DS research

Clinical pharmacology

To select a drug and dosage for a donkey, basic pharmacological principles have to be applied. There is the added disadvantage that few veterinary products include data on, or market authorisation for, the donkey. This chapter will briefly review some of the basic principles of pharmacology, outline some of the differences between donkeys and horses that may need to be taken into account in drug therapy, and provide background information on some of the main classes of drugs used commonly for donkeys.

Chapter number
12
Start page
222
End page
238

Behaviour

A knowledge and understanding of the unique characteristics of a donkey is valuable when handling, examining or carrying out a procedure.

The term ‘stoic’ is often used to describe donkey behaviour and we use it in relation to donkey behaviour throughout this book. Stoicism is typical predator-avoidance behaviour in a prey species such as the donkey; appearing strong and normal reduces the chances of a predator picking on you. This stoicity does not lessen the donkey’s ability to experience pain and distress.

The donkey’s behaviour is different from that of horses and ponies and it is crucial that this is taken into account when examining or attempting to carry out procedures. Their stoic nature serves them well but can lead to missing or misdiagnosing the severity of painful conditions. Their behaviour is often incorrectly labelled as stubborn, but a more accurate explanation for their behaviour is likely to be their sense of self-preservation. Using the correct behavioural principles and taking extra time will pay long term dividends when treating donkeys and mules.

The donkey is unlikely to show the dramatic signs of pain and distress exhibited by the horse and pony, even though it may be experiencing the same degree of pain.

Chapter number
1
Start page
10
End page
22

An approach to the dull donkey

The donkey and horse are closely related, and many of the conditions that affect them are very similar. However, the detection of sickness or disease in the donkey can be made more difficult by its stoical nature. Dullness and depression may be the only symptoms exhibited. These subtle behavioural changes may also be accompanied by anorexia. Subtle changes in performance that can be early indicators of disease in sporting or racehorses are frequently impossible to detect in the donkey, as most UK donkeys lead a sedentary lifestyle as companion animals. This can unfortunately mean that the donkey may be in the advanced stages of a disease before a diagnosis is reached. The attending veterinary surgeon should therefore regard the call to a dull donkey as a call to a potentially very sick animal.

This chapter will focus on the approach to the diagnosis of the cause of the dullness. The treatment of specific conditions that affect donkeys are considered in more detail in later chapters.

Chapter number
2
Start page
28
End page
36

Dental disease in donkeys: frequency and association with colic and body condition

Status
Applicant(s)
Researcher(s)
Research award
Start date
End date
Country
Methodology

Four part project including surveys, case control study, and retrospective analysis of database.

Aims
  1. To describe and estimate the prevalence of abnormal dentition in the donkeys housed at The Donkey Sanctuary.
  2. To identify and quantify risk factors for colic, in particular impaction colic, in donkeys at The Donkey Sanctuary and on foster in the UK.
  3. To describe and quantify the association between dental disease and impaction colic in donkeys.
  4. To describe and quantify the association between dental disease and body condition score in donkeys in the UK.
Results
  1. Dental examination records from Jan 2003 to Mar 2005 found 43.6% of donkeys had dental disease, of these 12% had more than one abnormality. Disease included missing teeth (34.1%), step mouth (4.7%), shear mouth (4.3%), wave mouth (1.5%), diastema (1.3%), undershot jaw (1%), overshot jaw (0.3%). There was a positive correlation between age and dental disease. Results of the 2006 prospective study found a much higher incidence rate of dental disease,92.1% of the sample had at least one dental abnormality/disease.
  2. Results obtained from retrospective database analysis from Jan 2000 to Mar 2005 found incidence rates for colic and impaction colic were 5.9 and 3.2 episodes per 100 donkeys per year respectively. Peaks were seen in late autumn and troughs in spring/summer. 51% of impaction colics resulted in death or euthanasia. Dental disease, musculoskeletal problems, previous history of colic and farm location were all identified as risk factors. Donkeys that were older, on extra feeds or underweight were also at an increased risk of suffering colic. Donkeys in foster homes between Sept 2004 and Aug 2005 had a lower incidence rate at 1.4 cases per 100 donkeys per year. Of these animals those fed 2 concentrate meals per day, or those bedded on rubber were more at risk of colic. Results from the prospective study Jan to Dec 2006 multivariable analysis which was performed in response to questions raised in the first part of the study found that a number of donkey and management variables were associated with the risk of impaction colic. The greater the number of carers responsible for the donkey, the greater the increase in risk with donkeys with 1 or 2 carers at the lowest risk. Donkeys that were fed extra rations as concentrate feed were at a 5 fold increased risk of impaction. In addition animals with no access to pasture were at increased risk (odds ratio 3.4) compared to those with 24 hour access. Donkeys bedded on paper were at increased risk of colic, however this has wide confidence intervals due to the small number of cases and controls that were bedded on paper. These animals were in the hospital and at 2 other farms. Animals that were vaccinated in the previous 2 weeks were also at increased risk of colic. Animals that had weight loss in the previous 4 weeks were at increased risk of colic although few animals had this health problem. Other variables relating to body condition did not remain in the multivariable model. A number of dental pathologies remained in the multivariable model; these included missing cheek teeth, ulcers, diastema and worn teeth which all increased the risk of colic. The presence of hooks was still associated with decreased risk of colic. After allowing for the above variables age was no longer significant (P=0.9) and forcing age into the model did not changed the effect of the other variables. Forcing of month (or season) into the final model showed that this was not significant, demonstrating that this model explains some of the seasonality. The farm level variation was zero after the inclusion of fixed effects suggesting that these fixed effects explained differences in farm.
  3. There was a significant increase in the frequency of dental disease in donkeys that died from colic (80/94) than in those that recovered from colic (34/53) between Jan 2003 and March 2005. Results of the 2006 prospective study also confirmed an association between dental disease and colic, 92.1% of the sample had at least one dental abnormality/disease. Number of missing teeth and diastemata are positively correlated with impaction colic. There pathologies were also associated with ageing, whereas hooks and sharp edges were found in younger animals and not associated with increased risk of impaction colic.
  4. Initial results from the retrospective analysis found donkeys with dental disease had a marginally significant (p=0.05) lower body condition score of 4/10 compared to 4.7/10 in those without dental disease. These results were supported by the prospective study which also found lighter/lower condition animals more at risk of impaction colic.
Conclusions

