VN May 2020

Vetnuus | Mei 2020 4 Essential. Merriam-Webster defines essential as being of the utmost importance. Dictionary.com calls it absolutely necessary, indispensable. We learned during the lockdown that some of the things that we always thought to be essential, are not. We also learned that something could be seen as essential by some, but not by others. New creative definitions for essential were coined by some in an attempt to be allowed to do businesses during lockdown. After some debate, veterinary services were categorised as essential services during the lockdown period. We all agreed – after all, we must ensure animal health and prevent suffering. And so our own internal problems started. What is essential? Somedeclaredthatessentialservicesarethosenecessarytoalleviate animal pain and suffering and to provide life-saving treatment. Sounds about right. Than it was argued that all veterinary services related to food production are essential, because the provision of safe food is critical to all South Africans. Right again. But we did not and still do not agree on other services. Vaccinations in pets – essential or not? Some argue that the initial course of vaccinations in young pets is essential. Others argue that all vaccinations are essential, to prevent disease outbreaks down the line. We encourage that as many pets as possible should be vaccinated against rabies, to prevent human rabies – surely this does not change during lockdown? Sterilisations – are these essential? Or is it acceptable to see an increase in unwanted puppies and kittens – which we fight against so hard during normal times – some weeks after lockdown? And what disease conditions have to be treated or can be let be until after lockdown (whenever this might be)?Where does one draw the line? I read about a debate between veterinarians on whether the treatment of otitis externa in dogs as critical. Really? We were told to make use of telemedicine – which, in my opinion, is not very satisfactory for most conditions. We must discuss cases with owners on the phone, asking them questions to guide us to a decision whether the case should be seen or could wait. In my opinion, an approach that can only lead to trouble (and yes, have not some of our colleagues been prosecuted for giving telephonic opinions and not doing a physical exam)? Special times call for special measures, we are told – but will this hold when we are called upon to defend decisions made? The debate is not unique to South Africa; it rages on all around the world. Answers I have not – but I do think that the time has come to define “essential” from a veterinary point of view. Let’s not wait for the rest of the world to decide – we need a South African definition. Should we not have a task team looking into this? Wishing you well, and praying that you will all survive the many additional stressors than COVID-19 has added to our lives. v Regards, From the Editor Reflections from a DamWall Paul van Dam