"Mysterious" Dog Respiratory Illness with guest Dr. Jeanette O'Quin
There has been a lot of media attention to a "mystery" respiratory disease affecting dogs, and many pet owners and rescues are understandably concerned. But is it as mysterious or dangerous as it is being reported?
To answer this question, we have invited Dr. Jeanette O'Quin, Associate Professor at The Ohio State University College of Veterinary Medicine. Dr. O'Quin has training and experience in public health, infectious disease management, and outbreak response and presents us with an educated perspective on this important issue.
For our shelter friends, Please visit the Association of Shelter Veterinarians website at https://www.sheltervet.org/resources/guidelines for assistance in maintaining as healthy a population as possible.
Transcript
Hi and welcome to the Animal Welfare Junction.
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:This is your host, Dr.
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:G, and our music is written
and produced by Mike Sullivan.
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:Today's guest is Dr.
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:Jeanette O'Quinn.
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:She's an associate professor
at The Ohio State University
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:College of Veterinary Medicine.
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:Welcome to the Junction, Dr.
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:O'Quin.
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:Thanks for having me.
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:Can you start by letting people know
what is your background and what
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:you do at the College of Vet Med?
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:Dr O'quin: Yeah, I, I've been
a veterinarian for 30 years.
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:That's a little hard to say out
loud, especially on a podcast.
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:Um, but most of my career I
spent in small animal practice
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:and animal shelter medicine.
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:I took a detour into veterinary public
health for several years where I worked
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:for the Ohio Department of Health.
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:And then I came to Ohio State
where I teach all of those things.
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:I spend a lot of my time, um, teaching
infectious diseases and small animal.
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:uh, medicine, outbreak response,
um, zoonotic diseases, which can be
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:transmitted from animals to people.
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:Um, so basically small animal
population health and welfare.
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:DrG: So we are here today because we're
going to discuss this respiratory disease
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:that is getting spread through the media
as a very scary, mysterious illness.
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:And I have been receiving a lot of
questions from both shelters, , the
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:community, and even some veterinarians.
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:about what's happening, what's going on,
and there's so much mixed information.
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:So I wanted to try to get to the bottom of
what we know, what we don't know, and what
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:we need to do to do better for the dogs.
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:So I know that this disease started
in Oregon is where it first , the
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:first cases started being seen.
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:So do we know what kind of disease is?
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:Is this a virus?
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:Is this a bacteria?
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:Is it both?
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:Dr O'quin: Well, we don't know.
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:There's a lot that we don't
know about what's causing this.
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:Um, but what we do know is it
causes very similar signs to a lot
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:of other viruses and bacteria that
cause respiratory disease in dogs.
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:So I think it's really important
to kind of take a step back and
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:look at, look at what we do know.
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:We have outbreaks of respiratory disease
in dogs that are popping up in different
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:states in different areas of the country.
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:And, and honestly, this is
something that we're used to,
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:something that happens all the time.
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:We see cases sporadically, we see
outbreaks sporadically, especially
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:associated with population settings.
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:Locations where dogs are living in groups
or staying in groups for periods of time.
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:And, um, what we don't know
about this mystery illness
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:is, is it really a mystery?
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:Or are we seeing, outbreaks like we
always do of a variety of different
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:pathogens, different viruses and
bacteria that are causing this?
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:It may be something that we don't see as
commonly, but we are very well aware of
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:, or there may be something new in the mix.
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:We really don't know at this point.
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:DrG: Is this something that we should
be treating, since we don't know,
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:with the same concern of risk of
respiratory disease as we do for things
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:that we know about, like kennel cough?
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:Dr O'quin: Absolutely.
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:In fact, I would consider
this kennel cough.
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:Uh, the signs are exactly the same.
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:We'll see the coughing,
sneezing, maybe fever, lethargy.
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:They're just listless and tired.
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:And unfortunately, a small
percentage of kennel cough cases
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:do progress and become more severe.
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:So we may actually develop
pneumonia and even death.
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:Fortunately, this is not very common.
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:Um, but this is exactly what we're
seeing with this, this mystery illness.
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:So, I really don't think there's
anything to panic about or anything
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:to be overly concerned about.
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:This is something that veterinarians
have a lot of experience dealing
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:with and managing in our patients.
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:And treating that.