The incidence of colic in donkeys appears similar to that reported in horses. Age, weight, dental disease and supplementary feeding are known to be risk factors in other equines.

Pain recognition in donkeys

Status
Applicant(s)
Researcher(s)
Research award
Start date
End date
Methodology
  1. Retrospective review using database.
  2. Video surveillance and behaviour coding. 3) Prospective questionnaires.
Aims
  1. To determine the prevalence of main pathologies in euthanized Donkey Sanctuary donkeys.
  2. Devise approaches for evaluating pain from behaviour.
  3. Devise pathology scales.
  4. Evaluate associations between ante mortem behaviour and post mortem pathology in UK Donkey Sanctuary donkeys.
  5. Donkeys slaughtered at an abattoir in Mexico.
Results
  1. Figures on prevalence of 6 main pathologies donkeys PTS UK between 2001 and 2008: dental disorders (80%), vascular disease other than aneurysm (61%), arthritis (55%), foot disorder (45%), gastric ulceration (42%), gastrointestinal impaction (19%).
  2. Disease/pain cases spent 10% more time lowered head carriage, 15% less time with ears in combinations (ie ears more static), end stage cases spent 31% more time recumbent and 40% less time eating, list of behaviours and associated pathologies.
  3. Number of pain related behaviours found to be related and grouped together.
  4. Positive association between ante and post mortem findings (approx 70% agreement) and presence of pain (approx 80% agreement) in donkeys euthanized in UK. 73.5% of donkeys were receiving treatment at the time of euthanasia, including 65% on non-steroidal anti-inflammatories (NSAIDs). General agitation, tachycardia and discomfort; locomotion and stance related behaviours significantly increased the odds of a veterinarian stating that donkey is in pain. General depression and abnormal membranes; general agitation, tachycardia and discomfort; evasive and protective behaviours and locomotion and stance related behaviours significantly increase the odds of a donkey being assessed as having an overall higher degree of pain.
  5. Of donkeys slaughtered in Mexico there was approximately 80% agreement between pain presence ante and post mortem. 6) Figures on prevalence of 6 main pathologies in donkeys presented for slaughter Mexico: alimentary and adnexa lesions (85%) including dental disorders (32%), integument lesions (70%), respiratory disease (48%), musculoskeletal problems (29%), mucoid fat degeneration (29%).
Conclusions

Clear associations between ante/post mortem findings in 70% of cases means potentially 30% of donkeys are being misdiagnosed, this figure highlights the need to progress on current diagnostic tools and differentials. Agreement on presence of pain ante and post mortem was found in approx 80% of UK and Mexican cases, leaving approx 20% with potentially undiagnosed pain. It is possible that type of lesion and the individual clinician may affect this relationship. Lesions found in donkeys presented for slaughter in Mexico are possibly related to malnutrition, pain and stress. The results offer an oversight of the living conditions of the Mexican donkeys and their owners. The presence of anthracosis in donkeys (47.8%) may serve as example.

