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sr-102709-7c~~ ;tYo, City Council Report Santa Monica City Council Meeting: October 27, 2009 Agenda Item: ~ -~ To: Mayor and City Council From: Marsha Jones Moutrie, City Attorney Subject: Ordinance Adding Section 4.04.275 Banning Onychectomy and Flexor Tenonectomy Procedures Recommended Action Staff recommends that the Council consider introducing on first reading the attached proposed ordinance which would ban performing, assisting in performing and procuring onychectomies and flexor tenonectomies, which are declawing procedures, on cats in Santa Monica. Executive Summary A change in state law, effective at the beginning of next year, will preempt cities from banning cat declawing procedures. In response to this change, animal rights advocates recently appeared before Council to urge that Santa Monica quickly consider and adopt a declawing ban. In response, Council directed legal staff to prepare an ordinance banning declawing. The attached proposed ordinance fulfills that direction. Background In recent years, as support for animal rights has grown, members of the public have appeared before Council advocating for, or opposing the adoption of a local law prohibiting declawing. A proposal to direct staff to prepare an ordinance banning declawing was considered in 2004, but was not adopted. Advocates of a declawing ban again appeared before Council on September 9, 2009. Discussion Supporters of declawing bans argue that declawing procedures are inhumane and unnecessary. Specifically, they argue that, among other things, such procedures are painful to the cat, endanger and degrade its. health, deprive the cat of the ability to defend itself, and frequently cause behavioral problems, including increased biting and 1 aversion to the use of a litter box. Additionally, proponents of such legislation have argued that declawed cats are likely to be relegated to living outdoors (because of these behavioral problems) where they cannot defend themselves against attacks by other animals and may pose a danger to others by, for instance, causing traffic accidents. Furthermore, they argue that declawed cats are very likely to be relinquished to shelters, thus increasing the cost to the public of shelter operation. And, once at the shelters, declawed cats are largely unadoptable, which further increases costs by necessitating euthanasia. Opponents of such legislation, including the California Veterinary Medical Association, argue that: the decision to declaw or not should be left to the cat owner and- the cat's doctor; veterinarians recognize the seriousness of the procedures and perform them as a last resort; the option of declawing should be preserved because, in some cases, it is necessary or advisable to protect the cat's health; that possible detrimental effects of the procedures are exaggerated and not scientifically based; that cat owners in Santa Monica will simply drive out of the City to procure the procedures; and that immunocompromised owners, who are particularly at risk from scratches, may abandon their pets if they cannot procure the procedures. So far, several California cities have considered declawing prohibitions, but only West Hollywood has adopted one. However, at least twenty-one other countries prohibit the procedures. With the impending change in state law, the City will lose its ability to legislate ih this area. The attached proposed ordinance is virtually identical to West Hollywood's in content. The format was simplified for the sake of clarity and the findings were modified to reflect information and suggestions received by Council. 2 Financial Impacts & Budget Actions There would be no financial impacts attendant upon adopting the ordinance assuming that it would be enforced by existing personnel. Prepared by: Marsha Jones Moutrie, City Attorney 3 Approved: Forwarded to Council: City Council Meeting: 10-27-2009 Santa Monica, California ORDINANCE NUMBER (CCS) (City Council Series) AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF SANTA MONICA ADDING SECTION 4:04.275 TO THE SANTA MONICA MUNICIPAL CODE BANNING ONYCHECTOMY AND FLEXOR TENONECTOMY PROCEDURES WHEREAS, onychectomy, or declawing, and flexor tendonectomy procedures are routinely performed on cats even though the procedures are painful, cruel and dangerous to the cats and are very seldom medically necessary; and WHEREAS, onychectomy is not a "cosmetic" procedure but is instead akin to amputation in that it involves removing not just claws, but also bones, nerves, joint capsules, collateral ligaments and extensor and flexor tendons up to the joint; and WHEREAS, in human terms, this procedure is akin to cutting. off the last joint of all ten fingers; and WHEREAS, at least twenty-one European countries have concluded that declawing cats is inhumane and have therefore banned the procedure; and