No Small Thing Compounding pharmacies can help veterinary clinics fill many needs that lead to healthier outcomes. pg. 10 - The Veterinary Cooperative

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No Small Thing Compounding pharmacies can help veterinary clinics fill many needs that lead to healthier outcomes. pg. 10 - The Veterinary Cooperative
IN PARTNERSHIP WITH TVC RISEVET

                                              September Issue 2020

No Small
Thing
Compounding pharmacies can help
veterinary clinics fill many needs that
lead to healthier outcomes. pg. 10
No Small Thing Compounding pharmacies can help veterinary clinics fill many needs that lead to healthier outcomes. pg. 10 - The Veterinary Cooperative
Join us for
  TVC RISEvet™
                                                         virtual
  BUSINESS BREAKOUT                           MEDICAL BREAKOUT
     October 18th, 2020                         October 25th, 2020
    9:00am - 6:00pm CST                        9:00am - 6:00pm CST

     6 Hours of RACE CE                         5 Hours of RACE CE
      Breakout Sessions                         Panelist Discussion
     Networking Events                         Community Building
      $10,000+ in Prizes                         $10,000+ in Prizes

      TELL ME MORE                                  LEARN MORE

        Top-notch educators providing CE, insights, and mentorship
      Interact one-on-one with other attendees and vendor exhibitors
            Exciting games, activities, raffles, and grand prizes          — Past At

FREE to first 500 TVC partnered hospitals & staff! ($99 all other attendees)
               RESERVE YOUR SPOT TODAY!
No Small Thing Compounding pharmacies can help veterinary clinics fill many needs that lead to healthier outcomes. pg. 10 - The Veterinary Cooperative
September Issue 2020
IN PARTNERSHIP WITH TVC RISEVET   WWW.THEVETERINARYCOOPERATIVE.COOP

                                  Contents
                                  4	A Message from TVC
                                  6	TVC News
                                  10	No Small Thing
                                       Compounding pharmacies can help
                                       veterinary clinics fill many needs that
                                       lead to healthier outcomes.
                                  14	VetWatch Corner
                                       Hospital Client and Patient Trends

                                  16	Getting to Know
                                      Your TVC Staff
                                  18	COVID-19 and the
                                      Human-Animal Connection
                                       The coronavirus has reopened the
                                       door for discussions about One Health

                                  22 Industry News

                                                                  WWW.TVC.COOP   3
No Small Thing Compounding pharmacies can help veterinary clinics fill many needs that lead to healthier outcomes. pg. 10 - The Veterinary Cooperative
A Message from TVC

    Exciting Days Ahead
    By Ginni Hamele, president of TVC

    >   As an account manager for CEVA, I have interacted with all                                  managing all aspects of the Corporate
        sorts of companies and organizations in veterinary medicine. But there was                  Business Unit, with a focus on develop-
        one in particular I always looked forward to working with. If I had one word to             ing relationships, defining the strategy
        describe this group it would be “energy.” Its members were engaged, its future              and managing the private label product
        was promising, and its vision was something that aligned perfectly with what I              suite. Prior to CEVA, I held positions
        believe the veterinary profession needed.                                                   with Boehringer Ingelheim and GSK on
                                                                                                    the human side.
                                                                                                        I have a special place in my heart
         I’m talking, of course, about you. The                                                     for the independent hospitals. I come
    Veterinary Cooperative and its members                                                          from a family of entrepreneurs, family-
    bring a tremendous amount of excite-                                                            owned businesses. I understand the
    ment and energy to the profession. TVC                                                          unique challenges that they face and
    as a Cooperative has a unique way of                                                            the pressures they’re under as we
    approaching the veterinary market with                                                          continue to corporatize America. The
    its support and resources dedicated to                                                          veterinary market is under that pres-
    the independent veterinarian. The land-                                                         sure, as you know. But for those who
    scape is changing, and hospital owner-                                                          are truly interested in maintaining small
    ship is leaving the independent veteri-                                                         business ownership and maintaining
    narian. I believe in the entrepreneurial                                                        their independent foothold, I want to
    spirit, and my mission is to provide sup-                                                       help them not just survive, but thrive.
    port to those veterinarians who wish to                  There’s a unique                           TVC already has a successful cul-
    remain independent.                                        challenge for                        ture in place. One of my goals is to find
         The industry is changing rapidly.                     independent                          ways to strengthen that culture. I will
    The environment, with the challenge                    hospitals as they try                    also work hard to increase engagement
    of COVID, is changing the way inde-                    to navigate through                      from members, identify new resources
    pendent veterinarians and everyone in                    this change, and                       and support for members, and enhance
    veterinary medicine look at and execute                     TVC is well-                        relationships with our TVC vendors
    their business. There’s a unique chal-                  positioned to help.                     to strengthen the individual member-
    lenge for independent hospitals as they                                                         owned veterinary hospitals and Co-
    try to navigate through this change, and                                                        operative as a whole. By focusing on
    TVC is well-positioned to help.                       I gained valuable knowledge and ex-       member engagement and enhanc-
         So when the opportunity present-                 perience in the animal health indus-      ing vendor relationships, it will create
    ed itself to become TVC’s president, I                try that I plan to put to work for you.   more value and success for everyone
    jumped at the chance. I’ve spent the                  In my most recent position for CEVA       involved with TVC.
    last nine and a half years at CEVA                    as Key Account Manager – Corporate
    SANTE ANIMALE in various roles where                  Business Unit, I was responsible for      Let’s get to work!