50 significant underlying relationships between specific behaviour(s) and pain related lesion(s) have been characterised, and an indication of the strength or ability of the pain related lesions to elicit one or all the behaviours of the related behaviour cluster given. The highlighted key behaviours/signs will aid the veterinarians in:

  • Improving differential diagnosis;
  • improving the ability to recognise pain in donkeys and the underlying features. Consequently, enabling a better treatment selection, including suitable analgesia for donkeys;
  • and finally provides a list of behaviours/signs to assist monitoring of treatment enabling an informed assessment of a donkey’s prognosis.

A seroepidemiological study of African horse sickness in Limuru and Lari districts, Kenya

Status
Applicant(s)
Researcher(s)
Research award
Start date
End date
Country
Methodology

Prospective questionnaire, clinical examination.

Aims
  1. To estimate the prevalence of AHS antibodies in the donkey population of Kiambu West District, Kenya.
  2. To identify the risk factors for AHS in this population.
  3. To determine the level of knowledge on AHS in donkeys among donkey owners in Kiambu West District, Kenya.
Results
  1. The sero-prevalence of AHS in donkeys sampled after the heavy rains was estimated at 35.2% (70/199) for the two divisions, while that for the dry season was estimated at 26.7% (55/199). The prevalence of AHS in donkeys during the two periods was 31% (125/398). There was a statistically significant difference in the two prevalences (Z=2.89). The prevalence of AHS in the donkeys that were re-sampled in Kambaa, decreased from 60% (18/30) in May/June to 20% (6/30) in August/September. This difference (Z=4.47) indicates that donkeys are not long term carriers of AHSV or fewer vectors during the dry season. There was a poor level of agreement between ELISA test results and clinical presentation of the illness as only 3 cases were presented with clinical signs of a swollen head and congested conjunctival mucosa. These 3 cases had detectable antibodies to the virus, the poor agreement was with the other 67 cases positive on ELISA test but with absence of clinical signs. Further studies need to be carried out to determine the duration that AHSV antibodies remain present in donkeys.
  2. Division and sub-location were controlled in the mixed models logistic regression analysis of the risk factors. In the univariate analysis, age of the donkeys, presence of a water stream, source of the donkey, donkey use, vaccination status and housing were the statistically significant variables and were thus included in the multivariate analysis. Age of the donkey (p-value 0.02) and presence of a water stream (p-value 0.03) were significant risk factors and might have contributed to the high prevalence of AHS among donkeys in Kambaa and Rwamburi sublocations. This meant that older donkeys (9-12yrs) and those grazing near water streams were two times more likely to be exposed to AHSV. A water stream likely favoured increased vector(s) population, and transmission of the AHSV.
  3. A small proportion, 21.9% of questionnaire respondents knew of AHS. 8.2% were familiar with the clinical signs of swollen head and congested conjunctival mucosa and 9.5% reported severe body weakness as a sign of the disease. The low level of awareness of AHS among household members may be attributed to lack of previous dissemination of information on the disease. Many respondents reported donkeys with AHS clinical signs as having been poisoned, bitten by snakes or suffering from sudden pneumonia – in hindsight these donkeys may have been AHS cases. Low public awareness of the disease may be resulting in under-reporting.
Conclusions
  1. African Horse Sickness is endemic in donkeys in all six of the study sub-locations of Lari and Limuru divisions.
  2. The prevalence of AHS in donkeys demonstrates a seasonal variability; which was 35.2% in the rainy season and 27.6% in the dry season.
  3. Clinical signs may be used as a diagnostic indicator for the presence of AHS in donkeys. However, sub-clinical cases may be appropriately diagnosed using ELISA.
  4. AHS presents a clinical form of disease in donkeys that has a seasonal manifestation.
  5. Age (9-12) and presence of water streams near grazing areas are significant risk factors.
  6. Vaccination against AHS was not practiced in this region; hence seropositivity was not confused in terms of interpretation of data.

Quantifying the comparative efficacy of sustainable parasite control programmes

Applicant(s)
Researcher(s)
Research award
Start date
End date
Country
Methodology

Prospective, using faecal and pasture sampling.

