Experimental Animal User Training Core Topics Modules List of Modules Introduction One of the resources provided by the CCAC to support the development and implementation of an institutional training program by the animal care committee (ACC) is a series of twelve web-based modules covering the general core topics for all animal users and specific core topics for the Laboratory Animal/Teaching Stream of the Recommended Syllabus. These modules have been developed and produced with funding received from the Canadian Institutes for Health Research and the Natural Sciences and Engineering Research Council. The modules were written by a team from the University of Saskatchewan, the University of British Columbia and the CCAC Secretariat. Several scientists, animal care professionals and representatives from the Canadian public and the Canadian Federation of Humane Societies have reviewed the material extensively. Various institutions across Canada conducted beta-testing of these modules. Each module deals with a specific topic and specific goals. There are a few overlaps between modules; but modules are independent from each other so ACCs have the necessary flexibility to integrate one or more of these modules within their own institutional training program as they see fit. Questions are listed at the end of each module to help readers focus their attention on key elements. The bank of questions and associated answers will be forwarded to ACCs upon request ([email protected]) if they choose to use them for performance evaluations of the competency of their animal users. The following chart lists the twelve modules of the core topics. To view the objectives of a particular module, click on the title of that module. 1. Guidelines, Legislation, and Regulations 2. Ethics in Animal Experimentation 3. The Three Rs of Humane Animal Experimentation 4. Occupational Health and Safety 5. Research Issues 6. Basic Animal Care 7. Environmental Enrichment 8. Basic Diseases and the Animal Facility 9. Pain, Distress and Endpoints 10. Analgesia 11. Anesthesia 12. Euthanasia of Experimental Animals Glossary Module 01 - Guidelines, Legislation, and Regulations Introduction The first written standards for the care and use of experimental animals in Canada were developed in 1961 by a committee of the Canadian Federation of Biological Societies - Guiding Principles on the Care of Experimental Animals. A few years later the Medical Research Council and the National Research Council undertook a study to look at the question of how national standards for experimental animal care and use should be implemented. The report came back recommending that the Canadian Council on Animal Care (CCAC) be established, to provide guidance for all aspects of the care and use of experimental animals. The Canadian Council on Animal Care (CCAC) was founded in 1968 as a standing committee of the Association of Universities and Colleges of Canada. Following the recommendations in the report, Canada opted for a peer review system based on guidelines. The system was selected to draw on the strengths of many organizations to reach its goals. The Canadian Federation of Humane Societies was included from the outset as a representative of the animal welfare movement in Canada. In this system, the CCAC pioneered the establishment of local animal care committees responsible for the ethical use of animals at their institutions. There are now more than 220 Animal Care Committees (ACCs) across Canada. Since 1968, the CCAC program has brought about high standards for experimental animal care and use through education, voluntary compliance and a code of ethics. General and specific guidelines have been written, revised and expanded in response to changes in scientific and ethical attitudes to the use of animals in research, teaching and testing. Such "living" documents as the standards for the CCAC program have been a model for exemplary animal care and use throughout the world, and have been emulated in several countries. Dr Harry Rowsell was commissioned by MRC and NRC to develop a proposal for a national program for laboratory animal care standards in Canada. He became the first Executive Director of the new Canadian Council on Animal Care, a position he held for 25 years. He was made an Officer of the Order of Canada for his incalculable contribution to the establishment of ethically based animal research spearheaded by CCAC. Questions (self-test) You will be presented with a number of questions that should provide you with an indication of the scope of this module. They are not part of your evaluation, but are intended to raise some of the issues that we will be presenting in this module. Which of the following research animals come under the CCAC guidelines? a. b. c. d. e. Rabbits Rats Fish Cephalopods Monkeys Which of the following groups are represented on the Council? a. b. c. d. e. Granting agencies Human societies Association of Universities and Colleges of Canada Pharmaceutical industry Animal care technicians Which of the following should normally be represented on an Animal Care Committee to ensure that the well-being of the animals is fully considered? a. b. c. d. e. f. g. Veterinarians Scientists Institutional members who do not use animals Community members Technicians Students Animal facility managers In reviewing a protocol for the use of animals in a research project, which of the following should be considered? a. b. c. d. e. f. The overall objectives of the research The numbers of animals to be used The procedures to be carried out on each animal Steps to control pain or discomfort during the study The facilities where the animals are kept The source of the animals What is the Canadian Council on Animal Care? The purpose of the Canadian Council on Animal Care is to act in the interests of the people of Canada to ensure through programs of education, assessment and guidelines development that the use of animals, where necessary, for research, teaching and testing employs optimal physical and psychological care according to acceptable scientific standards, and to promote an increased level of knowledge, awareness and sensitivity to relevant ethical principles. The "council" is the governing body of the CCAC. It consists of representatives of a wide range of national organizations with an interest in the care and use of animals in research, teaching and testing. • • • • • • • Federal Granting Agencies Federal Government Departments / Agencies Using Animals or Supporting Animal-Based Research National Voluntary Health Organisations Institutionally-based National Academic Associations National Scientific and Academic Associations National Organisations Representing Pharmaceutical Companies National Organisations Representing Animal Welfare and Animal Care The more complete list is available here. Supporting the work of the Council are five standing committees, with additional experts that serve on specific committees (e.g., ad hoc subcommittees are established when new guidelines are being developed or old ones revised). The Council is supported by a secretariat (an office staff) in Ottawa, which coordinates the many aspects of the national program of standards for the care and use of experimental animals. At the inaugural meeting on January 30, 1968, the CCAC adopted the following statement of objective: "to develop guiding principles for the care of experimental animals in Canada, and to work for their effective application". These guiding principles contain the fundamental requirements for humane and ethical use of animals in research, teaching and testing in Canada. To carry out its mandate, the CCAC adopted a decentralised model in which responsibility for all matters relating to the care and welfare of experimental animals resides within the institution through the animal care committee. The CCAC provides the national standards through the various guidelines, and through its Assessment Program, evaluates the work of the animal care committees and monitors compliance with the national standards. It is essential that the institution be committed to the CCAC standards for physical infrastructure, animal care and protocol review. These aspects of the CCAC program are discussed in more detail in following sections. Guidelines of the CCAC Since the first Guide to the Care and Use of Experimental Animals was published in 1968, the guidelines of the CCAC have steadily evolved in response to new information or requirements that address new research or ethical needs. The most recent general guidelines document is the Guide to the Care and Use of Experimental Animals Volume 1, 2nd Edition, 1993. This volume along with the currently approved CCAC guidelines, is available on the CCAC website (www.ccac.ca). All guidelines are available in French and English, and the second edition of Volume 1 and the guidelines on choosing an appropriate endpoint are also available in Spanish. It became clear during the 1990s that there was a need for more specific guidelines in certain areas, and so the CCAC embarked on a program to publish individual guidelines on selected topics. The development of these specific guidelines involves the establishment of small ad hoc subcommittees to draft the guideline document. Once a draft is ready, there is widespread consultation throughout Canada to achieve a consensus on the information in the guideline. For example, new guidelines are posted on the CCAC website in draft form to allow people to comment on them. Thus as many people as possible are encouraged to participate in the development of guidelines. The list of specific guidelines documents currently approved includes: • Guidelines on: antibody production (2002) • Guidelines on: institutional animal user training (1999) • Guidelines on: choosing an appropriate endpoint in experiments using animals for research, teaching and testing (1998) • Guidelines on: animal use protocol review (1997) • Guidelines on: transgenic animals (1997) Guidelines are under development for the care and use of wildlife; for laboratory animal facilities; for the care and use of fish; and for the care and use of farm animals. In addition to the guidelines, the CCAC also publishes policy statements on a number of issues of interest and concern, which help everyone involved carry out his/her responsibilities to conduct animal based studies with scientific validity and with high ethical standards. The Institutional Animal Care Committee The Animal Care Committee (ACC) in each institution has a number of responsibilities relating to the care and use of animals in research, testing and teaching. These responsibilities are detailed in the CCAC publication entitled Terms of Reference for Animal Care Committees . The following is an overview of the major responsibilities of an Animal Care Committee. However it is recommended that research personnel review the full document. Review and approval of all proposals to use animals: The ACC must ensure that every proposal to use animals for teaching, testing or research has been reviewed both for scientific merit (see the CCAC Policy on the Importance of Independent Peer Review of the Scientific Merit of Animal-Based Research Projects (2000) ) and for compliance with accepted ethical standards (see Ethics of Animal Investigation ). Each protocol must be the subject of an annual review, and any amendments reviewed and approved. Authority: As defined in the CCAC Terms of Reference for Animal Care Committees, the ACC must have the authority to halt any study that deviates from the approved protocol or where the animals are found to be suffering excessive pain or distress that cannot be relieved. In the latter case, an animal may be euthanized if the pain or distress cannot be relieved in any other way. Usually the veterinary staff is given this authority on behalf of the ACC. Ensuring standards for animal facilities and care: The ACC must ensure that facility standards and the care of the animals are in accordance with the CCAC Guidelines, and that a qualified person has been clearly designated to be responsible for the day-to-day facility management and animal care. Prevention and relief of pain and distress, and ensuring adequate veterinary care: The ACC must ensure that adequate veterinary care is provided, and that appropriate procedures are in place to ensure that unnecessary pain and suffering do not occur. Ensuring the training and skills of all persons working with animals used in science: The ACC must implement a program to ensure that all persons working with animals receive practical skills training, in accordance with the CCAC guidelines. Membership of the ACC: To ensure that the well-being of the animals is fully considered, the ACC needs to have a membership with a broad representation of interests and expertise. This broad representation is reflected in the membership requirements found in the CCAC Terms of Reference for Animal Care Committees. A properly constituted ACC must have: • • • • • • • Scientists and /or teachers experienced in animal care and use Veterinarian(s) experienced in animal care and use An institutional member whose normal activities do not involve animals At least one person representing community interests and concerns who does not have any links with the institution or with animal use for research, teaching or testing. Technical staff involved in animal care and use Student representation in academic institutions Animal facility managers The number of people from each category will depend on the size of the institution and its animal use program. The ACC must have active support from the administration of the institution, including adequate office and secretarial support to fulfill all its responsibilities both to the institution and to the CCAC. Documenting all ACC actions and activities is very important. An Animal Care Committee Meeting Reporting to the Canadian Council on Animal Care: The ACC is required to maintain certain documentation regarding the animal care and use at the institution, and must provide the CCAC with annual reports of animal use, and other specific information prior to a full CCAC assessment. Animal users can greatly facilitate this important process by providing their animal use numbers promptly when requested to do so. Protocol Review The review of proposed animal use before it begins is one of the fundamental pillars of the CCAC program and it is the most important responsibility of the ACC. The CCAC has a number of documents and guidelines that assist the ACC in fulfilling this important responsibility. The following two CCAC documents should be read as part of this module: Terms of Reference for Animal Care Committees; and guidelines on animal use protocol review. Before a request to use animals in research, teaching or testing can be approved, the protocol reviewers should be able to satisfactorily answer a series of questions such as: Do you understand why the study should be done? The scientist proposing the animal use should have explained, in language easily understood by every one of the reviewers, including the non-scientific members, the potential benefits, for people or animals, arising from the study. Are you convinced that animals must be used? The scientist proposing the animal use should have convincing arguments that there is no other way to obtain the information being sought in the study. Has the proposal been independently reviewed for scientific merit? If this has not been done, the ACC must take steps to ensure that a peer review for scientific merit is undertaken. Approval to use animals requires that the use is ethically acceptable and scientifically meritorious. Has the concept of the Three-Rs been addressed? The scientist proposing the study or teaching use of animals must indicate the steps taken to refine procedures and to reduce or replace animals in the study. Has the choice of animal species and model, and the number of animals requested been justified? Not all species are suitable for all studies. The number of animals requested should fit the proposed experimental design. Are there too many animals or perhaps not enough? (Statistical justification should be provided.) Do you understand exactly what will be done to each animal and in what sequence? The description of the procedures should be clearly written in understandable language. For example, volumes of injections or samplings, and their frequency should be presented in the written protocol, along with a plan for animal monitoring. Are you comfortable that the expertise of the people carrying out the procedures is optimal? Will additional training or help be required to carry out the project? Are the facilities for performing the study suitable? Are the facilities appropriate for housing the species proposed? Will there be environmental enrichment for the animals? Are surgical facilities available? What about suitable anesthetic equipment? Have the