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ANIMAL
TRANSPORTATION
ASSOCIATION
29th International
Conference
April 6 - 9, 2003 -
Wyndham City Center Hotel - Washington,
D.C.
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Session
5 |
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Monday, April 6, 2003 – |
ADMINISTRATION OF
VETERINARY DRUGS
BY ATTENDANTS DURING TRANSIT
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Contact Information
Presentation & Bio |
Introduction & History
Joseph N. Santarelli,
Mersant International Forwarders Ltd pointed out that the debate is
not whether or not tranquilizers should be on board, but on how they
are to be handled and who is qualified to administer them. Great
controversy exists at the present time as to whether or not a groom
should be permitted to carry and administer drugs that require, in
most countries, a license veterinarian.
Many possible
solutions to this issue have been discussed. The purpose of the
open forum is to bring together leaders from throughout the industry
and to provide the opportunity to discuss the pros, the cons and to
share points of view. |
An Underwriter’s Perspective: Its Affect on Insurance
Nial McKibbin,
Bloodstock Underwriter, Catlin Underwriting Agencies, Ltd. pointed
out that
livestock is slightly different to bloodstock primarily in the way
some species are transported. Depending upon the type of animals,
there are occasions where insurance cover will not be granted unless
there is a vet present. Underwriters request that drugs are
administered by vets as these professionals have a certain level of
knowledge, experience and ability. Also, in the unusual event that
the vet makes an error or is negligent, there is protection for
underwriters as vets will have PI insurance whereas attendants will
not have this protection.
Underwriters understand that it is not practical for vets to
travel with all transits. For this reason underwriters would
consider amending insurance policies where attendants have reached a
minimum standard which the veterinary industry believes is of a high
enough standard to be able to, in an emergency, competently inject
the correct dose, of the correct drug, in the correct manner. |

Contact Information
Presentation |
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Contact Information
Presentation &
Bio |
OIE’s
Role In Developing Protocols
for Animal Transport
Dr. Peter Fernandez,
Associate
Administrator, USDA/APHIS International Services, is the official
U.S. Delegate to the Office International des Epizooties (OIE), the
international standard setting organization on animal health. He is
also the First Vice-President of the OIE Commission of the Americas.
Dr. Fernandez
provided a brief overview of the OIE’s structure, objectives,
specialist commissions, working groups and ad hoc groups. He
pointed out that there is an essential linkage between animal health
and animal welfare. OIE is well placed to provide international
leadership on animal welfare and, as such, animal welfare has been
identified by the Member Countries as high priority for the
2001-2005 Strategic Plan. The animal welfare issue is complex and
has important scientific, ethical, economical and political
dimensions.
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Priority will be
given to welfare of animals used in agriculture and aquaculture.
Transportation, humane slaughter and killing for disease control
will be addressed first, followed by housing and management. The
permanent Working Group coordinates and manages the OIE’s animal
welfare activities. This group first met in October 2002. The
Working Group saw, as its first task, the development of policies
and guiding principles to provide a sound foundation from which to
develop guidelines and standards. The Working Group developed a
detailed work programme for 2003 with specific topics being
addressed through Ad Hoc Groups utilizing expertise inside and
outside government. OIE is aware of the importance of involvement
by a broad range of stakeholders and is keen to use all available
expertise and resources – academia, research community, industry and
other relevant organizations – to ensure the best outcomes.
Therefore, they have commenced discussions with various NGO’s. The
First Global Conference on Animal Welfare is scheduled for February
2004, with AATA as part of the organizing panel.
Dr. Fernandez
encouraged AATA to follow the animal welfare advancements within the
OIE, to work through their country’s OIE delegate, to provide the
OIE with know names of experts and relevant text/guidelines and to
assist the OIE with the Global Conference. |
FDA – Approved Drug Use in Transport of Horses: The Compliance Side
of the Coin
Dr. Gillian Anne Comyn,
Veterinary
Medical Officer for the Office of Surveillance & Compliance with the
USDA Food & Drug Administration (FDA), Center for Veterinary
Medicine (CVM). The CVM regulates the manufacture and distribution
of food additives and drugs that will be given to animals. The
Office of Surveillance & Compliance assesses and monitors drug
safety after it is approved.