Aims

To establish efficacy of faecal worm egg counts (FWEC) and pasture larval counts (PLC) in donkey parasite control programmes.

Insecticide resistance in lice at The Donkey Sanctuary: strategies to mitigate its effects

Status
Applicant(s)
Collaborator(s)
Researcher(s)
Research award
Start date
End date
Country
Methodology

Prospective questionnaire and sample collection, and in vitro laboratory assay and analyses.

Aims
  1. To identify the presence of insecticide resistance in donkey lice.
  2. To identify risk factors for pediculosis.
  3. To develop a useful tool for diagnosing and estimating louse burden.
  4. Developing targeted selective treatment.
  5. Develop novel methods for controlling lice in donkeys.
Results
  1. Detected high levels of tolerance to permethrin ((SwitchTM, VetPlus Ltd, 4% (w/v) and cypermethrin (DeosectTM, Pfizer Ltd., 0.1% (w/v) consistent with resistance development.
  2. A strong seasonal pattern of louse infestation was identified, with the highest number of donkeys with lice recorded in winter (Oct-Mar). Significantly more very young (<4 yrs) and very old (>30 yrs) donkeys had lice than middle aged animals.Donkeys’ hair length was positively correlated with the presence of lice (P<0.05) but not with the number of lice each donkey carried (P=0.1). 
  3. The axilla and supraorbital fossa were identified as being the sites most commonly populated by live lice in both housed and outdoor donkeys (P<0.05).  In addition, the presence of lice eggs in the first 2cm of the coat is a good indicator of an active infestation . Excoriation consistent with hair fibre shortening was indicative of pediculosis and the amount of this type of rubbing a donkeys coat displayed was positively correlated with louse burdens. However, more severe dermal rub lesions, such as alopecia, showed no association.
  4.  Clipping was found to have no significant effect (P=0.15) on louse abundance 2 weeks or more after clipping in the winter;  however, in the summer months clipping did have a detrimental effect on louse populations.
  5. Tea tree and lavender essential oils were investigated and identified as clinically and statistically significant (P<0.05) methods of louse control used at 5% concentration as a topical grooming spray.
Conclusions

The population of lice at the sanctuary have a high level of tolerance to the pyrethroid insecticides previously used for their control. In vitro contact assays showed that 4% permethrin and cypermethrin resulted in <30% louse mortality after 24 h exposure. This level of insecticide tolerance may account for the treatment failures reported at the Sanctuary in recent years and highlights the need for alternative louse control strategies.

Detection of lice can be aided by targeting animals most at risk from infestation. Indeed, this study found a convex quadratic relationship between donkey age and probability of carrying lice, with the elderly and young most at risk. In addition excoriation consistent with light coat abrasion is an indicator of louse presence. However, overreliance on donkey characteristics and appearance is likely to lead to misdiagnosis of pediculosis. For accurate detection, examination of the coat should be thorough and include the most commonly infested louse predilection sites namely the axilla and supraorbital fossa.

As is the case with many species of Phthiraptera in temperate climates, the prevalence and abundance of Bovicola ocellatus displays a strong seasonal pattern, with >80% of animals infested in the winter months. However, a year round management protocol maybe advisable as summer clipping appears to have a detrimental effect on louse populations. 

 In addition, these preliminary findings indicate that tea tree and lavender essential oils provide a clinically useful level of B.ocellatus control and with further research and refinement they could form the basis of future louse control regimes in donkeys.

Keywords

Essential oils in the management of the donkey louse, bovicola ocellatus

Status
Applicant(s)
Collaborator(s)
Researcher(s)
Research award
Start date
End date
Country
Methodology

In vivo field trial. Suspensions of 5% (v/v) tea tree or lavender oil or an excipient only control were groomed into the coats of winter-housed donkeys (n = 198) on 2 occasions, 2 weeks apart. Louse counts were conducted before each application and 2 weeks later.

Objectives

To assess the effects of incorporating the essential oils of tea tree and lavender into a grooming programme for populations of donkeys with natural infestations of Bovicola ocellatus in the UK and Ireland when louse populations were at their winter seasonal peak.

Results

After 2 applications, the groups groomed with lavender or tea tree oil suspensions had a significant reduction in louse intensity, with a mean decline in louse abundance of 78% (95% confidence interval 76–80%). Louse numbers in the groups groomed with excipient only either did not change or increased significantly. Donkey hair length had no effect on the decline in louse numbers.

Conclusions

These results demonstrate that the inclusion of essential oil suspensions during grooming can be used to manage louse populations successfully.

Keywords
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