Fort Dodge ~ Final Comments
2003
(http://www.britfeld.com/vaccine-fd-final.htm)
Following is, what
would appear, the final correspondence from Fort
Dodge sent to Dot Sweeney which includes her response.
Dot response is shown in bold text, as she addressed
points of concern in the report.
The codes used within
this document are as follows:
# A1, A2, A3 etc. = Answer 1, Answer 2, Answer 3
etc. [some responses from Dot do not have A1, A2,
A3 etc. preceding them, however they are shown in
bold text]
# M1, M2, M3 etc. = Male 1, Male 2, Male 3 etc.
# F1, F2, F3 = Female 1, Female 2, Female 3 etc.
Report on
the Possible Adverse Event following Vaccination
of a Litter of Black Russian Terrier Pups
16 May 2003
All manufacturers
of veterinary products receive a small number of
reports of possible adverse events or reactions
following the use of their products. Fort Dodge
treats all reports of possible adverse events following
the use of our products seriously. The cases are
investigated to the fullest possible extent and
the details of the owners, and the medical history
of their animals are kept in the strictest confidence.
One recent case, involving some pups becoming ill
after vaccination with one of our products, has
received considerable public discussion among the
dog breeding and veterinary communities following
the breeder's comments on the case in a number of
widely disseminated emails, and some postings on
a website. Although we do not usually release our
findings to people not directly involved in these
cases, we have decided to take the unusual step
of releasing our findings in this instance because
of the concern this case has generated.
We have concluded
our investigation into the report of an adverse
experience following vaccination in a litter of
Black Russian Terrier pups. We have compiled a history
of events from the breeder's recollections and from
records from the five veterinary clinics where the
pups were treated.
The 11 Black Russian
Terrier pups, 7 males (M) and 4 females (F), were
born 28 December 2002 and vaccinated at 5 weeks
and 5 days of age on 6 February 2003 with Protech
® Duramune ® C4 vaccine. Within 24-72 hours
after vaccination, they developed mild diarrhoea
and decreased appetite. A1 This is not quite
correct, as I explained to Mr Preshaw the day he
visited my premises, most pups yelped and cried
when vaccinated at around 3-3.30pm, I commented
on this to the vet at the time. By nightfall all
pups were crying and in pain and distressed. I spent
most of the night with the pups and by the time
I retired at around 3.30am I had already been cleaning
up diarrhoea, by daylight the next morning ALL pups
had diarrhoea. This was 12-14 hours after vaccination
not 24 -72 hours.
The runt
of the litter (M3) Nik, was the most severely affected
with more severe diarrhoea and vomiting. A2 M3,
Nik was the first to show signs of diarrhoea and
vomiting at around 6.30pm.
M4, Ollie, was removed from the breeder's household
on 8 February and was reported to have mild diarrhoea
at that time which had resolved by 14 February.
Veterinary treatment was sought on 14 February as
the pup was depressed and appeared to have mild
abdominal pain. M4 responded to treatment with fluids,
( IV drip ) antibiotics and an antiemetic by the
following day and was discharged on 15 February.
There is no report of any further illness in this
pup. F3, Mindi, was removed from the breeder's household
on 9 February and had mild diarrhoea and anorexia.
She was treated with antibiotics, an antidiarrhoeal
suspension and rehydration liquids. She responded
within a few days and was fine six days later. Two
other pups, M3, Nik and F4, Dotti left the breeder's
household briefly on 7 February and then permanently
on 10 February. M3 continued to deteriorate and
was hospitalized on 15 February with haemorrhagic
diarrhoea, dehydration and weight loss. Coccidiosis
was diagnosed on 19 February and treatment with
toltrazuril (a coccidiocidal drug) was commenced,
but M3 was euthanased on 20 February. F4 was also
reported to have diarrhoea on 19 February and was
also treated with toltrazuril and responded. The
other seven pups remained at the breeder's household
until at least 27 February. Veterinary treatment
was sought on 10, 14 and 19 February as the pups
remained ill with enteritis and diarrhoea. A faecal
smear performed on 14 February failed to detect
coccidia oocysts or worm eggs. On 19 February, coccidiosis
was diagnosed by the veterinary clinic and confirmed
by a commercial pathology laboratory and toltrazuril
treatment was commenced. A3 Coccidiosis
was confirmed in one pup, Nik, the day before he
was euthanised and it was presumed that all the
other pups had this as well, M4 Ollie and F3 Mindi
were never treated specifically for coccidiosis.
