The FDA’s Center for Veterinary Medicine has posted updated Cumulative Adverse Drug Experiences (ADE) Summaries Reports, containing data from 1987 through 11 April 2007.

More information about the ADE reports can be found here and here (the latter page describes limitations in the ADE reports). An FAQ on the ADE reports is here. The form for submitting an ADE is here.

Reports are arranged by active ingredient (generic drug names are used), species, and route of administration. Some drugs have hundreds or thousands of reports; others have only a handful. Each report includes a list of reported reactions. Unfortunately, reaction types don’t seem to be fully standardized, so one can find the same type of reaction listed several different ways. For example, the report on carprofen administered orally to cats lists eight reports of “K HI, BLD” and one report of “K HI, BLOOD.” Similarly, what is the difference between “HYPOTHERMIA” and “HYPOTHERMIA, BODY,” both of which are reported six times. Some of the reported reactions are puzzling: one cryptic reaction reported for carprofen is “BLD.”

Still, the ADE reports are a wonderful resource for veterinarians who might be wondering if the odd reaction they’re seeing to a drug has been reported by anyone else.


Rural, large-animal veterinarians are on the decline. At least one state (Oklahoma) is considering legislation that would provide tax incentives for large-animal veterinarians. Missouri already has a Large Animal Veterinary Medicine Loan Repayment Program, which legislators are trying to expand. North Dakota is considering a similar program.

The current issue of DVM (Vol. 38, no. 3, March 2007) has a front-page story on the response of the USDA to the “rural vet crisis,” including claims that the agency “fails to take NVSMA [the National Veterinary Services Medical Act] seriously.” NVSMA, which became law in 2005, was supposed to be in place last year.

The pressure to jumpstart NVMSA stems from the profession’s migration toward small animal practice, which leaves large animal sectors scarce of DVMs and public health and food safety segments not far behind. NVMSA is an attempt to allay a crisis that, in extreme cases, forces owners to treat and euthanize their own animals in DVM-deficient rural areas and hinders bioterrorism safety when veterinarians’ disease expertise acts as a first-line defense.

Rural large-animal vets might be on the decline, but catmanager can’t find evidence of jobs going unfilled. A scan of the help wanted ads in the current JAVMA (Vol. 230, No. 7, 1 April 2007) reveals only three large animal openings and thirty-seven mixed animal openings across the United States. (The number of large- and mixed-animals jobs is dwarfed by the small animal jobs. Virginia alone has more small animal openings than there are large- and mixed-animal openings in the entire United States.) Catmanager wonders if the problem of rural and large-animal DVMs doesn’t have more to do with the poor economics of large-animal practices (at least relative to small animal practice).

Wonder what a day during calving season is like for a large animal vet? Here’s a nice story from Canada’s Leader-Post about a day spent with a large-animal rural vet. The reporter tags along as the vet delivers calves, repairs a prolapsed uterus, conducts a necropsy on a feed-lot cow, and opines about his colostrum research. [Update: Milwaukee’s Journal-Sentinel also has a profile of a large-animal vet.]

My wife spoke with an AP reporter yesterday about the food recall. One question the reporter asked was whether the state veterinarians had asked local veterinarians to send in data on pets affected by the recall. Oregon’s state veterinarian has been collecting data in his state and released numbers earlier this week.

The reporter’s question got catmanager wondering about how the state veterinarians and state veterinary medical associations had responded to the pet food recall.

What I discovered was disappointing and might go a long way toward explaining why it’s been so hard to get official numbers: almost none of the states seem to want to collect the information (or if they do, they’re making it darned difficult to find out how and to whom to report data). I know Gina and the crew at Pet Connection have proposed a national, centralized system to which veterinarians could submit morbidity and mortality data during crises like the current one. This is a wonderful, long-overdue idea, and I urge pet owners to press the idea on their congressmen and -women. I also urge them to agitate at the state level. I see no reason why the states cannot develop their own reporting structures (perhaps in conjunction with the federal government). Doing so will allow local information to be disseminated more quickly (rather than waiting for the federal government to disaggregate data from around the country, states could release their own data) and will give states the information needed to more effectively manage crises like the present one. If you’re concerned about how the pet food recall has been handled, don’t forget to work for change at the local level as well as the national.

Before jumping into the results of my canvassing, some caveats:

  • Catmanager is not a member of any of the state veterinary medical associations. So I was unable to access the members-only sections of their Web sites. Sites that had no publicly available information about the recall might still have information that is only available to the members.
  • Also, although I have not heard reports of this happening, it is possible that some (or even all) state VMAs have contacted their members via e-mail, fax, or phone to alert them about the recall.
  • In most states the state veterinarian is a position within the department of agriculture. Not all states have Web pages specifically for the office of state veterinarian. I’ve done my best to identify the appropriate Web sites for all the state veterinarians, but I might have missed some and thus missed information about the recall on their Web site.
  • Furthermore, in many cases the state veterinarian’s primary responsibility is for food animals. Because of this, some might have deemed the pet food recall to be outside their purview and thus have made a conscious decision not to post information about it.

