West
Nile Virus
There has
been one confirmed case of West Nile Virus in a dog in Illinois. This
is indicative of an extrmely low infection rate. The dog, in general,
seems to be fairly resistant to the infection. The symptoms are mainly
neurological, with the dog showing generalized weakness, muscle tremors,
head bobbing, and seizures, in a a fairly rapid progression of symptoms.
Older, very young, debilitated, or immune-compromised dogs (similar
to the susceptibility pattern in people), are the susceptible individuals.
Limiting exposure to mosquitoes is you and your dog's best prevention.
Once it gets cold outside, the threat disappears.
According
to all literature accounts, cats are not susceptible to West Nile Virus.
Anthrax
Anthrax
has been a disease threat in domestic animals up until only a few decades
ago. Then the terrorists added it to their arsenal, along with other
nasty biological diseases. As far as a weapon, it is effective but not
perfect. It is only a first encounter weapon. It is not contagious once
the first exposure happens. If you get it, you cant
keep communicating it. Smallpox, on the other hand, can keep infecting
others from the primary exposure because it is contagious.
Classically, dogs have a pretty high natural immunity from the natural
source of infection: the dog had eaten from a carcass that had died
from anthrax. This does not mean the dog cant get it. It means
that it takes a higher number of anthrax spores to infect the dog from
the natural route of infection: ingestion. Cows usually get it from
grazing on soil that already has anthrax as a normal inhabitant. The
dog would feed on the infected cow carcass and the infection completes
it's journey.
The
dry, floating form of the terrorist's bacillus is not the dogs
natural route of infection, so we dont know how well the dog can
resist the inhaled form. Your dog would not be exposed as it typically
would have, by eating it. Your dog would have exposure the same way
you would, by inhaling it. That route of infection in the dog hasnt
been studied much.
Clinical signs of anthrax usually appear as edema, or swelling of the
neck and head. Do not confuse this with the common allergy response
which can cause swelling of the face. Symptoms can start within one
to seven days, and up to sixty days, after exposure. Once the signs
of anthrax appear, even eliminating the organism wont save the
animal. If you suspect exposure has happened, start therapeutic antibiotics.
Ciproflaxacin, the current antibiotic of the year, is poorly
absorbed from the intestinal tract of the dog. Cipros sister antibiotic,
enrofloxacin (Baytril®, for dogs), might be a better choice (and
maybe more easily obtained). Doxycycline has been used well before the
appearance of the newer antibiotics. Treatment should be continued for
4 to 6 weeks. Some of these drugs can cause bone problems in dogs under
16 months of age.
Little is known in modern veterinary medicine since anthrax has been
eliminated from the large animal population. It is not a disease that
the drug companies can test against. There may be new information available
in the next six to twelve months.

Understanding
Grief in Children
When an
adult loses a beloved pet, grief is a normal reaction. It progresses
through very predictable stages that have been defined as denial, sadness,
depression, guilt, anger, and, finally, relief (or recovery). The effect
of grief and loss on children is less predictable and depends upon the
child's age and maturity level. The capacity of the child to understand
death dictates their response to the experience of grief and loss.
Two
and Three Year Children
Young children
typically have no life experiences upon which to draw when they face
the loss of a pet. They may consider it a form of sleep. They should
be told that their pet has died and will not return. Two and three year
old children should be reassured that the pet's absence is unrelated
to anything the child may have said or done. Usually, a child in this
age range will easily accept another pet in place of the dead one. Although
the child may be unaware of the concept of death, stress in the household
can be detected. It is advisable to stick to routines and provide care
and reassurance for the young child.
Four,
Five, and Six Year Old Children
Children in this age range have some understanding of death but
in a way that relates to a continued existence. The pet may be considered
to be living underground while continuing to eat, breathe, and play.
Alternatively, it may be considered asleep. A return to life may be
expected if the child views death as temporary. Some television cartoons
may suggest to children that it is possible to return from death. These
children often feel that any anger they had toward the pet may be responsible
for its death. This view should be discouraged because they may also
translate this belief to the death of family members. Some children
also see death as contagious and begin to fear that their own death
(or that of others) is imminent. They should be reassured that their
death is not likely.
Manifestations of grief may take the form of alterations in bladder
and bowel control, eating habits, and sleep. The child should be encouraged
to talk with the parent and voice concerns about what has happened.
In this age group, a few brief discussions may be more productive than
one or two lengthy sessions.
Seven,
Eight, and Nine Year Old Children
Children in this age group know that death is irreversible and they
are capable of intense grief. They usually do not personalize death,
thinking it cannot happen to them. However, some children may develop
concerns about death of their parents. They may become very curious
about death and ask questions that, on the surface, appear morbid. These
questions are natural, and parents should respond frankly and honestly.
Grief may
be expressed in a variety of ways. Problems may arise at school with
learning and behavior. Interpersonal skills with adults and peers may
deteriorate. In rare cases, grief-related anxiety may be expressed through
acts of aggression. Additionally, withdrawal, over-attentiveness, or
clinging behavior may be seen. Parents should remain alert and attentive,
as the difficulties may not arise for several weeks, or even months.
Ten
and Eleven Year Old Children
Children in this age range are usually able to understand that death
is natural, inevitable, and universal. Consequently, these children
often react to death in a manner very similar to adults.
Adolescents
Although this age group also reacts similarly to adults, many adolescents
exhibit various forms of denial. This may take the form of a total lack
of emotion. They may also act out their pain through antisocial acts.
Adults should not expect the grief process to follow a particular time
frame with teenagers. Because the teenage years are fraught with excess
emotion, some situations require that the parent offer as much reassurance
about pet death as would be given to a young child.
Young
Adults
Loss of a pet can be particularly hard at this age, especially if the
pet has been a family member for many years. Some psychologists say
that, in effect, loss of such a pet represents a rite of passage
to adulthood. Young adults need the same opportunities to voice their
feelings as any of the other age groups.
Summary
Professional bereavement counselors are available. Do not be afraid
to seek professional advice if you have questions about the experience
of grief and pet loss. The normal balance in a family can be so disrupted
that, occasionally, it is helpful to solicit outside assistance.

Is
My Pet Sick?
There are
very obvious signs when you know your pet is ill. There are many early
signs of disease that can easily be interpreted as insignificant or
even normal. We recommend that you present your dog for an examination
for any of the following:
-
Sustained, significant increase in water consumption. (Abnormal is
intake greater than 50 ml/#/day or approximately 1.5 cups (8 oz cups)/day
or 12 oz total 10 pounds of body weight.)
-
Sustained,
significant increase in urination.