It is understood
that all these pups responded well to this treatment.
A4 This is also not quite correct, I explained to
Mr Preshaw that of the seven remaining pups at my
premises 3 males responded to treatment, 2 males
were better but still passing loose stools and the
2 females never responded to treatment but continued
to deteriorate. Two adult dogs were also
on the property at this time. Neither dog was vaccinated
during this period. A5 ( both adult dogs
were fully vaccinated ) The records do
not indicate that either dog was treated with toltrazuril
on 19 February. Adult F, the mother of the pups,
vomited clear fluid with bile and a small A6
( large enough to ring the vet immediately )
amount of blood on 20 February. Adult F and Adult
M, an adult male dog, were treated with toltrazuril
on 21 February. Adult M vomited after treatment,
a suspected reaction to the alkalinity of the medication,
but both were healthy after this.
By 23 February all
the pups (apart from M3 the runt which had died)
had responded to the toltrazuril treatment for coccidiosis
and were healthy. A7 As I stated earlier
this is not correct, my report submitted to both
Fort Dodge and the APVMA states:
21/2/03 some pups seem better, some not
22/2/03 Male pups seem OK, two still have loose
stools, two females not very good, no improvement
23/2/03 No change
24/2/03 One female worse, male pups OK apart from
loose stools in two of them
However after this point, a second wave of illness,
which was more severe than the earlier illness,
affected four of the pups. A8 There was
no ' second wave ' of illness, three of the male
pups responded to treatment well, two not as well
and the two females not at all and continued to
deteriorate.
On 25 February two
female pups at the breeder's household (F1 and F2)
Bushka and Missy were depressed and veterinary treatment
was sought. The following day one of the pups, F1,
had watery diarrhoea and was presented comatose
and dehydrated. The pup died and parvovirus enteritis
was diagnosed on post-mortem histopathology. Secondary
bacterial infection was also noted. The second female
pup, F2, was reported to have died on 1 March, but
no parvovirus test was conducted.
Two other pups, M5
and M6, Ben and Fergus left the breeder's household
on 1 March and became ill
later that day. They were taken to a veterinary
clinic with vomiting and diarrhoea on 1 and 2 March
respectively. A9 On 28/2/03 the three males
who had responded to treatment went to new homes,
two were vet checked on arrival and found to be
healthy, the third male had some diarrhoea after
removal but recovered after treatment with panacur.
The two male pups M5 and M6, Ben and Fergus, were
vet checked at lunch time on 1/3/03 in the presence
of their owner and no illness was detected at that
time. Both pups were admitted to hospital in the
early hours of 2/3/03.
M5 (M6) was diagnosed
with parvovirus and recovered with veterinary treatment
and was discharged on 10 March. M6 (M5) received
veterinary treatment but did not respond well and
was euthanased on 10 March. It was assumed by the
attending veterinarian that M6 (M5) also suffered
from parvovirus enteritis but no definitive diagnostic
test for parvovirus was performed on this dog. This
is not correct M5 was positively diagnosed with
parvo on 2/2/03 and was treated unsuccessfully for
same.
All other pups were
not affected by this second wave of serious illness.
F3 and M7 had some sporadic mild enteritis signs
between 1-8 March, but their illness was not severe.
Four of the other six dogs (F3, M7, M1 and M2) were
tested for parvovirus on 1 March and were negative.
We have no records of parvovirus testing for M4
or F4.
Our assessment of
the case is as follows. The pups developed clinical
signs of coccidiosis shortly after vaccination.
It is not possible to identify exactly when they
were infected but they may have been incubating
the disease at the time they were vaccinated. M4
and F3 which were removed from the breeder's premises
and treated early, recovered before the other pups.