With caveats out of the way, onward to the data! As of 27 March,

  • 24 state VMAs plus the Puerto Rico VMA provided (publicly accessible) information about the recall on their Web sites.
  • Of these, 16 included only links to other sites (typically the AVMA, Menu Foods, and the FDA); and 8 included at least some original content, such as a summary of the recall or a press release generated by the VMA.
  • In catmanager’s opinion, the Georgia and Oregon VMAs have done the best job of providing information to the public.
  • 15 of the 50 state veterinarian Web sites (including Web sites of departments that comprise state veterinarians’s offices) provide publicly available information about the recall.
  • 1 (Connecticut) addresses the need for the state veterinarian to work closely with the state VMA during the crisis
  • Only 3 (4 if you count Connecticut) discuss what the state is doing to respond to the crisis (in each case: spot checking retailers to make sure they’ve pulled the recalled pet food; in the case of Georgia: also conducting lab testing of the recalled food)
  • 1 state (Vermont) asks veterinarians to report deaths and illnesses that they suspect are related to recalled food. (We know that Oregon has been collecting this data, but I couldn’t find on the Oregon state Web site where they invite veterinarians to submit data.

The data
The table that follows lists all fifty states, the District of Columbia, and Puerto Rico. From the left, the columns indicate state; whether I found publicly available information about the recall on the state VMA’s Web site; any comments I wanted to make about the state VMA’s Web site; whether I found information about the recall on the state veterinarian’s Web site (or the department or agency to which the state veterinarian’s office belongs); and any comments I wanted to make about the state vet’s Web site. To check out the state VMA Web sites, go here. To check out the state veterinarian Web sites, go here.

State VMA mentions recall Notes State vet mentions recall Notes
Ala. no   no  
Ak. ? no Web site no  
Ariz. yes links to information elsewhere no  
Ark. no   no  
Cal. yes links to information elsewhere, plus a client information sheet created by the CVMA and a fact sheet for veterinarians supplied by Iams no  
Col. yes links to information elsewhere no  
Conn. yes links to AVMA advice to pet owners yes press release urging pet owners to check their pets’ food and the Dept of Ag to work closely w/CVMA to ensure the public is getting “accurate information” about the recall
Del. no   no  
D.C. no   ?  
Fl. yes press release and links to information elsewhere no  
Geo. yes information for pet owners on main page; FAQ for pet owners; information for member veterinarians (not publicly accessible); one of the better responses yes a couple of hard-to-find press releases: one notes the state lab will be testing samples and inspectors will be checking that retailers comply with the recall
Hi. no   no  
Idaho no   no  
Ill. no yes Update, 3/28: Now recommends AVMA main page for info. no  
Ind. yes links to information elsewhere no  
Iowa yes information for pet owners (from AVMA); information for member veterinarians (not publicly accessible) no  
Kan. yes information from AVMA no  
Ken. yes links to AVMA no  
La. yes three press releases in .doc format yes press release on main Dept. of Ag and Forestry site
Maine no   no  
Md. yes mostly information for pet owners (from AVMA) no  
Mass. yes links to information elsewhere yes link to PDF
Mich. yes several documents in .doc format; links to information elsewhere no  
Minn. yes “Information about Dog Food Recall” (which links to the original FDA press release) no  
Miss. unknown no Web site no  
Mo. yes links to AVMA no  
Mt. no   no  
Neb. yes brief description on Web site; links to information elsewhere no  
Nev. no   no  
N.H. no   no  
N.J. yes links to FAQ in .doc format (same as La.) yes reprints FDA’s original news release
N.M. no   no  
N.Y. no no publicly available information; possibly information available for members only yes press release announcing discovery of toxin (seems to be the only mention)
N.C. no   yes on main Dept. of Ag page
N.D. no   no  
Ohio no   yes on main Dept. of Ag page (link to Menu Foods)
Okla. yes links to information elsewhere no  
Ore. yes plenty of information, most on the site; one of the best yes link to FDA’s original press release
Penn. no yes Update, 3/28: Now has page dedicated to recall information, including alerts sent to PVMA members and links to information elsewhere. One of the better state VMA responses. yes press release and links to information elsewhere
P.R. yes links to Menu Foods ? no Web site
R.I. yes links to AVMA press releases; site mentions only the Iams and Eukanuba recall yes press release (notes officials will be spot checking retail outlets for compliance with recall); links to FDA, Menu
S.C. yes links to information elsewhere (link to VIN actually goes to the Veterinary News Network) no  
S.D. no   no  
Tenn. no   no  
Texas yes links to AVMA and Menu Foods no  
Utah no   no  
Vt. no   yes press releases on main Agency of Ag page; one asks vets to report deaths and notes inspectors have been checking retailers for compliance with the recall
Va. no   no  
Wash. yes press release; links to information elsewhere yes overview (written for pet owners) and links to information elsewhere
W.V. no   yes press release on main Dept of Ag page
Wisc. no information might be available in members-only section yes info on main Dept. of Ag page with more info here, including links and advice for pet owners, vets, and retailers [This is the most informative state vet site I found.]
Wy. no   no