4   SEPTEMBER 2020 • TVC MAGAZINE IN PARTNERSHIP WITH TVC RISEVET
No Small Thing Compounding pharmacies can help veterinary clinics fill many needs that lead to healthier outcomes. pg. 10 - The Veterinary Cooperative
DERMATOLOGY

TAKE A COMPLETE
NUTRITIONAL APPROACH
TO ALLERGIC DERMATITIS
The ROYAL CANIN® DERMATOLOGY range offers
a diet for every phase of your clinical approach.

FROM DIAGNOSIS TO
LONG-TERM MANAGEMENT
Royal Canin offers a diet for every phase of your
clinical approach—starting with ULTAMINO®.
ULTAMINO® features a unique, hydrolyzed protein source
with 99% of proteins in the finished product are less than
6 kDa and 88% free amino acids. ULTAMINO® is a first
choice for elimination diet trials.

                          In an ULTAMINO® clinical study, cats
                          showed a signifcant improvement
                          in veterinary-assessed skin score
                          after 2 weeks.1

For a full list
of dermatology diets
visit royalcanin.com.

Clinical trial on ULTAMINO® feline, 2016. Royal Canin Internal Study.
1

© ROYAL CANIN® SAS 2020. All Rights Reserved.
No Small Thing Compounding pharmacies can help veterinary clinics fill many needs that lead to healthier outcomes. pg. 10 - The Veterinary Cooperative
TVC News                        This Month at the Veterinary Cooperative

       TVC News

         TVC Annual Co-op Owner’s                                          TVC RISEvet™ Virtual Conference
         Meeting Moves Virtual                                             offers education on change management
         With the health and safety of our Clinics, Board of Directors,    TVC RISEvet Virtual – Business Breakout will be hosted
         and Team Members in mind we have decided to move our              October 18th, sponsored by Merck Animal Health, will en-
         TVC Annual Co-op Owner’s Meeting to a completely virtual          compass a two-part educational series on change manage-
         experience in 2021. Many clinics joined us in this capacity       ment. Now, more than ever, it is important to understand
         in the past, and we are planning to make this year’s meeting      how change can affect your clinic, staff, and clients. Sign-
         an insightful and interactive blend of 2020 Co-op perfor-         up for these CE opportunities and more here. TVC RISE-
         mance and future initiatives. The new date will be Saturday,      vet™ also features a Medical Breakout on October 25th,
         January 30th at 2:00pm Central, followed by a two-hour            2020, sponsored by Virbac. TVC has opened up 500 free
         virtual trade show. Registration for the meeting will open this   seats to both weekends for any team member from a TVC
         fall; access more information on the meeting here.                partnered hospital. Reserve your spot here.

       Vendor News

         Spaces available for the “TVC & Merck                             During the month-long event, veterinary clinics are en-
         Community Wellness Program”                                       couraged to make affordable health and wellness within
         If you prescribe Bravecto®, TVC has an email marketing in-        reach for pet parents by bringing up conversations that
         centive for you! Merck Animal Health and ALLYDVM have             foster dialogue around pet insurance. TVC partners with
         teamed up to help grow your business and increase the             two trusted pet insurance partners, ASPCA Pet Health In-
         number of clients who say “yes” to your recommendations.          surance as PetPlan Insurance.
         These email marketing campaigns aim to win-back laps-
         ing clients, improve compliance, and produce more Bra-            Royal Canin continues adding
         vecto® sales. Plus, this a free opportunity, compliments          to their educational lineup
         of these two vendor partners and your affiliation with TVC.       Our partners at Royal Canin are deeply committed to
         Clinics who participated in the fall 2019 rollout of this         providing industry leading education. Since the onset of
         campaign saw a 59% increase in their Bravecto® sales!             the pandemic they have offered weekly live, interactive,
         Learn more & enroll here.                                         broadcasts deliver hours of CE. The range of topics cov-
                                                                           ers everything from “Radical Self Care for Radical Times”
         National Pet Insurance Month                                      to more medically driven discussions such as “Diagnos-
         September is widely celebrated as “National Pet Insur-            ing Feline GI Disease: Setting Yourself up for Success.”
         ance Month” throughout the United States and Canada.              See full schedule here.