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:And the way it's transmitted is the same,
the way we manage it, it's the same.
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:DrG: You know, I was looking when I
was researching, I saw that there was a
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:similar outbreak last year, and it was
unknown what, what really caused it.
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:And I remember when I was in practice
at my emergency clinic about four or
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:five years ago, there was something
very similar and animals were going
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:through the same thing as far as
like very, very acute, very rapid
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:developing respiratory symptoms.
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:And then there were some animals that were
succumbing to the disease, were developing
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:pneumonia and getting really sick.
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:So this could potentially be a
similar disease complex than what
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:we have been seeing in the past?
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:Dr O'quin: Yeah, absolutely.
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:Absolutely.
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:Very similar.
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:And like I said, just a minute ago,
there may be, we may not actually
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:be seeing an outbreak of one thing.
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:We may be looking at outbreaks of
multiple different things and we're
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:just connecting them because we're
all able to talk to each other
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:about them so much more readily.
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:So we, we, we really don't know.
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:But yeah, it, it looks, it's in, in
my mind, this is kennel cough and
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:that's, that's how we manage it.
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:DrG: What are the ways that these
diseases are going to be transmitted?
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:Dr O'quin: So these respiratory disease,
all of them, not just whatever may be out
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:there right this minute, are airborne.
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:So when dogs cough and sneeze.
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:They transmit virus or bacteria
through the droplets and in the air,
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:and that's how other dogs get exposed.
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:So really, the greatest concern when
you're spending a lot of time around a
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:lot of other dogs in close proximity.
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:DrG: I know when the outbreak that I saw
several years ago, I remember a family
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:that had multiple dogs and everybody got
sick and one of the dogs did die from
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:it, but it was a dog that was elderly.
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:So is it something to think about
that there are going to be some dogs
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:that are more susceptible than others?
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:Dr O'quin: Definitely.
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:Um, you know, what we're hearing
from the cases out there right now
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:that are being reported is that, you
know, any dog can get sick with this.
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:And that makes sense, right?
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:But those that have more severe outcomes
are, are likely dealing with other
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:issues, other health issues as well.
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:So they may be sick with something
else, they may have a disease,
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:they may be older, something that
makes their immune response not as
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:robust as we would like it to be.
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:DrG: From what I have read, it
says that dogs tend to go from
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:normal to being pretty sick in only
about two to three days, so it's
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:something that occurs really rapid.
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:Do you know about how long it's lasting
and how these dogs are being treated?
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:Dr O'quin: So, that's a great question.
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:This, um, this short onset, two
to three days, tracks with many
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:other causes of kettle cough.
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:Um, how long it lasts
really is quite variable.
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:Some of them are recovering in a
week, two weeks or so , even less
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:in some cases, but they're feeling
a lot better much faster, but they
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:still have a little bit of a cough.
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:And then some cases are
lasting a couple of weeks.
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:And that's, that's one of the things
we're hearing most often with this is that
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:it's lasting longer than they expected.
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:And there can be a lot
of reasons for that.
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:One, there's some individual variability.
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:So maybe we're just hearing about
the ones that are lasting longer.
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:We're not hearing as much about those that
are, that are resolving really quickly.
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:Um, but also how much damage does
this virus or bacteria cause?
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:So if it causes damage in our respiratory
system, it takes a little while for
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:that to heal, even when the pathogen
is not there doing anything anymore.
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:And so those cases can kind
of last a couple of weeks.
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:We also may have secondary infections.
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:So this is when you have an infection
that weakens your response, and makes it
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:much easier for other causes of disease to
come in and set up their own infections.
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:And so we may have these like
super infections where there's
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:more than one thing going on.
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:And so you could be getting better
for one thing and then get get
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:something else and something else.
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:Um, we see this a lot, especially in
population settings like shelters.
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:DrG: I think as humans, we can kind of
relate, right, because we'll get sick,
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:we'll have like a cough, we'll get
whatever disease, and then we feel great,
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:but we still have this nagging cough that
will last for a week, two weeks, a month.
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:So the cough is just a symptom of
the irritation , but it doesn't mean
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:that you actually are sick, that your
pet needs antibiotics, that it needs
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:antivirals, that it needs anything else.
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:So.
