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\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\fs32\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 PET PASSPORT - DOGS AND CATS TRAVELLING ABROAD \endash  IMPORTANT DISEASE CONTROL
\par }{\b\f1\fs36\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 
\par }\pard \qj \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 
Clients should be aware that any dog or cat travelling abroad is still at risk from serious diseases not covered by recommended vaccines and normal parasite control regimes we use here in the UK. Many of these diseases can be serious, especially in dogs, 
and may prove fatal after just a short course of the disease, or many years after you have returned to the UK. Disease can be acute and easily recognisable, or it may wax and wane over time with minimal symptoms. Some of the diseases are }{
\b\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 ZOONOTIC}{\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 , which means that they are transmissible to }{
\b\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 YOU}{\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 
. This is particularly relevant for the elderly, ill, pregnant or immune-supressed, when they are potentially fatal.
\par 
\par This handout discusses the four most important vector-born diseases, namely;
\par 
\par {\pntext\pard\plain\b\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 \hich\af0\dbch\af0\loch\f0 1.\tab}}\pard \qj \fi-360\li720\ri0\nowidctlpar\tx720{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\pndec\pnstart1\pnindent360 {\pntxta .}}
\faauto\ls1\rin0\lin720\itap0\pararsid5076155 {\b\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 LEISHMANIASIS }{\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 - thi
s disease is caused by a protozoan, which parasitizes cells in the blood system. The host\rquote 
s immune system reacts in a deleterious way and this leads to the disease itself, up to 7 years after the original bite by a SANDFLY (the vector). There is one record
ed incidence of direct spread from dog to dog. The disease is a zoonosis and can show as skin lesions. With rising temperatures in the south of England, the sandfly may establish here, and there are already cases of  infections being reported in dogs that
 have never travelled.
\par {\pntext\pard\plain\b\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 \hich\af0\dbch\af0\loch\f0 2.\tab}}\pard \qj \fi-360\li720\ri0\nowidctlpar\tx720{\*\pn \pnlvlbody\ilvl0\ls2\pnrnot0\pndec\pnstart2\pnindent360 {\pntxta .}}
\faauto\ls2\rin0\lin720\itap0\pararsid5076155 {\b\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 HEARTWORM - }{\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 
this disease is caused by a worm (Dirofilaria), which is transmitted by a MOSQUITO vector. The adult worms live in the host\rquote s heart, taking 6 months to mature, and can reach 17cm in length, and live for 6 years. The mo
squitoes are particularly common around lakes and rivers in warmer climates. Heartworm is a zoonosis but rare in humans.
\par {\pntext\pard\plain\b\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 \hich\af0\dbch\af0\loch\f0 3.\tab}}\pard \qj \fi-360\li720\ri0\nowidctlpar\tx720{\*\pn \pnlvlbody\ilvl0\ls3\pnrnot0\pndec\pnstart3\pnindent360 {\pntxta .}}
\faauto\ls3\rin0\lin720\itap0\pararsid5076155 {\b\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 BABESIA }{\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 
- this parasite is a protozoan, which lives inside red blood cells. When these burst clinical signs develop. It is transmit
ted by a TICK vector, and there are many different strains of the parasite. It is found in cats as well as dogs, and can travel across the placenta to affect newborns. We have many potential tick vectors here in the UK. 
\par {\pntext\pard\plain\b\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 \hich\af0\dbch\af0\loch\f0 4.\tab}}\pard \qj \fi-360\li720\ri0\nowidctlpar\tx720{\*\pn \pnlvlbody\ilvl0\ls4\pnrnot0\pndec\pnstart4\pnindent360 {\pntxta .}}
\faauto\ls4\rin0\lin720\itap0\pararsid5076155 {\b\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 EHRLICHIA -}{\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420  Anaplasma and Ricke
ttsia. These are tiny organisms, which also live inside blood cells. They are also transmitted by TICKS - \lquote tick-borne-fever\rquote . There is a low risk of zoonosis (not so in North America). 
\par }\pard \qj \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 
\par As will be apparent from the above resume, these parasites cause a wide variety of clinical signs in the affected dog or cat. In extreme cases total collapse and death can occur.
\par 
\par To safeguard you and your pet, we strongly recommend that you follow the recommendations overleaf to minimise the chance that your pet will be ex
posed to a parasitized vector, to deter the vector from biting and injecting the parasite, and to kill the parasite in the body before it can start to do any damage.
\par 
\par 
\par 
\par 
\par }{\f1\fs40\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 Please follow the recommendations below
\par 
\par {\pntext\pard\plain\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 \hich\af0\dbch\af0\loch\f0 1.\tab}}\pard \qj \fi-360\li720\ri0\nowidctlpar\tx720{\*\pn \pnlvlbody\ilvl0\ls5\pnrnot0\pndec\pnstart1\pnindent360 {\pntxta .}}
\faauto\ls5\rin0\lin720\itap0\pararsid5076155 {\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 Apply }{\b\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 monthly}{
\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420  }{\b\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 FRONTLINE SPOT-ON }{\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 
to your dog or cat. This should be started 24 hours before arrival in the risk area. If you are travelling back to the UK, a vet will make the final application 24-48 hours before travel. Frontline is the most effective tick control available.
