Veterinary Medicine
 
Most military medical officers know that the Army provides veterinary support to all the services. Most also know that the preponderance of veterinary work is focused upon the important task of maintaining the quality of food, and most remember that Army veterinary detachments provide health and dental care for all military working dogs. Unfortunately, in the heat of a deployment, few people remember the important role veterinarians can play in helping plan and execute a military operation. 


Animal Disease Issues

In any operation, there are a variety of animal issues that must be addressed to protect the health of the command. These include the identification and control of zoonotic diseases, the management of stray animals, rabies surveillance and immunization, and the implementation of animal quarantine. 


Food Inspection Issues

Even more important is the establishment and management of an effective food inspection program. There must be sufficient numbers of food inspectors at ration storage and breakdown points. The JTF Surgeon must not assume that only U.S. or NATO rations will be consumed. Despite medical recommendations to the contrary, the logistics staff officers (J4s, G4s, S4s, N4s, and C4s) at all levels have been known to order supplemental rations from regional vendors with disastrous results. Be prepared to hunt down, inspect, approve, and monitor the local sources if this occurs. Military veterinarians and veterinary technicians are trained to do this. 


Veterinary Considerations During NEOs

Veterinary assistance is especially valuable when planning or conducting NEOs. Although the State Department generally prohibits NEO evacuees from taking their pets, this is not always the case. In 1991, during the evacuation of the Philippines, 10-20% of all evacuees were accompanied by their household pets, and approximately 2,400 animals were evacuated from the islands. Regardless of State Department guidance, the following are important considerations.
The CJTF determines whether pets remain with or are separated from their owners while evacuees await transportation. Both options have advantages and disadvantages. 

When pets remain with their owners, pet and owner anxiety is reduced, less military manpower is expended on pet care, and the spread of disease can be minimized if pets are kept in carriers. On the other hand, this option requires increased sanitation inspections by preventive medicine teams and, if pets are not kept in carriers, can result in bites and scratches to evacuees. When pets are separated from their owners, the animals are more easily controlled, and there is less chance of evacuees being bitten or scratched. However, additional manpower is required for pet care (estimated at one person for each 50 pets). In addition, anxiety among pets and owners increases, animals can become extremely noisy, and epidemics of diseases like kennel cough and canine distemper may occur in kennels. If animals are separated from their owners, they should be further separated (by 20 to 30 feet) by species and size. Additionally, animals must be given daily exercise and prescribed by the Animal Welfare Act. 

Regardless of which option is chosen, each animal must be identified by its name and its owner’s name. A patient bracelet can be fastened around the animal’s neck; a large animal may require joining two bracelets. Additionally, all dogs should be collared, leashed, and muzzled. Short-nosed dogs and other animals should be confined to pet carriers. An animal defecation and urination area should be established downwind, downslope, and out of sight of evacuee waiting areas. A quarantine area should be established for animals showing signs of contagious or dangerous diseases. Animals that show signs of rabies should be euthanized regardless of owner consent. Owner consent should be obtained before euthanizing animals with other terminal diseases. 

The CJTF also determines whether pets will be allowed to accompany evacuees out of the country. If pets will not be allowed to depart, consider asking owners if they would like their pets euthanized. If owners agree, or if they request their pets be euthanized, get their consent in writing. If pets that are abandoned or prohibited from evacuation pose a medical threat to the command, advise the CJTF. The JTF Surgeon should recommend that these animals be euthanized. 


Veterinary Supply Planning Factors

Unique veterinary supplies and equipment must be brought into theater to support a NEO. The JTF Surgeon should consult a military veterinarian for detailed information, but until this happens consider the following information. 
  • For every 1,000 evacuees, 120 pets will be brought to the evacuation assembly area.
  • 120 pets will consume approximately 70 pounds (9 cubic feet) of food daily. If commercial food is not available, military stress diet (MSD) food for military working dogs is available within the supply system and comes packaged for field use. However, MSD contains a heartworm prevention additive and may cause untoward effects in heartworm positive animals. There is no standard issue cat food. If commercial and supply system pet food is not available, tray rations may be substituted on a short-term basis.
  • One cardboard pet carrier will be required per cat. 5% of those carriers will be destroyed each day, and all carriers will need to be replaced every four days.
  • One collar and one leash will be needed for each dog. 3% of these collars and leashes will be destroyed daily. Muzzles will be required for 85% of the dogs; 15% of the dogs will not be able to be muzzled and will require pet carriers.
  • Each pet will require a bowl to be used for both food and water.

  • Assume the non-food supplies for 120 pets will weigh approximately 20 pounds and take up 9 cubic feet of space.
 
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