Although M3 was also removed from the breeder's,
he was a runt and it is not unusual for runts to
be more severely affected by disease. F4 and the
other pups that remained at the breeder's were sick
until treated with toltrazuril on 19 February, after
which they responded well to this treatment. Not
correct, see Answer 7
The second wave of
illness that affected four pups and commenced on
25 February See Answer 8 was due to parvovirus in
at least two of the cases, F1 and M6 (no definitive
diagnosis was made in the other two pups, F2 and
M5). M5 positively diagnosed There
is no evidence of parvovirus in any of the pups
until this time. As the vet was presuming
coccidiosis no testing was done for parvo until
the autopsy of the first female to die.
The pups that succumbed to parvovirus did not develop
a protective response after their first vaccination.
It is not unusual for 6-week-old pups to fail to
respond to vaccination, and this is the reason why
a number of vaccines need to be given to pups until
they are at least 12 weeks of age. No pup should
be considered immune to parvovirus until 7-10 days
after it has completed its full course of vaccinations.
Why the hell are we vaccinating at 6 weeks
then if it has a good chance of not working and
an even better chance of it shedding into the environment
and infecting other dogs and pups. Why are owners
NOT told of this possibility. In your instruction
leaflet it states " These vaccines can be used
for the prevention of clinical disease, however
they may fail to prevent infection or organism shedding."
Coccidiosis is a
gastroenteritis disease caused by protozoal parasites
collectively known as coccidia. The life cycle varies
between different species however the overall pattern
is the same. Dogs become infected through the ingestion
of oocysts. The reproduction cycle is complex, but
the simplified story is different stages of the
organism infect the epithelial cells of the small
intestine, sequentially multiplying and infecting
neighbouring cells. The life-cycle is completed
by the production of oocysts that are excreted in
the faeces, and then act as a source of infection
for other dogs. Some species of coccidia can infect
other species such as rats and mice. Dormant tissue
stages in these hosts can then act as a source of
infection if eaten by a dog. Pups are most severely
affected. Clinical disease is most commonly seen
in weaning age animals, associated with high stress
conditions such as weaning, high density housing,
malnutrition or housing in wet environments. The
only stress these pups had was a painful vaccination,
they had been fully weaned for over a week, there
was no ' high density housing ' situation, no malnutrition
or wet environment, these were perfectly normal,
happy, healthy pups on the day of vaccination.
Adults can develop
immunity and become carriers, acting as sources
of infection for others. However, not all dogs infected
develop clinical signs. Diagnosis of coccidiosis
is made by the identification of oocysts in the
faeces, or at post mortem examination of the intestine.
Although oocysts were not identified in faecal samples
of these dogs on 14 February a negative result does
not rule out the disease. Dogs will not excrete
oocysts in the early stages of the disease as the
prepatent period (time from infection to appearance
of oocysts in the faeces) is 7-8 days. Oocysts are
then excreted for 10-11 days (this is known as the
patent period) but it is possible that they are
not seen in a faecal sample during this time. The
disease is generally self-limiting as the end of
the patent period indicates the end of the infection
in the animal. Part of a private e-mail
to me from a well known and respected US research
vet. D S
[Dear Dot, It is well recognized that coccidia are
opportunistic parasites, commonly seen in the environment
and easily transmitted from shed oocysts to others
in the environment. Subclinical infections are common,
and infections can be self limiting in about 30
days. Oocysts can be commonly seen in both formed
and diarrheic stools. The immune status of the host
animal or person plays an important role in determining
whether or not infected individuals will show clinical
signs of coccidiosis. Merely finding the oocysts
does not prove that they are causing clinical disease
unless all other causes of diarrhea are excluded,
or the coccidia is a compounding cause of intestinal
signs along with something else (eg. parvovirus,
other intestinal parasites, inflammatory bowel disease,
colitis, GI ulcers etc.). Whenever an animal or
person is immunocompromised, the presence of coccidia
is more likely to become clinically expressed. Thus,
in your case the MLV vaccination with its temporary
immunosuppressive effect could have been enough
to have the pups get clinical coccidiosis, if they
were exposed and harboring coccidia oocysts at any
time before, during or in the several weeks after
vaccination.] If the time from first infection
to the appearance of Oocysts is 7-8 days are you
suggesting that the pups were infected about 30-31st
January and the symptoms only started to show a
few hours after vaccination, or do the symptoms
show immediately after infection? If the first instance
is correct surely the vet check at the time of vaccination
would have at least picked up one or more pups with
some sign of illness or loose bowel motions seeing
that the pups were ill only a few hours later, if
the second instance is correct does that mean that
the pups were infected on the day of vaccination.