\par {\pntext\pard\plain\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 \hich\af0\dbch\af0\loch\f0 2.\tab}}\pard \qj \fi-360\li720\ri0\nowidctlpar\tx720{\*\pn \pnlvlbody\ilvl0\ls6\pnrnot0\pndec\pnstart2\pnindent360 {\pntxta .}}
\faauto\ls6\rin0\lin720\itap0\pararsid5076155 {\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 Give monthly }{\b\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 MILBEMAX}{
\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 
 worming tablets to prevent continental worms, in particular heartworm. Treatment must start within 1 month of exposure to mosquitoes and continue for at least one month after return to the UK - preferably for 3 consecutive months before resum
ing a normal 3 monthly dose. (Milbemax also contains praziquantel, the tapeworm drug required to be given by a vet before returning to the UK on the Pet Passport. It may be worth remembering this when working out your medicine regime.)
\par {\pntext\pard\plain\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 \hich\af0\dbch\af0\loch\f0 3.\tab}}\pard \qj \fi-360\li720\ri0\nowidctlpar\tx720{\*\pn \pnlvlbody\ilvl0\ls7\pnrnot0\pndec\pnstart3\pnindent360 {\pntxta .}}
\faauto\ls7\rin0\lin720\itap0\pararsid5076155 {\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 Use insect repelling coils, plug-ins, collars and shampoos to try and repel biting insects. We recommend you put a }{
\b\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 SCALIBOR }{\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 collar on your dog before you travel. }{
\b\i\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 This cannot be used on cats}{\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420  but herbal alternatives are available.
\par {\pntext\pard\plain\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 \hich\af0\dbch\af0\loch\f0 4.\tab}}\pard \qj \fi-360\li720\ri0\nowidctlpar\tx720{\*\pn \pnlvlbody\ilvl0\ls8\pnrnot0\pndec\pnstart4\pnindent360 {\pntxta .}}
\faauto\ls8\rin0\lin720\itap0\pararsid5076155 {\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 Keep your pet indoors at dawn and dusk 
where possible, as this is when sandflies are most likely to bite, although some species have adapted to biting during the day.
\par {\pntext\pard\plain\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 \hich\af0\dbch\af0\loch\f0 5.\tab}}\pard \qj \fi-360\li720\ri0\nowidctlpar\tx720{\*\pn \pnlvlbody\ilvl0\ls9\pnrnot0\pndec\pnstart5\pnindent360 {\pntxta .}}
\faauto\ls9\rin0\lin720\itap0\pararsid5076155 {\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 Animals (and people) should sleep behind insect-proof screens / nets wherever possible, either indoors or outdoors.
\par {\pntext\pard\plain\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 \hich\af0\dbch\af0\loch\f0 6.\tab}}\pard \qj \fi-360\li720\ri0\nowidctlpar\tx720{\*\pn \pnlvlbody\ilvl0\ls10\pnrnot0\pndec\pnstart6\pnindent360 {\pntxta .}}
\faauto\ls10\rin0\lin720\itap0\pararsid5076155 {\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 
Try to avoid forest and rough grazing wherever possible, to avoid sandflies and ticks. Mosquitoes are most prevalent around surface water, so use plenty of repellent around lakes and rivers.
\par {\pntext\pard\plain\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 \hich\af0\dbch\af0\loch\f0 7.\tab}}\pard \qj \fi-360\li720\ri0\nowidctlpar\tx720{\*\pn \pnlvlbody\ilvl0\ls11\pnrnot0\pndec\pnstart7\pnindent360 {\pntxta .}}
\faauto\ls11\rin0\lin720\itap0\pararsid5076155 {\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 Vaccinations - some are available in certain countries against Babesia but they are by no means totally protective.
\par }\pard \qj \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 
\par Despite all these precautions, you should still inspect your animal every day. Look for any signs of illness, and search for any attached ticks especially underneath or between the legs. These should be removed as soon as possible with a special }{
\b\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 TICK HOOK }{\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 to avoid leaving mouthparts behind which may lead to skin lumps and infection.}{
\b\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420  FRONTLINE SPRAY }{\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 
can also be used to kill them. Use gloves to spray it directly on the tick, or apply via a cotton-wool pad soaked with Frontline to ticks on the face and ears to avoid the eyes and distress to your pet.
\par 
\par If you have any concerns, you should contact the local veterinary surgeon - delaying could make any disease more severe, and could pose a risk to your own health.
\par We hope that you have found this handout helpful, clear and interesting, but please feel free to ask our vets if you have any further concerns.
\par 
\par }{\b\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 One final thing to consider before travelling is insurance for your pet - you may need to check with your insurance company or take out a supplementary cover.}{
\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 
\par }{\b\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 Above all, have a safe and happy holiday with your pet.}{\f1\lang2057\langfe1033\langnp2057\insrsid5076155\charrsid10513420 
\par }}