovered from its bout of shyness to feature in the signature of the letter in his own name in the same issue. Shurely shome mishtake?

I look forward to the homoeopaths' enthusiasm for evidence-based medicine extending to the claimed benefits of magic water. I particularly look forward to a review, based on high-quality data, of strategies using nosodes rather than licensed vaccines for the prevention of disease.
There you have it. Of the 31 signatories to that letter 24 are known homoeopaths, and I suspect the remaining seven are studying homoeopathy. One of them then wrote a personal letter to BSM, taking him roundly to task for casting aspersions on the efficacy of nosodes.

The rest of the profession said "bloody homoeopaths", and got on with looking after their patients. Then yesterday morning John Saxton, one of the maddest of the lot, got on Radio 4's Today programme, and let fly again, with even more disgraceful remarks. You want to know about John Saxton? Here is a sample. As well as homoeopathy, he is also into Radionics, and something called "Pranamonics", which has something to do with Hindu mysticism I believe.

Well, he repeated that his colleagues were scamming the public by injecting pets with harmful substances (vaccines) purely for the money. He then launched into a litany of horror of the incidence of vaccine-caused illness he sees in his practice. Unfortunately Frieda Scott-Park, BSAVA President, who was interviewed in reply, probably wasn't forceful enough in putting the creep where he belongs, and the story grows.

You may be recognising this picture now. Anti-vax homoeopaths attribute all ills that occur in the months following vaccination to the vaccination, and start an anti-vax crusade. We've seen the human versions, now we have the animal version.

The facts are as follows.

There is a genuine problem with cat vaccines (possibly all injections into cats, to some extent), in that a small proportion of patients (about 1 in 25,000 in this country) will develop a malignancy at the injection site. See here for the best information about this. This ONLY applies to cats, and is something vets are aware of and are discussing with their clients. The question for each individual cat is how necessary is the vaccination (especially the feline leukaemia part, which is suspected as being the highest risk), considering local prevelance of disease and need for vaccination for catteries or shows, compared to that 1 in 25,000 risk.

The rest of the allegations of adverse vaccine effects are so much horsefeathers. People have been flying kites about vaccines causing various things, including haemolytic anaemia, for well over ten years now. None of them has proved to have the slightest substance to it. As someone said to me a couple of days ago, I think the smoke (and mirrors) raised by the anti-vax crowd actually took our attention away from the real fire, which was the feline sarcomas.

Compare the sarcoma situation, where the first suspicions were raised, subsequent enquiries confirmed that there was something going on, and more and more evidence was gathered to support the case, all in a few years. It is now the subject of serious research and a growing body of literature. Certainly nobody is running any sort of cover-up. In contrast, repeated surveys to try to ascertain if there was anything to the other allegations have repeatedly drawn a total blank. Just like the MMR thing. Of course, that doesn't stop lunatics like John Saxton and his mates from dragging up every tentative suspicion from the past 20 years.

Here is the real deal as far as dogs are concerned.

One of the vaccine components (leptospira) must be given every year because the immunity barely lasts that long. And the disease is out there and it kills dogs, so you can't afford to neglect that one. So you're stuck with the dog turning up and having that injection every year anyway. After that, all we are negotiating about is how many of the other vaccine components are given at the same time.

Now we do know that the other vaccine components probably do last quite a bit longer than a year in many dogs - probably a majority. But there are important considerations here. These vaccines are also only licensed for one year's efficacy, and there is no reliable data to say just how many dogs are immune for longer. Legally, a vet is obliged to follow the data sheet and vaccinate every year, because that's all that has been proven to give satisfactory performance. If a vet wants to vary that, this is "off-label" use and requires long consultations with the owner and probably signed waivers and so on. Given that there is no evidence at all that sticking all components into the dog every year is actually harmful (John Saxton is talking through his backside on that one), then why not? The difference in cost between consultation, health-check examination and leptospirosis booster, and consultation, health-check examination and full booster, isn't huge. This is not a profiteering exercise.

But now, suppose we start to worry about the yearly boosters for the other components. Can we safely omit them from Fido's regimen this year? The only way to tell is to do a blood test to see if he is still immune. Oh great, that's where I come in. That will be £30+VAT thank you very much.

Get real. I like money as much as the next person, but I don't want it that way. Why pay at least £40 (including sampling and handling fees) to find out your dog didn't need maybe £10 worth of vaccine? Or worse, to find he does need it - and you have to book another consultation appointment to have that done. There's no way this exercise is going to save any pet owner any money.

