Every year, fleas and ticks headline the pet news. In the vet news, it typically begins in April with stories on what to expect from this year’s parasite season. Which diseases to look out for, what kind of new bugs might be in our midst, where they might be headed. It reminds me of the hurricane season reports that hit the southeastern US at the start of the season. And the reports are never without some degree of hysteria.
So it was that when I heard an NPR segment about the media’s predilection for bedbug stories (on On the Media, a radio show that reports on media trends and news in the industry), I couldn’t help but compare it to our own industry’s annual flea and tick frenzy.
In this piece, a reporter for The Washington Post recaps his print story in which he discusses the phenomenon of bedbug reporting. It seems that news editors LOVE this topic. Even the stalwart New York Times got in on the inflammatory action, comparing bedbugs to a swarm of locusts(!).
Biblical plague and Dickensian references notwithstanding, it’s true that New York is seeing more bedbugs. But there are no firm statistics on this. The “squishy” stats often referenced in most bedbug stories are those of the pest control industry, which reports that calls for bedbug extermination are up significantly.
And that’s where I get to thinking about the vet industry and its similar fascination with stories on fleas and ticks. Just as with bedbugs, independent statistics are hard to come by. Are we really seeing resistance to our tried-and-true products (Advantage, Frontline, et. al.)? Are fleas and ticks crawling into drier Western terrain? Is global warming adversely affecting fleas and tick populations?
Who’s funding most studies? Take a wild guess.
It’s not as if these topics aren’t newsworthy and the information all bogus—quite the opposite. Bedbugs can be a calamitous household event, as hard to get rid of as any nasty parasite—even more so by some reports. Similarly, fleas and ticks are no laughing matter. Severe skin ailments and tick-borne diseases kill pets by the thousands every year.
But what’s the real incidence of disease? Is the vet industry overblowing the issue?
Anyone who’s has a serious infestation or who’s pet has been affected severely would quickly answer in the negative. It’s never wrong to get the word out. Let people know how bad it can be and let them decide.
For veterinarians, however, it’s more complicated than that. We need to know exactly what we’re up against. It’s not enough to know the worst-case scenario, it’s also critical to know what the real state of the problem is. Without that kind of information, were more likely to put our patients at unnecessary risk (albeit ever so slight in the case of most vet-only flea and tick meds) by recommending products they don’t need in the face of a non-existent crisis.
Stay tuned for tomorrow’s follow-up to this discussion. I’ve got more bugs up my sleeve.
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I work in an area where we see a LOT of Lyme and a lot of Ehrlichia. Dogs with Lyme nephritis are just heartbreaking, since there is rarely something useful to do long term.
We started screening all our canine patients with the 4DX at their annuals about a year ago, and were shocked by the number of positives we were seeing to Anaplasmosis--we have not seen dogs with clinical signs that we can attribute to Anaplasmosis (we do a CBC and check platelet numbers on all Anaplasma positive dogs) so we use it more of a marker to test how well owners are doing with tick control.
Of course, we don't have any clue what was going on PRIOR to starting the 4DX--we'd test lame, febrile dogs for Lyme, or if owners requested testing, but running a full tick panel required a high level of suspicion of a problem, but we did not just screen everyone since it was very expensive to do. Once we started the 4DX, we were met with very few objections from clients--many of them have had their own bouts with Lyme, and were pleased with the screening, and sometimes surprised with the results.
Since we are on our second year of testing, it will be interesting to compare numbers in the future.
I do think this is a VERY regional issue--I know vets in the midwest who "don't believe" in Lyme!
DrSteggy March 9th, 2008 11:17:00 AM
Coming? The ticks never really went away this year around here (PA). We get a warm day, and they're out. It's terrible. Lyme disease is a huge issue around here, and we're encouraging more and more people to use Frontline year-round instead of just during the warmer months.
katie March 9th, 2008 11:23:00 AM
I am surprised to read that thousands of pets die from tick-borne diseases each year. I live in the Southeast and we do have plenty of ticks but heartworms seem to be our most "successful" parasite.
slt March 9th, 2008 02:59:00 PM
Dr.Steggy- Why don't those vets not believe in Lyme disease? It's kind of like the people that say Lyme disease is not in their neighborhood, but is in all areas that surround them. I've never been able to wrap my brain around that.