6   SEPTEMBER 2020 • TVC MAGAZINE IN PARTNERSHIP WITH TVC RISEVET
No Small Thing Compounding pharmacies can help veterinary clinics fill many needs that lead to healthier outcomes. pg. 10 - The Veterinary Cooperative
Education & Events

 All the Sales You’re Not Making
 September 23rd, 2020 at 9am and 12pm Central

                                    Although it is imperative to grow the markets you may already have a foothold in,
                                    focusing only on what you already do well can be potentially detrimental to growth.
                                    As an example, did you know that statistically many of the dog households you see
                                    also have cats? Is your clinic seeing these cats? In business sometimes the biggest
                                    gains come from the low hanging fruit, and often the lowest hanging fruit comes in
                                    the form of underserved markets.
                                        In this webinar, Royal Canin and TVC will walk you through turning the under-
                                    served feline market into new patients. We will examine possible financial impacts,
                                    and also discuss how this affects the best healthcare for our feline friends. While
                                    addressing all this, we would like to shed some light on doing online pharmacy right,
   Register for the Webinar
                                    in a way that capitalizes on these new patients, and reinforces best healthcare.

 TVC RISEvet™ Virtual Conference
 Business Breakout: October 18th, 2020
 Medical Breakout: October 25th, 2020

                                    Join TVC for two education-packed days where we discuss how better business and
                                    best medicine go hand in hand. TVC RISEvet™ has developed a top-notch line-up
                                    of RACE-approved CE and other insightful offerings, aimed at equipping you with
                                    the resources and know-how to become a forward-thinking hospital of the future.
                                    These opportunities are free to Co-op Owners and anyone from their hospital.

   Register for the Conference & Access Additional Details

Promotions

  ALLYDVM & Merck Animal Health:                            Hill’s Pet Nutrition:
 Improve client compliance and loyalty with the help of Earn PurrrchasePoints™ when you send Hill’s direct to
 a series of free digital marketing campaigns sent out the pet with any vet sponsored home delivery platform.
 on your behalf by ALLYDVM and sponsored by Merck. Click here for details. TVC Exclusive Promotion
 Click here for details, or enroll today! Space is limited!
 TVC Exclusive Promotion

                                                                                                                 WWW.TVC.COOP   7
No Small Thing Compounding pharmacies can help veterinary clinics fill many needs that lead to healthier outcomes. pg. 10 - The Veterinary Cooperative
TVC News                        This Month at the Veterinary Cooperative

       Promotions

          KVP:                                                           Suntech Medical:
         Save 10% on KVP Balto Braces. Click here for details.          TVC Owners automatically qualify for an extra pack of 6
         TVC Exclusive Promotion                                        cuffs when you buy any SunTech Vet BP monitor through
                                                                        MWI. Plus, when you purchase a SunTech Vet25 or Vet30
          MWI:                                                          before September 30th, you’ll qualify to receive an ad-
         Grow your business and earn rebates on purchases               ditional cuff pack. That means 36 cuffs to use with your
         through MWI. Learn more about the 2020 TVC Rewards             new BP monitor! Click here for details.
         Program. TVC Exclusive Promotion
                                                                         VetOne:
          OnePlace Capital:                                                > Medicating pets is easier with CritterCups Treats.
         Financing options available for capital equipment pur-              Through September, when you buy 1 case of
         chases with no payments until 2021. Click here for details.         Advita® CritterCups®, get a case of regular Crit-
                                                                             terCups free. Click here for details.
          Petlink/Datamars:
         New User Package A – Buy (1) box of 25 PetLink Micro-              > Buy 4 cards of Selarid™ (selamectin) get 1 free
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         a free PetLink COMPACT MAX Scanner. (A $249 value)                 > Purchase select dental and parasiticides and
         Click here for details.                                              receive free product. Click here for details.
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          Provecta:
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         Provecta ll for Cats. Click here for details.                     > Spend $200 in Zylkene and receive a $25
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           Purina & Vetsource:                                               TVC Exclusive Promotion
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         through Vetsource! No promotion code required &                    > Purchase 12 pH-notix   Rebalancing Ear Cleaner
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         it works on top of other applicable promotions. Now                  and receive a free “Wax Eater” speculum
         extended through September! Click here for details.                  cleansing device. Click here for details.
         TVC Exclusive Promotion
                                                                         Vetsource:
           Securos:                                                     Earn a chance at a Snackbox Subscription when you send
         Buy a Securos Surgical Vet Tech Pack, get discount pric-       Purina direct to the pet with Vetsource. Click here for details.
         ing of $45 and choose a FREE instrument pouch in one of        TVC Exclusive Promotion
         five colors. Click here for details.
                                                                         Virbac:
          Stratford Pharmaceuticals:                                    New Launch offer on SENERGY™ (selamectin) Topical
         Try new Plaque Off Powder! Purchase 4 and get 2 free           Parasiticide: veterinary practices will have the opportunity
         when you fill out the required form. Click here for details.   to purchase a minimum of $1000 SENERGY brand prod-
         TVC Exclusive Promotion                                        ucts mix-and-match and receive a 30% rebate on their pur-
                                                                        chase. Click here for details. TVC Exclusive Promotion

8   SEPTEMBER 2020 • TVC MAGAZINE IN PARTNERSHIP WITH TVC RISEVET
No Small Thing Compounding pharmacies can help veterinary clinics fill many needs that lead to healthier outcomes. pg. 10 - The Veterinary Cooperative
TV C R ISE VE T™ V IRT UA L C ONFERE NC E

INSIGHTFUL. INSPIRING. FUN.
      Free to Co-op Owners & the staff! Hey, that's you!