If the first instance is correct ie: they were carrying
the infection but showing no signs did the vaccination
cause the symptoms to accelerate or if the second
instance is correct it is very coincidental that
they picked up this illness on the same day they
were vaccinated. If there was no sign of this in
samples taken on the 14/2/03 but found on the 19/2/03
this means that the probable infection date was
somewhere between the 6/2/03, the day of vaccination,
and 10/2/03. Also if the mother was ill and vomiting
blood but with no diarrhoea 14 days after the pups
were vaccinated and it was coccidiosis, was her
infection date about 13-14/2/03 which is 7-8 days
after the pups were vaccinated and puts the pups
infection date around 6-7/2/03, the time of vaccination.
Two pups were removed to their new homes on 8-9/2/03
and later were treated by their vets with the same
symptoms, this means that the infection took place
on or before the 8/2/03 and as both pups were treated
by their own vets on 13-14/2/03 this points to the
infection date being 6-7/2/03, the time of vaccination.
Could you please explain this for everyone
Some antibiotics
can be used to treat coccidiosis. Toltrazuril is
probably the most effective; a single dose is needed,
with
possibly a second dose 5 days later. Vaccines cannot
transmit this disease and there is no association
between vaccination and coccidiosis. The question
has arisen as to whether the vaccine, although not
a primary cause of coccidiosis, may have contributed
to the occurrence of the outbreak through immunosuppression
of the pups. Vaccines are designed to stimulate
the immune system, not to suppress the immune system.
Veterinary Vaccinology 2 provides a good review
of the topic. I note here you say ' designed
to stimulate not suppress' can you categorically
state that vaccines can not and do not suppress
the immune system.
The author notes
that one of the effects of vaccines, the alteration
of white cell trafficking (movement of white cells
out of the blood stream into other compartments),
has been confused with immunosuppression in the
past. This is not immunosuppression; it is a normal
part of the immune response. However, the author
goes on to mention a few specific cases in the history
of vaccination where immunosuppression has been
documented. In dogs, of the hundreds of scientific
papers on canine vaccines, there has only been one
published study that indicated that polyvalent dog
vaccines (vaccines for a number of diseases) containing
a particular strain of distemper virus (not produced
by Fort Dodge) may result in a short period of immunosuppression.{5}
The comments about the ONE published study
which showed immunosuppression following vaccination
versus two other studies which failed to show this,
is a poor point, because the same investigator (the
world-renowned Dr. Ron Schultz) published all of
them AND the one that showed immunosuppression was
from 1989, when the other two were earlier (1987
and 1976). Obviously, the later paper is more current,
especially when coming from the same place !!! Furthermore,
the reference you cite for Dr. Carmichael (#1),
on page 293 has a lot to say about safety issues
with today's vaccines. In talking about MLV vaccines
which are "attenuated " (page 293), he
states " Because "attenuation" means
reduction, not absolute loss of capacity to produce
disease, safety problems may not be revealed until
extensive field tests have been conducted; unfortunately,
this has occurred after a product has been licensed
and marketed. However, the authors acknowledge
that their observations may have been due to alteration
of white cell trafficking, a non-immunosuppressive
effect of vaccination discussed above. They also
note that because of the short duration of this
effect, the practical significance of their results
is unknown, and it is concluded {2} that in regards
to immunosuppression, "vaccination by itself
is unlikely to cause detectable adverse reactions
in animals".