There is some research being done to see if some of the vaccine components are able to be licensed for two-year or even longer intervals. By the way, that involves doing experiments on dogs, which the vaccine companies were a bit relutant to do in the climate of anti-vivisection, but now they feel they have to do it. If the licence periods are extended, fine. We can skip the blood test bit and simply give the appropriate combination each year, maybe some years only the leptospirosis will need to be given. But since there's no known danger to vaccinating every year, why not just wait till that has come through the system? And even when it has, will owners notice much difference? No, it will still be a trip every year to have an injection of some sort, and no huge price difference.

Until someone can get a whole new longer-acting leptospira vaccine licensed, which won't be tomorrow.

Come on guys, we've seen anti-vax scares before, and we know the sort of person who makes them. What makes you think this one is any different?

Rolfe.
 
So, with the proper research studies, we can safely assume that pets don't retain the immunity from one vaccine past one year.

But to determine when the immunities from other vaccines wear off, we'd need individual tests for each pet? What, isn't the minimum time they remain effective known? Why would paying forty pounds for tests be necessary? Why couldn't they just avoid paying the ten pounds for the extra vaccination until it's needed?
 
Wrath of the Swarm said:
So, with the proper research studies, we can safely assume that pets don't retain the immunity from one vaccine past one year.

But to determine when the immunities from other vaccines wear off, we'd need individual tests for each pet? What, isn't the minimum time they remain effective known? Why would paying forty pounds for tests be necessary? Why couldn't they just avoid paying the ten pounds for the extra vaccination until it's needed?

Because for some reason no one want to hand out unlimited research funding.
 
Wrath of the Swarm said:
What, isn't the minimum time they remain effective known?
The minimum that is known is a year, because that is the time-scale of the controlled studies that have been done. Speculations that some components last longer than that in some animals are just that - speculation.

To depart from data sheet recommendations on no more than speculation is risky. Hence the suggestion that if you're really worried about your pet, have the blood test done to see if antibody is still there. But since the scare-stories about the vaccines being harmful are no more than that, why spend the money? You're going in for one injection anyway, whatever happens.

Getting reliable data for longer than a year isn't easy, and involves quite a bit of animal experimentation. But if and when such data is obtained, and the data sheets modified, then of course it will be straightforward simply to follow the new data sheet recommendations.

However, what happens if the research shows that, say, only 80% of animals are fully protected for two years? Do we move to bi-yearly vaccination for these components and hang the 20% who won't be protected? Or do we blood test all of them to identify the 20% (wow, I see ££££ in my future!!!)? Or do we just play safe and do everybody every year?

Remember, feline sarcomas apart, these vaccines are safe. And the vaccine itself isn't that expensive, it's the consultation and the health-check and the injection you're paying for, and that has to happen yearly anyway, for the leptospira.

Rolfe.
 
geni said:
Because for some reason no one want to hand out unlimited research funding.
Be fair, the people who would have to pay for the studies are the vaccine manufacturers. Last time I looked, they did have a research budget.

I suspect that part of it is financial - why spend a pile of money so you can sell less product? But also, it does involve keeping dogs in isolation for long enough to monitor their antibody levels without the chance of boosting by field exposure, and it's not the sort of experiment they wanted to do if they didn't have to. The way the climate is going, they may well have to - in fact, I think it's been started.

It could be a good thing in the long run. And I doubt if Intervet or Merial will go bust over it. But in the mean time, the scare is so unnecessary. It's not about money, dog owners will spend very little less even if distemper and hepatitis go to bi-yearly, and it's not about safety - there is NO evidence that annual dog vaccination is harmful.

It's just about homoeopaths knocking their colleagues and trying to discredit vaccination. What else is new?

Rolfe.
 
Rolfe said:
Be fair, the people who would have to pay for the studies are the vaccine manufacturers. Last time I looked, they did have a research budget.

Yes but however much they spend there will always be things they don't know.
 
Rolfe said:
Yes, I was on my way to Birmingham when John Saxton hit the fan.

Of the 31 signatories to that letter 24 are known homoeopaths, and I suspect the remaining seven are studying homoeopathy. One of them then wrote a personal letter to BSM, taking him roundly to task for casting aspersions on the efficacy of nosodes.