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:Comparing this to humans, actually,
how likely is it that these
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:respiratory complexes of animals
can affect humans or other animals?
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:Dr O'quin: The ones that we know
about, very, very unlikely.
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:They're, most of them we are
very confident are not going
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:to cause any human cases.
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:There's only one that we have some concern
about, in those who are immunocompromised,
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:and that is incredibly rare as well.
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:So, as far as general daily concerns,
really not not a concern and that's
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:we're not seeing any human cases
associated with these or any cat cases
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:associated with these that are being
reported and looked at right now.
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:So yeah, wouldn't
wouldn't have any concern.
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:I mean, no more concern than is the normal
small rare level of concern that we should
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:always have just to keep ourselves safe.
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:DrG: And one other thing is, like,
not every animal has extensive
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:testing, right, so, uh, you know,
if we, if we see somebody coughing
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:because of everything that's happening
right now with COVID , everybody
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:immediately assumes that it's COVID.
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:So it doesn't mean that it is.
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:You could have the flu, you
could have something else.
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:So could this be, you know, some of
these cases just be something regular
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:that is affecting animals that are
just simply not vaccinated to protect
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:them from the diseases that cause
kennel cough, including influenza.
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:Dr O'quin: Yeah, absolutely.
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:Um, so kennel cough, which again
is caused by, um, any of a number
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:of viruses and bacteria that we're
aware of is the, it's the most common
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:respiratory infection that we see in
dogs and we see it all the time, right?
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:I'm sure you saw it a lot in practice.
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:We all do.
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:Um, it's the common cold for
dogs and, um, everything that we.
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:You know, no for humans
really applies here as well.
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:So crap.
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:What was your question?
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:DrG: Uh, if this can do something like
that, we know already, and it's just
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:affecting animals that are unvaccinated.
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:Dr O'quin: I didn't think
that was your question.
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:Where was I headed?
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:Um,
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:we can do all that again.
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:There was two things
that I wanted to mention.
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:One was how similar was
the human condition.
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:And then the other one was.
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:What did you ask?
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:It wasn't about vaccines.
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:It was about,
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:DrG: I said, test.
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:I said, not all animals
have extensive testing.
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:Could this be something that we know that
is like influenza or that is affecting
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:animals that are just simply unvaccinated?
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:Dr O'quin: Yeah, absolutely.
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:And it can be all of all
of the things, right?
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:Kennel cough, right, which has many
causes, viruses, bacteria, several
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:that we know about out there, some
of which we test for, and some of
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:which we don't routinely test for.
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:But honestly, this is the most
common infection, respiratory
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:infection that we see in dogs.
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:So most of the time when they come in,
this is an uncomplicated infection.
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:We're seeing exactly what we expect
to see , and we know how this
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:is going to typically resolve.
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:We don't test for that.
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:So we don't test to see what specific
bacteria or viruses is active here
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:because we know the treatment is the
same for all of these conditions.
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:It's very similar to people, right?
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:When we go to the doctor, um, they don't
typically do a whole panel of tests to
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:find out what viruses or cold, right?
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:They might test for flu or something,
but we typically are not like running
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:a panel to see what's going on.
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:And that's, that's exactly what,
um, we as veterinarians do.
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:Now we may run that then if we have
something that's outside of the
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:ordinary, what we expect, or if they're
not resolving, they're not getting
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:better with time or specific treatment.
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:The other issue is people are
people say a lot like this is a new
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:thing because we're not finding it
on the tests that we're running.
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:So a small percentage of the what are
presumed to be cases are being tested.
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:There's a lot of reasons
why we might not find it.
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:One, we don't test for everything.
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:that can be causing these signs.
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:Sometimes some of those
tests aren't very good tests.
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:They're not as reliable.
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:They're still the best we have,
but they're not as reliable with
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:what information they give us.
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:Um, also, when are we testing?
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:If we test very early in the
infection, we're more likely
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:to find what the cause is.
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:But when we test later in the infection,
even a week or more later, we may not
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:We may not get a positive test because
what started it isn't there anymore,
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:and the body is just responding to
the damage or maybe there's another
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:pathogen there that's come in
secondarily and we may find it and
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:then presume that it started at all.
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:So there's, there's a lot of, a lot
of challenges with testing it's not as
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:simple as like, Oh, tell us what it is.
