These are my notes from the AHT Seminar on SCI
The Animal Health Trust
Breed Club Health Seminar
Friday 18 May 2012
Lanwades Park, Newmarket
Seasonal Canine Illness
Charlotte Robin MSc
Disease Presentation
SCI presents as acute onset within 24 hours of being walked in woodland and seen only in the Autumn. Clinical signs reported include vomiting, diarrhoea, lethargy, abdominal pain, muscular tremors and pyrexia. Treatment is with IV fluid therapy and supportive care and recovery is usually within 7 – 10 days
The AHT were first alerted to the problem after the illness was reported in the Nottingham Post on September 28 2010.
Recurrence
No SCI cases were reported in 2011 until weekend of 3rd September and there has been a “seasonal” recurrence of cases since then. Cases were also reported at the same time from other sites studied in 2010 + new woodland sites:
• Rendlesham Forest near Ipswich, Suffolk
• Blidworth Woods, Nottinghamshire
The Forestry Commission alerted dog walkers to the potential health issue and requested visitors to complete a questionnaire designed by the AHT for each study area:
• Sherwood Forest
• Clumber Park
• Thetford Forest
• Sandringham Estate
• Rendlesham Forest
Population identified as being at risk were the dogs walked in the study areas.
• Was the dog affected (CASE) or not (CONTROL)
• Case definition: dog that showed two or more of the clinical signs (vomiting, diarrhoea, lethargy, abdominal pain, muscular tremors, and pyrexia) within 24 hours of walking in woodland area.
• Compare exposure in CASES and CONTROLS
Questionnaire Responses
Study Area Cases Controls Total Questionnaires Received
Clumber Park 4 63 67
Rendlesham Forest 34 13 47
Sandringham Estate 86 206 292
Sherwood Forest 14 16 30
Thetford Forest 19 147 166
Total 157 445 602
• Combined questionnaire responses from 2010 and 2011
• Sandringham Estate produced the majority of responses
Temporal Distribution
When the figures were broken down for Sandringham, the majority of cases occurred in September.
Risk Factors?
Distance travelled to study area:
• >100km = increased risk
• Three times more likely to be a case
Number of routes walked
• Walking one route only = increased risk
• Twice as likely to be a case
• Acquired immunity in local dogs/build up of resistance in frequent visitors?
• Regular visitors more likely to walk different routes/build up of exposure on one route?
Breed
• Are smaller breeds at a higher risk?
o According to preliminary analysis, no.
• A variety of different breeds were affected
o Did not ask about weight, this has been added to the new 2012 questionnaire.
Age
• Are older dogs or younger ones at higher risk?
o As far as is known, no.
o Oldest dog affected – 14
o Youngest dog affected – 11 months.
Spatial Mapping
This revealed that the concentration of cases occurred in a particular area.
Site visit 16 September 2011
The AHT organised a visit to Sandringham with the botanist Dr Mark Spencer who considered that the woodland habitat was botanically typical and probably unchanged in the last 50 years. No non native species of plant or fungi was identified and no plant or fungi species identified that were considered poisonous through contact alone.
Several theories are now considered unlikely
No evidence for:
• Blue-green algae
• Bracken spores
• Exotic toxic plants
• Recent abundant toxic fungi
Neotrombicula Autumnalis (Harvest Mites)
Several vets have reported that all cases seen were also infested by Harvest Mites. In addition a report by Antony Bird (Lead Wildlife Advisor) revealed that whilst conducting a transect survey he had found his socks full of Harvest Mites.
Harvest Mites hatch in late summer from eggs laid in spring and summer. The larvae collect on small clods of earth and the upper parts of plants to wait for a warm-blooded host to come into contact.
They feed for 2 – 3 days before dropping off as a non feeding nymph and then develop into an adult and the cycle starts all over again.
Although geographically widespread in the UK a particular area can be heavily infested while similar adjacent ones are free from them.
Woodland and grassland are common habitats.
Adult Harvest Mites live in the soil and do not feed on mammals but Chiggers (the larval stage of Harvest Mites) do.
Preferred feeding sites are parts of the body where the skin is thin. They inject a digestive enzyme to break down subcutaneous cells. A fully nourished chigger will turn light red or pale yellow before detaching and falling to the ground.
Is this something worthy of further investigation?
Further Investigations
• Sample Harvest Mites hypersensitivity? Vector for disease?
• Determine the route of acquisition
• Improve case definition
• Access to existing clinical records/laboratory results
• Improving access to fatal SCI cases for full post-mortem examination.
Frequently asked Questions
What is the risk of my dog being affected?
• Difficult question to answer
• Only a small proportion of dogs being walked in affected areas become ill
• It is thought the risk is lower in winter months
• No cases reported between November and September 2010
• Cases stopped being reported after “cold snap”
• Advise dog owners to keep their dogs on a lead
Can it be transmitted between dogs?
• Probably not
• Dogs that were walked together did not always ALL become affected.
What is being done in the way of testing?
• Natural water sources have been tested by the Environment Agency for the presence of blue-green algae.
• Natural England tested samples in 2009 and ruled out any man made poisons (carbamates, metaldehyde, organophosphates, paraquat, diquat, rodenticides and strychnine).
• Nottingham University are carrying out investigations into cyanobacterial toxins (blue-green algae)
• Animal Health Trust is archiving samples sent to them by vets but it is too early to carry out any diagnostic tests on them.
What should I do if I think my dog has SCI?
• Seek veterinary advice immediately
• Majority of cases treated by a vet recovered within a few days
• Mortality rate is very low (approximately 9%)
• Complete one of the AHT SCI questionnaires
What should I do if I have walked in one of the study areas and my dog has not been affected?
• You can still complete a questionnaire
• Information from control dogs is vital to AHT investigation
• The AHT ideally need a ratio of 4:1 (controls to cases) to ensure analysis is reliable
What is the AHT doing to help?
• Website to provide up to date information and on line version of the new questionnaire (
www.aht.org.uk/sci) (Due to be launched July 2012)
• Email alert system to provide latest information to those signed up.
• Increasing awareness and notifying owners by providing leaflets and posters to affected areas.
• Raising awareness with vets through publishing papers and presenting results at veterinary conferences and email alert.
What can you do to help?
• Raise awareness, spread the word
• If you visit a study area, fill in a questionnaire
• Sign up to AHT email alerts
• “Like” the AHT on [a social network], follow the AHT on Twitter
• Donate to the AHT SCI fund
• Take part in a sponsored walk for SCI