-
Weight loss.
-
Significant decrease in appetite or failure to eat for more than two
consecutive days.
-
Significant increase in appetite.
-
Repeated vomiting.
-
Diarrhea that lasts over 3 days.
-
Difficulty in passing stool or urine, especially male cats.
-
A break in housetraining habits.
-
Lameness that lasts more than 5 days, or lameness in more than one
leg.
-
Noticeable decrease in vision, especially if sudden in onset or pupils
that do not constrict in bright light.
-
Masses,
ulcerations (open sores), or multiple scabs on the skin that persist
more than 1 week.
-
Foul
mouth odor or drooling that lasts over 2 days.
-
Increasing
size of the abdomen.
-
Increasing
inactivity or amount of time spent sleeping.
-
Localized
hair loss, especially if accompanied by scratching or if in specific
areas (as opposed to generalized).
-
Breathing
heavily or rapid at rest.

New
Kitten General Advice
We
would like to congratulate you on the acquisition on your new kitten.
Owning a cat can be an extremely rewarding experience, but it also carries
with it quite a bit of responsibility. We hope this document will give
you the information needed to make some good decisions regarding your
kitten.
First, let us say that we are grateful that you have chosen us to help
you with your kitten's health care. If you have questions concerning
any subject related to your kitten's health, please feel free to call
our hospital. Either one of the technicians or one of the doctors will
be happy to help you.
Introducing
a New Kitten to its New Environment
A cat is naturally inclined to investigate its new surroundings. It
is suggested that the cat's area of exploration be limited initially
so that these natural tendencies do not create an unmanageable task.
After confining the cat to one room for the first few days, you should
slowly allow access to other areas of the home.
Introducing
a New Kitten to Other Cats in the Household
Most kittens receive a hostile reception from other household pets,
especially from another cat. The other cat usually sees no need for
a kitten in the household, and these feelings are reinforced if it perceives
that special favoritism is being shown the kitten. The existing cat
must not feel that it is necessary to compete for food or for attention.
The new kitten should have its own food and food bowl, and it should
not be permitted to eat from the other cats bowl. Although it
is natural to spend time holding and cuddling the kitten, the existing
cat will quickly sense that it is being neglected. The new kitten needs
lots of love and attention, but the existing cat should not be slighted.
In fact, the transition will be smoother if the existing cat is given
more attention than normal.
The introduction period will usually last one to two weeks and will
have one of three possible outcomes.
1. The existing cat will remain hostile to the kitten. Fighting may
occur occasionally, especially if both try to eat out of the same bowl
at the same time. This is an unlikely occurrence if competition for
food and affection are minimized during the first few weeks.
2. The existing cat will only tolerate the kitten. Hostility will cease,
but the existing cat will act as if the kitten is not present. This
is more likely if the existing cat is very independent, has been an
only cat for several years, or if marked competition occurred during
the first few weeks. This relationship is likely to be permanent.
3. Bonding will occur between the existing cat and the kitten. They
will play together, groom each other, and sleep near each other. This
is more likely to occur if competition is minimized and if the existing
cat has been lonely for companionship.
Playing
Behavior in Kittens
Stimulating play is important during the first week. Stalking and pouncing
are important play behaviors in kittens and have an important role in
proper muscular development. If given a sufficient outlet for these
behaviors with toys, your kitten will be less likely to use family members
for these activities. The best toys are lightweight and movable. These
include wads of paper, small balls, and string or ribbon. Kittens should
always be supervised when playing with string or ribbons to avoid swallowing
them. Any other toy that is small enough to be swallowed should also
be avoided.
Disciplining
a Kitten
Disciplining a young kitten may be necessary if its behavior threatens
people or property, but harsh punishment should be avoided. Hand clapping
and using shaker cans or horns can be intimidating enough to inhibit
undesirable behavior. However, remote punishment is preferred. Remote
punishment consists of using something that appears unconnected to the
punisher to stop the problem behavior. Examples include using spray
bottles, throwing objects in the direction of the kitten to startle
(but not hit) it, and making loud noises. Remote punishment is preferred
because the kitten associates punishment with the undesirable act and
not with you. Hitting or other physical punishment will accomplish nothing
beneficial or productive.
Vaccinations
There are many diseases that are fatal to cats. Fortunately, we have
the ability to prevent many of these by using very effective vaccines.
In order to be effective, these vaccines must be given as a series of
injections. Ideally, they are given at about 6-8, 12, and 16 weeks of
age, but this schedule may vary somewhat depending on several factors.
The routine vaccination schedule will protect your kitten from four
diseases: distemper, two respiratory viruses, and rabies. The first
three are included in a combination vaccine that is given at 6-8, 12,
and 16 weeks old. Rabies vaccine is given at 16 weeks of age. Leukemia
vaccine is necessary if your cat does or will go outside or if you have
another cat that goes in and out since this deadly disease is transmitted
by contact with other cats, especially when fighting occurs. A vaccine
is also available for protection against feline infectious peritonitis
(FIP); this vaccine is not necessary for all cats and is recommended
in only select situations.
The
Need for a Series of Vaccinations
When the kitten nurses its mother, it receives a temporary form of immunity
through its mother's milk. This immunity is in the form of proteins
called antibodies. For about 24-48 hours after birth, the kitten's intestine
allows absorption of these antibodies directly into the blood stream.
This immunity is of benefit during the first few weeks of the kitten's
life, but, at some point, this immunity fails and the kitten must be
able to make its own long-lasting immunity. Vaccinations are used for
this purpose. As long as the mother's antibodies are present, vaccinations
do not "take." The mother's antibodies will neutralize the
vaccine so the vaccine does not get a chance to stimulate the kitten's
immune system.
Many factors determine when the kitten will be able to respond to the
vaccines. These include the level of immunity in the mother cat, how
much of the antibody has been absorbed, and the number of vaccines given
the kitten. Since we do not know when an individual kitten will lose
the short-term immunity, we give a series of vaccinations. We hope that
at least two of these will fall in the window of time when the kitten
has lost the immunity from its mother but has not yet been exposed to
disease. A single vaccination, even if effective, is not likely to stimulate
the long-term immunity that is so important.
Rabies vaccine is an exception to this, since one injection given at
the proper time is enough to produce long-term immunity.

Intestinal
Parasites (Worms)
Intestinal parasites are common in kittens. Kittens can become infected
with parasites almost as soon as they are born. For example, the most
important source of roundworm infection in kittens is the mother's milk.