Interesting stuff, Rolfe.
Does the BBC know about this?
Any chance of refutating this so it gets back into the public domain?
 
geni said:
Yes but however much they spend there will always be things they don't know.
Oh, of course.

But the specific question of, can we trust the distemper, hepatitis and parvovirus components for two years, or three yeers, or four years, has now come up. It can be answered.

It wasn't thought worthwhile to worry about this before, and I think a lot of that was because of the limitations of the leptospira vaccine. We know from simple observation that dogs whose vaccines are out of date even by a relatively short period of time get leptospirosis. We don't see this nearly so much with the other diseases - is this because the vaccines last longer? Very probably, because some dogs who are blood tested after more than a year still have antibody. But having said that, I know also that some don't. Maybe they're still protected by cell mediated immunity, but you'd need challenge studies to show that. Or maybe these diseases are lower prevalence, so less of a risk anyway.

It was believed that while a yearly injection was necessary anyway, and all the vaccines are safe to give yearly (this is where the homoeopaths' lies muddy the water), there was no real pressure to validate the others for longer. Now, however, there is pressure. The work will be done. And if you're against animal experimentation, look away now.

But until the longer-scale data is available, there's simply no need to be concerned about the yearly vaccines, and for goodness sake don't miss.

Nasty story I heard at Birmingham yesterday. A vet's dog, aged about seven, suddenly collapsed with a high fever, turned yellow and died. No time to do the diagnostic tests, but it was classic leptospirosis. "Were his vaccines up to date?" asked a colleague (they guy who was telling me the story). "No, I haven't vaccinated him for couple of years," said the sobbing vet-owner. This was a "cobblers' children are the worst shod" story, the vet had simply not bothered to do for his own pet what he did for others' pets every day. But it happens all the time when people forget about boosters, or think that once the dog is past a certain age they don't need them.

Rolfe.
 
Deetee said:
Any chance of refutating this so it gets back into the public domain?
It is already known that this is a homoeopaths' campaign. The original Today report at 7.30 (while I was still spluttering toothpaste) said that the 31 were "fully-qualified vets from a number of disciplines, including homoeopathy". They were also described as "a group of maverick vets". The BBC knows, all right.

It got worse at 8.30 am though, when they interviewed John Saxton (have you looked at his Vet Times homoeopathy letters, or seen his radionics affiliation?). I heard nothing then about homoeopathy; he gave a good performance as a professional vet who was disinterestedly concerned about a problem he thought his colleagues were turning a blind eye to. At this point I was in a car on the way to Birmingham, and the driver remarked that the car floated for about five miles without benefit of petrol on the strength of my reaction.

Be assured that the fact that these guys are a bunch of certifiable loonies who believe in magic shaken-up water and sugar pills and healing by ESP is being forcefully put forward by the professional bodies. However, since the professional bodies have so far not been all that strong on pointing out that homoeopathy is certifiable lunacy, they may have a more uphill battle than they bargained for.

There is some muttering now that this may in the end be a good thing. Many people think that John Saxton has gone far too far, accusing colleagues of fraud and of harming animals, and putting pets' lives in danger by doing a Wakefield on the routine vaccination policy. It's becoming clearer to the fence-sitters that homoeopaths are not harmless lunatics, they are very dangerous lunatics, and this may be the trigger needed to get them slapped down a bit more, at the very least. One colleague phoned me today and said "it's carpe jugulum now, on these guys." I hope she has accurately assessed the mood of the meeting.

Rolfe.
 
In fairness, they don't need to show that it's not harmful. The default standard for medical interventions (even in animals) is: if it can't be shown to be helpful, don't do it.

Sure, it may turn out that there are no consequences to the animals' health, but their owners still have to pay for it. That's the best-case scenario. The worse cases involve negative side effects.
 
Wrath of the Swarm said:
In fairness, they don't need to show that it's not harmful. The default standard for medical interventions (even in animals) is: if it can't be shown to be helpful, don't do it.
You're implying that vaccination is unnecessary, or at least that boosting after the primary course is unnecessary.

This is quite wrong. Anyone who has ever seen a dog dying of distemper will tell you how horrible it is. The wonder of it is that there are now many young vets who have never seen a case of what was once a regular scourge. And all thanks to the vaccines.