signs of pain, stress or distress been described? Are there measures to relieve these signs, including euthanasia? Humane endpoints should be identified, particularly when it is known that pain and distress are likely to occur, but also when there is the possibility of inadvertent animal injury or pain and/or distress. Will euthanasia be carried out in an appropriate, approved manner? Do the people involved have the necessary skills to perform euthanasia? The questions should provide a sense of the role that members of an ACC have in evaluating the acceptability of a proposal to use animals in research, teaching or testing. Although members of the ACC must be able to easily understand all parts of an animal use protocol, there are two sections of the protocol form that commonly present problems for reviewers - the lay summary of the study, and the proposed numbers of animals to be used. These warrant a little further explanation. The lay summary of the proposed animal use is that part of the form that requires the investigator to describe in simple terms why the study needs to be carried out. In this section the principal investigator is required to tell the ACC how the study fits into a broader context, often a problem of human or animal health. Even basic studies can be explained within a larger context. Although some scientific language may be used, it should be possible for the principal investigator to avoid technical terms, abbreviations and acronyms and provide a simple explanation. The following is an example of a lay summary written in scientific/technical jargon, followed by a more understandable description of the same project. An assessment of the value of a vegetable oil organic emulsion on the gustatory features of laminates of heat processed yeast-grain combinations, nitrated jambon, and bacterially processed lactogenic products. Does mayo improve the taste of ham and cheese sandwiches? Many nerve cells that initially survive a stroke, die a few days later, when the situation is stable. The reason for this late vulnerability lies partly in the interaction of these surviving nerve cells with their surrounding supporting cells. These supporting cells make up one half of the brain volume. After a stroke they become even more numerous and they form a brain scar tissue in and around the lesion that is caused by the stroke. Some of the supporting cells are scavenger cells that seem to aggregate around surviving nerve cells and to exert damage via neurotoxins. In addition, surviving nerve cells try to re-establish connections with other nerve cells that were interrupted by the stroke. They have elongations that grow through the scar tissue region in search of another viable nerve cell. Scar cells repel these elongations and after a fruitless search for another neuron, these nerve cells simply give up and initiate the "suicide" program. However, some cells of the scar tissue have also a positive effect. They release substances that help nerve cells to survive stress and damage. Our research uses a rat model with which the beneficial properties of this tissue can be used to help nerve cells to survive and to suppress the negative aspects of the scar tissue. This is an actual lay summary from a research protocol submitted to an ACC. It is used here with permission. A second problem is the justification of the number of animals requested for the study. The ACC must be able to understand the experimental design, and the reasons for the number of animals required for different components of the study. If the information is not adequate, the ACC will usually request further information, resulting in a delay in the review process. Although the ACC is concerned that excessive numbers of animals not be used, it is also concerned with too few animals being used so that the results may not be interpretable, resulting in the need to carry out additional studies. Animal Facility Visits by the ACC Inspecting all animal facilities at least once each year is an important responsibility of the ACC. These inspections ensure that animal care or facility problems are identified and resolved. The ACC's facility inspection reports are reviewed by the CCAC assessment panels when they visit the institution, and this review allows an assessment panel to target problem areas. This approach enables the CCAC to provide positive feedback and support to an institution while maintaining institutional responsibility for quality control of its animal care and use program. Developing and Approving Standardized Procedures (SOPs) Written Standard Operating Procedures (SOPs) are common in many work areas. This is an excellent mechanism for ensuring that work procedures are consistently done regardless of who performs the work. Within animal facilities the implementation of approved SOPs for the care and use of experimental animals and for facililty management helps ensure that the treatment of animals in all phases of research, teaching and testing is of a high standard. For animal care or use procedures that are essentially the same from one facility to another throughout the institution, the ACC may develop and approve SOPs for those procedures. SOPs that are specific to a research program (e.g., procedures involved in the production of transgenic mice) may be developed by the research team and submitted to the ACC for approval. A major advantage of approved SOPs is that they may be quoted within a protocol submission as an indication to the ACC that the procedures will be carried out in an approved manner. Properly written, approved SOPs provide an easily understood outline of what exactly will be happening to an animal in a research protocol, thereby assisting the ACC in its review of the protocol, and reducing the work required by protocol authors. The Role of the Principal Investigator in Ensuring Responsible Experimental Animal Care and Use Each individual involved in a project using animals is responsible for the well-being of the animals. The principal investigator has the added responsibility of fostering a responsible caring attitude towards the animals in the conduct of the research. This extends to all aspects of the project so that at the end of the day, no animal derived data has to be discarded because of lack of care or foresight. This principle should also govern the actions of all the members of the research team. The principal investigator must ensure that the team is following his/her example. The CCAC Assessment Program The CCAC assessments serve as the quality assurance program for the institution's Animal Care Committee (ACC) and all aspects of an institution's animal care and use program. It is the primary means whereby the CCAC receives assurance that the national standards - the CCAC guidelines and policies - are being met. The Assessment Program is a peer review system, with collaboration among the CCAC, the assessment panel and the institution, to ensure that animals being used in research, teaching and testing are receiving exemplary care. Two types of assessment may occur: a formal, announced full assessment of an institution's animal care and use program, and unannounced or other special visits (usually by a CCAC Assessments Director) to deal with specific areas of concern that need to be resolved. Assessment Frequency Institutions are formally assessed every three years. Institutions found to be in full Compliance for two successive full assessments may be placed on a five-year cycle by the CCAC Standing Committee on Assessments. Special visits may occur at any time and at any frequency required by the CCAC to ensure that the level of animal care and use meets its standards. The CCAC Assessment Panel The members of an assessment panel are selected based on their expertise in animal care and use and in the areas of research and teaching taking place at the institution. An assessment panel is usually composed of a veterinarian, at least one scientist, and a community representative nominated by the Canadian Federation of Humane Societies. These assessment panel members provide their time voluntarily; only their expenses are covered by the CCAC budget. The CCAC Assessment Process (http://www.ccac.ca/en/CCAC_Programs/Guidelines_Policies/POLICIES/ASSESS.HTM) Pre-assessment Documentation When a formal assessment is due, the institution is asked to provide each panel member with all the required information about the administrative organization, animal care personnel, veterinary care program, animal care and use practices, and the animal facilities. This documentation allows the panels to develop a clear idea of the functioning of all aspects of the animal care and use program at the institution and permits more focused probing of areas of concern. The Site Visit When an assessment panel arrives at an institution, there is usually a meeting with the ACC, senior representatives of the administration, animal users and care-givers. During this meeting the panel explores various aspects of the animal care and use program and clarifies any areas of concern identified in the pre-assessment documentation. Broadly, the assessment panel reviews five program areas: • • • • • Functioning of the ACC Animal holding facilities Animal care and management practice Veterinary care program Continuing education and training In any of these five areas, any recurring deficiencies might be symptoms of a problem that needs to be identified and resolved. Following the initial meeting, all locations at the institution where animals are held and used are visited. Usually a senior technician working in the area and one or more of the scientists will accompany the panel. The panel may ask to speak with individual scientists regarding their studies, and must be given access to any protocol or SOP of interest. An assessment panel at work. Once the site visit is completed, the panel meets to formulate the recommendations that will be made to the institution (usually to the senior administrator responsible for the animal care and use program), particularly those of a major or serious nature. At this final meeting, the Chair of the panel will present any recommendations to be made. This is an important meeting in that it should allow the panel to clarify any possible misapprehensions gained through the pre-assessment documentation or during the site visits. Follow this link for CCAC Assessment Panel Policy (1999). The Assessment Report The final wording and recommendations contained in the assessment report are prepared at the CCAC secretariat, then sent to the assessment panel and the CCAC Assessment Committee for final review and approval. On its recommendation, the report is sent to the institution. The report is a confidential document to the institution. However the institution may choose to release all or part of it following written notification to the CCAC. The assessment report usually contains recommendations to which the institution must respond within a specified time period. Serious or Major recommendations relate to situations that impose an immediate threat to the well being of the animals, and these problems must be corrected within a short time frame (some may need immediate correction and others within three months of receiving the report). Regular recommendations point to things that may not pose an immediate threat to the animals but need to be corrected in due course and not left to deteriorate (e.g., facility maintenance). A plan for the correction of these problems must be submitted within six months of receiving the Assessment Report. See the Definitions of Recommendations made in CCAC Reports (1996). Commendatory recommendations are given in recognition of excellent components of the animal care and use program. The Follow-Up When an institution submits its Implementation Report, it is reviewed by this same Assessment Committee and assessment panel. If the report is acceptable, the institution will be assigned a status of "Compliance" or "Conditional Compliance" and given a certificate of Good Animal Practice®. If all or part of an Implementation report are not accepted, further action is taken. Compliance and Non-compliance The CCAC Policy on Compliance and Non-compliance defines four statuses that can be assigned to an institution: Compliance; Conditional Compliance; Probation, and Non-compliance. The most serious situation would occur when an institution is placed in a status of "Non-compliance". If no timely resolution of the situation is found, the CCAC policy states that the granting agencies will be notified, and the granting agencies in turn have agreed to withdraw research funding from the noncompliant institution. See the CCAC Policy on Non-compliance. See also the Memorandum of Understanding on the Roles and Responsibilities in the Management of Federal Grants and Awards (MOU) Schedule 3: Ethical Review of Research Involving Animals. http://www.nserc.ca/institution/mou_sch3_e.htm Legislation in Canada Related to Experimental Animals Federal Legislation and Regulations A legal opinion commissioned by the CCAC in 1998, Legislative Jurisdiction over Animals Used in Research, Teaching and Testing and an independent study commissioned by Health Canada in 2000, The Protection of Animals Used for the Purpose of Xenotransplantation in Canada, both reach the conclusion that under the Constitution Act 1867, the federal government does not have jurisdiction to legislate with respect to experiments involving animals as this is a provincial jurisdiction. However, the federal government is not totally absent from the field of animal welfare. The three areas in which the federal government has taken action are under the criminal law power, the health power and the spending power. The Criminal Code of Canada Section 446 and 447 of the Criminal Code protect animals from cruelty, abuse and neglect. This section of the Criminal Code has been under review for several years. The Health of Animals Act The Health of Animals Act (1990) and its regulations are aimed primarily at protecting Canadian livestock from a variety of infectious diseases that would threaten both the health of the animals and people, and Canadian trade in livestock with other countries. This act is used both to deal with named disease outbreaks in Canada, and to prevent the entry of unacceptable diseases that do not exist in Canada. The Spending Power The other mechanism through which the federal government has lent its support to the humane treatment of animals is not strictly speaking legislative in nature, but in many respects it is one of the most powerful instruments available to the federal government for setting national standards. The federal government's power to provide for grants subject to conditions imposed on the recipients, be they provincial governments or individual or corporate recipients, may take a variety of different forms. One form is that of the conditional federal grant or contract. This manifestation of the federal power is what currently underpins the imposition of CCAC standards on facilities receiving funding from the Canadian Institutes of Health Research and the Natural Sciences and Engineering Research Council. Where the government itself awards a contract on an academic or non-academic institution, clause A9015C of Public Works Standard Acquisition Clauses and Conditions Manual imposes conditions related to the care and use of experimental animals in public works and government services. Provincial Legislation and Regulations While all of the provinces have legislated in the area of animal welfare in some form or another, only certain provinces have specifically occupied the field of animals acquired and used for research, teaching and testing purposes. These are Alberta, Manitoba, Ontario, New Brunswick, Nova Scotia and Prince Edward Island. One of the general concerns about the "voluntary" nature of the national CCAC program has been that some private and provincial government units have not subscribed to the CCAC program, and thus may not have external assessment of the care and use of animals. Many private and provincial government units have embraced the CCAC program, recognizing the scientific and public relations benefits that a monitored animal care and use program brings. In an attempt to provide a more universal oversight of animals in research, five of the six provinces listed above amended the regulations to their respective legislation to make reference to CCAC standards. Click on the province's name for information on provincial legislation. Alberta Control of animal experimentation in Alberta is provided by the Universities Act and in its regulations. Similar to the system developed by the CCAC, although much more limited in its application, the system put in place in Alberta requires the establishment of Animal Welfare Committees in each university in the province. It also requires the Director of the Animal Industry Division of the Department