From AVMA
Journal 15/11/02 Introduction: Principles of Vaccination
" Adverse events may be associated with the
antigen, adjuvant, carrier, preservative, or a combination
thereof. Possible adverse events include failure
to immunize, anaphylaxis, immunosuppression ,autoimmune
disorders, transient infections, and/or long term
infected carrier states."
From The
Immune System and Disease Resistance, a paper by
Dr W Jean Dodds, DVM
" Viral disease and recent vaccination with
single or combination modified live-virus vaccines,
are increasingly recognized contributors to immune-mediated
blood disease, bone marrow failure, and organ dysfunction."
Factors Associated with Auto Immune Disease: Frequent
or Recent use of MLV Vaccines - Parvovirus, Distemper,
Hepatitis-lyme ( vaccines alone or in combination
)
Bordetella, Rabies
From What
Vets Don`t Tell You About Vaccines: by Catherine
O`Driscoll
"DR Larry Glickman at Purdue University has
found that routinely vaccinated dogs develop autoantibodies
to a wide range of their own biochemicals. This
means that vaccines cause dogs to attack their own
bodies, which is what autoimmune disease is all
about. "
The authors also
state that their results do not suggest dogs should
not receive polyvalent vaccines. It is also worth
noting that the same authors have published two
other studies where they failed to demonstrate any
immunosuppressive effects of canine vaccines.{4,6}
With regards to immunosuppression and canine parvovirus
strains in vaccines, the association is best described
by DR Carmichael, a leading expert in canine vaccination
from the College of Veterinary Medicine, Cornell
University, New York. A question, could
you tell us if it is true that Cornell University
OWNS the PATENT on the parvo vaccine. He
states that "the myth of 'immunosuppression'
by virulent CPV-2 (canine parvovirus), or vaccine
virus, has been discredited".{1}
"Report
of the American Animal Hospital Association (AAHA)
Canine Vaccine Task Force: 2003 Canine Vaccine Guidelines,
Recommendations, and Supporting Literature",
28 pages, published April 2003. Page 16 states "
Modified live virus vaccines can and do cause disease
because attenuation is a balance between maintaining
infectivity while eliminating its pathogenicity.
Individual response is dependent on the status of
the recipient's immune system. Thus, an attenuated
pathogen in a host which is severely immunosuppressed,
or genetically more susceptible, may result in the
vaccine causing the disease for which it was designed
to prevent.'
A Study at
the School of Veterinary Medicine University of
Wisconsin-Madison in 1993/1994 showed with at least
one vaccine that while it provided protection against
death it caused infection and clinical disease occurred.
Our research supports
the conclusions of these well-recognised researchers
in regards to immunosuppression and the safety of
vaccines. The results of our safety studies with
Protech Duramune have not demonstrated immunosuppression
in dogs following vaccination. Canine parvovirus
can only multiply in the cells of an animal. The
host animal is the dog, but it has also been demonstrated
to replicate in cats, and may also be spread by
cats. Infection occurs by ingestion of the virus.
When a dog is infected, the virus enters the blood
stream, replicates in the lymphatic cells in the
lymph nodes before spreading through the blood stream
again and infecting the epithelial cells lining
the small intestine. This produces the gastroenteritis
(vomiting, then diarrhoea, often haemorrhagic),
and the virus is passed out in the faeces in large
numbers. These contaminated faeces then act as a
source of infection for other dogs. The incubation
period of parvovirus is 4-7 days. This is the time
that it takes between ingestion of the virus to
the onset of the first clinical signs. There is
no specific treatment for parvovirus, only supportive
therapy to prevent dehydration and ensure adequate
nutrition. If dogs do not die, they will develop
immunity, eliminate the viral infection and recover
over a period of up to 7 days or so. Canine parvovirus
is a particularly hardy virus and can survive for
months and even years in the environment under the
right conditions. It was suggested that the vaccine
was responsible for producing parvovirus diagnosed
in some of the pups after 25 February. To assess
this possibility, a number of points must be examined
including the details of the case itself, the historical
records of the safety of parvovirus vaccines and
the development and manufacture of vaccines. The
most conclusive evidence that the vaccine did not
cause parvovirus in this case is the history of
the case itself. A number of points are worth noting:
o Parvovirus disease
has an incubation period of 4-7 days. Considering
the first signs of parvovirus infection occurred
on 25 February, then the pups would have been exposed
sometime between 18-21 February. This is at least
12 days after they were vaccinated.