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:DrG: Yeah, this is I mean, it's the
same in everything that we do, right?
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:Like even like stool samples,
whether it be toxicology, it
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:doesn't matter what it is.
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:If we don't know what we're looking for,
it makes it that much harder to find it.
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:Right.
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:There have been some people that
because of COVID are wondering
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:if this could be COVID and how
likely are dogs to get COVID.
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:So what are your thoughts on that?
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:Dr O'quin: So that's a great question.
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:And they have tested the cases
that get tested for COVID
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:and they haven't found it.
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:We do know that dogs can become
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:infected, but it's pretty uncommon,
um, and typically not causing
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:issues with the dogs at all.
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:DrG: If an owner has, you know, a
pet owner has a dog that is coughing
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:and that has some nasal discharge
that is perhaps acting a little bit
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:lethargic, off food, what can they do
if they suspect that their pet may be
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:sick with this respiratory complex?
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:Dr O'quin: Well, I think the first
thing is to call your veterinarian,
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:let them know what your concerns
are and get an appointment so
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:that your dog can be evaluated.
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:They'll be able to do an examination
and assess what they think this is.
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:Is it viral?
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:Is it bacterial?
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:And then treat according to that.
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:I think it's important for people to
realize because another thing that I hear
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:frequently with this outbreak is that
it's not responding to normal treatments.
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:Um, and I think that's, really the fact
that viruses don't respond to antibiotics.
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:Viruses don't ever respond to antibiotics.
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:So that's doesn't mean that this illness
is, you know, any different than any of
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:the other viruses that we're dealing with.
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:And I think that's a really
important thing to understand.
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:There are treatments that we can do.
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:Basically, we provide comfort and
support, make sure that they're
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:getting enough to drink and eat, and
occasionally cough suppressants or
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:anti inflammatories, just like we
would take if we had a virus, right?
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:We're not treating that virus.
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:We are treating the body's
response to the virus.
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:So I think that's really important to
understand, but so the veterinarian
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:will, you know, examine and decide are
antibiotics warranted in this situation
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:or not, or do we need to do other
other types of care and then monitor.
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:And that's really important.
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:How are we responding for getting
worse and worse than maybe bacteria
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:have come in secondarily and now
antibiotics are warranted so things can
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:change over the course of an illness
that might might mean that we need
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:to alter our treatment and response.
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:DrG: What can owners do
proactively to protect their pets?
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:Dr O'quin: I think one of the most
important things is to make sure that
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:they're current on their vaccines.
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:Um, and some of those vaccines are going
to vary based on what kind of activity
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:you have around other, other dogs, right?
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:So if you're boarding, if you're going
to dog parks or dog shows or things
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:like that, you may definitely want to
have Bordetella and parainfluenza,
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:which are common causes of kennel
cough or respiratory disease complex.
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:I think that's the most important thing
is to make sure your pets are current.
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:Is it going to protect
them against everything?
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:No, but it is going to protect
them against the most common
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:causes of respiratory disease.
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:DrG: I think it also may, even if they
get it, it may not make them as sick.
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:Would that be a fair assumption to make?
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:Dr O'quin: Um, yeah, for some of those
vaccine preventable diseases, absolutely.
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:Even if it doesn't prevent it,
it will reduce the severity and
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:reduce the duration, for sure.
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:DrG: Should this be affecting
Holiday travel plans.
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:So should people just change their
plans all of a sudden, like not board?
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:Or what can they do to ensure
that the facilities that they're
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:boarding their animals are
going to be as safe as possible?
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:Dr O'quin: That's a great question.
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:I think if if you're in an area
that's not reporting a lot of cases
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:of respiratory disease, I don't think
we need to make any changes at all.
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:And what we're doing, including
here in Ohio, which we're not
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:reporting any any cases right now.
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:So if you're looking for a boarding
facility, again, you don't need to
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:avoid them, especially if there's
no, you know, cases being reported
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:in your area of respiratory disease,
not just a mystery disease, but
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:of canine respiratory disease.
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:But talk with your boarding kennel,
find out how the animals are housed.
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:Do they have an isolation area where
they take animals if they do become
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:sick during the, um, their stay there?
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:And what do they do if that happens?
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:Are they contacting veterinarians
and follow in the owners
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:and then following up?