The microscopic examination of a stool sample will usually help us to
determine the presence of intestinal parasites. We recommend this exam
for all kittens. If we can not get a stool sample, please bring one
at your earliest convenience. Even if we do not get a stool sample,
we recommend the use of a deworming product that is safe and effective
against almost all of the common worms of the cat. Several good drugs
are available. It is given now and repeated in about 3-4 weeks, because
the deworming medication only kills the adult worms. Within 3-4 weeks
the larval stages will have become adults and will need to be treated.
Cats remain susceptible to reinfection with hookworms and roundworms.
Periodic deworming throughout the cat's life may be recommended for
cats that go outdoors.
Tapeworms are the most common intestinal parasite of cats. Kittens become
infected with them when they swallow fleas; the eggs of the tapeworm
live inside the flea. When the cat chews or licks its skin as a flea
bites, the flea may be swallowed. The flea is digested within the cat's
intestine; the tapeworm hatches and then anchors itself to the intestinal
lining. Therefore, exposure to fleas may result in a new infection;
this can occur in as little as two weeks.
Cats infected with tapeworms will pass small segments of the worms in
their stool. The segments are white in color and look like grains of
rice. They are about 1/8 inch (3 mm) long and may be seen crawling on
the surface of the stool. They may also stick to the hair under the
tail. If that occurs, they will dry out, shrink to about half their
size, and become golden in color.
Tapeworm segments do not pass every day or in every stool sample; therefore,
inspection of several consecutive bowel movements may be needed to find
them. We may examine a stool sample in our office and not find them,
then you may find them the next day. If you find them at any time, please
notify us so we may provide the appropriate drug for treatment.
Feeding
a Kitten
Diet is extremely important in the growing months of a cat's life, and
there are two important criteria that should be met in selecting food
for your kitten. We recommend a NAME-BRAND FOOD made by a national cat
food company (not a generic or local brand), and a form of food MADE
FOR KITTENS. This should be fed until your kitten is about 12 months
of age. We recommend that you only buy food that has the AAFCO certification.
Usually, you can find this information very easily on the label. AAFCO
is an organization that oversees the entire pet food industry. It does
not endorse any particular food, but it will certify that the food has
met the minimum requirements for nutrition. Most of the commercial pet
foods will have the AAFCO label. Generic brands often do not have it.
Feeding a dry, canned, or semi-moist form of cat food is acceptable.
Each has advantages and disadvantages. Dry food is definitely the least
expensive. It can be left in the cat's bowl at all times. If given the
choice, the average cat will eat a mouthful of food about 12-20 times
per day. The good brands of dry food are just as nutritious as the other
forms. As a rule, most veterinarians will recommend dry food for your
kitten.
Semi-moist and canned foods are also acceptable. However, both are considerably
more expensive than dry food. They often are more appealing to the cat's
taste; however, they are not more nutritious. If you feed a very tasty
food, you are running the risk of creating a cat with a finicky appetite.
In addition, the semi-moist foods are high in sugar.
Table foods are not recommended. Because they are generally very tasty,
cats will often begin to hold out for these and not eat their well-balanced
cat food. If you choose to give your kitten table food, be sure that
at least 90% of its diet is good quality commercial kitten food.
We enjoy a variety of things to eat in our diet. However, most cats
actually prefer not to change from one food to another unless they are
trained to do so by the way you feed them. Do not feel guilty if your
cat is happy to just eat one food day after day, week after week.
Commercials for cat food can be very misleading. If you watch carefully,
you will notice that many commercials promote cat food on one basis,
TASTE. Nutrition is rarely mentioned. Most of the "gourmet"
foods are marketed to appeal to owners who wants the best for their
cats; however, they do not offer the cat any nutritional advantage over
a good quality dry food, and they are far more expensive. If your cat
eats a gourmet food very long, it will probably not be happy with other
foods. If it needs a special diet due to a health problem later in life,
it is very unlikely to accept it. Therefore, we do not encourage feeding
gourmet cat foods.
Socialization
The Socialization Period for cats is between 2 and 12 weeks of age.
During that time, the kitten is very impressionable to social influences.
If it has good experiences with men, women, children, dogs, other cats,
etc., it is likely to accept them throughout life. If the experiences
are absent or unpleasant, it may become apprehensive or adverse to any
of them. Therefore, during the period of socialization, we encourage
you to expose your cat to as many types of social events and influences
as possible.
The
Litter Box
The number one behavioral problem of cats is urinating out of the litter
box (inappropriate urination). There are several things that cause this
frustrating problem, but some of those are related to the litter box.
The following comments are included to prevent problems later because
cats are particular about their litter boxes, the litter, and the location.
Choose a litter box that is large enough for your cat to fit in comfortably.
It needs to be able to turn around freely. An 18 X 14 inch box with
4-inch sides is appropriate for most adult cats. Kittens may need a
box with shorter sides so they can get in and out easily.
We do not recommend a box with a top (hood). Although hooded litter
boxes are more private and better contain the litter, they also trap
odors inside. Because cats are so fastidious, these odors often cause
them to seek other places to urinate. Many cats exhibiting inappropriate
urination will return to their litter boxes when the lid is removed.
There are three types of litter: clay, clumpable, and organic.
Clay litter absorbs 75-100% of its weight in moisture. This is good
but not adequate to keep urine from being absorbed throughout a widespread
area of litter. Solid matter and wet litter should be removed 1-2 times
per day, but the entire litter box should be changed weekly. Clay litter
is also quite dusty. Cats with allergies can have increased problems
when breathing the litter dust.
Clumping litter is also called scoopable litter. It absorbs urine and
swells to about 15 times its original volume. Therefore, you need only
to remove the litter clumps; you do not need to change the entire contents
of the litter box. It tends to control urine and stool odors better
than clay litter.
Organic litters are made of alfalfa, newspaper, peanut hulls, corn cobs,
or recycled, biodegradable materials. They appeal to many cats, but
they are also not received well by others.
Some litters contain scented or odor-controlling additives. Some cats
tolerate them, but others find them objectionable. To minimize the chances
of inappropriate urination, it is better to avoid scented litters.
Fecal matter and wet litter need to be removed once daily for each cat
that uses the litter box. Even with clumping litter, a monthly scrubbing
of the litter box removes odors that may collect in the box itself.
Use warm, soapy water and avoid scented disinfectants.
The location of the litter box is important. It should be on an easily
cleaned surface as some cats don't always aim well. Litter is also scratched
out or tracked out of the litter box frequently. It is very important
that the litter box be placed in a quite, non-threatening location.
Cats need their privacy and will avoid a litter box that is in a high
traffic area or a location accessible to dogs.