of Agriculture, Food and Rural Development to conduct an annual inspection of the facilities where, at the universities, experimental animals are housed and research activities occur. In addition, an annual report on the results of the inspection visits must be submitted to the Minister. Finally, the conditions governing the care and use of animals are set out in the regulations made under the Act that were amended in November 2000 to make reference to CCAC standards. (http://www.agric.gov.ab.ca/ministry/acts/regs/ar221-2000.html) - link no longer available Back to Province selection Prince Edward Island In Prince Edward Island, the Animal Protection Regulations made under the Animal Health and Protection Act provide that the conditions governing the care of animals used for medical or scientific research shall be those contained in Volumes 1 and 2 of the Guide to the Care and Use of Experimental Animals published by the CCAC. These regulations accordingly extend the application of the general principles set out in the Guide to all institutions that use animals for research in the province. As a result, it extends the control system developed by the CCAC to all such institutions. (http://www.gov.pe.ca/infopei/onelisting.php3?number=57455) - link no longer available ***Note, this is the URL for the Act, regulations to the Act are not found at URL Back to Province selection Manitoba Under the Animal Care Act of the province of Manitoba, no one may cause suffering to an animal. However, this prohibition does not apply to the "accepted activities" listed in the Act as long as these activities are carried out in accordance with a standard or code of conduct, criteria, practice or procedure specified as acceptable in the regulations. The use of animals for research and teaching is an accepted activity within the meaning of the Act. Furthermore, according to the Animal Care Regulations, Volumes 1 and 2 of the Guide to the Care and Use of Experimental Animals as well as the CCAC policy statements and guidelines impose standards, criteria, practices or procedures that are classified as acceptable for the purposes of the Act. As a result, all institutions that use animals for research and teaching purposes in Manitoba must submit to the control system put in place by the CCAC. Failing this, any suffering caused to an animal in a research or teaching program constitutes an offence under the Act. Moreover, the Animal Care Regulations require that animals reared or used for research or teaching be kept in accordance with the CCAC policy statements and guidelines. As a result of this obligation, the CCAC's system of control covers the breeders of experimental animals operating in Manitoba. http://web2.gov.mb.ca/laws/statutes/ccsm/a084e.php Back to Province selection New Brunswick The situation in New Brunswick is unique. The law governs the use of animals for experimental and other scientific purposes only indirectly. In this sense, it can hardly be said that such use is subject to regulation in the province. Section 18(1) of the Society for the Prevention of Cruelty to Animals Act provides that "[a] person who has ownership, possession or the care and control of an animal shall provide the animal with food, water, shelter and care in accordance with the regulations." Anyone who violates this duty or fails to comply with it commits an offence. However, under section 4(2) of Schedule A to the General Regulation - Society for the Prevention of Cruelty to Animals Act, no one may be found guilty of such an offence as long as he or she has complied with the CCAC Guide to the Care and Use of Experimental Animals. Although it does not make the control system developed by the CCAC mandatory in the province, this exception has the effect of encouraging research institutions and those who breed and transport experimental animals to comply with this system and submit to it. http://www.gnb.ca/acts/acts/s-12.htm Back to Province selection Nova Scotia In Nova Scotia the power to inspect and monitor research laboratories belongs to the Nova Scotia Society for the Prevention of Cruelty (SPC). This power extends to the breeders and suppliers of animals for experimental purposes since the Society's power of inspection and supervision is not limited solely to the facilities listed in the legislation. By means of regulations, the SPC may prescribe conditions governing the housing and care of animals kept for the purposes of sale, research or breeding. However, the conditions laid down may not conflict with the standards contained in the codes of practice recommended for the care and housing of farm animals published by Agriculture and Agri-Food Canada or the Agri-Food Research Council of Canada. Nor may they contradict the CCAC guidelines. The regulations even indicate that no prosecution may be brought against a person who complies with these guidelines. Although it does not make the system of control developed by the CCAC mandatory in the province, this provision nevertheless offers an incentive to comply with it. Furthermore, the Governor in Council of the province has the power to exempt any research conducted in accordance with a control system approved by the CCAC from the requirements laid down by the SPC. However, this power has not yet been exercised. http://www.gov.ns.ca/legi/legc/statutes/animalcr.htm Back to Province selection Ontario The Ontario legislation, namely the Animals for Research Act, is unique in Canada in that it creates a system of control based on the registration of research facilities and the issuance of licences for supply facilities. In Ontario, therefore, all research facilities that use animals in their work must be registered. Among the provisions of the Animals for Research Act, one should note the duty to establish an animal care committee, the responsibilities and powers of which are similar to those required under the CCAC system, and the requirement for any operator of a research facility to submit to the person designated by the Minister of Agriculture, Food and Rural Affairs a report respecting the animals used in the research facility for research. The regulation Research Facilities and Supply Facilities, also provides minimum standards for the housing and care of animals and the regulation Transportation, prescribes the conditions for transporting animals used or intended for use by a research facility. http://192.75.156.68/DBLaws/Statutes/English/90a22_e.htm Back to Province selection Saskatchewan In Saskatchewan's Veterinarians Act, an exemption is given to researchers using animals at a university as long as an Animal Care Committee that included a veterinarian has approved the protocol. http://www.qp.gov.sk.ca/documents/English/Statutes/Statutes/V5-1.pdf Back to Province selection Other Interests Affecting Experimental Animal Care and Use The media have an interest in research in general, and biomedical research in particular. A publication in a journal may stimulate interest from the media and a discussion of animal use in research may ensue. Institutions and investigators should be prepared, through a carefully thoughtout institutional communications plan, to explain their use of experimental animals, including the procedures and safeguards in place to ensure that the animals were not subjected to any unnecessary pain and/or distress. Animal protection groups are always concerned about animals and how they are used. The positions taken may be extreme or moderate, ranging from the position that humans have no right to use animals for our own purposes to positions that accept some use of animals but condemn unnecessary pain and suffering. These concerns for the well-being of experimental animals should be treated with respect and not necessarily viewed as obstructive. Maintaining a dialogue with all persons interested in animals is an approach that is fundamental to the CCAC philosophy. Sample Questions Which one of the following consequences may result after the assignment of a status of "Noncompliance" to an academic institution ? a. b. c. d. e. Loss of grant support to the offending area Loss of grant support to the institution Legal action against the institution Legal action against the head of the non-compliant area Expulsion from the CCAC program How does the institutional ACC ensure investigator compliance with CCAC guidelines ? a. b. c. d. e. Investigators must report animal use to the ACC annually Visits to animal facilities by the ACC Reports from veterinarians to the ACC Annual review of protocols All of the above Reference to the guidelines of the CCAC is incorporated into which of the following ? a. b. c. d. e. Federal legislation Legislation in all provinces Legislation in some provinces Both 1 and 3 None of the above Module 02 - Ethics in Animal Experimentation Module Objectives The objectives of this module are: • • • to introduce readers to basic notions in ethics to identify the socio-historical basis of the debate on animal experimentation to define levels of ethical questioning in animal experimentation Science and Ethics At the start of the twenty-first century, it is obvious to the public as well as to the scientific community that the scientific enterprise routinely begs a host of ethical questions. In the area of animal-based research, these can include questions such as: • • • • Is there anything inherently wrong with transfering human genes into other species? Is the pursuit of knowledge enough to justify carrying out experiments involving pain and/or distress to an animal? When primates are no longer needed for research, should they be destroyed humanely or retired to a primate sanctuary? If research involves dogs, is it better to use purpose-bred laboratory dogs or unclaimed strays from a pound? The informed public expects scientists to have thought through these and other issues. To do this, scientists need to see the ethical issues not as someone else's field, not as peripheral to the scientific enterprise, but as an essential element of being a scientist (Monamy, 2000). Basic Notions in Ethics The word philosophy, derived from the Greek literally means "love of wisdom." In keeping with its roots, The Cambridge International Dictionary defines the word philosophy as "the use of reason in understanding such things as the nature of reality and existence, the use and limits of knowledge and the principles that govern and influence moral judgment." As an academic discipline, philosophy’s chief branches include logic, metaphysics, epistemology, and ethics. Although "ethics" is an academic discipline in its own right, it is useful for scientists to understand the concepts used in ethical discussions. Just as a discussion of business ethics should involve business people, so a discussion of ethics in science should actively involve scientists, as scientists bring an indepth knowledge and data, necessary to inform decision making. Discussion of any of the issues listed at the beginning of this module would benefit from an understanding of the scientific data associated with the issue. Ethics is derived from the Greek ethos meaning custom, people, the predominant community spirit. Within that community spirit, morality is the distinction between right and wrong. The field of ethics, also called moral philosophy, involves developing, defending, and recommending concepts of right and wrong behavior. There has been a tendency for scientists to view themselves and their work outside this realm; however, increasingly science is being seen as part of society rather than apart from it. For example, the Canadian Institutes of Health Research is mandated by Parliament to promote, assist, and undertake health research that meets the highest standards of ethics. It now has an ethics secretariat and ethics directors associated with each of the Institutes. Philosophers divide "ethics" into three distinct but related kinds of inquiry: metaethics, normative ethics, and applied ethics. Metaethics, also known as analytical ethics, investigates where our ethical principles come from, and what they mean. For example: Are ethical principles merely social inventions? Do they involve more than expressions of our individual emotions? Answers to these types of questions focus on issues of universal truths, the will of God, the role of reason in ethical judgment, as well as the meaning of ethical terms themselves. In the context of animal experimentation, a metaethical question is the role of reason in motivating moral actions. Two sides of the historical debate in this area are: 1. 2. only emotions can motivate people to act morally (Hume); and, the opposing stance; true moral action is motivated only by reason when it is free of emotion and desire (Kant). Current thinking tends to favour a rationalist approach and focusses on the reasoning and argumentation process that takes place when making moral choices. According to Baier, proper moral decision making involves giving the best reasons in support of one course of action versus another. Normative ethics, also known as substantive ethics, involves a more practical task which is to arrive at moral standards or norms that regulate right or wrong, good and bad for evaluation and decision. Applied ethics is the philosophical examination of problems in private and public life that are matters of moral judgment. By using tools of metaethics and normative ethics, discussions in applied ethics try to resolve controversial issues such as abortion, environmental concerns, the rights of animals, and the morality of animal experimentation. It is in the area of applied ethics where scientists have the most to contribute, recognizing that philosophy is not just about analysis and clarification of moral dilemma, but can also be used to seek answers. The Socio-Historical Basis of the Debate on Animal Experimentation Concerns about the use of animals in science have existed for almost as long as animals have been used to better understand the workings of the human/animal body. In order to understand the basis of some of today’s attitudes to the use of animals and the philosophical debate, it is useful to have an appreciation of the history of animal-based research and the underlying ethical attitudes. The detailed history of animal based research has been outlined in many publications. Here only a few key landmarks are given, in order to give a background to the time-frame for the debate of the use of animals in science. Alongside are given some of the key ethical attitudes about the use of animals. It should be clear that almost from the outset that scientists have concerned themselves with discussions of the "rightness or wrongness" of the use of animals, and in considering what conditions should be placed on the use of animals for scientific purposes. TIME-LINE (Panoramic version - Printable version) Based Research and the Key Moral Statements. : Chronology of Landmarks in Animal In 1989, the American Medical Association Council on Scientific Affairs published an impressive list of medical advances made possible through research using animals including, among others: studies on autoimmune deficiency syndrome, behavior, cardiovascular disease, cholera, haemophilia, malaria, muscular dystrophy, anaesthesia,nutrition, and the prevention of rabies. Such research resulted in subsequent benefits for humans and non-human health. Further lists of medical milestones during the past century can be seen on the Research Defence Society website and Americans for medical progress. With World War I, the focus on antivivisection shifted; benefits to human health through animal research were welcomed by the public, and in addition, for those who had witnessed the human suffering as a result of the war, consideration of animal pain seemed "faintly ridiculous" (Ryder,1989). After World War I, groups with an interest in the well-being of animals used in science were formed such as the Universities Federation for Animal Welfare (UFAW). UFAW commissioned a philosopher and a microbiologist, William Russell and Rex Burch to write The Principles of Humane Experimental Technique (1959), a guide which pioneered the notion of the Three Rs that became a uniting focus both for the animal welfare and the scientific community worldwide, including in Canada. The time-line above could be filled with many other examples and should be overlaid with considerations of the shift of societal values over time. The role of religion, the shift away from creationist philosophies, the movement to end slavery, to give women the vote; the shift from a rural to an urban-based economy, etc. are all relevant in the context of an evolving societal ethic of animal use in science. The time-line can be used both as a brief overview and to pinpoint where the genesis of some of the thinking of today’s philosophers originated. The Nature of Science and the Emergence of Bioethics In parallel with the emergence of physiology, the school of thought called "Positivism" developed which shaped ideas about the nature of science. Positivism resulted from Auguste Comte's (17981857) attempt to create a clear distinction between the study of the material world and other branches of human thought such as theology and metaphysics. Science, as seen by the Positivists, is concerned only with what we can observe. It asks purely empirical questions: what, where, when, how much? Within this system, ethical questions — good and evil, right and wrong, should and should not — have no obvious place. Positivism helped to reinforce the distinction between the empirical and the ethical. However, that distinction expanded into the much broader view that science should not, or cannot, concern itself with ethical questions at all — that science is an island of pure, empirical investigation, unattached to ethical values. By the end of the Second World War, this view was actively being challenged. At that time, experiments were being carried out, some of them lethal, on human beings who had been imprisoned and then forced to serve as subjects solely on the basis of race, religion, or mental development. Other experiments focussed on designing weapons of mass destruction. Even after the war, there were renowned scientists who conducted painful or harmful experiments on human subjects. These were clear cases where no one could portray scientific research as a disinterested search for knowledge, unrelated to ethical values or social agendas. In the wake of such tangible examples, many scientists found it necessary to reconceptualize their roles to incorporate both the empirical and the ethical issues inherent to science. By 1975, the American Association for the Advancement of Science declared: "It is often said that science is ethically neutral and value-free. Such statements, in our opinion, are seriously misleading and in some respects quite false. It is, of course, obvious that a scientific discovery, once published ... can be used in exceedingly diverse ways, with consequences that may be good or bad, or commonly a complicated mixture of both. The activities of scientists and technologists, however, are conditioned and directed at every turn by considerations of human values. This is true over the whole range of activity, from the most basic research to the applications of science in technology." (cited in Monamy 2000) Marshall Hall's Principles 1. 