WHEREAS, research has demonstrated that the rate of complications from onychectomies is relatively high as compared to other "routine" procedures, with one 1 study reporting acute short term complications in 50% of cases and long-term complications in 20% of cases; and WHEREAS, these complications include excruciating pain, damage to the radial nerve, hemorrhage, bone chips, chronic back and joint pain resulting from weakened shoulders, legs and back muscles and painful re-growth of a deformed claws inside the paws; and WHEREAS, this procedure robs cats of integrat means of movement and defense, normal posture, normal use of toes in walking and running, and their ability to satisfy instinctive impulses to climb, exercise and mark territory; and WHEREAS, consequently, declawing causes serious secondary health risks to cats such as arthritis and other complications associated with postural and skeletal changes; and WHEREAS, declawing also leaves cats unable to defend itself against attacks by other animals, placing cats at risk of serious injury or death; and WHEREAS, flexor tendonectomy, a procedure in which cats' toes are cut so that the claws cannot be extended, likewise deprives cats the ability to engage in normal behaviors and defend themselves against attack and thereby imperils its health and safety; and WHEREAS, these procedures are usually undertaken not for the welfare of cats, but for the perceived convenience of owners, caretakers and other persons who often procure the procedures to protect their furniture and other personal property and without adequate information about complications and consequences; and 2 WHEREAS, alternatives that involve no harm or risk to cats are readily available to protect furniture and other property; they include regular nail trimming, training cats to use scratch posts, using deterrent pheromone spray, covering furniture, restricting access to certain areas of homes, using plastic nail covers, and more; and WHEREAS, in addition to the harm these procedures cause to cats, they also have detrimental consequences for humans; and WHEREAS, research has shown that declawed cats are more prone to defend themselves by biting people and other animals, and cat bites are associated with higher infection rates than scratches; and WHEREAS, research has shown that declawed cats tend to avoid use of litter boxes because the rough surface hurts their paws, and this causes sanitation problems and attendant health risks to humans and other animals; and WHEREAS, behavioral problems of declawed cats, such as increased biting and litter-box aversion, frequently result in declawed cats being relegated to an outdoor existence to which they are ill-suited because, among other things, they cannot adequately defend themselves; WHEREAS, cats living outdoors in urban environments often end up on roadways where they are in danger themselves and where they cause accidents and thereby imperile people; and. WHEREAS, declawing cats and attendant behavioral problems also increase the number of cats relinquished to animal shelters; and WHEREAS, declawed cats are generally not adoptable from shelters because of their behavioral and other problems, and they are therefore usually euthanized; and 3 WHEREAS, the public bears the burden of increased costs of shelter operation and euthanasia: and WHEREAS, the California Constitution, Article XI, Section 7, empowers the City of Santa Monica to make and enforce within its limits all local, police, sanitary and other ordinances and regulations not in conflict with the general law; and WHEREAS, at present, the law of the State of California does not prohibit the City from acting to prohibit onychectomy and flexor tendonectomy: and WHEREAS, the City Council finds that prohibiting these procedures, subject to exceptions necessary to protect the health of individual cats, will protect and promote the general health, safety and welfare of cats and humans alike. NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF SANTA MONICA DOES HEREBY ORDAIN AS FOLLOWS: SECTION 1. Santa Monica Municipal Code Section 4.04.275 is hereby added to read as follows: Section 4.04.275 Prohibition Against Procuring, Performing Or Assisting in Performing Onychectomv (Declawing) or Flexor Tendonectomv (a) Prohibition - No licensed medical professional or other person shall perform, assist in the performance of, or procure the performance of an onychectomy (declawing) or flexor tendonectomy procedure by any means on any cat within the City. 4 (b) Exception - Notwithstanding subsection (a), an onychectomy (declawing) or flexor tendonectomy procedure may be performed within the City if the procedure is necessary to address a medical condition of the cat, such as an existing or recurring illness, infection disease injury or abnormal condition in the claw, that compromises the animal's health. This