Flea
Control
Fleas do not stay on your kitten all of their time. Occasionally, they
will jump off and seek another host. Therefore, it is important to kill
fleas on your new kitten before they can become established in your
house. Many of the flea control products that are safe on adult cats
are not safe for kittens less than 4 months of age. Be sure that any
flea product you use is labeled safe for kittens.
If you use a flea spray, your kitten should be sprayed lightly. Flea
and tick dip is not recommended for kittens unless they are at least
4 months of age. Remember, not all insecticides that can be used on
dogs are safe for cats and kittens.
There is a trick to spraying a kitten that will make the outcome safer
and more successful. When a kitten is sprayed, the fleas tend to run
away from the insecticide. If you spray the body first, many fleas will
run to the head where they are very difficult to kill. The best method
is to spray a cotton ball then use that to wipe the flea spray onto
the kittens face, from the nose to the level of the ears. That
will keep you from getting it in the eyes and will cause the fleas to
run down the neck toward the body. Wait about 2 minutes, then spray
the body. Leave the spray on for about 3 minutes, then wipe off the
excess. This will permit you to kill the most fleas while putting the
least amount of insecticide on the kitten. The once-a-month topicals
are a much easier product to use.
There are three products that are used only once per month. Advantage*,
Frontline Top Spot*, and Revolution* are the monthly products that kill
adult fleas. They are liquids that are applied to the skin at the base
of the neck. They are very effective and easy to use.
Ear Mites
Ear mites are tiny insect-like parasites that live in the ear canal
of cats (and dogs). The most common sign of ear mite infection is scratching
of the ears. Sometimes the ears will appear dirty because of a black
material in the ear canal; this material is sometimes shaken out. The
instrument we use for examining the ear canals, an otoscope, has the
necessary magnification to allow us to see the mites. Sometimes, we
can find the mites by taking a small amount of the black material from
the ear canal and examining it with a microscope. Although they may
leave the ear canals for short periods of time, they spend the vast
majority of their lives within the protection of the ear canal. Transmission
generally requires direct ear-to-ear contact. Ear mites are common in
litters of kittens if their mother has ear mites.
Spaying
Female Cats
Spaying is the removal of the uterus and the ovaries. Therefore, heat
periods no longer occur. In many cases, despite of your best effort,
the female will become pregnant; spaying prevents unplanned litters
of kittens.
Spaying offers several advantages. The female's heat periods result
in about 2-3 weeks of obnoxious behavior. This can be quite annoying
if your cat is kept indoors. Male cats are attracted from blocks away
and, in fact, seem to come out of the woodwork. They seem to go over,
around, and through many doors. Your cat will have a heat period about
every 2-3 weeks until she is bred.
It has been proven that as the female dog gets older, there is a significant
incidence of breast cancer and uterine infections if she has not been
spayed. Spaying before she has any heat periods will virtually eliminate
the chances of either. There is mounting evidence to believe that this
is also true of cats. If you do not plan to breed your cat, we strongly
recommend that she be spayed before her first heat period. This can
be done anytime after she is 5 months old.
Neutering
Male Cats
Neutering is the surgical removal of both testicles. It offers several
important advantages. Male cats go through a significant personality
change when they mature. They become very possessive of their territory
and mark it with their urine to ward off other cats. The tomcat's urine
develops a very strong odor that will be almost impossible to remove
from your house. They also try to constantly enlarge their territory,
which means one fight after another. Fighting results in severe infections
and abscesses and often engenders rage in your neighbors. We strongly
urge you to have your cat neutered between 6 and 9 months of age. If
he should begin to spray his urine before that time, he should be neutered
immediately. The longer he sprays or fights, the less likely neutering
is to stop it.
Breeding
Cats
Your cat is not "made better or healthier" by having kittens.
She can come through the ordeal normal or harmed, but never better.
If you plan to breed your cat, she should have at least one or two heat
periods first. This will allow her to physically mature allowing her
to be a better mother without such a physical drain on her. We do not
recommend breeding after 5 years of age unless she has been bred prior
to that. Having her first litter after 5 years of age is more physically
draining to her and increases the chances of her having problems during
the pregnancy and/or delivery. Once your cat has had her last litter,
she should be spayed to prevent the female problems older cats have.
Neutralizing Destructive Behavior with the Claws
There are three options that you should consider: frequent nail clipping,
nail shields, and surgical declawing
Nail Trimming .Kittens have very sharp toenails. They can be
trimmed with your regular finger nail clippers or with nail trimmers
made for dogs and cats. If you take too much off the nail, you will
get into the quick; bleeding and pain will occur. If this happens, neither
you nor your cat will want to do this again. Therefore, a few points
are helpful:
-
If your cat has clear or white nails, you can see the pink of the
quick through the nail. Avoid the pink area, and you should be out
of the quick.
-
If your cat has black nails, you will not be able to see the quick
so only cut 1/32" (1 mm) of the nail at a time until the cat
begins to get sensitive. The sensitivity will usually occur before
you are into the blood vessel. With black nails, it is likely that
you will get too close on at least one nail.
-
If your cat has some clear and some black nails, use the average
clear nail as a guide for cutting the black ones.
-
When cutting nails, use sharp trimmers. Dull trimmers tend to crush
the nail and cause pain even if you are not in the quick.
-
You should always have styptic powder available. This is sold in
pet stores under several trade names, but it will be labeled for
use in trimming nails
The
nails may be clipped according to the instructions above. However, your
cat's nails will regrow and become sharp again in about 4-7 days. Therefore,
to protect your property, it will be necessary to clip them one to two
times per week.
There are some commercially available products that are called nail
caps. The most common one is called Soft Paws*. These are generally
made of smooth plastic and attach to the end of the nail with a special
glue. The nails are still present, but the caps prevent them from causing
destruction. After 2-4 weeks the nails will grow enough that the caps
will be shed. At that time, you should be prepared to replace them.
Not a very convenient solution.
Surgical declawing is the removal of the nail at its base. This
is done under general anesthesia; there is very little post-surgical
discomfort, especially when it is performed on a kitten. Contrary to
the belief of some, this surgery does not cause lameness or psychological
damage. Actually, a declawed cat will not realize the claws are gone
and will continue to "sharpen" the claws as normal without
inflicting damage to your furniture. This "sharpening" is
actually not sharpening activity: it is sent marking with special glands
on the feet. This surgery can be done as early as 10 weeks of age or
anytime thereafter. It can also be done the same time as spaying or
neutering. Once declawed, your cat should always live indoors since
the ability to defend itself is compromised.