2. 3. 4. 5. No experiment should take place if the necessary information could be gained by observation. Only experiments that would result in the fulfillment of clearly defined and attainable aims ought to proceed. Unnecessary repetition of an experiment must be avoided — particularly if reputable physiologists had been responsible for the original experiment. All experiments must be conducted with a minimum of suffering. All physiological experiments should be witnessed by peers, further reducing the need for repetition. (cited in Monamy 2000) Toward a Coherent Ethic of Research Involving Laboratory Animals At present there is no widely accepted comprehensive moral theory pertaining to research involving laboratory animals. Ethical theories for animal-based research have lagged behind those of human medical ethics, partially because of the focus on human research ethics following the experiments during World War II, but also because concern for non-human animals did not and still does not fit well with the dominant intellectual paradigms driving the development of the field of bioethics. The 1970s and 1980s saw increased interest in the use of animals among moral philosophers. Australian philosopher Peter Singer’s Animal Liberation (1975) together with Richard Ryder’s Victims of Science (1975) and Tom Regan’s The Case for Animal Rights (1983) were published. Because these publications were both accessible to the lay public as well as firmly rooted in ethical theory they attracted the attention of opponents of animal research as well as academic philosophers. Reviving Bentham’s utilitarianism (1789), Singer argued for the liberation of animals based on equality of consideration of "interests" and their capacity to suffer, and claimed moral status for animals on that ground. Singer has been criticized by other philosophers as a preference utilitarian for his approval of the use of less sentient animals. Ryder based his considerations more on the ability of animals to experience pain, an extension of the concerns expressed by the physiologists Boyle, Hooke, and Lower as well as the English essayists Pope and Johnson. Another moral view, supported most strongly by Tom Reagan involves animal "rights." The beginnings of this theory can be seen in Primatt’s extension of the principle of justice beyond the human sphere. Other philosophers, such as Frey, Wren etc. have argued for the interests of individual species, and for the right to use animals in research. The distinction between those who recognize rights in animals and oppose research and those who opt for animal welfare and permit or endorse humane research may be useful, but it does not accurately reflect the positions taken by leading contemporary philosophers. Some of those who advocate animal rights, such as Jerrold Tannenbaum, support the humane use of animals in research. Others, like Singer, do not claim rights for animals, but are strongly opposed to research involving animal subjects. The aim here is not to engage in a lengthy discourse of the various philosophical standpoints. Interested readers are encouraged to consult the reference list accompanying this module for a more in-depth understanding of current philosophical theories. In particular, Monamy 2000, Smith and Boyd 1991, and Tennenbaum 1999 provide a synthesis of the current philosophical discussion concerning the ethics of animal-based research. Moral Stewardship In the absence of a universal ethic of animal experimentation, animal welfarists, both within science and without, have plotted a different course of action recognizing that animal researchers have a role to play as moral stewards. To a certain extent this view can be said to be based on the approach of Albert Schweitzer (1875-1965), Nobel Peace Laureate, medical practitioner, and doctor of philosophy — i.e., to cause pain or death when it can be avoided is wrong. In addition, it signifies the beginnings of a move towards an ecological ethic, where the preservation of a greater whole is seen as important, occasionally at the expense of individual animal lives. In this context, animal experimentation is viewed as a "necessary evil," which is justifiable as long as those who conduct the experiments are in tune with their moral obligations — to society and to the animals in their care (Monamy, 2000). The CCAC position statement Ethics of Animal Investigation, published in 1989 expresses these concepts for the CCAC. Building on principles first outlined by Marshall Hall; it also enshrines the Three Rs into the CCAC system. This is the convergence point for 2,000 scientists, veterinarians, animal care technicians, students, community representatives and animal welfare organizations representatives participating in the CCAC system of ethical review and oversight for the care and use of animals used in science in Canada since 1968. Applied Ethics in Animal Experimentation: Defining Levels of Ethical Questioning As outlined at the beginning of the module, there are genuine societal debates about animal use that need to occur outside the boundaries of the CCAC system of ethical review and oversight for the care and use of animals in science. For example, questions such as: • • • • Should animals be used in research? Do we as a society want xenotransplantation as a medical procedure? Should marine mammals be kept in captivity? Should society permit stem cell research involving fusion of human-mouse embryos? The involvement of scientists in these debates is critical to ensure that appropriate scientific data is used to inform the debate. However, scientists also need to be aware that not only scientific knowledge will be engaged and other societal inputs may result in a prohibition of certain areas of animal-based research. (For example, an 18-month Canadian consultation to answer the question "Should xenotransplantation proceed?" led to the conclusion that scientific knowledge is not sufficiently advanced to answer two of the key issues: disease transmission, and the balance between immunosupression and the genetic modification of the source organ to prevent rejection – so it should not proceed until further research.) When we have the answers to these types of questions, or rather when we have some understanding of where we stand as a society on these issues, at this time, in this place, then we are able to engage in the process of developing guidelines which accept as the societal norm that animals are going to be used for research, teaching and testing; or that xenotransplantation should only proceed under a set of prescribed conditions; or that it is necessary to keep some marine mammals in captivity to engage the public in concern for the marine environment. The CCAC guidelines development process provides a framework under which the activity can take place, based on a willingness to do our best, taking into consideration all the information available. Scientists have a key role to play here in ensuring that the guidelines are based on sound scientific evidence. Institutional animal care committees (ACCs), whose functioning is described in more detail in the Guidelines module, make ethical decisions on individual projects involving animal use. ACCs, composed of scientists/teachers, animal care personnel, personnel who do not use animals, and community representatives, function as a microcosm of society, using the guidelines and policies of the CCAC and their own expertise, experience, values, and common sense to reach decisions about what animal-based work should be allowed to proceed and under what conditions. Scientists have a crucial role to play in ensuring responsible experimental animal care and use, and in fostering a caring attitude towards animals in the conduct of their research. Beyond overseeing the appropriate conduct of their own projects, the role that scientists play on ACCs is essential. Scientists provide ACCs with informed views on the need for animal use in science, and exchange views with all other members of the committee, including those with informed views on animal welfare and community representatives, to arrive at decisions that balance costs to animals with expected benefits for humans and animals. ACCs strive to reconcile public demands for medical, scientific, and economic progress with demands that animal welfare and integrity be protected. The CCAC Assessment Program is peer review-based, and depends on the active involvement of scientists on CCAC assessment panels, sharing their expertise and experience with the members of the institution being assessed. Scientists also play a crucial role on the CCAC Assessment Committee, a standing committee that reviews all CCAC assessment reports and institutional implementation reports, and makes final decisions on the CCAC status of each institution in the Program. A key element of the CCAC system is the involvement of the public in all of the CCAC’s activities, namely in establishing ethical standards through guidelines development, in ethical decision-making at the level of each institutional ACC, in providing sound judgment on each CCAC assessment panel, and in providing a public perspective on the CCAC Council. This integrated approach is essential to ensure that an external perspective is actively provided to all discussions and decisions on animal care and use in science, and that those who conduct the experiments are in tune with their obligations to the animals in their care, as well as to the other members of society. References 1. Monoamy, V. 2000. Animal Experimentation: A Guide to the Issues. Cambridge University Press. 2. The Cambridge International Dictionary (http://dictionary.cambridge.org). 3. The Internet Encyclopedia of Philosophy (http://www.iep.utm.edu/). 4. A Dictionary of Philosophy, Thomas Mautner, Blackwell 1996. 5. Ryder,R.D. 1989. Animal Revolution: Changing Attitudes Towards Speciesism. Oxford: Basil Blackwell. 6. Russell, W.M.S. and Burch, R.L. 1959. The Principles of Humane Experimental Technique. London:Methuen. 7. Singer, P. 1975. Animal Liberation. New York:Avon Books. 8. Ryder, R.D. 1975. Victims of Science: the Use of Animals in Research. London: Davis-Poynter. 9. Regan, T. 1983. The Case for Animal Rights. Berkeley: University of California Press. 10. Bentham,J. 1789/1970. An introduction to the principles of morals and legislation. In Burns, J.H. and Hart, H.L.A (eds). The Collected Works of Jeremy Bentham, Vol. 2,I. London:Athlone. 11. ILAR Journal.1999. Bioethics in laboratory animal research. V40(1) 12. Smith, J.A. and Boyd, K.M. (eds.) 1991. Lives in the Balance: the Ethics of Using Animals in Biomedical Research. Oxford: Oxford University Press. Sample Questions Which one of the following statements best describes the philosophical common ground shared between individual involved in developing CCAC guidelines ? a. b. c. d. e. only emotions can motivate people to act morally true moral action is motivated only by reason reasoning and argumentation process is key to making moral choices moral standards are grounded in individual approval social approval of moral value does not change over time In the absence of a universal ethic of animal xperimentation, which one of the following approach is in use in Canada by participants in the CCAC Program ? a. b. c. d. e. moral stewardship utilitarianism beast-machine anthropocentric positivism Module 03 - The Three Rs of Humane Animal Experimentation Module Objectives The objectives of this module are: • • • • To To To To discuss the Three Rs as they were defined by Russell and Burch in 1959 introduce the concept of alternatives in research, teaching and testing discuss the potentials and limitations of alternatives consider examples of alternatives and how they may be used Preface Questions Two leading questions are posed here to stimulate the reader, and frame the importance of considering the Three Rs principles in striving to meet our ethical responsibilities for conducting humane animal experimentation. The questions posed represent two of the more contentious issues in animal based research, teaching and testing: the numbers of animals being used, and the pain and suffering being experienced by these animals. The answers are presented as arguments for animal use, in terms of what is done to the animals, and in terms of how many are used. Do you think any of the answers are justified? Introduction The question of pain and distress in animals used for research, teaching and testing has concerned the general public and thoughtful researchers for a long time. It was this concern, together with increasing use of animals in fundamental and applied research, that motivated W.M.S. Russell and R.L. Burch to examine how decisions should be made about such use of animals. The Three Rs stand for Reduction, Replacement and Refinement. In the book The Principles of Humane Experimental Technique, published in 1959, the authors Russell and Burch proposed that all research using animals should be evaluated to see if the Three Rs could be applied. They recognized that while the replacement of animals as research subjects was a desirable goal, considerable gains could be made in humane science through reducing the numbers of animals used and by refining the techniques that were applied to animals. Over the past 40 years the Three Rs have become widely accepted ethical principles to be embedded in the conduct of animal based science. Many agencies responsible for setting standards for the care and use of experimental animals, including the Canadian Council on Animal Care, require investigators toconsider the implementation of the Three Rs during the design of experiments that will use animals. The principal investigator must consider the question of whether animals are needed or not and if an animal must be used, then the investigator is required to consider the Three Rs in detail. The protocol submitted to the Animal Care Committee should outline the rationale for using animals and list the databases that were searched to confirm that there are no alternatives to animals. The word "alternatives" came into use after 1978 following the publication by David Smyth, a physiologist and President of the UK Research Defence Society, of Alternatives to Animal Experiments. In this book, Smyth provided a Three Rs definition of alternatives: “ All procedures which can completely replace the need for animal experiments, reduce the numbers of animals required, or diminish the amount of pain or distress suffered by animals in meeting the essential needs of man