   BUSINESS BREAKOUT: OCT 18TH, 9AM - 6:00PM
    MEDICAL BREAKOUT: OCT 25TH, 9AM - 6:00PM

   We have developed a top-notch lineup of RACE-approved CE and other
 insightful offerings, aimed at equipping you with the resources and know-
          how to become a forward-thinking hospital of the future.

                                               CLICK TO LEARN
                                               MORE & REGISTER!
No Small Thing Compounding pharmacies can help veterinary clinics fill many needs that lead to healthier outcomes. pg. 10 - The Veterinary Cooperative
TVC Best Practice

10   SEPTEMBER 2020 • TVC MAGAZINE IN PARTNERSHIP WITH TVC RISEVET
No Small Thing
Compounding pharmacies can help veterinary clinics
fill many needs that lead to healthier outcomes.

>   A veterinary clinic can provide the best veterinary medicine in the world, but if compliance doesn’t
    happen at home with a pet’s medication, all that hard work may be jeopardized.

     Take cats with thyroid issues. Melissa Duncan, office                transdermal option is really nice,” she said. “It’s very effective. I
manager for Wisconsin-based Mukwonago Animal Hospital,                    would say that a majority of our thyroid cat patients go on the
said having the right treatment plan in place doesn’t always              transdermal, just because it’s super easy and convenient to use.
translate into healthier pets because of the simple, but frus-            It goes right on the inner ear flap twice a day. The cats seem to
trating, fact that the pet owners have a difficult time admin-            like it, and tolerate it well.”
istering the medication.
     In many cases when a pet owner would try to force the                Indeed, the simple act of compliance can have huge implica-
pills or the liquid down their cat’s throat, the cat would run            tions for the health of a pet, and the success of a veterinary
and hide. “So the pet owners feel like their cats are getting             practice. According to a recent study :
scared of them. ‘When they see me, they run from me.’ They                    > The rate of compliance for chronic medication is just
were losing that human-animal bond because of trying to                          76%. That means 24% of pets aren’t being treated with
apply the medication.”                                                           the medications they need to live healthy lives – and in
     Have you ever had a client complain about the difficulty in                 some cases, simply to live.
cutting up their dog’s medication into the correct doses? Do                  > Pet owners who are shown one or more ways to
you have pets who refuse to take the medication, and need                        administer medication had a significantly higher rate
some way to hide it? Are you dealing with a picky eater? What                    of compliance (73% vs. 59% for those not shown).
about a picky feline?                                                            Yet, only 43% of practices show pet owners how to
     Whether it’s tiny tabs, transdermal gel applicators, pro-                   administer medication.
prietary flavorings, catnip scented formulations, or other sce-               > 60% of owners would pay more for medication that is
narios, compounding pharmacies can help veterinary prac-                         palatable or easy to administer.
tices fill many needs that lead to healthier outcomes.                        > 93% of veterinarians say that compliance monitoring
     Duncan said Mukwonago Animal Hospital uses Wedgewood                        has a positive impact on their practice.
Pharmacy for many of their common medications, including                      > 72% of pet owners would like to receive information in
transdermal methimazole. “For thyroid cat patients, a lot of cli-                writing about their pets’ medication so they could refer
ents feel that it’s difficult to give their cats the medication, so the          back to it.

                                                                                                                                 WWW.TVC.COOP     11
TVC Best Practice

                                                                                       Unique formulations and applicators can truly change the
                                                                                  ways in which you practice medicine and can change the lives
                                                                                  of your clients for the better.
                                                                                       Duncan said once the team at Mukwonago Animal Hospi-
                                                                                  tal began recommending the transdermal methimazole, com-
                                                                                  pliance in cats went up significantly. “Because it’s easier for
                                                                                  the clients to give their pets these medications, they’re more
                                                                                  willing to spend,” she said. “Yes, it’s more expensive to get a
                                                                                  compounded medication, but they’re more willing to do it if
                                                                                  they can see the results.”
                                                                                       Thyroid medications are just one of many areas where
                                                                                  Wedgewood Pharmacy solutions have helped with Mukwo-
                                                                                  nago Animal Hospital’s patients. Liquid compounds or tiny
                                                                                  tablets for small dogs that don’t tolerate pills are in demand
                                                                                  with clients. Wedgewood can also ship medications directly
                                                                                  to clients who request that feature. “Wedgewood is always
                                                                                  helpful if we have any questions,” Duncan said. “They’re will-
                                                                                  ing to go the extra mile, which can make all the difference
                                                                                  for our clients.”