Pet
Identification
The latest in pet retrieval is microchipping. This tiny device is implanted
with a needle so the process is much like getting an injection. Our
scanner can detect these chips; humane societies and animal shelters
across the country also have scanners. A national registry permits the
return of microchipped pets throughout the United States and Canada.
We recommend it.

New
Puppy General Advice
We would
like to congratulate you on the acquisition on your new puppy. Owning
a dog can be an extremely rewarding experience, but it also carries
with it quite a bit of responsibility. We hope this document will
give you the information needed to make some good decisions regarding
your puppy.
If
you haven't picked out your puppy yet...
If you are nervous about picking out the right puppy and don't want
to get the "John Walker" of dogs who "betrays"
you later, hire a dog trainer to go with you to evaluate your narrowed-down
choices. It would be money well spent.
First,
let us say that we are grateful that you have chosen us to help you
with your puppy's health care. If you have questions concerning any
subject related to your puppy's health, please feel free to call our
hospital. Our entire professional staff is willing and happy to help
you.
Puppy
Playing
Stimulating play is important during the first week. Stalking and
pouncing are important play behaviors in puppies and are necessary
for proper muscular development. If given a sufficient outlet for
these behaviors with toys, your puppy will be less likely to use family
members for these activities. The best toys are lightweight and movable.
These include wads of paper and rubber balls. Any toy that is small
enough to be swallowed should be avoided.
Discipline
(see the Obedience section)
Disciplining a young puppy may be necessary if its behavior threatens
people or property, but harsh punishment should be avoided. Hand clapping
and using shaker cans or horns can be intimidating enough to inhibit
undesirable behavior. However, remote punishment is preferred. Remote
punishment consists of using something that appears unconnected to
the punisher to stop the problem behavior. Examples include using
spray bottles, throwing objects in the direction of the puppy to startle
(but not hit) it, and making loud noises. Remote punishment is preferred
because the puppy associates punishment with the undesirable act and
not with you.
Vaccinations
There are many diseases that are fatal to dogs. Fortunately, we have
the ability to prevent many of these by the use of very effective
vaccines. In order to be effective, these vaccines must be given as
a series of injections. Ideally, they are given at about 6-8, 12,
and 16 weeks of age, but this schedule may vary somewhat depending
on several factors.
The routine vaccination schedule will protect your puppy from five
diseases: distemper, hepatitis, parainfluenza virus, parvovirus, and
rabies. The first four are included in one injection that is given
at 6-8, 12, and 16 weeks old. Rabies vaccine is given at 16 weeks
of age. There are two other optional vaccinations that are appropriate
in certain situations. Your puppy should receive kennel cough vaccine
(Intra Trac II) if a trip to a boarding kennel is likely or if it
will be placed in a puppy training class. Lyme vaccine is given to
dogs that are exposed to ticks because Lyme Disease is transmitted
by ticks. Please advise us of these needs on your next visit.
Why
the Series of Vaccinations
When the puppy nurses its mother, it receives a temporary form of
immunity through its mother's milk. This immunity is in the form of
proteins called antibodies. For about 24-48 hours after birth, the
puppy's intestine allows absorption of these antibodies directly into
the blood stream. This immunity is of benefit during the first few
weeks of the puppy's life, but, at some point, this immunity fails
and the puppy must be able to make its own long-lasting immunity.
Vaccinations are used for this purpose. As long as the mother's antibodies
are present, vaccinations do not have a chance to stimulate the puppys
immune system. The mother's antibodies interfere by neutralizing the
vaccine.
Many factors determine when the puppy will be able to respond to the
vaccinations. These include the level of immunity in the mother dog,
how much antibody has been absorbed, and the number of vaccines given
to the puppy. Since we do not know when an individual puppy will lose
the short-term immunity, we give a series of vaccinations. We hope
that at least two of these will fall in the window of time when the
puppy has lost immunity from its mother but has not yet been exposed
to disease. A single vaccination, even if effective, is not likely
to stimulate the long-term immunity that is so important.
Rabies vaccine is an exception to this, since one injection given
at the proper time is enough to produce long-term immunity.
Intestinal
Worms
Intestinal parasites are common in puppies. Puppies can become infected
with parasites before they are born or later through their mother's
milk. The microscopic examination of a stool sample will usually help
us to determine the presence of intestinal parasites. We recommend
this exam for all puppies. If we can not get a stool sample, please
bring one at your earliest convenience. Even if we do not get a stool
sample, we recommend the use of Drontal, a deworming product that
is safe and effective against several of the common worms of the dog.
It is given now and repeated in about 3 weeks. Food should not be
withheld before or after administering the tablet. It is important
that it be repeated in about 3 weeks because the deworming medication
only kills the adult worms. Within 3-4 weeks, the larval stages will
have become adults and will need to be treated. Dogs remain susceptible
to reinfection with hookworms and roundworms. Periodic deworming throughout
the dog's life may be recommended for dogs that go outdoors.
Tapeworms are the most common intestinal parasite of dogs. Puppies
become infected with them when they swallow fleas; the eggs of the
tapeworm live inside the flea. When the dog chews or licks its skin
as a flea bites, the flea may be swallowed. The flea is digested within
the dog's intestine; the tapeworm hatches and then anchors itself
to the intestinal lining. Therefore, exposure to fleas may result
in a new infection; this can occur in as little as two weeks.
Dogs infected with tapeworms will pass small segments of the worms
in their stool. The segments are white in color and look like grains
of rice. They are about 1/8 inch (3 mm) long and may be seen crawling
on the surface of the stool. They may also stick to the hair under
the tail. If that occurs, they will dry out, shrink to about half
their size, and become golden in color.
Tapeworm segments do not pass every day or in every stool sample;
therefore, inspection of several consecutive bowel movements may be
needed to find them. We may examine a stool sample in our office and
not find them, then you may find them the next day. If you find them
at any time, please notify us so we may provide the appropriate drug
for treatment.
Heartworms
Heartworms are important parasites, especially in certain climates.
They can live in your dog's heart and cause major damage to the heart
and lungs. Heartworms are transmitted by mosquitoes so your dog does
not have to be in contact with another dog to be exposed. Fortunately,
we have drugs that will protect your dog from heartworms. These drugs
are very safe and very effective if given regularly. One product,
Filarabits Plus*, is a chewable tablet that your dog should eat like
a treat; it is given daily. Three others, Heartgard*, Interceptor*,
and Revolution* are tablets that are given only once monthly. We recommend
the product that is most likely to be given on a regular basis, either
daily or monthly. Be aware that having a long haircoat or staying
primarily indoors does not protect a dog against heartworm infection.
Heartworm preventatives are dosed according to your dog's weight.