exception does not allow procedures undertaken for cosmetic or aesthetic reasons or for any person's convenience. , (c) Penalty - Any person who violates this section shall be guilty of misdemeanor and shall be fined in an amount not to exceed $500.00 or be imprisoned for a period of six months, or both. SECTION 2. Any provision of the Santa Monica Municipal Code or appendices thereto inconsistent with the provisions of this Ordinance, to the extent of such inconsistencies and no further, is hereby repealed or modified to that extent necessary to effect the provisions of this Ordinance. SECTION 3. If any section, subsection, sentence, clause, or phrase of this Ordinance is for any reason held to be invalid or unconstitutional by a decision of any court of competent ,jurisdiction, such decision shall not affect the validity of the remaining portions of this Ordinance.. The City Council hereby declares that it would have passed this Ordinance and each and every section, subsection, sentence, clause, or phrase not declared invalid or unconstitutional without regard to whether any portion of the ordinance would be subsequently declared invalid or unconstitutional: 5 SECTION 4. The Mayor shall sign and the City Clerk shall attest to the passage of this Ordinance. The City Clerk shall cause the same to be published once in the official newspaper within 15 days after its adoption. This Ordinance shall become effective 30 days from its adoption. 6 APPROVED AS TO FORM: ~ ~ -~~ ROYAL COLLEGE OF VETERINARY SURGEONSOCT 2 7 2009 ~~ COUNCIL TO CONSIDER THE MUTILATION OF ANIMALS ~'` ~ (abridged) =u -, ~ ;, -" 1. BACKGROUND (i) The establishment of the Working Party resulted from the Royal College Council's involvement in the controversial issue of the docking of dogs' tails. Council recognised that this was a procedure which could be dealt with satisfactorily only by legislation, but appreciated also that it was unlikely that Parliamentary time would be found to deal with a single procedure. It seemed more reasonable to hope that Government would be prepared to make time available for a Bill seeking to ban or control a number of undesirable procedures if these could be identified and accordingly it would be wise to consider the field of animal mutilations as a whole.... 2. TERMS OF REFERENCE The reconvened Working Party adopted the following fresh terms of reference: "To consider animal mutilations in general with a view to pressing for the banning of a number of mutilations by statute or other appropriate means." 3. WHAT IS A MUTILATION? The reconvened Working Party confirmed that, although the term 'mutilation' was an emotive one, carrying with it, in common usage, implications of maiming and disfigurement, there was no satisfactory alternative term which would suffice for its purposes. Accordingly it was agreed to continue to make reference to mutilations on the understanding that the term should be understood as covering all procedures, carried out with or without instruments which involve interference with the sensitive tissues or the bone structure of an animal, and are carried out for non -therapeutic reasons.... 4. CONSIDERATIONS INVOLVED The Working Party confirmed that procedures which were carried out solely for therapeutic purposes were normally acceptable.... 5. PROCEDURES CONSIDERED A list of the procedures considered by the Working Party is set out in alphabetical order in Appendix A. It will be appreciated that, for the sake of completeness, several procedures were looked at although they are already covered by legislation. In each case the Working Party considered that the legislative provisions were satisfactory. The remaining procedures were assessed for acceptability and it was considered possible to categorise all the procedures wnsidered under the following headings; A: Procedures already satisfactorily covered by legislation and requiring no further action. B: Procedures which are acceptable... C. Procedures which are unacceptable... APPENDIX A ... PROCEDURE PRIMARY PROPOSED CONSIDERATIONS CATEGORY Claws, removal Practical C(i) ...APPENDIX B Reasons for assignment of particular cateoories to individual procedure... Claws, removal of • This procedure is only acceptable where, in the opinion of the veterinary surgeon, injury to the animal is likely to occur during normal activity. It is not acceptable if carried out for the convenience of the owner. Thus the removal of dew claws in certain breeds of dog where they protrude from the limb and are likely to become caught and torn is justifiable and even advisable. On the other hand, the removal of claws, particularly those which are weight-bearing, to preclude damage to furnishings is not acceptable.... d -~ ~" ' L OCT 2 7 2009 The Paw Project • PO Box 445, Santa Monica, CA 90406 • info@pawprojed.com • (877) PAW-PROJECT Countries in which declawing is already illegal: Switzerland http /Jwww animallaw info/nonus/statutes/stchapa1978.htm Section 8: Prohibited Practices Article 22. 