         What is compounding?                               Is compounding always an                    there is no interruption in proven
         Compounding is the long-                           appropriate treatment option?               therapy for a patient.
         established tradition in pharmacy                  No. Compounding, like any other
         practice that enables practitio-                   form of therapy, is not always the          Is compounding legal?
         ners to prescribe and patients to                  right choice for every patient. How-        Who regulates compounding?
         take medicines that are specially                  ever, thousands of patients rely on         Yes! Compounding is an integral
         prepared by pharmacists to meet                    compounded medications to meet              part of the practice of pharmacy.
         patients’ individual needs. A growing              their needs when another treatment          Compounding pharmacies, like
         number of patients have unique                     option will not. Veterinarians may          all pharmacies and pharmacists,
         health needs that off-the-shelf                    prescribe compounded medica-                are regulated by State Law and
         prescription medicines cannot meet.                tions when: the best therapy for a          State Boards of Pharmacy. State
         For them, customized, compounded                   patient is commercially unavailable,        Boards of Pharmacy require that
         medications prescribed or ordered                  the active ingredient is not available      pharmacists have knowledge of
         by licensed physicians or veterinar-               in the desired strength or dosage           and proficiency in compounding to
         ians and mixed safely by trained,                  form, or a commercial product is on         become licensed. Compounding is
         licensed compounding pharmacists                   extended backorder and using the            a fundamental feature of virtually
         are the only way to better health.                 compounded preparation may mean             every pharmacy curriculum.

         Source: Wedgewood Pharmacy website, frequently asked questions: www.wedgewoodpharmacy.com/learning-center/
         faqs-for-veterinarians.html.

12   SEPTEMBER 2020 • TVC MAGAZINE IN PARTNERSHIP WITH TVC RISEVET
SM

     VetWatch Corner                                                 by

     The goal of VetWatch is to deliver the critical information needed by practices to better assess the scope, velocity, and significance
     of developments in their local market areas. Users of the site have the option of viewing dates from 1 or more of 236 geographic
     markets across the United States, making it possible for practices to follow not only national trends, but also the trends within their
     unique markets. VetWatch is brought to you by Animalytix.

     Hospital Client
     and Patient Trends
     > Weekly updates from ~6,000 practices across
       the US for pet owner visit and revenue trends. For the week
       ending September 5, the YTD practice revenue improved
       with YOY growth of 3.5% for the ~4,000 reporting prac-
       tices. In this new sample, only total invoices continue to lag
       behind prior year to date.

         Overall, 203 of 236 reported zones posted net revenue
     growth for the week vs prior week’s year to date. This contrasts
     with total invoice counts which remain slightly below PY results
     at (-2.3%) with only 37% (88 / 236) of market areas reporting
     parity or above 2019 YTD totals.
         Across all regions, Indianapolis, IN was the only new market
     zone meeting or surpassing the “Return to Revenue” threshold
     this past week. The “Return to Revenue” threshold has now been
     met by 89% or 188 of 236 market zones reported year to date.          minimum of 10 or more reporting locations are present in each
         Note – with this new sample we are showing results in             reported region or regional aggregate.
     all 236 Vetalytix Market zones; to accommodate the smaller               We are pleased to welcome Animal Care Technologies
     sample size, several zones have been combined to assure a             as the newest Partner organization for the VetWatch initia-
                                                                                                  tive through their provision of Practice
                                                                                                  Metrics on behalf of ~ 4,000 veterinary
                                                                                                  practices each week.
                                                                                                      Animal Care Technologies is pas-
                                                                                                  sionate about improved care for
                                                                                                  animals, enhanced customer expe-
                                                                                                  riences and innovative resources for
                                                                                                  developing the veterinary staff. With
                                                                                                  their custom development & data so-
                                                                                                  lutions, multimedia production and
                                                                                                  content licensing services, Animal

14   SEPTEMBER 2020 • TVC MAGAZINE IN PARTNERSHIP WITH TVC RISEVET
Care Technologies provides a wealth of support services for     quality of the people in their practice, the care they give,
private practitioners, technical colleges, corporate hospital   the information they receive to ultimately provide the best
groups, government agencies, and universities. ACT has          possible care available today. The Animal Care Technologies
been helping individuals, educators, and business owners        team can be reached at info@4act.com or via their website
from small to large for over two decades to enhance the         at home.4act.com

                                                                                                                WWW.TVC.COOP   15
Trends

     Getting to Know
     Your TVC Staff

                                                           to TVC, I had worked for a smaller         like to take an extensive backpacking
                                                           cooperative/distributor, so I had an       trip out west somewhere. I also en-
                                                           idea of what a cooperative was. I          joy birdwatching and stand up paddle
                                                           also did some work with exotics and        boarding. When I am not busy in the
                                                           have a science background. Within          outdoors, I prefer to hang with my fur
                                                           just a few days of joining the team,       baby Mizmae, family, and friends.
                                                           I knew that TVC was truly committed
                                                           to strengthening opportunities for the     Tell us about your pets:
                                                           independents in the industry. I really     I currently have one dog. She is a
                                                           care about helping others and mak-         rescued mixed terrier. I was her third
                                                           ing an impact. I feel TVC allows me to     but forever home. She loves to go on
                                                           do that. Being from a small mountain       hikes with me, and even swims out to
                                                           town, I know how important it is to        me on the paddle board. We are quite
                                                           support my local businesses. At TVC,       the match.
     Name:                                                 I feel I can support all of our indepen-
     Sidney Allen                                          dent clinics on a daily basis, learning    What is your hope for 2020:
                                                           new skills and applying those skills       2020 has been pretty tough for everyone
     How long have you been at TVC:                        to help our clinics better utilize their   so far. I hope to end the year learning
     I believe I started in July of 2017. Let              memberships. I am glad to be a part        and growing even more with my team. I
     me check with Brittany to confirm. HAHA               of such an incredible team.                feel our commitment and teamwork will
                                                                                                      continue to strengthen our organization
     Why did you choose                                    What do you do in your free time:          for our clinics. The more support and
     to join the TVC team:                                 Being from the mountains opened my         knowledge we have the more we can
     When I started at TVC, I was pretty                   passion for hiking, discovering water-     offer to our owners to better their op-
     fresh in the veterinary industry. Prior               falls, and backpacking. I would really     portunities in such unique times.