and other animals." Although there have been repeated attempts to limit the term “alternatives” to replacement, it is in the broader context that alternatives will be discussed in this module, as originally intended. What is Meant by the Terms "Replacement" "Reduction" and "Refinement"? As has been noted, the word alternatives is used to describe any change from present procedures that will result in the replacement of animals, a reduction in the numbers used or a refinement of techniques that may reduce or replace animals or reduce the pain, stress or distress of the animals. Replacement often means the use of an inanimate system as an alternative (e.g., a computer model or program, a mannequin). It can also mean the replacement of sentient animals (usually vertebrates) with less sentient animals (usually invertebrates such as worms, bacteria, etc). It also includes the use of cell and tissue cultures. The cells must come from somewhere and often this means animals. Reduction means a decrease in the number of animals used previously with no loss of useful information. This may be achieved by reducing the number of variables through good experimental design, by using genetically homogeneous animals or by ensuring that the conditions of the experiment are rigorously controlled. Refinement means a change in some aspect of the experiment that results in a reduction or replacement of animals or in a reduction of any pain, stress or distress that animals may experience. The establishment of early endpoints for intervention in a study that has the potential to cause pain or distress is an example of refinement. Few of the alternatives completely fulfill the definition of the R category in which they are placed. For example, although the use of tissue cultures will replace many animals, some will be required as a source of cells. In the following sections on Replacement, Reduction and Refinement, examples of each will be given. Satisfying the Replacement Principle In this section, we will consider replacement as it pertains to three different areas of research, teaching and testing. General Principles Concerning Replacement in Research and Testing Cell cultures, bacteria and inanimate models cannot be used to study processes as they would occur within the context of a whole, live organism. Thus a culture of heart cells is not comparable to heart cells in situ, as it cannot reveal the interactions between all the various heart cells as they are normally situated within a whole heart, nor those with the nervous, endocrinologic and immune systems that normally affect them, nor the effects of blood flow and pressure and of the many other factors and signals that exist in a live, whole organism. Behavioral responses cannot be studied in simple cultures of cells. The behavior of simple organisms (e.g., bacteria, nematodes) could be studied, however it would be very difficult to extrapolate the relevance to more complex organisms. Along the same line, it would be impossible to study species specific and sex specific phenomena. In cases where specific processes, either cellular or molecular, need to be looked at or used in isolation, replacement alternatives such as cell/tissue/organ cultures or bacterial cultures become excellent tools. Some of the variability factors that complicate intact animal research are reduced when cell cultures, bacteria, etc., are used. These include factors such as light, sound, latent infections, etc. Of course, if totally inanimate alternatives are used, variability of this type should not be a factor at all. Where fresh cell lines are required, it should be possible to get many more cultures and therefore experiments from each animal than if the whole animal was used for the study. If the alternative is inanimate (e.g., a computer) there may still be a need to use a small number of animals to get data to feed into the computer. The quality of that data needs to be excellent or it becomes a case of garbage in and garbage out. Biological systems are known for their complexity and their ability to behave in an unexpected manner with the production of artefacts. A much simpler system such as a cell line is not so likely to produce artefacts, as long as the cells are maintained in the appropriate milieu. A corollary to the artefact problem is the simplicity with which the environment of the cells may be altered and in a manner that could not be repeated in the intact animal. It is easy for example, to alter the pH, the ion content, the oxygen level etc. of the growth medium to study the effect of these changes. The repeatability of the studies should be much greater when there is good control of all the potential variables. The cost of using alternatives is likely to be less than the cost of using intact animals although this may not be inevitable. The costs of computers, software, cell/tissue/organ culture equipment, etc., may exceed the costs of animals. Replacement in Research Basic research. Animals have been used extensively to study fundamental principles in biology. Usually investigators tried to use animals where there was a similarity between the animal's physiology and biochemistry and the human's. It is recognized that many of the more fundamental processes are common to a wide range of organisms including invertebrates. The alternatives. The use of lower, less sentient animals, particularly invertebrates is considered to be an acceptable means of replacing higher animals as research subjects. The nematode, Caenorhabditis elegans, is widely used to study basic neuronal function. This organism has 302 neurons in its nervous system and so it is reasonable to study the function of each neuron and its interaction with other neurons. In a similar vein, geneticists have used fruit flies for many years. There are other important replacement alternatives in research: one of the most common and useful ones is the replacement of rodent-based methods by in vitro methods for monoclonal antibody production. Replacement in Safety and Efficacy Testing The use of animals for safety and efficacy testing new products has increased greatly over the past forty years or so. Companies producing the products, regulatory agencies and consumers want to be sure that the products are safe to use. While medical treatments make up the greatest bulk of these products, just about anything we use must be proven to be safe, for example, the cars we drive and the products we use, including household cleaners, pesticides, cosmetic products, etc. Once upon a time baboons were used in crash tests. The alternatives, instrumented mannequins (crash test dummies), provide much more precise information than did the animal model. Public concerns for safety of products drove the need for increased testing, and public concerns about how animals are used in safety testing are now driving the need to seek alternatives. One of the major challenges for the proponents of alternative methodologies for testing new compounds has been to prove that they are as effective as the animal based tests they are intended to replace. Two organizations created to ensure sound scientific validation and subsequent acceptance by regulatory agencies of proposed alternatives to animals in testing are the European Centre for the Validation of Alternative Methods (ECVAM) in Italy and the Interagency Coordinating Committee for the Validation of Alternative Methods (ICCVAM) in USA. Although regulatory agencies throughout the world have been cautious about accepting these alternatives, progress continues to be made. As of 2002, there are three in vitro tests accepted by the European regulatory agencies and three by the USA regulatory agencies and there are several more being evaluated. Replacement in Education and Training Practical Skills Training Learning skills, from simple techniques such as blood sampling to complicated surgical procedures such as laparoscopic surgery, are an important part of the training of medical and veterinary personnel. Animals continue to be used in this training. However, some skills such as suturing techniques may be developed without using animals. Discarded placentas may be used to practice microsurgery techniques. The alternatives. There are now inanimate models that can be used to practice procedures. The Koken rat, for example, will allow a student to practice tail vein injections many times before it is attempted on a live animal. Mannequins and computer-based technologies are available to allow surgeons to practice laparoscopic surgeries. The acceptance of these inanimate objects for training comes when the touch and feel of the training is similar to that experienced when using a living organism. Education Animals have been used extensively for teaching and demonstration of biological principles. In recent years, there has been a significant reduction in the numbers of animals due to the adoption of alternatives. The alternatives. A wide range of materials may be substituted for animals in teaching. Audiovisual aids and computer-based programs allow the student to see the effects of manipulating various organ systems. Many of the computer programs are interactive, allowing the students to participate in the 'experiments'. For example, an interactive program on anesthesia allows the student to assess the depth of anesthesia, to calculate the dose and route of different anesthetic agents, etc. Satisfying the Reduction Principle Literature searches are vital in preventing unnecessary duplication of experiments. Some duplication of studies is required to ensure that the results from one study are reproducible by other investigators in different laboratories. However, it is not necessary to repeat studies over and over again. There are several ways in which an investigator may attempt to reduce the number of animals required in a study. It is important to ensure that appropriate numbers of animals are used, both the experimental animals and the controls. This means that the statistical design of the study should be carefully evaluated before the study starts. Perhaps a statistician should be consulted. Good experimental design with proper data collection and analysis will minimize the number of animals required. A well trained research team extending from the principal investigator to the animal care technicians will ensure that all procedures related to and peripheral to the study will be standardized. It is important that the team members are trained in their specialty and additional expertise brought on as needed. For example, if the project requires a particular surgical procedure for which no one has been trained, an experienced surgeon should assist. Training in all procedures applied to the animals should be done before the project starts. For teaching laboratories using animals, the success of the laboratory session is greatly increased if trained instructors rather than untrained students set up the animal preparations. One cause of large group sizes comes from the variability that can occur when the conditions of the experiments are poorly controlled. Large group sizes may be reduced if, for example, a genetically homogeneous population of animals is used, or the animals are not subject to intercurrent diseases, or the husbandry conditions are stable. The issue of variability is considered in more detail in Module#4 Research Issues. In that module, the influence of various parameters (e.g., sound, light, infections, procedures, etc.) on the precision of experimental results is discussed. Control animals may represent up to 50% of the animals in a study. The investigator should try to minimize the number of control animals. Using one control group with several test groups rather than one control group for each test group may do this. If a particular procedure is used repeatedly in a laboratory, there will be a historical record of controls for that procedure. For a study using the procedure, it may be possible to use a very small number of controls and show that they fall within the historical limits of the controls, rather than use a full complement of controls. Targeted animal models. In the past, it was difficult to find animal models that accurately mimicked human conditions like many cancers. There were animal models of breast cancer but the cause and the biological behaviour of the cancer differed from that in the human. Thus treatments for the animal model were not necessarily applicable to humans. The alternative. The development of immune compromised animals meant that cells of human origin could be grown in animals without the need for immune suppression of the host. Now the behaviour and treatment of the tumour in the animal model could reflect the situation in the human. Such precisely targeted animal models will result in an overall reduction in animal use through a reduction in the variability of the model and the increased usefulness of the results. Genetically modified (GM) animals (transgenic, knockout and mutant) represent alternatives that promise to provide more relevant results for human disease understanding. Initially there may be little reduction or replacement because the production of foundation stocks of GM animals still requires large numbers for breeding. The refinement of results from the GM animals should lead to a more rapid advance in the understanding and treatment of human diseases with the use of smaller numbers of animals. Satisfying the Refinement Principle Refinement has been the least glamorous of the Three Rs because it produces the least obvious changes in animal use if numbers are the most important statistic. The refinement of techniques has a significant role to play in both the reduction and replacement of animals in research, teaching and testing. Refined techniques will result in less variability and improve the outcome in terms of results obtained. For example, the introduction of new and safer anesthetic agents together with better training of investigators in their use has reduced the number of anesthetic deaths. The refinement of statistical analytical techniques has allowed investigators to use fewer animals without losing significant information. Refinement has its greatest impact in the reduction of pain and distress in animals. Appropriate use of anesthetics, analgesics and other therapeutic measures are very important refinement measures in invasive studies. The refinement of husbandry, particularly by increasing the complexity of social and physical environments, has improved the well-being of research animals. The establishment of scientific and appropriate endpoints for many studies (e.g., vaccine testing) has meant that animals have had to suffer less without affecting confidence in the results. There are many examples of refinements that have made a difference both to the animals (in terms of minimizing pain and distress), and the results of scientific investigations. Husbandry. In the past research animals were often singly housed in cages or pens that provided very little substrate or space for normal behavioral activities. Most research animals are social in behavior and isolation is stressful for them. The alternatives. Most animals may be kept in social groups in complex environments that allow them to behave in a normal manner. There are many reports documenting the beneficial effects of this type of husbandry. For example, rats living in a socially and physically complex environment develop a thicker cerebral cortex, with more dendritic connections compared with those that are kept in isolation. Young rabbits that were kept in small cages developed skeletal abnormalities because they were unable to hop and run during the time when their muscles and bones were maturing. Alternatives to previously used blood sampling techniques. The retro-orbital sinus of some small species (particularly rodents) was a convenient site from which to collect fairly large samples of blood. The procedure had risks (e.g., the eye could be damaged, especially if samples were taken repeatedly), and was painful. Several alternatives have been developed, including blood sampling from the tail vein, the saphenous vein and the jugular vein. Although some skill is required to perform these efficiently, the risk of causing severe damage to the animal is greatly reduced. Experiments that cause severe suffering or death. For studies involving vaccine testing, infectious diseases, tumours, organ rejection, etc., the endpoint for the animal may in the past have been death from the disease. As an animal approaches death, it stops eating and drinking and rapidly becomes dehydrated, and except in a small number of instances, death can be predicted to occur within a short period of time from the point at which the animal stops eating and drinking. The alternatives. When an experiment is expected to cause severe suffering or the death of an animal, endpoints should be established to limit the extent of the suffering