Experiences of a Veterinary Practice During and After a Foot and Mouth Disease Oubreak in Cumbria, U

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Experiences of aVeterinary Practice During and
After a Foot and Mouth Disease Oubreakin
Cumbria, UK in 2001
A presentation to- Manitoba Veterinary Medical
Association January 13th 2006

• David Black
• Paragon Veterinary Group

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Photograph by Andy Bannister
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Photograph by Andy Bannister
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Carlisle
Dalston
Newbiggin
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Longtown Market, Cumbria
By kind permission of Cumbrian newspapers
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Hexham
Heddon
Carlisle Longtown
Sheep Movements
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Rest of UK
Cumbria
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Vets Versus Scientists

• When is a vet not a vet?

When hes a scientist!
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Negative Aspects

• Government Spin
• Tourism V Farming V Rural Community
• Farmers Fault/Farmers are dirty spreading the
  disease
• Vaccination
• Differences caused by government policy
• Culled/Standing Voluntary/Local Cull
• Compulsory Purchase/Compensation CD
• Disruption of normal interactions
• Rumour and misinformation
• Stress and worry
• Vets
• DEFRA re Practice Vets Interpractice
  relationships

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The Future for Agriculture?
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Market Processing Groups
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Restocking - What We Did

• Advice
• Newsletters
• Meetings
• Individual Advice
• Discussed with Vendors Vet
• Disease status, vaccinations,
• Pre-import exams/scanning/vaccination
• Europe
• UK

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What The Farmers Did

• Panicked
• Purchased on Price only
• Bought in Disease
• Bought in Problems
• Tended to buy young

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Expected

• Tuberculosis
• BVD
• IBR
• Johnes
• Mastitis
• Contagious
• Environmental
• Neonatal disease (colostrum)
• Mineral imbalances

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Unexpected
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Unexpected

• Lungworm
• Salmonella
• (especially s. dublin)
• Delayed disease lt 3 years
• Management failures
• Fertility heat detection
• Neonatal
• Nutritional
• Displaced Abomasums
• Fatty Liver

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Left Displaced Abomasum (LDA)
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Unusual/Psychological

• Behavioural differences
• At calving
• At turnout
• At new experiences?
• Herd dynamics
• Fractures and injuries
• Loss of vocational drive
• and enthusiasm
• Farmer confidence
• Value of life

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When you are running flat out
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Large Animal Income
FMD
Restocking
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It is the aim of the Paragon Veterinary Group
to provide a compassionate and caring service for
all species of animals and at the same time offer
comprehensive and up-to-date treatment in all
fields of veterinary medicine and surgery.
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• Good Internal Exercise
• Staff Pride
• Commitment-
• to employees
• to training
• to development
• FMD! And Business Link

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Advanced Breeding
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Pricing Initiatives

• Fees Up Drug Margins Down
• (NB easier to compete as balance changes)
• 35 gross margin from net net
• Cash Sales
• Pence per litre scheme
• Contract Price 0.55-0.6p per litre
• (Package incs fees/fertility/vaccines/DCT/boluses/
  etc)
• Allow 0.1 to 0.2p per litre for therapeutic drugs

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The Practice Perspective

• Much stronger than before
• New business opportunities
• New personal opportunities
• New challenges exciting clinical challenges
• Practice Profile is higher locally and
  nationally
• Life style quality priorities have changed
• Will never forget emotions still very raw

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The FMD Legacy

• Farmer Quotes-
• It has accelerated the change that was
  happening anyway
• It has been an opportunity to commit to the
  future
• It has been an opportunity to get out of
  farming
• These will never be my cows
• I let my animals down I let my family down
• My generation will never get over this
• I will always be angry and bitter about what
  happened
• Nothing has changed it could be back
  tomorrow
• I still have flashbacks
• I am frustrated at the lack of information
  The future?..

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The Future for Vets?
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My Perspective
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Personal View

• Catastrophic Effect on Large Animal Practice.
• Frustration at not being allowed to assist.
• Continual emotional and psychological drain.
• Extremely fortunate to have very supportive
  colleagues and a solid practice base.
• Sue is part of new Rural Health Team Cumbria
• Extremely fortunate to have a very supportive
  wife and family.

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• Chaired by Sir Brian Follett
• 15 full inquiry members co-opted specialists
• Totally open and transparent no govt influence
• 3 sub-groups-
• Prediction, Prevention and Epidemiology
• Diagnosis and Surveillance
• Vaccination
• Reported in Summer 2002

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Recent Changes

• Animal Health Welfare Strategy
• LVI Review sentinel practices etc
• RCVS Education Review
• Decoupling/CAP Reforms
• OTMS Changes
• Working Time Directives

THESE WILL ALL HAVE A DIRECT EFFECT ON RURAL
PRACTICE
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Photograph by Andy Bannister
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Imagine...
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Provide the Service
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Provide the Service
which includes Individual Care for that Client
and their Animal(s) with good Communication which
is perceived to be Value for Money
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Invest in HealthDont Pay for Disease
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The Beginning
The Future of Farming needs A Healthy
Industry which needs Healthy Animals
Attitude is Everything by Bonnie Mohr
www.bonniemohr.com
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Acknowledgements

• Andrew Holliman VIC, Penrith , for some of the
  images from this outbreak.
• Peter Nettleton, Moredun Research Institute, for
  some of the images and diagrams.
• Peter Allen, for some of the images.
• Colleagues for support, commitment, and
  discussion since February.
• All the members of the agricultural and rural
  communities who have suffered so much, and are
  still suffering.

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