As the weight increases, the dosage should also increase. Please note
the dosing instructions on the package. These products are very safe.
You could overdose your dog by two or three times the recommended
dose without causing harm. Therefore, it is always better to overdose
rather than underdose.
Food
for Puppies
Diet is extremely important in the growing months of a dog's life,
and there are two important criteria that should be met in selecting
food for your puppy. We recommend a NAME-BRAND FOOD made by a national
dog food company (not a generic or local brand), and a form of food
MADE FOR PUPPIES. This should be fed until your puppy is about 12-18
months of age, depending on its size. We recommend that you only buy
food that has the AAFCO certification. Usually, you can find this
information very easily on the label. AAFCO is an organization that
oversees the entire pet food industry. It does not endorse any particular
food, but it will certify that the food has met the minimum requirements
for nutrition. Most of the commercial pet foods will have the AAFCO
label. Generic brands often do not have it.
Feeding a dry, canned, or semi-moist form of dog food is acceptable.
Each has advantages and disadvantages. Dry food is definitely the
most inexpensive. It can be left in the dog's bowl without drying.
The good brands of dry food are just as nutritious as the other forms.
As a rule, most veterinarians will recommend dry food for your puppy.
Semi-moist and canned foods are also acceptable. However, both are
considerably more expensive than dry food. They often are more appealing
to the dog's taste; however, they are not more nutritious. If you
feed a very tasty food, you are running the risk of creating a dog
with a finicky appetite. In addition, the semi-moist foods are high
in sugar.
Table foods are not recommended. Because they are generally very tasty,
dogs will often begin to hold out for these and not eat their well-balanced
dog food. If you choose to give your puppy table food, be sure that
at least 90% of its diet is good quality commercial puppy food.
We enjoy a variety of things to eat in our diet. However, most dogs
actually prefer not to change from one food to another unless they
are trained to do so by the way you feed them. Do not feel guilty
if your dog is happy to just eat one food day after day, week after
week.
Commercials for dog food can be very misleading. If you watch carefully
you will notice that many commercials promote dog food on one basis,
TASTE. Nutrition is rarely mentioned. Most of the "gourmet"
foods are marketed to appeal to owners who wants the best for their
dogs; however, they do not offer the dog any nutritional advantage
over a good quality dry food, and they are far more expensive. If
your dog eats a gourmet food very long, it will probably not be happy
with other foods. If it needs a special diet due to a health problem
later in life, it is very unlikely to accept it. Therefore, we do
not encourage feeding gourmet dog foods.
In addition to table foods, it is also important that you not give
certain other things to dogs. Bones of birds (chicken, turkey, etc.)
are hollow and splinter easily producing very sharp pointed pieces
of bones. These can easily pierce the esophagus, stomach, and intestines
resulting in peritonitis and death.
Feeding
Schedules
There are several right ways to feed puppies. The most
popular method is commonly called meal feeding. This means
that the puppy is fed at specific times of the day. A measured amount
of food should be offered four times per day for 5-12 week old puppies.
What is not eaten within 30 minutes is taken up. If the food is eaten
within 3-4 minutes, the quantity is probably not sufficient. Puppies
fed in this manner generally begin to cut themselves out of one of
those meals by 3-4 months of age and perhaps another one later. If
a meal is ignored for several days, it should be discontinued.
Free choice feeding means that food is available at all
times. This works well with dry foods and for some dogs. However,
other dogs tend to overeat and become obese. If there are signs of
weight gain after the optimal weight is reached, this method of feeding
should be discontinued.
Housebreaking
Housebreaking should begin as soon as your puppy enters his new home.
How long the training must continue depends on both the puppy and
you. Some pups learn sooner than others. Your dog wants to please
you. But a puppy's memory is short, so your patience is important.
A home with a badly trained puppy is not a happy home for you or the
puppy.
-
The
puppy's bed may be a box, open at one end and slightly larger than
the puppy. If the bed is too large, the puppy may defecate or urinate
in a corner rather than go outside. If the bed is smaller, the puppy
will do its "business" outside rather than soil its bed.
-
Enclose
the bed in a small area, such as a laundry room. Cover this area
with newspapers to be used at night, or when your pup is left unsupervised.
-
The
secret to housebreaking is a scent post. A scent post is created
when your puppy has an "accident." The problem becomes
one of locating the scent post in the place you want it.
-
To
create a scent post, leave a smear of stool from the last "accident"
or wet paper on the clean paper in the place you want it, and coax
or scoot the puppy to that area. The same is true of an outside
scent post, but without the paper, in an out-of-the-way place in
the yard. This will solve the "mine-field" problem.
-
The
first thing in the morning, the puppy should be scooted to the scent
post. This is so he can learn his way to the door and the scent
post. Let him sniff about. The moment he has relieved himself, pat
him on the head and immediately bring him into the house. Do not
let him play about. The toilet period and play period should be
definitely separate in the puppy's routine.
-
The
puppy should then be fed. In a short while the puppy will become
uneasy and walk in circles sniffing at the floor. The puppy should
then be scooted and coaxed to the scent post as quickly as possible.
-
This
routine should be repeated every hour or two throughout the day,
especially after meals and naps.
-
When
the puppy is taken out to play, it is wise to leave the house by
another door and avoid taking him near his scent post. Never play
with your pup until after he has been taken out and has eliminated.
-
There
will of course be some "accidents" in the house. Never
let one of these slip by unnoticed; punishment five minutes after
the offense is too late. Scold (not whip) the puppy and rush him
to the scent post. Then scrub the area of mishap thoroughly until
all odor is gone. Sprinkle the area with red pepper or vinegar.
-
Positive
reinforcement of proper urine and bowel habits is just as important
as properly applied discipline. When your puppy urinates or defecates
in the correct place, spend several minutes stroking and praising
him.
Socialization
of Puppies
The Socialization Period for dogs is between 4 and 12 weeks of age.
During that time, the puppy is very impressionable to social influences.
If it has good experiences with men, women, children, cats, other
dogs, etc., it is likely to accept them throughout life. If the experiences
are absent or unpleasant, it may become apprehensive or adverse to
any of them. Therefore, during the period of socialization, we encourage
you to expose your dog to as many types of social events and influences
as possible.
Three Curious Things about Puppies
Puppies may be observed to make unusual sounds or movements during
their sleep. This is called activated sleep. It probably
occurs because your puppy is dreaming and trying to participate in
the dream. This behavior lasts a few months but rarely continues into
adulthood.
Puppies also have puppy breath. There is a characteristic
smell about a puppys breath. It is not particularly offensive
or desirable. It is much like the smell of a new car. It is present
a few weeks then disappears.