Rx drug labels
must state “Caution: Federal law restricts this drug to use by or
on the order of a license veterinarian.” The veterinarian affixes
his/her own label to the bottle or syringes being dispensed. It is
illegal for a layperson to use either Rx or OTC (Over the Counter)
drugs in an “extralabel” manner unless it is done under the
supervision or by order of a licensed veterinarian. As with Rx
drugs, the veterinarian has to have a “valid client patient
relationship” with the horse and horse owner (or trainer, or groom). |

Contact Information
Presentation & Bio |
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FDA – Approved Drugs for Use in Emergency Equine Situations –
Air/Sea Transportation
Dr. Tania D. Woerner,
Veterinary
Medical Officer for the Office of Office of New Animal Drug
Evaluation with the USDA Food & Drug Administration (FDA), Center
for Veterinary Medicine (CVM). Dr. Woerner further expanded on the
requirement that drugs be administered under the direct supervision
of a licensed veterinarian and within the context of a valid
Veterinary Client-Patient Relationship.
She outlined
considerations when handling emergencies such as the experience of
the horse handlers, avoiding shipping pregnant mares and avoiding
routine tranquilization prior to transport. However, emergencies do
occur, such as colic, traumatic injuries and fear or frenzy which
may require medication during transit. Dr. Woerner’s presentation
outlined various drugs that could be used for emergency situation
and some cautions in use of those drugs. She also spoke briefly on
euthanasia and pointed out those that would be acceptable methods
during transit. |

Contact Information
Presentation & Bio |
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Contact Information
Presentation & Bio |
New Zealand’s Quality Assurance Program (QAP) for the Use of
Prescription Animal Remedies for the Safe Sea and Air Transport of
Horses
Dr. Ivan Bridge,
President-Elect of the New Zealand Equine Veterinary Association (NZEVA)
presented the Code of Practice and Quality Assurance Programme
recently established by the New Zealand Equine Veterinary
Association.
The essence of the program is to have Supervising Veterinarians –
who register as such ---and who work with registered equine grooms
instruct the groom in the wherein the use of a select group of
drugs. Dr. Bridges made clear that the key to their program is that
“The relationship of the groom is to the Supervising Veterinarian,
and not to the transport company.” |
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Limiting the types of drugs covered by this plan was also a strong
requirement prior to its adoption. When the listed drugs are
administered to an equine in transport, meticulous record keeping is
mandated. Recording is an integral part of the QAP / Quality
Assurance Programme. It would appear the program calls for Internal
Audits of the Supervising Veterinarian 25% of the time and random
audits of the grooms occurring for 20% of the time.
It should be
noted that the NZEVA Quality Assurance Programme has been adopted by
the New Zealand Ministry, and is currently public policy.
The Conference
audience was extremely impressed with Dr Bridges presentation, and
applauded the presentation vigorously. At this year’s AATA Awards
Banquet
The 2003 Public Service Award
was presented to The New Zealand Equine Veterinary Association in
recognition of their vision and work on their Quality Assurance
Programme. Dr. Ivan Bridge accepted on their behalf.
