Thursday, February 28

Controversy Over Vaccines

The controversy over vaccines is never ending.  Ask any pet owner and you will likely get a different view.  The views are even varied throughout the veterinary world.  The Bark had a great article on this very topic in today's newsletter.  I hope you find it as interesting of a read as I did.

Dr. John Robb leads a protest outside of his former veterinary practice.

For years people suspected that pet vaccines didn't need to be administered annually and that immunity was more similar to human shots. Fortunately in the last ten years, veterinary colleges and organizations, such as the American Veterinary Medical Association (AVMA) and the American Animal Hospital Association (AAHA), revisited their guidelines and now recommend administering core vaccines every three years. It's even becoming more common to find veterinarians who measure antibody levels through blood titers instead of defaulting to regular booster shots (this is one of my requirements when choosing a vet).

But even with the AVMA and AAHA constantly revisiting their guidelines, pet vaccines remain a tricky topic. It's further complicated by the fact that many studies are sponsored by vaccine manufacturers, which creates a potential bias. Dr. Richard Ford, a 2003 AAHA Canine Vaccination Guidelines Task Force member, has said that the decision to recommend a three year re-vaccination schedule was an arbitrary compromise that was not based on science.

And frequency isn't the only controversy. Earlier this month, a Connecticut veterinarian had his practice taken away from him after Banfield found out that he had been administering half-dose vaccinations. Dr. John Robb believes that it's not safe to use the same dose for all dogs and cats, particularly for the smaller breeds.  

Dr. Robb bought his Stamford, Conn. Banfield franchise in 2008, a year after the veterinary hospital chain was acquired by Mars and PetSmart. He believes that the corporations are not only unfairly targeting him because they want to ultimately cease franchise ownership for their hospitals, but are jeopardizing the health of his clients' pets.

There are definitely arguments for both sides of the issue, but I can see where profits and insurance risk could create a conflict for a medical organization owned by two big corporations.

AAHA President Dr. Mark Russak believes that Robb is putting pets at risk and creating a potential public health concern with incorrectly administered rabies shots. He says that vaccines are manufactured through scientific trials to determine the correct amount of antigens needed to stimulate the immune system.

But while many veterinarians disagree with Dr. Robb's vaccine protocol, Jean Dodds, a leading expert in this area, says that dosages can be adjusted safely. She has been vaccinating toy breeds with half doses for years and is currently spearheading a campaign to increase the rabies vaccination interval from three to five years with the hope of eventually changing it to seven.  

A 2002 study published in the Journal of the American Veterinary Medical Association showed that there are potential problems with using a universal dosage. The research documented a higher incidence of vaccine-associated adverse events in dogs less than 22 pounds (27 percent versus 12 percent for dogs over 22 pounds with each subsequent shot).


The fact that there is so much division among veterinarians on this topic just goes to show that more work must be done in this area to develop guidelines we can trust.