Puppies also frequently have episodes of hiccups. They may occur for
10-20 minutes at a time then spontaneously disappear. They are probably
related to swallowing of air when eating and do not produce any significant
distress to your dog. They will stop as your puppy gets a little older.
Flea
Control
Fleas do not stay on your puppy all of their time; occasionally, they
will jump off and seek another host. Therefore, it is important to
kill fleas on your new puppy before they can become established in
your house. Many of the flea control products that are safe on adult
dogs are not safe for puppies less than 4 months of age. Be sure that
any flea product you use is labeled safe for puppies.
If you use a flea spray, your puppy should be sprayed lightly. Flea
and tick dip is not recommended for puppies unless they are at least
4 months of age. Remember, not all insecticides that can be used on
adult dogs are safe for puppies.
There is a trick to spraying a puppy that will make the outcome safer
and more successful. When a puppy is sprayed, the fleas tend to run
away from the insecticide. If you spray the body first, many fleas
will run to the head where they are very difficult to kill. The best
method is to spray a cotton ball then use that to wipe the flea spray
onto the puppys face, from the nose to the level of the ears.
That will keep you from getting it in the eyes and will cause the
fleas to run toward the body. Wait about 2 minutes, then spray the
back of the head and the body. Leave the spray on for about 3 minutes,
then wipe off the excess. This will permit you to kill the most fleas
while putting the least amount of insecticide on the puppy.
There are four products that are given only once per month; some can
be used in puppies as young as 6 weeks. Program* is a tablet that
causes the adult fleas to lay sterile eggs. It is very effective,
but it does not kill adult fleas that usually live 2-3 months. Advantage*,
Frontline Top Spot*, and Revolution* are the monthly products that
kill adult fleas. They are liquids that are applied to the skin at
the base of the neck. They are very effective and easy to use.
Chewing
One of the characteristics of puppies is chewing. Puppies are trying
their new teeth so chewing is a normal behavior. The puppys
baby teeth are present by about 4 weeks of age. They begin to fall
out at 4 months of age and are replaced by the adult (permanent) teeth
by about 6 months of age. Therefore, chewing is a puppy characteristic
that you can expect until about 6-7 months of age. It is important
that you do what you can to direct your puppys chewing toward
acceptable objects. You should provide items such as rawhide chew
bones, nylon chew bones, and other chew toys so other objects are
spared.
Trimming
Toenails
Puppies have very sharp toenails. They can be trimmed with your regular
finger nail clippers or with nail trimmers made for dogs and cats.
If you take too much off the nail, you will get into the quick; bleeding
and pain will occur. If this happens, neither you nor your dog will
want to do this again. Therefore, a few points are helpful:
-
If your dog has clear or white nails, you can see the pink of the
quick through the nail. Avoid the pink area, and you should be out
of the quick.
-
If
your dog has black nails, you will not be able to see the quick
so only cut 1/32" (1 mm) of the nail at a time until the dog
begins to get sensitive. The sensitivity will usually occur before
you are into the blood vessel. With black nails, it is likely that
you will get too close on at least one nail.
-
If your dog has some clear and some black nails, use the average
clear nail as a guide for cutting the black ones.
-
When cutting nails, use sharp trimmers. Dull trimmers tend to crush
the nail and cause pain even if you are not in the quick.
-
You should always have styptic powder available. This is sold in
pet stores under several trade names, but it will be labeled for
use in trimming nails.

Spaying
Females
Spaying offers several advantages. The female's heat periods result
in about 2-3 weeks of vaginal bleeding. This can be quite annoying
if your dog is kept indoors. Male dogs are attracted from blocks away
and, in fact, seem to come out of the woodwork. They seem to go over,
around, and through many doors or fences. Your dog will have a heat
period about every 6 months.
Spaying is the removal of the uterus and the ovaries. Therefore, heat
periods no longer occur. In many cases, despite of your best effort,
the female will become pregnant; spaying prevents unplanned litters
of puppies.
It has been proven that as the female dog gets older, there is a significant
incidence of breast cancer and uterine infections if she has not been
spayed. Spaying before she has any heat periods will virtually eliminate
the chance of either. If you do not plan to breed your dog, we strongly
recommend that she be spayed before her first heat period. This can
be done anytime after she is 6 months old.
Neutering
Males
Neutering offers several advantages. Male dogs are attracted to a
female dog in heat and will climb over or go through fences to find
her. Male dogs are more aggressive and more likely to fight, especially
with other male dogs. As dogs age, the prostate gland frequently enlarges
and causes difficulty urinating and defecating. Neutering will solve,
or greatly help, all of these problems that come with owning a male
dog. The surgery can be performed any time after the dog is 6 months
old.
Breeding
Your dog is not "made better or healthier" by letting her
have puppies. She can come through it normal, or come through it worse
for the ordeal: never better. If you plan to breed your dog, she should
have at least one or two heat periods first. This will allow her to
physically mature allowing her to be a better mother without such
a physical drain on her. We do not recommend breeding after 5 years
of age unless she has been bred prior to that. Having her first litter
after 5 years of age increases the risk of problems during the pregnancy
and/or delivery. Once your dog has had her last litter, she should
be spayed to prevent the reproductive problems older dogs have.
Pet
Identification
The latest in pet retrieval is microchipping. This tiny device is
implanted with a needle so the process is much like getting an injection.
Our scanner can detect these chips; humane societies and animal shelters
across the country also have scanners. A national registry permits
the return of microchipped pets throughout the United States and Canada.
We recommend it.

Obedience
"I
love you" or "Sit stay heel". In two different languages
they communicate the same thing: the basis of the relationship. Think
of "obedience", or "obedience training", as a
way for you to learn a language to "talk", or communicate,
with your dog. The dog's normal route of communicating in their social
society is by interacting with one another. They understand the "result"
of each inter-personal interaction, similar to the way we understand
the "result" of our personal conversations. If a BIG issue
in our relationships is LOVE, and "Do you love me?" is a
question that we ask each other fifty times a week in fifty different
ways, THE issue in the canine world is: "Between you and
me, who is dominant, who isn't?". In a variety of ways, especially
when you and your dog are first relating and getting to know each
other, he/she is asking THE question, "Between you and
me, who is dominant?". Sometimes he/she says "I think I'm
boss". Sometimes he/she says "I think you're boss".
In both instances, the dog waits for your answer after asking the
question. In fact, when you first get your dog, he/she considers every
single interaction to be a conversation. Unfortunately, too often
we don't recognize the question as a question, or we don't answer
it appropriately if at all. The dog ends up getting the wrong message.