2. It is also forbidden: g. to cut off the claws of cats and other felines, to clip or prick the ears of dogs, to remove the vocal organs or employ other methods to prevent animals from giving tongue or reacting to pain in another audible manner; Austria http//www.ris.bka.gv.at/erv/erv 2004 1 118.pdf § 7. (1) Interventions carried out for other than therapeutic or diagnostic purposes or for the expert marking of animals in accordance with legal regulations applicable, are prohibited, in particular 5. declawing and defanging, Germany http //www animallaw.info/nonus/statutes/stdeawa1998.htm Article 6 (1) The amputation of all or part of parts of the body or the removal or destruction of all or parts of organs or tissues of a vertebrate shall be prohibited. This prohibition shall not apply if: 1. the operation in the specific case a) is necessary according to veterinary indication... Sweden http //www sweden.gov.se/content/1/c6/02/58/44/53180d5d.pdf Surgical procedures etc. Section 10 (1) Animals must not 6e subjected to surgical procedures or given injections except where they are necessary for veterinary medical reasons. Croatia http'//www priiatelii-zivotinia.hr/index.en.php?id=470 Procedures prohibited for the purpose of protecting animals Article 4 (2) It is prohibited to: 17. cut off sensitive parts of the body of live animals, Interventions on animals Article 8 (1) The partial or total amputation of a sensitive part of the body of an animal shall be prohibited, including: 1. the marking of animals contrary to the provisions of special regulations, 2. ear cropping and tail docking in dogs, declawing of cats, devocalisation and other interventions aimed at changing the phenotypic appearance of the animal. (2) Byway of derogation from the provision of paragraph 1 of this Article, the partial or total amputation or removal of a sensitive part of the body of an animal shall be permitted if performed with prior anaesthesia and post-operative analgesia and if an intervention: 1. is justified for animal health reasons, Malta htto //www commonlii.org/mt/legis/consol act/awa128.odf Part V -Surgical Operations on Animals Surgical operations. The Paw Project • PO Box 445, Santa Monica, CA 90406 • info@pawproject.com • (877) PAW-PROJECT 9. (1) Surgical operations for the purpose of modifying the appearance of an animal by which any part of the animal's body is removed or damaged, other than for a curative purpose, shall be illegal. Council of Europe http://conventions.coe.int/TreatylCommun/ChercheSig.asp?NT=125&CM=8&DF=9/1 /2006&C~=ENG Article 10 -Surgical operations 1. Surgical operations for the purpose of modifying the appearance of a pet animal or for other non- curative purposes shall be prohibited and, in particular: a. the docking of tails; b. the cropping of ears; c. devocalisation; d. declawing and defanging; The signatories to this convention as of 1!9/2006 were: Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Finland, France, Germany, Greece, Lithuania, Luxembourg, Norway, Portugal, Romania, Sweden, Switzerland, and Turkey World Small Animal Veterinary Association (WSAVA) There are also a number of national vet associations that are signatories to the WSAVA Conventions. In those countries it could be said that the vet find declawing, as it is performed in the US, unethical. http:J/www.wsava. org/Conventi. htm Section 10 Non-therapeutic surgical operations on companion animals i) Surgical operations for the purpose of modifying the appearance of a companion animal for non-therapeutic purposes should be actively discouraged. ii) Where possible legislation should be enacted to prohibit the performance of non-therapeutic surgical procedures for purely cosmetic purpdses, in particular; a. Docking of tails; b. Cropping of ears; a Devocalisation; d. Declawing and defanging. iii) Exceptions to these prohibitions should be permitted only: a. If a veterinarian considers that the particular surgical procedure is necessary, either for veterinary medical reasons or where euthanasia is the only alternative.... These are the signatory organizations: Argentina Australia Austria Belgium Bosnia Herzegovina British Columbia Columbia Croatia Czech Republic Denmark Estonia Finland Greece Hong Kong Hungary Ireland Israel AVEACA Asociacion de Veterinarios Especialistas en Animates de Companfa de Argentina AVA Australian Veterinary Association VOEK Vereinigung Oesterreichischer Kleintiermadiziner (AUSTRIA) SAVAB Small Animal Veterinary Association Belgium The Paw Project • PO Box 445, Santa Monica, CA 90406 • infoC•?pawproject.com • (877) PAW-PR07ECT BHSAVA Bosnia-Herzegovina Small Animal Veterinary Association BCVMA British Columbia Veterinary Medical Association AVEPA Asociacion de Veterinarios Espanoles