16   SEPTEMBER 2020 • TVC MAGAZINE IN PARTNERSHIP WITH TVC RISEVET
800.824.3703          mwiah.com

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Trends

     COVID-19 and the
     Human-Animal Connection
     The coronavirus has reopened the door for discussions about One Health

     >   It is not easy to find something good to say about COVID-19.                                     which allows it to be more easily trans-
         However, at least the pandemic has drawn the attention of the public and gov-                    mitted within its new host species. The
         ernment to two important issues: 1) the role of animal-human contact in disease                  point at which the transmission rate of
         transmission, and 2) the importance of infection prevention practices in impeding it.            the pathogen in the new host species
                                                                                                          is increasing may be referred to as the
                                                                                                          tipping point for an emerging disease.”
                                                                                                               More emerging diseases are likely
                                                                                                          to pop up, according to experts.
                                                                                                               “The increased interaction of hu-
                                                                                                          mans and domestic animals with wild
                                                                                                          animal populations has been a concern
                                                                                                          of veterinarians for over a hundred
                                                                                                          years,” said Dana Varble, DVM, chief
                                                                                                          veterinary officer, NAVC. “The emer-
                                                                                                          gence and importance of leptospirosis
                                                                                                          is a great example. Increased interac-
                                                                                                          tions with wildlife mean that disease
                                                                                                          transmission is more likely. It is simply
                                                                                                          a numbers game – the odds haven’t
         It has also reopened the door for                 said that the COVID-19 pandemic is             changed, but the interactions have.”
     discussions about One Health, that is,                probably the most recognizable exam-                Wildlife and ecosystem health are
     the concept that humans, animals and                  ple of an emerging disease that likely         often negatively affected as more de-
     the world they inhabit are inextricably               resulted from a spillover event, which         mands are placed on natural resources
     linked – and that the health and welfare              occurred in China. Evidence suggests a         to support the needs of an ever-increas-
     of one impacts the health and welfare                 common lineage with a SARS-like coro-          ing human population, added Howe.
     of the others.                                        navirus found in horseshoe bats, but it is     “Wildlife habitat may be lost as a result
                                                           not known what species of animal, if any,      of extreme climatic events (wildfires,
                                                           served as an intermediate host for the         drought, flood) and changes in land use
     The tipping point                                     virus as it passed from its wildlife host to   patterns, such as deforestation,” he said.
     Despite isolated incidences of some cats              humans, he added.                                   “Encroachment of urban areas into
     and tigers (in zoos) testing positive for                 “Once the pathogen can infect and          rural and wild areas results in increased
     SARS-CoV-2, the focus throughout the                  replicate in the new host, it has the po-      opportunities for interactions between
     outbreak has been on wild animals and                 tential to be transmitted within that new      humans (and their domestic animals)
     the threats they can pose to humans.                  host species,” he said. “As the patho-         and wildlife, sometimes in a crowded
         John Howe, DVM, president of the                  gen continues to adapt to its new host         and unhygienic environment, such as
     American Veterinary Medical Association,              species, it replicates more efficiently,       live wildlife markets,” he said. “This, in

18   SEPTEMBER 2020 • TVC MAGAZINE IN PARTNERSHIP WITH TVC RISEVET
turn, provides more opportunities for vi-         Even so, COVID-19 has reinforced           They may seldom think in terms of One
ruses and other pathogens to ‘spill over’     among veterinarians some important             Health, “but everything from flea and
to humans or their domestic animals.”         lessons about infection control and the        tick prevention, to rabies vaccinations
                                              use of personal protective equipment.          and ringworm treatment has a One
                                              “The relative risk of acquiring infec-         Health impact.”
Closer to home                                tion from a sick pet versus a healthy              One Health has even broader impli-
Companion animals are more likely             human (client or colleague in the              cations.
to be the “victims” of spillover events,      workplace) has had to be addressed                 “A healthy relationship with animals
though they do have the potential to          and appropriate protocols developed,”          has a positive impact on healthy child-
pass on viruses to humans, said Jane          said Sykes. “Improved disinfection and         hood development; alleviating stress,
Sykes, BVSc (Hons), PhD, DACVIM,              hand hygiene in veterinary practices           anxiety and depression; increasing
MBA, chief veterinary medical officer         has also been a positive outcome of            mobility; and reducing risk of heart-
for UC Davis Veterinary Medical Teach-        the pandemic.”                                 related health issues,” said Ilana Hal-
ing Hospital. Rabies is especially wor-                                                      perin, DVM, CVA, Community Medicine
risome. Other viruses with potential                                                         Service, UC Davis Veterinary Medical
for spillover are influenza viruses and       One Health and companion                       Teaching Hospital. Such relationships
coronaviruses. (When speaking about           animal veterinarians                           can also benefit individuals with PTSD.
zoonotic transmission of bacterial dis-       “Companion animal veterinarians deal               “Learning about One Health can
eases, common concerns for domestic           with zoonotic diseases – diseases              help solidify a veterinarian’s under-
animals are leptospirosis, bartonellosis,     spread between animals and their in-           standing of our role in supporting the
salmonellosis, brucellosis, and plague,       teraction with humans and environ-             human-animal bond by supporting
she added.)                                   ments – every day,” said NAVC’s Varble.        companion animal health and can help

