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Vaccination
Vaccination
Is there a safer way?


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Why use titer testing instead of just vaccinating?

• Decreased side effects –
Minor: fever, stiffness, joint soreness, lethargy, decreased appetite.
Major: injection site sarcomas, collapse with autoimmune hemolytic anemia (decreased red blood cell count) or thrombocytopenia (decreased platelet count), liver failure, kidney failure, bone marrow suppression, immune suppression, systemic lupus erythematosus, rheumatoid arthritis, food allergy, atopic dermatitis, glomerulonephritis/renal amyloidosis (different types of immune kidney diseases), seizures, bloating, hypothyroidism, hyperthyroidism.
• True holistic approach to patient care.
• No wasted vaccination.
• Focus on true preventative health rather than simply preventing only infectious diseases.
• Pets are only vaccinated with whatever is necessary based upon titer testing (no more “seven-in-one” shots for every pet every year).

While titer testing is preferred by many holistic veterinarians, it is not a perfect approach either. The points below outline some of the benefits of and barriers to titer testing.

Benefits:

1. Easy to perform.

2. Inexpensive (usually under $50)

3. Gives us specific information about each individual patient, allowing the doctor and guardian to make
a rational and informed decision.

4. Replaces the current recommendation for annual vaccination for every pet regardless of actual need.

Barriers:

1. While inexpensive, the extra cost may prohibit some guardians from taking advantage of the testing.

2. Some diseases will not be titered; rather, automatic immunization will still be given. This is the case for the rabies vaccine. The three-year rabies vaccine (used by most if not all practitioners) only needs to be given every three years. Some states require more frequent immunization regardless of the three-year duration of immunity. These states may not accept titer information and would still require immunization, regardless of titer status.

3. Not all diseases produce a measurable titer. For example, antibody levels have been shown to correlate with protection against canine distemper virus, canine parvovirus, canine adenovirus, feline panleukopenia virus, and Lyme's disease. Serum titers do not correlate with protection for the following diseases: kennel cough (Bordetella bronchiseptica and parainfluenza), canine coronavirus, feline enteric coronavirus, and feline chlamydial infection. Cellular immunity (rather than antibodies) provides protection against feline rhinotracheitis virus and feline infectious peritonitis virus, making titers inaccurate in interpreting protection for these diseases. Antibody levels (IgG titers) do provide information about protection against canine leptospirosis, although immunity against this disease following vaccination with inactivated leptospirosis organisms is generally believed to be short-lived (6-12 months). There is still adequate protection due to the cellular immunity the vaccines for these diseases produce.

4. Titers, like vaccines, are not perfect. There is no guarantee that a pet with an adequate titer (or an annual vaccination) will not become infected or become ill with a disease. The titer only tells us that the animal should have adequate antibodies to fight off the infectious organism and that she possesses the ability to mount a secondary antibody response and fight off the disease.

5. There is no agreed upon correct titer level for determining protective titers; the “correct” level varies with the laboratory used and the type of testing done.
While not perfect, I believe titer testing is a better option than simply vaccinating all pets every one to three years whether or not they truly need immunization.

Talk with your doctor about this more natural approach. By using vaccine titers, you’ll truly be personalizing the care you give your animal companion!

Dr. Messonnier is the author of 8 Weeks to a Healthy Dog and the award-winning The Natural Health Bible for Dogs & Cats (Rodale Press). His veterinary practice, Paws & Claws Animal Hospital, is located in Plano, Texas

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Published in the August/September 2003 issue of Animal Wellness Magazine

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