Especialistas en Pequenos Animales (SPAIN) VEPA Columbias (COLUMBIA) CSAVS Croatian Small Animal Veterinary Section CSAVA Czech Small Animal Veterinary Association DSAVA Danish Small Animal Veterinary Association ESAVA Estonian Small Animal Veterinary Association FAVP Finnish Association of Veterinary Practitioners HVMS Hellenic Veterinary Multinational Society (GREECE) HKVA Hong Kong Veterinary Association HSAVA Hungarian Small Animal Veterinary Association VICAS Veterinary Ireland Companion Animal Society ICAVA Israel Companion Animal Veterinary Association Italy Italy Japan Lithuania Malaysia Mexico Netherlands New Zealand Norway Panama Poland South Africa Spain Taiwan United Kingdom Uruguay AIVPA Associazione Italiana Veterinari Piccoli Animali SCIVAC Society Culturale Italiana Veterinari per Animali da Compagnia JSAVA Japanese Small Animal Veterinary Association LSAVA Lithuanian Small Animal Veterinary Association SAPAM Small Animal Practitioners Association Malaysia, now Malaysia Smalt Animal Veterinary Association (MSAVA) AMMVEPE Asociacion Mexicans de Medicos Veterinarios Especialistas en Pequenas Especies NACAM Netherlands Association for Companion Animal Medicine NZVA CAS New Zealand Veterinary Association -Companion Animal Society NSAVA Norwegian Small Animal Veterinary Association PSAVA Polish Small Animal Veterinary Association SAVA South African Veterinary Association AVEPA Asociacion de Veterinarios Espanoles Especialistas en Pequenos Animales (SPAIN) TVMA Taipei Veterinary Medical Association BSAVA British Small Animal Veterinary Association SUVEPA La Sociedad Uruguaya de Veterinarios Especialistas en Pequenos Animales IVENTA International Veterinary Ear Nose and Throat Association The Paw Project Review of the Scientific Literature on Cat Declawing Behavior Problems Caused by Declawing • A report in the January 1, 2001 issue of the Journal of the American Veterinary Medica/Association (JAVMA) by Yeon, et al., states that 33% of cats suffer at least one behavioral problem after declaw or tendonectomy surgery. The study showed that 17.9% had an increase in biting frequency or intensity and that 15.4% would not use a litter box. • Since 1966 there have been only six articles in the US veterinary literature (including one by a Canadian veterinarian) that examined the behavioral effects of declawing. The first (Bennett, et a/. ), looked at only 25 declawed cats, but reported that declawed cats were 18.5% more likely than non- declawed cat to bite and 15.6% more likely to avoid the litter box. • Morgan and Houpt found that the 24 declawed cats in their Internet survey had a 40% higher incidence of house soiling than non-declawed cats. Borchelt and Voith, looking only at aggressive behavior in a retrospective survey of pet owners, found declawed cats bit family members more often than did non-declawed cats. • In a retrospective phone survey, Patronek found that among 218 cats relinquished to a shelter, 52.4% of declawed cats versus 29.1% of non- clawed cats were reported to have inappropriate elimination. • The National Council on Pet Population Study & Policy published "The Top Ten Reasons for Pet Relinquishment to Shelters in the United States" in 2000. The report showed house soiling, followed by aogression, as the most common behavioral reasons for pet relinquishment. Destructive scratching did not make the list. It is noteworthy that only 3% of cat owners, according to Scarlett, et a/. (JAVMA 2002) claim destruction of furniture as the unwanted behavior that led them to relinquish their pets. _~~ . ,; z The Paw Project Training is the appropriate remedy for behavior problems, not surgery. • Janet Scarlett, DVM, of Cornell University, in the article, "The Role of Veterinary Practitioners in Reducing Dog and Cat Relinquishments and Euthanasias (JAVMA, February 1, 200Z), states that client counseling is "probably the most effective means by which veterinarians can influence the number of dogs and cats surrendered to animal shelters today." Veterinarians have an opportunity to intervene because people relinquishing pets are veterinary clients. An estimated 50-70% of pets in shelters had visited the veterinarian in the year preceding relinquishment. Yet, Dr. Scarlett reports, "Only 25% of veterinarians routinely actively identify and treat behavioral problems." She writes, "Less than a third felt confident of their ability to treat common behavioral problems. Perhaps even more disturbing, only 11.1% of veterinarians felt it was the veterinarian's responsibility, rather than the client's, to initiate discussion about behavioral problems." • In a commentary of the Yeon article, Tufts University School of Veterinary Medicine Professor Nicholas Dodman, DVM, MRCVS, DACVB writes, "It is amazing that none of the studies to date on declawing has addressed the right questions to the right persons and drawn the right