Ignorance doesn't register as a "no answer". To the question
"Are you the boss" it means "No". To the question
"I think I'm the boss", not answering means "Yup, you
are". The pup is asking "Who's boss?" and we're answering
"I love you". That's nice but it's not what the dog is worried
about. When you take an obedience class, you learn how to listen
and talk to your dog.
Even once
everything is perfect, and you've taught "Zippy" how to
drive a four-speed stick-shift, you need to keep up the conversation
throughout his/her life. We have all experienced, or can imagine,
living with someone who never talks to you or answers your questions.
Never aknowledges you. You need to maintain the status of your relationship.
You need to keep the dialog going. Using the "love" example,
walking through a shopping center with your significant other while
holding hands, is a non-verbal communication re-affirming your
bond. I know it's just holding hands, but it says a lot. Taking a
walk with your dog, making it maintain a heel, doing some "sits",
some "stays", does the same thing: it maintains the status
of the relationship. "Sit stay heel": the three little words.
It is equivalent to "I love you" in our world. We all know
couples who have to call each other seven times a day: "I love
you." "I love you too." Other couples haven't said
the three little words in years but are still secure. Different requirements
for different individuals. High maintenance spouses, high maintenance
dogs. And the opposite. Some dogs or people, without maintenance,
over time, will drift. Dogs can start chewing, or soiling in the house,
or aggression, years after being a "well-trained dog". The
owner simply wasn't listening to the early signs and wasn't maintaining.
The dog
who knows its' position and knows it's in a strong working
relationship will be the happiest, most contented dog in the whole
world. And the best dog you've ever had.

Online
Prescriptions
Everyone
has seen the ads on TV for the online "discount" pet medication
companies. Why discuss this under "Health Topics"? Because
purchasing inferior product that does not medicate or protect your
pet as you expect it to does effect your pet's health:
- The
bootlegged product sold at a discount has no quality control. The
major pharmaceutical manufacturers and distributors do not
sell to these TV and online advertisers. The sources for these advertisers
are either foreign manufacturers or state-side veterinarians breaching
their code of ethics and malpractice.
- The
product is easily deactivated if not kept in the required temperature
range (vaccine and heartworm prevention especially). "Spoiled"
products and out-dated/short-dated products are often picked up
by these "discount" bootleggers. The effectiveness of
these drugs is easily compromised, jeopardizing your pet's health.
These products do not carry the original pharmaceutical company's
guarantee, just the discounter's guarantee that the chemical inside
your purchased product is present, just as a gallon of three year
old spoiled milk will have the calcium content of a gallon of milk,
just not in an absorbable form.
The other
considerations are:
- All
Heartworm preventatives are prescription-only products (HeartGard™,
Interceptor®, Sentinel®, Revolution®).
- It
is customary for veterinarians to examine the pet prior to writing
any prescription. This
examination is in addition to the required annual blood test for
heartworm disease. Illinois law requires a veterinarian-client relationship
prior to writing a prescription. Prescribing drugs without
a diagnosis is malpractice.
- Examination
fees for the veterinarians time spent evaluating the pet average
$35.00. This fee is usually waived when they purchase the prescription
heartworm product at the animal hospital.
- Merial's
guarantee on HeartGard™: if the dog gets heartworm, Merial pays
( can easily run $600.00). This does not apply to
product purchased at these bootleg sites.
- Clients
aren't eligible for the $5.00 rebateon HeartGard™ unless the product
is purchased at the animal hospital.
- Shipping
costs average $7.00 charged by the mail order bootlegger.
-
Merial
will guarantee HeartGard™ only when it is sold
at the veterinary hospital by a licensed veterinarian.
We, therefore,
would only purchase from these online discounters for the pets we
didn't really care about.

Tear
Gas
The dog
is not less susceptible to the effects of tear gas than humans are.
If your dog is exposed, treat him as a contamination when he comes
out from the exposed area. Wearing rubber gloves and protective eyewear,
gently wash him off (preferrably outdoors with a hose). He can be
a source of contamination to you or someone else when they touch him.
If there is powder in his coat, this can come off of him as an aerosol
in your vehicle as you are driving and effect you. Decontaminate him.
Not just his coat: his face, ears, paws, nose, chin; everywhere.
If your dog comes out of an area with minor to mild shortness of breath,
keep him out in fresh air until he can relax, then decontaminate.
If he is very short of breath or more affected, take him to an emergency
vet. Do not drive with the dog in the car, contaminated. It will affect
you! Be sure to warn the hospital personnel that the dog has come
from a tear gassed environment and to take precautions.
If your dog has squinting eyelids and excessive tearing, frequently
rinse the eyes with a commercial eyewash. If he is still affected
6-12 hours later, he needs to be checked by a vet.
If there was an area of irritation on your dogs skin that he
can get at to lick, he can create a self-perpetuating sore. If this
type of area appears within a few days after exposure, take him to
the vet for relief. The dog can easily turn this into a hotspot.
Most respiratory symptoms will stop after 15 to 30 minutes of being
removed from the exposure.


Travelling Out of the United States
In most circumstances, you will need an International Health Certificate from th US Department of Agriculture, signed by the certified state veterinarian, and a current rabies vaccination certificate to enter the foreign country. Many of the progressive world countries have adopted the Pet Travel Scheme, and will issue your pet a pet passport. This makes travelling with your pet so much easier. You can find that info here.
However if you are travelling to a questionable country, like the Turks & Caicos Islands, things can get a little dicey. Most of the time, ignorance is your friend, and you and yor pet can get through successfully. If you follow the instructions off the country's web site, and do the fax dance, you will end up with the proper amount of paperwork to overwhelm any examining Custom's officer, and you and your pet will be on your way into the sunshine. There is a chance that someone will actually examine your pet. This chance diminishes with the age and size and breed disposition of your pet. Once in the Turks & Caicos, returning to the States with your pet is very easy. Simply call the TCSPCA at 649-941-8846, 9-5 M-F, and the process will be explained. Leaving and getting back into the States is easier than the entry into this and many other Third World countries.
It is important to objectively examine the pros and cons of travelling, internationally, with your pet. Evaluate the pros and cons of simply boarding your pet versus subjecting him/her to the travails of travel and the vagaries and whims of foreign Customs officials. Plus, your pet will be exposed to a variety of diseases it is not necessarily going to encounter in it's everyday life with you in the States.
We have mainly focused on the Turks & Caicos Islands, because of our first-hand knowledge of the area. "Google" is an excellent starting source of knowledge for the entrance requirements of whatever your country of travel is.

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