     Domestic farmed animals
     If companion animals present relatively little “spillover”     mosquitos can then feed on and pass on to animals
     threat to people, domestic farmed animals and wild             and humans.
     animals are a different story.                                     Parasites are likely the most common spillover
          Avian influenza, which can spread from domesticated       disease from domesticated animals to humans, he said.
     animals to humans, continues to receive much attention,        Fungal organisms are also common (ringworm being the
     said John Howe, DVM, president of the American Veteri-         best-known example) and can be transmitted from pets
     nary Medical Association. These viruses can spread from        to humans and vice versa.
     many different species, including wild waterfowl and               Dana Varble, DVM, chief veterinary officer, NAVC, said
     farmed poultry. This same grouping of viruses can also         that new species of ticks are being introduced in areas and
     infect swine.                                                  widening their range. “Heartworm, a mosquito-borne dis-
          Mosquitoes are the source of West Nile virus              ease, is seen today in areas where it didn’t exist years ago,”
     (WNV), which affects domesticated animals (mainly              she said. Temperature, humidity, water, plant species and
     birds and horses) and as well as humans, he added.             wildlife changes introduce those diseases to new areas.
     Birds and horses cannot directly pass this disease             Tick-borne diseases, such as Lyme disease, also pose an
     to humans, but they can be a reservoir for it, which           increasing threat to human and animal health, she added.

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Trends

     make our work yet more meaningful                     support their pets and thereby their            might be stressing a client’s cat and
     and rewarding,” she said.                             own physical and mental health.”                causing its urinary tract disorder, or
         By obtaining a complete in-depth                       Said Howe, “Veterinarians are keenly       where in the environment a client’s dog
     client interview, thereby gaining a bet-              aware that an animal’s environment              might have picked up a microbe that is
     ter understanding of the home envi-                   can impact its health and welfare in            now making it sick. In this latter case,
     ronment, veterinary professionals can                 both negative and positive ways. This is        the veterinarian will also be able to
     improve patient outcomes by assess-                   one reason why companion animal vet-            educate the dog’s owner about human
     ing risk factors for some diseases, said              erinarians ask clients about their pets’        health risk, too.
     Halperin. “By incorporating our under-                lifestyle. ‘How many cats do you have?               “As leaders in their community, com-
     standing of the home environment and                  Are they indoors only? How many lit-            panion animal veterinarians can also
     client abilities and limitations into our             terboxes are available? Does your dog           collaborate with others to develop pro-
     treatment plan, we can set the client up              spend a lot of time outdoors and if so, in      grams using a One Health approach,” he
     for success in following through with                 what type of environment? Do you have           said. Such programs could address pub-
     medical recommendations.                              any new pets or new housemates?’                lic and environmental health needs; for
         “We can also identify high-risk indi-                  “Answers to these and other ques-          example, dog-bite prevention, disaster
     viduals, such as immunocompromised,                   tions help companion animal veterinar-          response and preparedness, and green
     young, or elderly clients, and help them              ians discern what in the environment            building and business certification.

           One Health Act
           Although introduced months before the COVID-19
           outbreak, the Advancing Emergency Preparedness
           through One Health Act (S.1903/H.R. 3771) has special
           application to it.
                The bill was introduced in the House of Representa-
           tives in July 2019 by two veterinarians – U.S. Reps.
           Kurt Schrader (D-Ore.) and Ted Yoho (R-Fla.), and in the
           Senate last June by U.S. Sens. Tina Smith (D-Minn.)
           and Todd Young (R-Ind.), explained John Howe, DVM,
           president of the American Veterinary Medical Associa-
           tion. The AVMA is leading the charge to build support for
           it, he added.                                                           particular, exotic small mammals,” said Howe. “Others
                The bill would establish a One Health Program                      – although not able to infect companion animals – may
           that brings together the expertise of multiple federal                  be brought into the United States in the bedding or in the
           agencies in order to better prepare for and respond to                  carrier used to transport companion animals, particularly
           emerging infectious diseases, Howe explains.                            dogs, from other countries.
                One objective of the One Health Act is to advance                      “As such, companion animal veterinarians are on
           surveillance of priority zoonotic diseases and their trans-             the front line of defense against zoonotic diseases and
           mission between animals and humans. “Some zoonotic                      should be recognized in the One Health framework as a
           diseases may be transmitted by companion animals – in                   key player in surveillance efforts.”