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OPEN FORUM: “Carriage of Prescription Drugs by Grooms Traveling
with Horses by Sea & Air”
The
Forum Participants and their affiliated group were as follows:
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American Association of Equine
Practitioners – Dr. Scott Palmer, Vice-President |
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Australian Embassy - Dr. Philip
J. Corrigan, Agricultural Attaché |
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Australian Equine Veterinary
Association - Dr. Barry Smyth, Secretary |
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Canadian Food Inspection Agency
- Dr. Gord Doonan, Chief, Humane Transportation |
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New Zealand Equine Veterinary
Association - Dr. Ivan Bridge, President-Elect |
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New Zealand Ministry of
Agriculture and Forestry – Dr. Kerry Mulqueen, National
Advisor – Import/Biosecurity |
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USDA APHIS, Veterinary Services
– Dr. Andrea Morgan, Associate Deputy Administrator for
Regional Programs |
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USDA Food & Drug Administration
(FDA), Center for Veterinary Medicine – Dr. Gillian Comyn,
Chief Medical Officer, Office of Surveillance & Compliance
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USDA Food & Drug Administration
(FDA), Center for Veterinary Medicine – Dr. Tania Woerner,
Chief Medical Officer, Office of New Animal Drug Evaluation
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World Equine Veterinary
Association – Dr. Desmond Leadon, President-Elect |
Forum participants discussed in broad terms the
following issues: insurance liability; the role of the equine in
some global markets as a part of the food chain; veterinary
practitioners governing bodies and their regulatory roles; the role
of the Good Samaritan in the administration of first aid and/or
medications to the airline animal passenger; the contents of a
“VetKit” on an aircraft; the aircraft’s Captain’s acceptance of said
kit; Firearms on board aircraft – with discussions of bullets and
captive bolts; airline security issues; lock boxes to securing drugs
on board aircraft; governmental regulation of veterinary drugs in
transit.
Obviously the
discussion was fluid and quick paced. While positive remarks were
made by most attendees, including Dr. Andrea Morgan of the USDA and
Dr. Scott Palmer of the AAEP, the forum was not without its
dissenting views. The Australian position was a resounding
affirmation that only veterinarians should be administering
prescription drugs.
Dr. Des Leadon,
of WEVA, presented another voice of cautionary dissent on this
subject. One of his objections centered on liability - to the
veterinarian who dispensed the medicine, the groom, and or agent in
charge of shipping the animal, from an Insurance perspective. Dr.
Leadon suggested this issue would be better solved if it were left
to the airline and the aircraft personal, and not made a matter of
the grooms charge. Many present did not share his view,
particularly in light of a model already in existence in New
Zealand, and endorsed by their Government, which addresses and
solves this problem. In fact, Dr. Morgan praised the AATA for
being at the forefront of this issue and for focusing worldwide
attention to it.
The AATA will
continue to emphasize issues, which reach across borders to develop
a global solution to this problem. In essence we came, we
discussed, and some agreed to disagree. Most importantly, however,
the AATA was the venue, which launched a detailed dialogue of a very
sensitive issue facing the International movement of animals
globally. It was a good beginning.
Summary: Much progress
has been made in the identification of the “Flying Farmacies"
issues the animal transport industry faces in the global economy.
From the outstanding Programme created by the New Zealand Equine
Veterinary Association, the groundwork and model has been
established for continuous improvement and resolution to the issues
of what veterinary drugs are allowable on aircraft, the recording of
drug administration, and the random audits necessary to assure
compliance and quality control.
Resolution: While no
formal resolution to the issue occurred during the Open Forum, the
fact that so many learned and recognizable figures agreed to meet to
discuss this is the first step toward an ultimate solution. It was
widely recognized during the meeting that this topic does require
more in depth discussion and input. The AATA is seeking to develop
a Working Group to discuss this matter further.
It would
appear, as in most subjects relating to the movement of animals and
resolution of problems, the process ahead will be lengthy, well
thought out and complete in its attention to detail.

L to R Top: Dr.
Tania Woerner, Dr. Andrea Morgan, Dr. Ivan Bridge, Martin Atock
(AATA Equine Committee Chair), Dr. Des Leadon
L to R Bottom: Dr. Gillian Comyn, Dr. Gord Doonan, Philip Corrigan,
Dr. Kerry Mulqueen, Dr. Barry Smyth, Dr. Scott Palmer |
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