and to anticipate death. If possible, pilot studies should be used to demonstrate the earliest point at which the scientific goals are reached so that the experiment can be terminated before the animals suffer. At a minimum, the pilot studies should be used to determine which clinical signs are most appropriate to indicate that the endpoint has been reached or when the death of the animal becomes inevitable. Toxicity testing. The LD50 test was required by regulatory agencies as an assessment of toxicity of new compounds. The LD50 is the dose that will kill 50% of the animals. Many animals were used to accurately find this dose although its relevance to human toxicity has not been established. The alternatives. A number of refinements to toxicity testing have been developed and have become accepted as OECD guidelines. For acute toxicity testing the fixed dose procedure (Tg420); the acute toxic class method (Tg423) and the up and down procedure (Tg425) have now been accepted by OECD member countries. Fewer animals and earlier endpoints are part of the refinements. The LD50 test (Tg401) has now been withdrawn and regulatory agencies from the OECD member countries are required to accept data generated using one of the three alternative guidelines. In addition, recommendations from ICCVAM have been published describing how in vitro data may be used to select the starting dose for the test, further limiting the numbers of animals needed and increasing the predictivity of the data. Summary The use of animals in research, teaching and testing is not a right but a privilege. It is incumbent upon every researcher to ensure that privilege is not abused. Even though animals are, in most cases, bred for research, that does not mean that we may use as many as we like in whatever way we like. Each animal is an individual and should be treated as such. We must be careful that they are not subjected to needless pain or suffering. Excessive numbers should not be used just because they are there. They should not be used at all if an equally suitable model system could be used to obtain the same results. Every possible step must be taken to reduce or prevent pain and suffering. By evaluating each research, teaching or testing protocol for adherence to the principles of the Three Rs, we will replace, reduce and refine the use of animals in science. References Norina Database http://oslovet.veths.no/NORINA/ European Resource Centre for Alternatives (EURCA) http://www.eurca.org/ The Principles of Humane Experimental Technique W.M.S. Russell and R.L. Burch Methuen & Co. Ltd. London 1959. (Special Edition publ. by Universities Federation for Animal Welfare, 1992) http://altweb.jhsph.edu/publications/humane_exp/het-toc.htm Balls, M., Goldberg, A.M., Fentem, J.H. et al (1995) The three Rs: The way forward: ECVAM Workshop Report 11. ATLA 23: 838-866 http://altweb.jhsph.edu/publications/ECVAM/ecvam11.htm (link no longer available) Rispin, A., Farrar, D., Margosches, E. et al. (2002). Alternative Methods for the Median Lethal Dose (LD50) Test: The Up-And-Down Procedure for Acute Oral Toxicity. ILAR 43(4):233-243. Smyth D. (1978) Alternatives to Animal Experiments 218pp London: Scolar Press Sample Questions The word "alternatives" within the context of the Three Rs means: a. b. c. d. e. Using animals of lower sentiency Using inanimate models Using fewer control animals Using safer anaesthetics All of the above Which one of the following statements regarding the use of animals for research and teaching is correct? a. b. c. d. e. The use of animals in research, teaching and testing is a right. Researchers may use as many animals as they wish in any way they wish. The number of animals used should be based on cost of the animals. Mice and rats are prey species and do not feel pain, so use of analgesics is unnecessary. The use of an animal in research, testing or teaching should be based entirely on the suitability of the animal for that project. A researcher is very concerned about reducing pain and/or distress in his research animals. Which one of the following will not accomplish this goal? a. b. c. d. e. Providing an enriched environment Establishing humane endpoints Using analgesics post-operatively Isolating animals from one another Using pilot studies for early detection of goals Module 04 - Occupational Health and Safety Occupational Health and Safety in Experimental Animal Facilities Purpose The purpose of this module is to present information on working safely with animals in the course of research, teaching or testing. Objectives Upon completion of the module, the reader will be able to: • • • • • • • • Understand the ways common laboratory animal species react, or defend themselves, if a procedure causes pain, or they perceive their safety to be threatened Describe the pertinent aspects of safe handling and performance of manipulations Describe the procedure for reporting animal related injuries Identify the proper waste disposal procedures in animal facilities Define zoonoses, and give examples of animal infections that can be transmitted to humans Outline the levels of biohazard control, and methods used to minimize biohazard risks Describe the sources of animal allergy Describe the procedures necessary to minimize exposure to animal allergens Index of topics: • • • • • • • Introduction Physical Hazards Associated With Experimental Animal Care and Use Safe Waste Disposal Practices in Animal Facilities Biological Hazards of Working with Experimental Animals - Zoonoses Biohazards as Part of Research Programs Laboratory Animal Allergy Chemical and Radiation Safety Introduction Working safely with experimental animals encompasses not only the people and the animals, but also the facilities, equipment, and the procedures we use. It also encompasses the community in which we each live. We must each practice safe working habits to ensure that any health risks in our working environments never "leak" into the community because of faulty procedures or carelessness. The principal investigator must assume responsibility for ensuring that personnel working on the project are aware of any risks to health and safety. Policies and programs required under provincial Occupational Health and Safety laws and regulations are implemented by each institution. Such institutional programs must support a safe working environment in animal facilities as well. Physical Hazards Associated With Experimental Animal Care and Use Avoiding Physical Injuries Many tasks in animal facilities require moderate to heavy physical labour, and performing these tasks may expose personnel to risks from moving heavy equipment (strains), slippery floors, electrical hazards when washing, noise, etc. Each person must exercise due caution when performing such tasks. Although the importance of understanding basic animal behaviour in the human/experimental animal interaction to avoid injuries can be emphasized here, it cannot replace the skills that are learned by working directly with the animals. Skilled animal care technical staff will already have the right attitudes and approaches towards animal handling and manipulations. They will also have the practical skills to do so safely and humanely. For others, some of the material presented here can serve as a useful introduction to handling animals safely in an experimental animal facility. To work safely with an experimental animal a person should: • • • • • • • • understand basic animal behaviour in relation to their interactions with people during handling appreciate the "flight zones" typical of a species understand how to communicate with the animal use appropriate restraint techniques use restraint equipment properly identify any animals that may be unpredictable wear appropriate protective clothing and equipment maintain appropriate vaccination status Basic Animal Behaviour Related to Handling and Manipulations The flight zone is an animal's "personal space". The size of the flight zone varies with the tameness of the animal, and other animal-related factors. Completely tame animals have little or no flight zone and a person can touch them. An animal will begin to move away when the person enters the edge of the flight zone. When the person is outside the flight zone, an animal (or group of animals in a herd) will turn and face the person while maintaining a safe distance. It is probably safe to say that when animals are in small cages or pens, all human "intrusions" are inside the animal's flight zone. Therefore, it is very important to condition the animals to regular handling to reduce the apprehension and stress imposed by human presence. When an animal is apprehensive (e.g., about being picked up), aggressive (e.g., about to attack), or defensive (e.g., protecting itself, or its young in the case of a mother), its posture and other behavioural signs can give clues about its state and possible intentions. In many mammalian species the "warning" posture includes lowered head, ears down or back, and in the smaller animals, mouth open in a snarl. By carefully observing the animal's behaviour while approaching it, injuries such as bites and scratches can be avoided. Communicating With the Animal Your voice, your touch, your smell, are all part of an animal's knowledge about you. To establish a two-way familiarity before a project starts, the people who will be handling or restraining the animals should talk to, touch, and regularly handle each animal. The conditioning period after transport to the laboratory (usually one or two weeks) is an excellent time to begin. Consistency in handling each animal is important. Most laboratory animals learn very quickly who their regular handlers or caretakers are, and accept the handling without undue stress. Using Appropriate Restraint Techniques Different species defend themselves in different ways. For example, a mouse, rat, hamster or dog may bite, a rabbit may struggle furiously and kick or sometimes bite to try and escape, a cat may scratch (with intent!) or bite; a cow or horse may kick. The approach to restraining the animal, including any equipment used for restraint, is to prevent the animal from taking such action while ensuring it is safely and humanely held. Although the correct approach to handling and restraint can be understood from printed and audio-visual materials, practice is essential. Appropriate handling and restraint methods have been developed for most laboratory animal species. Skills in the appropriate handling and restraint methods should be attained BEFORE the research project starts. The handling and restraint of non-human primates require special training, equipment and facilities. CCAC Guide, Volume 1, 2nd Ed. 1993. Chapter VIII Occupational Health and Safety. Use of Restraint Equipment For some procedures such as intravenous injection in a rabbit or blood sampling in a cow, restraint devices or equipment are useful adjuncts to the handling, and help ensure that the procedure can be done safely for both the animal and the person. Correct use of such restraint devices will help avoid unnecessary stress or injury to the animal during the procedure. Conditioning the animal to accept the restraint device is important to minimizing the risk of injury both to the animal and to the handler. Use of Chemical Restraint The safe handling of some species either in the laboratory, (e.g., some non-human primates) or in the field, may require the use of "chemical" restraint. Chemical restraint is the use of sedatives or anesthetics to control an animal's activity and thereby allow certain procedures to be done with minimal stress to the animal. Some of the drugs discussed in the analgesia and anesthesia sections of this course are useful for chemically restraining animals in circumstances where physical restraint represents a serious risk of harm to the animal or the handler, or is not feasible (e.g., many wild species). Wearing Appropriate Protective Clothing Protective clothing suitable for the handling to be done should be worn at all times; laboratory coats, coveralls, gloves, masks, boots (e.g., steel-toed for working with cattle), etc. As noted above, the handling of non-human primates is a special situation that requires special protective clothing. Identifying Problem Animals Any animal known to be difficult to handle should be so identified to all who might be working with it (e.g., weekend staff, veterinarian). As an old veterinarian once said, "I've never been bitten by a "biting" dog, but I've been bitten by lots of dogs that didn't bite". Immunization of Staff Tetanus Vaccination To minimize the risks associated with infections arising from any penetrating wounds such as animal bites or needle sticks, all persons working in laboratory animal facilities should maintain their tetanus vaccination status. Rabies Vaccination All persons at risk of exposure to rabies from any animals that may be infected, should consider vaccination for rabies. Any animals brought into experimental animal facilities that might have been exposed to rabies should be considered risks. Generally this refers to any domestic animals housed outdoors (including farm or fur animals), random source dogs and cats, and any wild animals. Institutions may require staff to have rabies vaccination as a condition of working with such species. Other Vaccinations Depending on the species handled (e.g., non-human primates) other immunizations may be recommended as part of a health and safety program. Appropriate records on the vaccination status of all employees should be maintained by the institution. Animal-Related Injuries, Management and Reporting Any animal-related injury that may be serious should be handled by the usual emergency medical care system. Apply the appropriate first aid, call an ambulance or get the injured person to a hospital emergency department. Any minor injuries or incidents (e.g., a laboratory mouse or rat bite) should be handled by the appropriate first aid, and documented. Institutions usually have a procedure for documenting all injuries, including minor ones, in case complications develop later. The mechanism may be as simple as filing an incident report form. Safe Waste Disposal Practices in Animal Facilities Work in animal facilities commonly involves use of sharp instruments. All sharp items (e.g., needles, scalpels, capillary tubes, etc.) must be handled safely, and placed in designated sharps containers for disposal as per institutional policy. Needles should never be recapped and re-used. Animal Waste Disposal All animals, animal wastes and related materials should be disposed of as per institutional policy. Institutions commonly have a protocol defining proper disposal of all animal carcasses or organs. For example, this might involve collection of all such materials for incineration or other safe disposal. Disposal of non-contaminated waste (dirty bedding, feed, etc.) may differ from institution to institution. Adherence to animal facility waste disposal policies will minimize the risks to the community. Biological Hazards of Working with Experimental Animals Zoonoses Definition: The CCAC Guide defines zoonosis as a disease of animals that may under natural conditions be transmitted to humans. What this really means is a disease that it is communicable between animals and humans. The list of potential zoonoses related to working with animals in research, teaching or testing is quite long, and numerous books have been written on the subject. (See Appendix VII Zoonoses of Volume 1 of the CCAC Guide to the Care and Use of Experimental Animals) However, in reality the risks are very low when dealing with the common small laboratory animal species in the laboratory. There are several reasons for this low risk. Firstly, commercial suppliers of laboratory animals have done an excellent job of producing disease-free animals. As well, institutions generally have developed good occupational health and safety programs that include active veterinary monitoring and care programs. The risk of exposure to zoonotic diseases is greater for those who work with experimental animals from random sources (including cats, dogs and most livestock), and for field researchers studying wild animals in their habitat. Working with non-human primates in the laboratory is a special case because of the many zoonotic concerns. A few of the most common zoonoses in each of these areas of animal research will be presented as examples. For more information on zoonoses, and for more information about specific disease organisms, the Material Safety Data Sheets (MSDS) for individual organisms published by Health Canada Office of Laboratory Security can be consulted. Routes of Exposure Common routes of exposure to infectious organisms are: • • • • aerosol (inhaling the organisms) ingestion (swallowing the organisms) absorption through the skin, through mucus membranes or skin wounds injection (accidental, in research) The use of