In your instruction
leaflet it states " These vaccines can be used
for the prevention of clinical disease, however
they may fail to prevent infection or organism shedding."
In that case is it possible that one or more of
the puppies shed the virus after vaccination and
contaminated the environment for a weaker pup to
be exposed to the shed virus and become infected,
and as some of the pups were progressively weakened
by the diarrhoea they in turn were also infected
by the shed virus or the infected pup. This would
explain why the 3 males who responded to treatment
and the pups who had already left my premises did
not contract the parvovirus.
Comments
please.
From The
Immune System and Disease Resistance, a paper by
DR W Jean Dodds, DVM
" A recent examination of the risks posed by
MLV vaccines concluded that they are intrinsically
more hazardous than inactivated products. The residual
virulence and environmental contamination resulting
from the shedding of vaccine virus is a serious
concern."
# The theory that the pups were suffering from parvovirus
from 8 February is not supported by the clinical
history. Parvovirus does not produce a chronic (prolonged),
biphasic (two waves) disease. The relatively mild
clinical signs between 8-19 February and the response
to toltrazuril treatment support the first diagnosis
of coccidiosis made on 19 February. This is in contrast
to the severe second wave of illness where three
of the four affected pups died.
# The only pups that suffered from this second wave
of serious gastroenteritis (parvovirus diagnosed
in two dogs) were all on the breeder's premises
at the probable time of exposure (18-21 February).
None of the dogs that left the household prior to
this were diagnosed with parvovirus, and none suffered
this second wave of serious gastroenteritis. This
suggests that only those dogs on the breeder's premises
on or after 18 February were exposed to the virus.
Historically, the safety of parvovirus vaccines
in regards to producing clinical disease is exceptional.
DR Parrish, also from the College of Veterinary
Medicine, Cornell University, with extensive experience
in canine vaccines, reports that vaccine virus has
never been documented as causing parvovirus disease.3
DR Carmichael ( of
Cornell University ) supports this view and states
(with regards to virulence of vaccines): "No
modified live CPV-2 vaccine has been reported to
cause adverse reactions".{1}
What about
MLV C3 or C4 or higher
From Vaccination
issues of concern to practitioners, COBTA and DAC
special educational session on vaccine issues 1998:
"Adverse reactions occur in some patients after
vaccine administration. These reactions range from
simple, self-limiting responses that are rather
commonplace to complex, potentially life-threatening
events that are uncommon".
From Vaccination:
Helpful or Harmful? By DR Don Hamilton, DVM
" many vaccines actually induce illness that
is much greater than that of the diseases that they
are designed to prevent."
Due to the prevalence
of this highly infections virus, the situation where
pups have succumbed to parvovirus after vaccination
is not unique. However, investigations of cases
such as this invariably identify a virus other than
the vaccine strain as the cause of the disease.
DR Parrish is reported to have "isolated virus
from many dogs with clinical disease after vaccination,
but has never isolated vaccine virus as the aetiology
(cause) of clinical disease".{7} An explanation
of how pups may develop parvovirus after vaccination
is best summarized by DR Carmichael: "Parvovirus
vaccines are exceptionally safe. Dogs that develop
signs and symptoms of parvovirus infection within
5 days of vaccination should be considered as infected
with virulent virus prior to, or at the time of,
vaccination. This is still a common occurrence where
parvovirus is likely to be present in the environment".{1}
In other words this proves at least that
the pups were not incubating parvo at the time of
vaccination which indicates that the pups must have
been exposed about 12-13 days after vaccination,
this appears to fit the timeline of shedding and
infection. The reason that modified-live
viral vaccines are so safe is that they contain
attenuated (Modified live virus vaccines
can and do cause disease because attenuation is
a balance between maintaining infectivity while
eliminating its pathogenicity. AAHA report 2003)
(weakened) strains of virus that stimulate a protective
immune response, but do not produce clinical signs
of disease. Prior to marketing, every precaution
is taken to ensure vaccines are safe. Extensive
safety studies must be conducted on a vaccine to
demonstrate that the vaccine strain does not contain
"residual virulence" (the ability to produce
clinical disease). The parvovirus antigens used
in vaccines must be nonpathogenic, and must not
cause enteritis (vomiting and diarrhoea) in dogs.