20   SEPTEMBER 2020 • TVC MAGAZINE IN PARTNERSHIP WITH TVC RISEVET
BUSINESS BREAKOUT: OCT 18TH
SEE WHAT'S ON THE AGENDA!

 CE Lecture #1: Making the Recommendation Your Clients Want
 CE Lecture #2: Unlocking the Hidden Profits of Pet Food
 CE Lecture #3: Successful Digital Marketing
 CE Lecture #4: Hot Tips to Reduce Inventory Costs & Boost Revenue
 CE Lecture #5: Creating a Climate for Change
 CE Lecture #6: Leading Others Through Change
 Mini Lecture: Efficacy, Legality, & Creating Connections through Technology
 Mini Lecture: Data Driven Decisions Beyond The Abstract

MEDICAL BREAKOUT: OCT 25TH
GREAT OPPORTUNITY FOR YOUR WHOLE TEAM!

 CE Lecture #1: New Dental Insights for your Practice
 CE Lecture #2: The Lump in the Living Room
 CE Lecture #3: New Directions in Otitis Externa Management
 CE Lecture #4: Veterinarian Wellbeing Study II
 CE Lecture #5: Nutritional Management of Atopy & Food Allergy
 Panelist Discussion: How to Become a Hospital of the Future
 Mini Lecture: The Art of Contract Negotiation
 Mini Lecture: Feline Friendly Clinics & Cat Curiosities

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Industry News

     Study shows common causes of heatstroke in dogs                                             WVC conference rescheduled
                                                     Exertion or exercise – including walking,   After receiving survey results, Viticus
                                                     playing, or running with their owners –     Group has decided to reschedule the next
                                                     was the cause of nearly three-quarters      WVC Annual Conference from February
                                                     of heatstroke cases in dogs, a new study    to September 2021. This is meant to al-
                                                     found. Researchers from Nottingham          low attendees and organizers to plan and
                                                     Trent University and the Royal Veterinary   adjust to post-pandemic circumstances,
                                                     College analyzed the clinical records       including vaccine distribution and travel
                                                     of more than 900,000 U.K. dogs. They        safety. Viticus Group is also adding a vir-
                                                     found that 1,222 had received veteri-       tual component to the 2021 conference,
                                                     nary care for heatstroke at some point      making it their first hybrid event. More
                                                     during their lives, with almost 400 af-     details will be available in future months.
                                                     fected in a single year. Just over 14%
     died from their heatstroke. Hot weather alone was responsible for 13% of cases, while
     traveling or being left in hot vehicles accounted for 5%, Vet Surgeon reports.

         NAVC opens registration for VMX 2021
         NAVC announced that VMX 2021 will take place January 16-20 in person in Or-
         lando at the Orange County Convention Center. It will also take place, for the first
         time, virtually, through the VMX Virtual platform, which features interactive educa-
         tional programs, networking, and a 3D Expo Hall. “The health and safety of VMX
         participants is paramount and the NAVC is introducing new safety measures and
         working closely with the Orange County Convention Center, our host hotels and
         Visit Orlando to make sure we provide a safe and healthy experience for everyone
         who comes to VMX,” said NAVC CEO Gene O’Neill. More information on the con-             Big dogs face more
         ference is available at navc.com/vmx.                                                   joint problems if
                                                                                                 neutered early: study
                                                                                                 Heavier mixed-breed dogs have higher
     North Carolina dog that died after ‘acute’                                                  health risks if neutered or spayed early, ac-
     illness tests positive for coronavirus                                                      cording to new research from the University
     A North Carolina dog that died after                                                         of California Davis. The study found mixed-
     suffering an “acute illness” earlier this                                                    breed dogs weighing more than 44 pounds
     month has tested positive for the corona-                                                    as adults are at higher risk for one or more
     virus, officials said. The death could mark                                                  joint disorders if neutered before one year
     a rare, potentially fatal case of COVID-19                                                   of age. Dogs weighing up to 43 pounds
     in a pet, but it’s still unclear if there were                                               had no increased risk for joint problems.
     other underlying conditions that contrib-                                                    It’s standard practice in the United States
     uted, NBC reports. Most dogs that have                                                       and much of Europe to neuter dogs by six
     contracted the disease are asymptomatic                                                      months of age. This study, which analyzed
     or show only slight signs of infection, said                                                 15 years of data from thousands of dogs at
     AVMA spokesperson Michael San Filippo. While that seems to indicate the virus is not a      the university’s teaching hospital, suggests
     major problem for dogs, “we have more to learn, like how it might combine with other        dog owners should consider their options
     conditions to cause more serious problems,” San Filippo said.                               carefully, UC Davis reports.

22   SEPTEMBER 2020 • TVC MAGAZINE IN PARTNERSHIP WITH TVC RISEVET
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