appropriate equipment, including personal protective equipment appropriate to the route of exposure for a particular infectious organism, and appropriate practices, will minimize the risk of exposure. Zoonoses Associated with Commercially Produced Laboratory Animal Species As noted above, the risk of exposure to a zoonosis while working with common small laboratory animals that are commercially reared is very small. One example is presented here: Rat bite fever. Rat Bite Fever • • • • • • • Organism name, and synonyms: Streptobacillus moniliformis, a Gram-negative bacteria. Synonyms: Rat-bite fever, Haverhill fever. Reservoir: Rats. Commensal in the mouth and pharynx. Mode of Transmission: Animal bite, direct contact with secretions of the mouth, nose, eye of an infected animal. Incubation Period: 3-10 days. Clinical Disease: Initial bite wound usually heals. Sudden onset of fever, chills, vomiting, headache and joint pains, rash. Epidemiology: Uncommon in North America. Communicability: Not directly transmitted from person to person. Zoonoses Associated with Random Source Laboratory Animal Species Ringworm Ringworm is a fungal infection of the skin that can occur in a wide range of animals including humans. • • • • • • • Rabies Organism names, and synonym: Microsporum spp., Trichophyton spp., fungal organisms. Synonyms: Ringworm, dermatomycosis, tinea. Reservoir: Most domestic and wild animals, and humans. May be latent in hair of some species. Mode of Transmission: Direct or indirect contact with skin lesions or infected hair, or fomites (brushes, clippers, etc.). Incubation Period: 4-10 days. Clinical Disease: The fungi infect keratinized areas of the body - hair, skin and nails. Signs include round lesion of scaling skin, hair loss or breakage, sometimes reddened and crusting of infected skin. Communicability: Communicable from person to person when infective lesions are present. Diagnosis and Prevention: Monitoring for typical signs, confirmed by skin scrapings and culture. Many treatments are available. Rabies can infect any mammal, including humans. Purpose-bred laboratory animals are not a likely source of rabies. However wild animals, animals obtained from random sources, or livestock, may carry rabies. Many institutions have rabies vaccination policies for at-risk personnel. • • • • • • • • • Organism name, and synonym: Rabies - a rhabdovirus, Rabies, Hydrophobia. Reservoir: Wild and domestic animals (e.g., dogs, cats, foxes, coyotes, skunks, racoons) and bats. Livestock and rodents may be secondary hosts if infected by a biting animal. Mode of Transmission: Most commonly by a bite which introduces the virus from the saliva of a rabid animal. May be airborne in caves inhabited by infected bats. Incubation Period: Usually a few weeks, but may be up to a year or longer. The virus propagates in nerves. Thus the site of the wound (distance from the brain), presence of nerves at the wound, etc., influence the incubation period. Clinical Disease: Once clinical signs appear, the clinical course is short - usually less than 10 days with death due to respiratory paralysis. Signs include apprehension, behavioural changes, spasms of swallowing muscles, delirium, weakness progressing to paralysis. Epidemiology: Worldwide distribution with some rabies free areas. All mammals susceptible. Communicability: Infected animals shed virus for a few days before clinical signs appear. From then until the death of the animal, it is infectious. Diagnosis and Prevention: Pre-exposure immunization of all individuals at high risk (those who will handle animals, including laboratory workers, veterinarians and other animal handlers) should be used. The human diploid cell vaccine (HDCV) is currently used. Post-exposure treatment includes immediate first aid by generously flushing the wound and washing with soap and/or antiseptics, and providing post-exposure treatments as directed by the physician (e.g. rabies immune globulin, and vaccination). Zoonoses Associated with Farm Animal Species Q Fever Q Fever may be contracted from working with sheep or goats, particularly ewes during lambing. The placenta and fetal fluids contain high levels of the organism in infected ewes. • Organism name, and synonyms: Coxiella burnetii, an intracellular bacteria. Synonyms: Q Fever, Query fever, Rickettsia • • • • • • • Reservoir: Most common in sheep, cattle, goats. Infected domestic animals usually asymptomatic but shed massive numbers of organisms at parturition, in the placenta and placental fluids. Mode of Transmission: Direct contact with infected animals and their birth fluids; inhalation of organisms in dust from contaminated premises; wool from sheep. Incubation Period: Usually 2-3 weeks. Clinical Disease: Sudden onset fever, chills, headache, weakness, malaise, severe sweats; pneumonia, usually self-limiting. Chronic infection mainly involves endocarditis. Up to half of infections are asymptomatic. Epidemiology: Worldwide distribution. Occurs in laboratories using sheep for research; cases in research staff, exposed hospital patients. Communicability: Direct transmission from person to person very rare. Prevention: Use of appropriate protective clothing including masks. Serologic monitoring of ewes of limited value. Appropriate sanitation procedures. Vaccination available. Zoonoses Associated with the Non-human Primates As noted earlier, non-human primates are a potential source of many zoonotic diseases, and special facilities, equipment and procedures are required to work with them safely. The zoonosis discussed here - Herpes B infection - is the one that most people will have heard about. Herpes B virus Infection Herpesvirus simiae (B virus) causes a fatal ascending encephalitis in humans infected from old world non-human primates. The disease in the host non-human primates is usually mild or asymptomatic. Rhesus monkey infected with Herpesvirus simiae. Note the ulcers in the inner mucosal surface of the lower lip. • • Organism name and Synonym: Herpesvirus simiae, a DNA herpesvirus. Synonyms: B virus, Monkey B virus, Simian B disease. Reservoir: Common in old world monkey of the macaque group (most common in rhesus and cynomolgus macaques), both wild and captive colonies. • • • • • • Mode of Transmission: Latent infection in macaques with periodic episodes of oral lesions and shedding of virus in saliva. Transmission after a bite or direct or indirect contact with infected saliva or tissues. Laboratory infections from infected tissues can occur. Aerosol exposure minimal. Incubation Period: 3 days to a month. Clinical Disease: Acute, usually fatal, ascending encephalomyelitis; fever with headache, lesions at site of exposure. Death in 1 day - 3 weeks after onset of symptoms in over 70% of cases. Epidemiology: Occurs in veterinarians, laboratory workers and others handling old world monkeys or tissue cultures derived from these species. Communicability: Transmission from person to person rare. Prevention: Appropriate use of protective laboratory clothing (long sleeved lab coats, face shields or surgical masks and goggles or glasses), proper methods of restraint. Zoonoses Associated with Wild Animals and Field Studies Hantavirus Infection Deer mouse - Peromyscus sp. The main rodent reservoir for Hantavirus infection in humans. • • • • • • • • Organism name, and synonym: Hantavirus, an RNA virus in the Bunyavirus family. Synonyms: hantavirus, hantavirus pulmonary syndrome (HPS), Sin Nombre Virus (SNV) in North America. Reservoir: Wild rodents such as Peromyscus (deer mouse) and Microtus species in the Americas. Mode of Transmission: Inhalation of the virus in the dust from areas where infected rodent excreta (urine and feces) are present is the most common route. Rodent bites may transmit the disease. Incubation Period: Average two to four weeks but may be shorter or longer. Clinical Disease: Hantavirus Pulmonary Syndrome (HPS) is characterized by a sudden onset fever, pain, vomiting, and onset of respiratory distress and prostration. Mortality rates are high despite symptomatic treatment. Epidemiology: Occurs throughout much of North America including the western provinces. Communicability: Not thought to be communicable between persons. Diagnosis and Prevention: Use of personal protective equipment to avoid inhaling the dust particles with virus, and other direct contact in high risk areas should be used. Field biologists and persons working in previously "contaminated" buildings are at risk. Guidelines for protection against infection and for decontaminating facilities are available at this web site. Exposure Control Plans Any circumstances that present particular risks of zoonotic infections should be identified before the risks are encountered. This includes immune compromised states (e.g., HIV infection, anti-rejections drugs or steroids, pregnancy, etc.). Provincial Occupational Health and Safety regulations commonly define a requirement to develop a written "exposure control plan" for workers required to handle, use or produce an infectious material or organism or likely to be exposed. Responsibility for this rests with the employer. Such a written plan includes: identifying workers at risk, routes of infection, signs and symptoms of disease, vaccination, engineering controls, personal protective equipment, personnel training, safe work practices and procedures, dealing with accidents, and investigating accidents. Biohazards as Part of Research Programs When experiments are planned that will involve biohazardous agents, both the institutional occupational health and safety office, and Health Canada, Office of Laboratory Security Laboratory Biosafety Guidelines must be consulted. Material Safety Data Sheets (MSDS) are available for the individual organisms in the risk groups. Biosafety Guidelines and Levels of Containment Please note: the information provided here will give the reader a general understanding of the levels of biohazard control required to work with biohazardous agents safely in animal facilities. It is not intended to be definitive or complete. Quote from the Health Canada Laboratory Biosafety Guidelines, "The attitudes and actions of those who work in the laboratory determine their own safety, and that of their colleagues and of the community. Laboratory equipment and design can contribute to safety only if they are used properly by people who are genuinely concerned and knowledgeable about safety issues." Biohazards are rated at four levels with a risk group associated with each level. Containment levels refer to the physical requirements and risk groups refer to the pathogenicity of the organisms. Biosafety Level 1 is required to manage the lowest risk and Biosafety Level 4 is required to manage the highest risk to human or animal health. Biosafety Level 1 Risk Group 1 infectious agents are biological agents that are unlikely to cause disease in healthy workers or animals (low individual and community risk). Facilities required to contain risk group 1 organisms - Containment Level 1: No special facilities, equipment or procedures are required. Standard well-designed experimental animal and laboratory facilities and basic safe laboratory practices suffice. Hand-washing facilities must be provided. Disinfectants must be properly used. Biosafety Level 2 Risk Group 2 infectious agents are pathogens that can cause human or animal disease but, under normal circumstances, are unlikely to be a serious hazard to laboratory workers, the community, livestock, or the environment (moderate individual risk, limited community risk). Laboratory exposures rarely cause infection leading to serious disease; effective treatment and preventive measures are available and the risk of spread is limited. Risk Group 2 infectious agents include, for example: E. coli; many salmonella; some fungi like ringworm; California encephalitis viruses; human herpes simplex viruses; many influenza viruses; Transmissible Gastro-enteritis of swine; Mouse Hepatitis Virus; and a few parasites. Facilities, equipment, and procedures required to contain risk group 2 organisms at Level 2: Laboratory separated from other activities, biohazard sign, room surfaces impervious and readily cleanable. Equipment should include an autoclave, certified HEPA filtered class I or II biological safety cabinet for organism manipulations, and personal protective equipment to include laboratory coats worn only in the laboratory, gloves worn when handling infected animals. All contaminated material to be properly decontaminated. Biosafety Level 3 Risk Group 3 infectious agents are pathogens that usually cause serious human or animal disease, or which can result in serious economic consequences, but do not ordinarily spread by casual contact from one individual to another (high individual risk, low community risk), or that can be treated by antimicrobial or antiparasitic agents. Risk Group 3 pathogens include bacteria such as anthrax, Q Fever, tuberculosis, and viruses such as hanta viruses, Human immunodeficiency viruses (HIV - all isolates), eastern and western equine encephalitis viruses. Facilities, equipment and procedures required to contain risk group 3 organisms include: Specialized design and construction of laboratories, with controlled access double door entry and body shower. All wall penetrations must be sealed. Ventilation system design must ensure that air pressure is negative to surrounding areas at all times, with no recirculation of air; air exhausted through a dedicated exhaust or HEPA filtration system. Minimum furnishings, all readily cleanable and sterilizable (fumigation). Laboratory windows sealed and unbreakable. Backup power available. Equipment must include an autoclave, certified HEPA filtered class II biological safety cabinet for organism manipulations, and a dedicated handwashing sink with foot, knee or automatic controls, located near the exit. Personal protective equipment should include solid front laboratory clothing worn only in the laboratory, head covers and dedicated footwear, gloves worn when handling infected animals and appropriate respiratory protection, depending on the infectious agents in use. Exit procedures should include showers, depending on infectious agents used and manipulations involved. All animal wastes to be disposed of as contaminated laboratory materials. All activities involving infectious materials to be conducted in biological safety cabinets or other appropriate combinations of personal protective and physical containment devices. Laboratory staff must be fully trained in the handling of pathogenic and other hazardous material, in the use of safety equipment, disposal techniques, handling of contaminated waste, and emergency response. Standard Operating Procedures must be provided and posted within the laboratory outlining operational protocols, waste disposal, disinfection procedures and emergency response. The facility must have a medical surveillance program appropriate to the agents used, which includes serum storage for all personnel working in the containment laboratory and an accident report system. Biosafety Level 4 Risk Group 4 infectious agents are pathogens that usually produce very serious human or animal disease, often untreatable, and may be readily transmitted from one individual to another, or from animal to human or vice-versa directly or indirectly, or by casual contact (high individual risk, high community risk). Risk Group 4 infectious agents are all viruses, such as, Ebola viruses, Herpes B virus (Monkey virus), Foot and Mouth Disease. Containment Level 4 is the highest level of containment and represents an isolated unit that is completely self-contained to function independently. Facilities are highly specialized, secure with an air lock for entry and exit, Class III biological safety cabinets or positive pressure ventilated suits, and a separate ventilation system with full controls to contain contamination. Only fully trained and authorised personnel may enter the Level 4 containment laboratory. On exit from the area, personnel will shower and re-dress in street clothing. All manipulations with agents must be performed in Class III biological safety cabinets or in conjunction with one-piece, positivepressure-ventilated suits. The following table summarizes the biosafety levels. Biosafety Level Infectious Agents 1 2 unlikely to cause can cause human disease in healthy or animal disease workers or animals but unlikely to be a serious hazard low individual and community risk 3 4 cause serious human or animal disease but not ordinarily spread by casual contact cause very serious human or animal disease, often untreatable and transmitted high individual risk, low community risk high individual risk, high community risk E. coli, California encephalitis viruses, many influenza viruses Anthrax, Q Fever, tuberculosis, Hantaviruses, Human immunodeficiency viruses Ebola viruses, Herpes B virus (Monkey virus), Foot and Mouth Disease