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:So I think those are really
important things to know.
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:Make sure that your dog is
vaccinated, but make sure that
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:the boarding kennel requires
vaccination for all of their dogs.
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:DrG: I think something actually
that you just said made me think
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:of, you know, it, that if an
animal gets sick, it gets isolated.
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:I think it's something that people
don't think about when they are leaving
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:their animals boarding is leaving an
emergency contact, leaving veterinarian
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:information and leaving permission
to treat if they cannot be reached.
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:Because I know when I was working in
an emergency, we would get animals
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:brought in by either a boarding facility
or the person that was pet sitting
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:or a family member, and we would say,
hey, these are our recommendations,
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:this is what needs to happen, and they
would say, well, we can't make that
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:decision because we're not the owner,
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:and then we couldn't
get a hold of the owner.
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:So if you're traveling and you're leaving
your pets behind to leave everything in
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:writing as far as what can be done, what
cannot be done, leaving some form of like
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:financial, like whether it be money, a
credit card, some information for whoever
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:is taking care of the pet to be able
to seek medical assistance if needed.
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:Dr O'quin: That is really great advice.
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:Really great advice.
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:DrG: So what can veterinarians do if
they suspect a patient has this problem?
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:Dr O'quin: I believe veterinarians
are always very diligent in their
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:exams and assessing what's going on
and what treatments need to occur.
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:I don't see the treatments as
really different from how we treat
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:respiratory disease complex or
kennel cough and in other cases.
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:I think the only thing that I would
do differently right now is be
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:more likely to send out testing.
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:And I think that would help us a lot.
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:I know there was a shelter in
California that had an outbreak
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:of respiratory disease in their
dogs, and everybody was like, Oh,
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:no, it's this new mystery disease.
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:And it ended up being strep zoo
and mycoplasma, which are pathogens
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:bacterial that we're quite familiar with.
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:Unfortunately, we don't like
to see them in shelters.
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:But, you know, there are often common
causes that are going to explain this.
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:And I think that's what we really
need to do is And start looking at
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:these a little bit more closely.
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:Is this something we're familiar with?
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:Are we not finding, um, an answer?
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:In which case, you know, send it
off to the National Diagnostic
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:Labs for additional testing.
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:DrG: And these are respiratory panels
that are readily available already, right?
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:It's not something new.
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:Dr O'quin: Yeah.
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:So the, yeah, the basic testing that we do
is, is readily available for veterinarians
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:and can send client samples out, and
it's a pretty quick turnaround too.
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:So usually within a couple of
days, you're going to know what
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:the results of those tests are.
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:I do think it's important to note
that there are more things that cause
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:respiratory disease in dogs that we,
um, we don't test for everything.
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:So if we don't find an answer,
it just means that it wasn't
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:the ones that we tested for.
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:There are several things
that we know about.
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:They're just not common enough, or
we don't have a test developed for it
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:that's just readily
commercially available.
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:DrG: We work with a lot of shelters,
and some of our shelter partners
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:are just freaking out over this.
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:So they don't want to, they want to
close intakes, they don't want to do
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:any spay neuter with dogs, they don't
want to do anything because they're
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:just concerned that this thing is
just going to wipe out all the animals
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:at the shelter, and then it's going
to get the whole community sick.
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:How, how likely is that?
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:What should shelters be doing,
and should they be, I mean, should
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:they be changing their practices?
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:Dr O'quin: Yeah, so that's
a, that's a great question.
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:Shelters are ever vigilant
for infectious disease, right?
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:Because we are housing animals in
group settings, not necessarily
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:all together in one room, but
there's a lot of animals in the same
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:building sharing the same airspace.
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:And so disease can
transfer pretty readily.
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:So we're ever vigilant for that.
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:And I think that we just
need to maintain that.
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:If we're in areas where
we're not seeing an outbreak.
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:I don't think you need to
change what you're doing at all.
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:We should be monitoring daily
more than once daily to check
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:every animal for potential signs
when we see signs of potentially
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:infectious disease that's contagious,
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:we need to move them into an isolation
area so that the other rest of the
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:population is protected from that.
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:They're not going to be exposed as
heavily as they would be if that
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:dog was coughing right next to them.
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:So the same basic disease
control measures that we take.
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:Vaccination on intake, monitoring for
disease, isolation of sick animals.