Anywho, Lyme disease is also a big issue in my neck of woods as well so my mutts are also 4DX'ed. Knock on wood, my dogs have continued to come up clear, but my mother's Shiba wasn't so lucky.
Stacy March 9th, 2008 04:02:00 PM
Stacy--they don't see it, so they don't think its "real" Its always possible they ARE seeing it, but not looking for it, so they are not diagnosing it (did that make sense?) But they also may be in areas that have low levels of ticks or low levels of Borrellia in the tick population.
I think I see it on some level nearly every freakin day. :P
DrSteggy March 9th, 2008 04:37:00 PM
In college, the two RAs who lived right next door to my room got bedbugs from a questionably acquired futon. The university came in, took every single possession in the room and enviro-bagged it in that thick thick plastic bag removed all their stuff, gassed it. Then, they tore out everything in the room, all the molding, the outlets, everything that wasn't part of the concrete walls or floor or ceiling (a major fault line runs right through the campus and this dorm was built right after a quake, ugly as sin but entirely out of concrete).
They then sealed off the entire room and gassed it.
Then they brought in flame throwers... ok, only torches, but still, it sounds cooler with flame throwers.... and torched the entire room.
Then they brought in the cleaners to get rid of the soot.
And then all new furnishings (bed, wardrobe, desk), carpet, heating/cooling unit, paint, trim.
Sadly, when I told them I had a bug in my computer, they didn't buy me a new one... although they did offer to take their torch to it.
Pretty amazing response, IMO, to a small problem. I guess they take infestations very seriously.
Border Wars - Christopher March 9th, 2008 05:00:00 PM
Here in NH, lyme seems prevalent and heartworm infection is rarely "heard of" anymore. I have had 3 out of 8, lyme positive dogs.Two of the 3, needed two courses of doxycycline to bring their titer down to what is acceptable as "negative".
My 2 cats are long deceased, but there are still cats that roam the neighborhood. I have been using Interceptor from June to November, along with Frontline Plus, April to November. I am certain that all 3 dogs got their lyme infection a few years ago, during an unseasonably warm November.
I have just purchased the Frontline without the "Plus" ---via catalog, since the local stores or clinic no longer carry this product. I have yet to see fleas or ticks on my dogs, or evidence with faithful use----My dogs would surely be nuts over a flea allergy reaction, especially the 4 senior- aged.
Barbara A. Albright March 9th, 2008 06:27:00 PM
It totally is a regional thing - I live in central Oklahoma, and lyme disease is super-rare (correction: super-rarely diagnosed). E. canis is rampant, though, and I bet anaplasmosis would be too if we were using the 4Dx (we just use the 3Dx at my clinic).
We've also been seeing lots of pets w/fleas or ticks (mostly fleas) since the end of January, but when the ticks come out, they do so with a vengeance. It gets so bad in some areas that even monthly Advantix or Frontline plus a Preventic collar doesn't quite cut it, tick-wise.
anna March 9th, 2008 08:34:00 PM
Oddly enough I just had a dog behaviourist over who gave me a whole long lecture about how here in the Pacific Northwest we shouldn't be worrying about fleas & ticks and that the risks associated with the anti-flea/tic meds FAR outweigh any benefits. He feels all these chemicals 'scramble' the dogs' brains & cause a lot of the anxiety/fear/aggression he's seeing in the dogs....... Comments??????
hornblower March 10th, 2008 01:02:00 AM
hornblower: Neurotoxicity with the organophosphate-containing insecticides (mostly in supermarket brand flea and tick collars and sprays) and some others (Amitraz, notably) is a risk. The standard fare of Frontline and Advantage may well list neurotoxicity as a possible reaction but I've never seen it--or heard tell of it.
For the record, my dogs don't routinely get any products applied since my free supply of Revolution ran out. They get Heartgard monthly but that's it (and I'm in Florida!). If I should start to see fleas and ticks, though, you can bet I'll get back on board with topicals. For my whole diatribe on this I've got an upcoming post planned.
Dr. Patty Khuly March 10th, 2008 07:35:00 AM
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