conclusions. This study is no exception. Owners are an unreliable source of information about their pets, especially months or years after the fact....Almost one-half of the cats in the study required post-operative opioids to control pain following surgery, and the remainder would have probably benefited from it. The owners reported that one-half to two-thirds of the cats in this study showed signs of pain after surgery, likely only the tip of the iceberg....In addition, though the authors were more interested in comparison of the two techniques, it is notable that about 30% of all cats developed a behavior problem after surgery, either house soiling or increased biting. Whatever the owners may have assessed, this was not a good outcome. And, to top it all, 42 of 57 cats (74%) had at least one medical complication following surgery. In light of such findings, it is hard to see why veterinarians don't spend more time and effort recommending alternatives to declawing than these painful and sometimes debilitating procedures. Instead, we seem to Pace ; o~ 8 The Paw Project keep finding ways of justifying declawing as an essential component of feline practice." In the December 2003 issue of Cat Fancy magazine, Karen Overall, DVM, PhD, DACVB, aboard-certified animal behaviorist, writes that scratching is a complex behavior that "behavioral biologists have been almost wholly uninterested in" and that "fewer and fewer people favor declawing." She observes that "cats do not scratch to annoy us; they scratch to communicate something and the cues are physical and olfactory. This is one aspect of declawing that has never been investigated, and until we understand how much these elective surgeries affect normal feline behavior, we could do best to avoid them." Surgical Complications of Declawing • Jankowski, in JAVMA (August 1, 1998), reports that acute complications "develop in up to a half of onychectomized cats. Long term complications of the procedure (are) reported for about a fifth of onychectomized cats." • Martinez, in Veterinary Medicine (June 1993), reports 11% lameness, 17% wound breakdown, and 10% nail regrowth post-operatively in cats having declaw surgery. • In DVM Best Practices, August 2002, veterinarian Kip Lemke illustrates typical levels of post-surgical pain using common surgical procedures. Declawing is associated with "severe pain," compared to spaying ("moderate pain") and neutering ("mild pain"). • It appears that under-medicating cats after declawing is the norm. A survey of over 1000 veterinarians by Wagner and Hellyer (JAVMA Dec. 1, 2002) found that 30% administered no pain medication after declaw surgery. • "Declawing is very painful -- there's no question about that..." says Dr. Katherine Houpt, professor and director of the Animal Behavior Clinic at Cornell University's College of Veterinary Medicine. „~_-~~,~ The Paw Project • Carroll points out that "the optimal duration of post-operative analgesic treatment for cats is unknown." A cat's behavior may be misinterpreted since not all cats show outward signs of pain -- crying, whining, or licking at a paw, for example -- after surgery. "What they'll often do is curl up and go to sleep in the back of the cage," says Dr. Karen Tobias, an associate professor in small animal surgery at the University of Tennessee College of Veterinary Medicine, who conducted a study on pain in cats after declawing surgery. "Owners or veterinarians may think they're sleeping comfortably and not in any pain." Declawing is not used as a last resort option • Over 25% of all owned cats in the United States and Canada are declawed. • A survey of twenty Los Angeles area veterinary clinics, reported in the February-March 2003 issue of The Pet Press, found that 75% agreed to perform declawing without question and without any attempt to establish a medical, behavioral, or any other indication to justify the procedure. Declawing does not save the lives of cats • Ina 1996 JAVMA article, Gary Patronek, VMD, PhD, using multivariate statistical analysis, found that declawed cats were at an increased risk of relinquishment to animal shelters and that among relinquished cats, 52.4% of declawed cats were reported to exhibit litter box avoidance, compared to 29.1% of non-declawed cats. . In a survey of owners of cats that had been declawed and their veterinarians, reported by Dr. Gary Landsberg in Veterinary Forum, September 1994, only 4% of the owners said they would have relinquished their pet had it not been declawed. In contrast, the veterinarians in the survey speculated that 50% of the owners would have relinquished their pets. =ge ? o S sv Y"3"Sad ~r° The Paw Project Declawing does not save the lives of immuno- compromised people Richard Meyer, MD, is an Infectious Disease and Internist Medicine specialist who trained at the prestigious Memorial Sloan-Kettering Cancer