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:That's what we need to do.
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:And if we have something come up,
especially something that looks a
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:little bit unusual, we need to test
for that to see what we have going on.
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:If you're a shelter and you're in
the middle of a community that's
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:experiencing an outbreak like this,
right, you need to be, um, do the same
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:things, but maybe even more vigilantly.
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:So they may decide that incoming
animals need to go in a specific area.
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:And kind of cohort groups
through the shelter so that
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:we can reduce the exposures.
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:But other than that, it's the same, right?
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:Cleaning and disinfection,
monitoring, isolation,
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:vaccination, and just be vigilant.
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:DrG: So I know that there
is a great resource that
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:shelters can be using, right?
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:A guide that can help them
along, among all this stuff.
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:Do you want to let shelters know about
how they can get more information on how
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:to take care of their shelters better?
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:Dr O'quin: Yeah, so the Association of
Shelter Veterinarians has guidelines for
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:standards of care and animal shelters.
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:It's quite a mouthful, but it
provides guidance for shelters in
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:all areas of managing the health and
welfare of the animals in their care.
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:Really recommend that every
shelter download that it's a
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:free download from sheltervet.
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:org.
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:There's a lot of really good
information guidelines to help develop
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:protocols for these kinds of things.
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:And then the other thing that it does
is provide resources with much more
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:detailed information in textbooks and a
variety of university websites where more
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:details can be found on these issues.
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:DrG: I'll make sure to share the, the
link to the guidelines on the episode
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:information because I think that there's
a lot of shelters and especially rescue
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:groups, smaller rescue groups, that
they don't see themselves as a shelter,
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:but they still have high population.
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:So it may help them as well.
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:Dr O'quin: There's one more thing that
I think shelters should be really,
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:really aware of and working very hard
to, um, to address this issue because
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:it's really common in shelters.
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:We need to avoid overcrowding.
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:When we have more animals.
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:Um, then our shelter should be
holding and that's whether you're
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:counting cages, you also need to
be looking at the staffing levels.
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:There's a lot of things that go into
the what's your capacity for care.
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:But when you're at near or over
your capacity for care disease
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:outbreaks are much more likely.
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:And so one of the best disease
control measures we have is to make
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:sure that we're not overcrowded.
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:DrG: Yeah, and we are seeing that,
you know, as the pet overpopulation is
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:increasing and shelters are becoming
overcrowded, those are some of the
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:things that we need to really consider,
just because we're, we're saving them,
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:or we think that we're saving them,
but if we could be making them sick
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:and having them suffer needlessly.
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:Ohio State has not seen any
cases through the community
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:clinic or the emergency clinic.
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:Is that right?
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:Dr O'quin: Yeah, that's right.
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:I've talked with our, um, our frontline
staff and our ER doctors and they
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:haven't seen any cases that they thought
were unusual or, unidentifiable.
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:DrG: Excellent.
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:Well, I think that this has been really
great information, and I'm hoping that
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:people have learned about it, you know,
it's not saying, no, there is no risk
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:that your pet can't get sick, but it's
understanding that this mysterious
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:illness may not be that mysterious after
all, and just because we hear about
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:some animals getting sick and animals
dying, you know, like the cases in
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:Oregon, it's like 200 animals were sick.
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:Well, do you know how many animals,
how many dogs there are in Oregon?
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:Way more than 200, right?
477
:So percentage wise, We think that it's
a huge number, but it's not, it's a
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:small percentage compared to all the
dogs that, that are in the state.
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:So, we need to be cautious, we need to
protect our pets, we need to vaccinate,
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:shelters need to, uh, do proper practices,
but in the end, we just gotta make sure
481
:that we're not scaring everybody and that
we're not getting scared into paralysis.
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:Dr O'quin: Right.
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:Absolutely.
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:If, if this is something new and there's a
small chance that it is, if it's something
485
:new, it presents and is managed exactly
the same as a dozen plus other viruses and
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:bacteria that we're already familiar with.
487
:So I think the veterinarians are
well prepared to handle this.
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:DrG: Well, thank you so much, Dr.
489
:O'quin for being here and sharing
your wealth of information and
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:for everybody that's out there.
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:Thank you for listening
and thank you for caring.
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:Dr O'quin: Thanks so much.