Zoonoses ZOONOSES - diseases spread from animals to
humans
Pets can be a wonderful source of fun, companionship and
comfort. Unfortunately, a lack of knowledge about zoonoses - diseases spread
from animals to humans - has led some providers to suggest that people with HIV
should not own pets. While it's true that people with weakened immune systems
are more susceptible, there is a lot that can be done to lower the risk,
allowing most HIV-positive people to safely keep and care for pets. Patrick
Sullivan, a veterinarian who works at the US Centers for Disease Control and
Prevention (CDC), recently gave a talk on this subject at Harborview Medical
Center. He joked that his message could be summarized in three simple pieces of
advice: "Wash your hands, cook your food, and don't play with feces." He also
emphasized the importance of advocating with veterinarians for prompt and
aggressive care of sick pets. While the risk of getting infections from pets is
small, it is still important to take some common sense steps to reduce the
chance of contracting diseases from them:
Choosing a pet: Avoid reptiles. Reptiles have a
high rate of salmonella infection. Look for older, calmer cats and dogs.
Kittens and puppies are more likely to have infections, and to bite or scratch.
Use caution when adopting pets from stressful or crowded environments. Consider
having a friend with a strong immune system keep a new animal for a while
before bringing it into your home. Look for healthy animals. Cats with FIV
(feline immune deficiency virus) may be more susceptible to infections and be
more contagious when infected.
Caring for healthy pets: Wash hands after
petting or playing with animals. Avoid all contact with pet feces. Have someone
else empty litter boxes daily. Watch what your animals eat. No raw meat, no
mice, no feces. Eliminate fleas. Some infections may be transmitted by fleas.
Use caution and wear gloves when cleaning aquariums and fish bowls, or have
someone with a strong immune system do it for you. Consider keeping pets
indoors to limit their exposure to other animals or feces that may carry
infections. Get regular veterinary check-ups and disease screenings for your
pets, especially new animals.
What to do if a pet is ill: Again, avoid
contact with feces and wash your hands frequently. Set up a support network of
friends, family, and kennels to care for pets with diarrhea. Pets with diarrhea
should be seen by a veterinarian, as soon as possible. It is important that
veterinarians test a sick animal's feces to determine if there is an infection.
To conclude his talk, Dr. Sullivan presented encouraging
data from the Multicenter AIDS Cohort Study (MACS) on the benefits of pet
ownership for people with HIV. The study found that owning a pet decreased the
chance that someone with HIV or AIDS would experience depression, especially
for people without a lot of human support. It is possible, and beneficial, for
most people with HIV to safely own pets. Open and honest communication with
your healthcare provider and veterinarian can help you live safely with your
pets. For additional information about pet-ownership by people who are
HIV-positive, check out the CDC's website at:
http://www.cdc.gov/hiv/pubs/brochure/oi_pets.htm or call the
AIDS Clearinghouse at (800) 458-5231.
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