Tests are also performed on all live vaccines to
ensure there is no "reversion to virulence"
(mutation into a form that can cause disease). This
is done by isolating the vaccine virus from a vaccinated
dog, and inoculating another dog (back passage)
a number of times. Each lot of vaccine is always
made from the same seed stock, so there is no variation
in the strain present between different batches.
Similarly, vaccines have to satisfy strict quality
assurance and safety guidelines, and so there is
minimal variation in composition between batches.
Fort Dodge has conducted all these studies on the
vaccines it produces to ensure their safety, and
the results of these studies support the conclusions
held by vaccine experts that canine parvovirus vaccines
do not produce parvovirus enteritis.
Finally, is also
worth noting that the bitch Adult F, who was not
vaccinated, ( the mother was fully vaccinated,
a fact that Mr Preshaw is aware of) also
had a gastrointestinal illness with clinical signs
on 20 February. No definitive diagnosis for her
illness was made, however the attending veterinarian
suggested on 20 February that it may have been coccidiosis.
It is also possible that Adult F's illness was caused
by parvovirus, and that she acted as a source of
parvovirus for the pups, as she was ill during the
probable time of the pup's exposure to parvovirus
(18-21 February). Is it also possible that if it
was parvo that the virus shed by the recently vaccinated
pups caused the mothers illness? We have reported
this case to the Australian Pesticides and Veterinary
Medicines Authority (APVMA; formerly the National
Registration Authority for Agricultural and Veterinary
Chemicals, NRA) Adverse Experience Reporting Program.
Their report supports our conclusions. In regards
to coccidiosis they state "there is no scientific
evidence to support a direct link between administration
of this vaccine and the development of coccidiosis
post vaccination." In regards to source of
parvovirus they concluded that the affected pups
succumbed to a field parvovirus strain and state
that "there is no evidence to support the tenet
that live parvovirus vaccines can revert and cause
disease".
The APVMA
have not at this time advised me of their finding
on this case, if as you say they support your conclusions
I would like to know the thoughts of both yourself
and the APVMA ( I will e-mail them on this ) on
the studies showing that parvovirus can shed from
recently vaccinated animals and infect the environment
and other animals. Also your comments on the American
Animal Hospital Association (AAHA) Canine Vaccine
Task Force: 2003 Canine Vaccine Guidelines, Recommendations,
and Supporting Literature which states, as I have
quoted above " Modified live virus vaccines
can and do cause disease" and also "may
result in the vaccine causing the disease for which
it was designed to prevent"
We understand that
this unfortunate episode must have been extremely
distressing to the breeder, the pups and the other
owners. However, the history demonstrates that the
diseases the pups suffered from are not directly
related to vaccination and we do not believe that
the vaccine is responsible.
I have just
received the assessment of the APVMA, it says
" the puppies
initial clinical signs ( pain at injection site,
diarrhea, depression and anorexia) are possibly
related to the use of this product."
" However, there is no scientific data to support
a direct link between administration of this vaccine
and the development of coccidiosis post-vaccination."
" There is no evidence to support the tenet
that live parvovirus vaccines can revert and cause
disease."
While I do
not agree with this assessment I do have to accept
it. I await answers from Mr Preshaw and the APVMA
to the points I have raised and will forward them
for inclusion on the site when and if I receive
them. I will also keep everyone informed if I do
not receive any answers.
Dot Sweeney
Answers from
Fort Dodge and APVMA follow
References
{1} Carmichael, LE.