It is known that the vaccines wear off, and that boosting is necessary. What is not known is whether we could get away with boosting some of the components less frequently. We know that every year is safe. We know that for an unknown proportion of dogs, every two years would be OK. What we don't know is the minimum booster interval required to keep the "herd immunity" of the dog population high enough to prevent disease. If as many as 90% of dogs are still immune after two years, then there may be an argument for moving to two-year intervals. However, if only 50% of dogs are still immune after two years, such a move would carry a serious risk of allowing outbreaks of disease to occur.

To say that because we don't know for sure that we must boost every year, we should therefore stop doing so, is senseless. We know that boosting every year is both safe and effective. So it makes sense to go on doing it. If we later get the data to show that boosting every two years is still effective, fine. But to risk outbreaks of distemper (horrible disease) before we know that, would be irresponsible and unprofessional.

Not only that, vets are legally obliged to adhere to the data sheets for the products they use, unless they have considered individually in each case why they think something different should be done, discussed the matter fully with the client, and made sure (usually by gatting a waiver signed) that the client understands the gravity of this. The data sheets say boost every year.

We should now routinely decide to ignore all this? We can't. No matter what John Saxton and his merry band of water-shakers might think.

Rolfe.
 
[sigh] Typical "we've done it this way, so we shouldn't stop now" thinking.

The duration of the vaccines' effectiveness should have been determined when they were first used. Since they weren't, we'll have to do the work and determine it now, then alter the vaccination schedules accordingly if at all.

That non-rational conservative thinking has been responsible for a great deal of harm over the years. It'll have to go.
 
Wrath of the Swarm said:
The duration of the vaccines' effectiveness should have been determined when they were first used.
How many experimental dogs do you want to keep in isolation kennels for how long? Counsels of perfection are all very well, but reality has to kick in somewhere.

Way back when I were a student, the system of licensing medicinal products and how they could be described and so on was much less rigorous than it is now. Vets could make their own decisions much more freely than they can now. Because of people's desire for regulation and accountability some of the freedom has been removed and prescriptive guidelines set in place.

Way back when, we knew that the leptospira vaccines only lasted a year, and had to be given annually. It was also "known" that distemper and so on probably lasted longer, and I recall one lecturer saying that even once every four years might be all right. But there were no rigorous studies to back all this up. Actual practice varied. Some people gave leptospira every year but the rest every two years, or longer. Others said, well, we know that yearly is safe for them all, what if someone miscounts the years and misses an important one, what if the owner doesn't come back, it doesn't cost much more to give them all every time, we'll just do that.

Then the licensing requirements were tightened. Drug companies had to substantiate all claims with rigorous testing data. They had to prove a minimum period which the vaccines could be trusted for. At this point, the decision was made to validate for a year for all of them. It would have cost a lot more both in money and in dogs' lives to validate for longer, and it wasn't seen as being justifiable. So the data sheets sort of consolidated everyone into the "boost the lot every year" camp.

Should they have tested for a longer period at the time? Back to the counsel of perfection. I can see why it happened the way it did. Yearly injections are unavoidable. It's safe to give them all every year, and it costs only a little more. So let's go for that rather than the prolonged and costly experiments needed to vary it.

Now, the anti-vax lunatics are alleging (quite falsely) that this isn't safe, and grossly exaggerating the price difference. Because of this, the prolonged and costly experiments to allow people perhaps to pay a little less for their dog's booster every other year will now have to be done.

To say that this should have been done at the time is gross oversimplification.

Rolfe.
 
Wrath, Rolfe is saying over and over again that they were tested for a year's efficacy, and for the one YOU FOR SURE HAVE TO DO IT EVERY YEAR.

Since it is safe to administer the rest of the vaccines at the same time and protect your pet FOR SURE, then why not. I'd say it is cheaper than getting separate shots, and safer than hoping your pet can go without certain vaccines for more than a year.

That way dogs don't have to go for more than 1 year of testing when doing the research. Saves time, money, and testing on animals. Just plain common sense.

But, the homeopath hacks are getting people like you to question everything that is just plain not worthy of questioning.

It's disgusting. Kudos to Rolfe for explaining it very well. If you still don't get it, then read every word Rolfe has posted. I did. I get it.

They had to prove a minimum period which the vaccines could be trusted for. At this point, the decision was made to validate for a year for all of them. It would have cost a lot more both in money and in dogs' lives to validate for longer, and it wasn't seen as being justifiable .

Yearly injections are unavoidable.
 

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