Center. Dr. Meyer, in 38 years of practice, has never recommended declawing the cats of his patients, including those that are immunocompromised. He does not believe that declawing the pets of persons with impaired immune systems reduces the overall risk to their health. "Certainly, cat scratches can pose serious health risks (for immunocompromised persons)," says Dr. Meyer, "but cats bites are much, much worse. And declawed cats are more likely to bite. That is not lore." "Cat bites can be very dangerous ... (and. may require) long-term IV antibiotics and surgery," he said. In contrast, Dr. Meyer says that cat scratches are far less likely to require hospitalization or such intensive treatments. The human diseases most associated with cats are Toxoplasmosis and Bartonellosis. The risk of developing these or other opportunistic diseases from cat scratches is exceedingly low. In his book, The Guide to Living with HIV Infection, John G. Bartlett, MD, Professor of Medicine and Infectious Diseases at the Johns Hopkins University School of Medicine, writes that common sense practices to avoid bites or scratches are sufficient and specifically states, "You need not declaw the cat." Dr. Bartlett was the president of the Infectious Diseases Society of America in 1999 and has served as a consultant to the National Institutes of Health and as an editor for the New England Journal of Medicine. Another infectious diseases specialist, Dr. Ralph Hansen, of Pacific Oaks Medical Group in Beverly Hills, says, "The risk of diseases being transmitted from cats comes primarily from the litter box and teeth-in that order-with claws far down the list. There is no rational medical reason for a physician to recommend declawing a cat." Dr. Hansen's clinic currently treats over 2500 HIV positive individuals. Dr. Hansen said that he has seen only one or two cases of full-blown Bartonellosis in the years since HIV was first recognized. Bartonellosis, also know as cat scratch disease (CSD), Dr. Hansen notes, is current thought to be transmitted by fleas. Infections caused by the bacteria Pasturella, which are transmitted by bites, constitute a "much, much more serious risk," says Dr. Hansen. In a Winn Feline Foundation article, Susan Little, DVM, says, "It is likely that CSD can also be contracted from environmental sources of the bacteria or from other animals. She continues to say, "Onychectomy (declawing) is also not recommended, since ~~ The Paw Project infection can occur without a cat scratch.... A common sense approach is the best way to safeguard against CSD." To avoid the risk of toxoplasmosis, J. P. Dubey, MVSc, PhD, a microbiologist at the USDA Zoonotic Diseases Laboratory, recommends avoiding cat waste and notes that "the possibility of {disease microorganisms) sticking to cat fur is minimal, as is the possibility of transmission to humans via touching or handling a cat." Michael G. Groves, DVM, MPH, PhD, Professor of Epidemiology at LSU School of Veterinary Medicine, writes, "Veterinarians often are consulted by the public, and occasionally by physicians and other veterinarians, for information regarding zoonoses, diseases that are transmitted to humans from animals." Veterinarians and physicians, "perhaps seeking 'zero risk,' advise patients to dispose of pets to prevent or alleviate a zoonotic illness. HIV-positive people may be told they that should not have animals at all. Although this advice may be well intended, it is often ill informed. Too often, what is missing is some reasonable approximation of the true risk of disease transmission balanced against the benefits of pet ownership." Asked if declawing is an effective means of preventing human infection, Dr. Groves answers, "No, a significant number (of illnesses) are associated with bites, with wounds not inflicted by cats, or with no known site of inoculation. HIV-positive individuals and AIDS patients should be able to have cats if they follow the prevention guidelines.... The benefits of a companion animal for some people may outweigh any risks of pet ownership, provided steps are taken to keep the risk at a minimum." »~,, The Paw Project REFERENCES 1. AAHA adopts position statement on ear cropping and tail docking of dogs. J Am Vet Med Assoc 1999;214:179. 2. American Pet Products Manufacturers Association Inc. 1999/2000 APPMA national pet owners survey. Greenwich, Conn: American Pet Products Manufacturers Association, 2000. 3. Association of Veterinarians for Animal Rights. Position statement: surgical claw removal...an extreme solution. Available at: http://www.avar.org/cat_declawing.htm. Accessed. Mar 26, 2001. 4. AVMA Policy statements and guidelines. Declawing of domestic cats. 2001 American Veterinary Medical Association directory and resource manna/. Schaumburg, III: American Veterinary Medical Association, 2001;74. 5. 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