(1999). Canine viral vaccines at a turning point--a
personal perspective. Adv. Vet. Med. 41 (1-2): 289-307.
{2} Martinod, S.
(1997). Chapter 15: Technical Basis of Vaccination,
Part 13: Adverse Effects of Vaccination. In Veterinary
Vaccinology, (Eds., Pastoret, P.-P., et al.), Elsevier
Science, Amsterdam, pp. 574-578.
{3} Parrish, C, (2001).
Referenced in Seton, J. (2002). Parvovirus Clinical
Management. AGEN Biomedical, Brisbane.
{4} Phillips, TR
and Schultz, RD. (1987). Failure of vaccine or virulent
strains of canine parvovirus to induce immunosuppressive
effects on the immune system of the dog. Viral Immunol
1 (2): 135-44.
{5} Phillips, TR,
Jensen, JL, Rubino, MJ, Yang, WC and Schultz, RD.
(1989). Effects of vaccines on the canine immune
system. Can J Vet Res 53 (2): 154-60.
{6} Schultz, RD.
(1976). Failure of attenuated canine distemper virus
(Rockborn strain) to suppress lymphocyte blastogenesis
in dogs. Cornell Vet 66 (1): 27-31.
{7} Seton, J. (2002).
Parvovirus Clinical Management. AGEN Biomedical,
Brisbane. ® Registered trademark
Answers from
Fort Dodge and the Apvma
Fort Dodge
Dear Mrs Sweeney,
We have fully investigated
the case, reviewed the appropriate literature relevant
to the two issues involved (immunosuppression by
vaccines, and residual virulence and reversion to
virulence of canine parvovirus vaccines), and made
our final conclusions. The clinical history of the
dogs in our report was an honest attempt to reconstruct
the events that occurred from the histories supplied
by the veterinarians, and from yourself. Although
some details may conflict with your recollections,
these conflicts do not affect:
# The overall clinical picture
# The diagnoses of coccidiosis and parvovirus
# The conclusions that vaccination was not responsible
for the coccidiosis or the parvovirus in your dogs.
The other issues
you raise in your reply have either been addressed
in our report (immunosuppression by vaccines, and
residual virulence and reversion to virulence of
canine parvovirus vaccines), or are not relevant
to this case (eg: immune mediated disease).
Your main argument is that modified-live vaccines
can potentially have residual virulence. Generally
speaking, this is true. However, regarding canine
parvovirus vaccines specifically, this has never
been demonstrated and the experts agree that it
does not occur, as our report points out.
We have nothing further
to add.
Sincerely
Anthony Preshaw BVSc
(Hons) PhD
Technical Services
Manager
Veterinary Ethical Division
Fort Dodge Australia
PO Box 6024
Baulkham Hills B/C NSW 2153
Tel: +61 2 9899 0403
Fax: +61 2 9899 2151
Response from APVMA
Dear Mrs Sweeney,
Thank you for your recent email. The APVMA is aware
of the American Animal Hospital Association Canine
Task Force Paper. We feel that these issues have
already been commented upon by us in our report
on the adverse experience involving your puppies
and we note that the Registrant's report to you
has similarly addressed these issues. Whilst the
APVMA has no further comments to add, we do appreciate
your time in bringing these matters to our attention.
Yours sincerely,
Penny Linnett
NEWS FLASH:
31 March 2004 a hand delivered warning letter was
given to Mr. E. Thomas Corcoran, President Fort
Dodge Animal Health, a Division of Wyeth, Inc.,
about irregularities at the manufacturing plant
in Iowa. Full details can be read by clicking this
piece of text.
We would like to
express our gratitude to Dot Sweeney for allowing
us to reproduce her experiences.
Disclaimer: Information
contained here is obtained from various sources
and does not replace the advice from a qualified
professional. If the health of your dog/s is ever
in question, you should consult your veterinarian
first and foremost. No liability is accepted by
Britfeld Weimaraners, owners of Britfeld Weimaraners,
their families and/or their associates for any information
contained here which may result in adverse outcome/s
for your dog/s.