Level 1 Level 2 moderate individual risk, limited community risk effective treatments available Examples of infectious agents in this risk level Facilities standard welldesigned experimental animal and laboratory facilities plus:Separate laboratory, room surfaces impervious and readily cleaned, biohazard sign specialized, secure, completely self-contained unit plus:Controlled access double door with specialized ventilation, fully entry and body monitored; air lock shower, air entry and exit, pressure must be negative at all times, no recirculation, HEPA filtration, backup power Safety Equipment Procedures handwashing facilities, laboratory coats Level 1 plus: Level 2 plus: autoclave, HEPA filtered class I or II biological safety cabinet, personal protective equipment Autoclave, HEPA filtered class II biological safety cabinet, personal protective equipment to include solid front laboratory clothing, head covers, dedicated footwear, and gloves, appropriate respiratory protection basic safe laboratory practices use of personal protective equipment laboratory coat worn only in the laboratory, gloves, decontamination Staff fully trained, written protocols; showers, wastes disposed of as contaminated, use of biological safety cabinets, personal protective devices Class III biological safety cabinets, positive pressure ventilated suits access only to certified staff, rigorous sterilization / decontamination procedures Allergies to Laboratory Animals Laboratory animal allergy (LAA) may be the most prevalent occupational hazard facing people working in experimental animal facilities. Surveys have revealed that up to 44% of people working with laboratory animals develop allergies to one or more species, and they usually become allergic within 3 years of first exposure (range; 1 month to 9 years). Allergic reactions can be classified according to the site of the reaction: upper respiratory; lower respiratory; skin; generalized, anaphylactic. In any individual, several symptoms may occur. The upper respiratory symptoms are the most common - up to 80% of affected people experience symptoms such as itchy, runny nose and eyes, and sneezing. About 20-30% of affected people experience lower respiratory symptoms, some progressing to occupational asthma. There is shortness of breath due to bronchoconstriction and airway mucus production. Asthma may become life-threatening if not treated. About 40% of laboratory animal allergic people experience skin reactions upon contact with the animal or the allergens. Much more rare, fortunately, is the acute generalized reaction (anaphylaxis) requiring emergency treatment. There are only a few documented cases of anaphylactic reactions to laboratory animal bites (e.g., rat bites). Almost all species of common laboratory animals can trigger an allergic reaction. Allergies to the rat, rabbit, mouse, guinea pig, cat and dog are the most common. The animal allergens are mostly small molecular weight proteins such as albumen. These proteins occur in the serum and tissues, but also in the saliva, urine and skin dander. When animals groom themselves, the salivary proteins also end up on the skin, and on the dander particles that flake off and become aerosolised. Risk Factors for Becoming Allergic to Laboratory Animals The risk factors for becoming allergic to laboratory animal allergens include atopy, smoking, gender and intensity of exposure. There is a correlation between atopy (an inherited, familial tendency to develop some form of allergy such as hay fever, asthma, eczema) and the potential for developing LAA, and a stronger positive correlation between atopy and development of lower respiratory symptoms (asthma). Preemployment health screening may be useful to identify atopic individuals. Smoking reportedly does not increase the risk of developing LAA, but if a smoker does develop LAA, they are 1.5-3 times as likely to get the lower respiratory symptoms (asthma). Males are more likely to be atopic than females (47% vs 37%) and so more likely to develop LAA. There is a strong correlation between the intensity of exposure to the allergen, and the severity of symptoms. However, any allergen exposure, even very low levels, will trigger symptoms in allergic individuals. Factors Affecting Animal Allergen Levels in Laboratory Animal Rooms Ventilation and Relative Humidity Directional room ventilation, negative flow laminar ventilated cage racks, or ventilated racks assist in reducing particles in room air. Low relative humidity results in higher dust and allergen levels. A relative humidity of 50-65% significantly reduces the quantity of allergen being aerosolized. Type of Bedding Studies have shown that sawdust/wood chip bedding results in higher levels of aerosolised allergen in rodent rooms than corncob bedding. Use of processed paper products and absorbent pads result in lower levels of aerosolised allergens. Cleaning and Sanitation Practices A high level of cleanliness results in reduced levels of allergens circulating in laboratory animal rooms. Animal Room Tasks Associated with Exposure to Allergens All commonly performed animal room tasks result in significant exposure to airborne allergens and dust. Cage cleaning (and waste dumping), animal care procedures (feeding, watering, etc.), animal manipulations (e.g., handling, injections), and general room cleaning all result in significant levels of airborne allergens. Reducing Exposure to Allergens There are several approaches to reducing exposure to laboratory animal allergens. Housing rodents in filtered cages and ventilated cage racks, use of ventilated waste dumping stations and laminar flow hoods for animal manipulations, will all help minimize exposure to laboratory animal allergens. Maintaining a high level of cleanliness, and using a bedding type that minimizes aerosol dust particles will also help minimize exposure to laboratory animal allergens. The appropriate use of personal protective equipment such as good quality particulate masks and gloves can significantly reduce exposure to animal allergens. Such equipment should be provided for all staff required to work in high exposure areas. As well, good personal hygiene (regular hand washing, showering, etc.) should be practised. Institutional Responsibilities There are several institutional responsibilities to minimize the impact of laboratory animal allergies. These include education programs for staff, health monitoring of at risk persons, improved engineering standards for ventilation and relative humidity, and provision of appropriate personal protective gear. Education programs that cover topics such as symptoms, risks, defining risk zones and tasks, proper use of personal protective equipment, and health counselling for affected and at-risk staff, are very important. Allergies to animals are nothing to sneeze at. Chemical Safety Experimental animal facilities routinely contain various chemicals such as detergents, disinfectants, anesthetics, tissue preservatives (e.g., formalin). Most staff will be familiar with safe work practices for use of these chemicals. A laboratory animal facility should be following the Canadian Workplace Hazardous Materials Information System (WHMIS), which consists of labelling chemicals, provision of material safety data sheets (MSDSs) and employee education programs. A detailed discussion of all the chemicals used in experimental animal facilities, their hazards and safe use is beyond the scope of this module. Radiation Safety Institutions will already have a program in place to ensure work with ionizing radiation, including isotopes injected into animals as part of their research use, is done safely. Training and licensing of users and facilities are mandated. A detailed discussion of the use of radiation in experimental animal facilities, their hazards and safe use is beyond the scope of this module. Remember: YOU are the primary person responsible for working safely in your laboratory animal facility! Reference Material Canadian Council on Animal Care. Guide to the Care and use of Experimental Animals, Volume 1, 2nd Ed. 1993. Chapter VIII Occupational Health and Safety. National Research Council. 1997. Occupational Health and Safety in the Care and Use of Research Animals. ILAR, CLS, NRC. National Academy Press, Washington, DC 154p. Available for reading online at this web site. Sample Questions Which one of the following best describes the flight zone of an animal? a. b. c. d. e. The The The The The distance an animal will run from an unfamiliar person. furthest distance an animal will stray from its den or burrow. area around an animal that it keeps free from predators or people. distance an animal will run when startled. distance a bird will fly when it perceives danger Up to date vaccination against tetanus is important in which one of the following situations? a. b. c. d. e. When When When When When using needles or scalpels. performing behavioural studies with fish. working with tissue culture specimens. examining specimens from human origin. performing field work with rodents Level 3 biocontainment is required for studying pathogens with which one of the following characteristics? a. b. Infect only people Are spread only by direct contact Module 05 - Research Issues On the Importance of Planned Routines in Animal Care and Use Practices in Research Topics • • • • • The use of animal models and the selection of an animal model for biomedical research Identifying the many variables that influence the way the selected animal model will respond in an experiment The importance of controlling all the non-experimental variables, including the many protocol variables, and of monitoring and recording the variables Examples of how people involved with a research project - the animal care staff, facility managers, research technicians, investigators - can affect the way the selected animal model responds in an experiment An outline of the importance of ensuring that each team member fulfils his/her responsibilities for controlling the variables that may alter the animal model's response. Learning Objectives Upon completion of the module, the team members should be able to: • • • • • Identify the various aspects of an animal model that are part of its "definition" List the variables - the non-experimental factors - that can influence the animal model's response Recognise the importance of accounting for all the variables in the experimental design, and controlling those variables (the non-experimental factors) For principal investigators and graduate students: develop a checklist of the variables that can affect their research program Describe and accept responsibility for their role in ensuring the successful conduct of the experiment Module Format For the purposes of this module, imagine a group of experimental animals as the stars of a show being recorded for public presentation (the publication). All the work by the crew, behind the scenes, is aimed at making sure that the show goes on without a hitch the FIRST TIME it is staged. There are to be no re-takes. This is consistent with the ethical principles contained in the "Three Rs" of humane animal experimentation: Reduction; Refinement; Replacement. Following the identification of many of the variables that can affect how an animal responds in a research program, the roles various members of the "crew" have in making sure all the factors that can influence the model's performance are accounted for and controlled, will be presented. Then the "show" can go on without a hitch. The responsibilities of the various members of the biomedical research team in controlling both the non-experimental and protocol variables are listed here in introduction: Responsibilities of the Principal Investigator • Consider all pertinent non-experimental variables • • • • • • Outline need for controlling pertinent variables to all team members Ensure that all experimental variables are controlled or conducted using Standard Operating Procedures (SOP) Ensure monitoring and recording of controls on variables (through SOP) Ensure animal health quality is being checked before purchase Ensure health monitoring is being carried out according to facility rules Observe all facility SOP established to limit disease introduction Responsibilities of the Graduate Students, Post-doctoral Students and Research Technical Staff • • • • Monitor and record controls on all variables Conduct all experimental procedures according to Standard Operating Procedures (SOPs) Employ skilled animal handling and manipulation techniques Observe all facility Standard Operating Procedures established to limit disease introduction Responsibilities of the Facility Manager • • • • • • Understand demands for controls on non-experimental variables for all research underway Ensure consistent facility environmental operations Ensure high level of animal care training and expertise Ensure animal health quality before purchase Ensure health monitoring is done according to facility rules Implement Standard Operating Procedures for all animal facility operations Responsibilities of the Animal Care Facility Staff • • Conduct all daily animal facility routines in a consistent manner, according to Standard Operating Procedures Conduct all animal care handling and manipulations in a consistent, gentle, humane way Responsibilities of the Laboratory Animal Veterinary Staff • • To advise on and ensure health status of all animals To effect procedures that will maintain animal health quality The following questions should provide an indication of the scope of this module. The student should consider the questions before clicking the link to the commentary. Rats should be housed in small groups: (a) to reduce the number of cages and minimise per diem charges (b) to ensure feed is not wasted (c) to allow grooming by other rats in the cage (d) to provide companionship for a highly social animal (e) to minimise the stress each animal is experiencing Relative humidity (RH) in an experimental animal room should be maintained in the range of 40-70% RH because: (a) this is the most comfortable level for the animals (b) micro-organisms have the lowest survivability in the air at that level of humidity (c) air borne allergens are lower at this level than when it is drier in the room (d) it prevents condensation on metal doors, feeders and other equipment Animal Models in Biomedical Research Although the term "animal model" is commonly used, a definition may help clarify the context of the term. The American National Research Council Committee on Animal Models for Research and Aging drafted the following definition: "An animal model for biomedical research is one in which normative biology or behaviour can be studied, or in which a spontaneous or induced pathological process can be investigated, and in which the phenomenon in one or more respects resembles the same phenomenon in humans or other species of animals." Animal models used in biomedical research, particularly those used in the study of diseases and other conditions in humans, can be grouped as follows: Spontaneous models - often called "natural" models. These include naturally occurring animal diseases or conditions that correspond to the same diseases or conditions in humans. Diabetes, hypertension, arthritis, immune deficiencies are just a few examples. Many hundreds of animal strains/stocks with inherited conditions have been characterized and conserved. The Jackson Laboratory holds one of the largest repository of these valuable animal models in mice ( http://www.jax.org/). Experimental models. Experimental models are models in which a condition or disease is experimentally reproduced by the scientist. Examples include producing diabetes using the chemical streptozotocin to damage the insulin producing cells in the pancreas; using a chemical carcinogen to produce a certain type of cancer; producing a stroke model through surgery. Genetically modified models are a special group of induced animal models, involving manipulation of the animal's genetic code to produce the condition that the scientist wants to study. Genetically modified animals may carry inserted foreign DNA in their genome, or have genes replaced or removed ("knock-out" models). These models can help scientists study the genetic basis of disease, susceptibility and resistance, etc. Negative models. Some animals are resistant to a particular condition or disease. Examining why this is the case may provide answers to questions about disease resistance and its physiological basis. Orphan models. Orphan models are conditions appearing naturally in an animal, for which there is no known human counterpart. Historically scrapie in sheep was such a model, but now is useful as a model for the human spongiform encephalopathies that are of so much concern (eg., BSE, "mad cow disease" and CWD, chronic Wasting Disease in deer). Choosing the Appropriate Animal Model Before an animal model is chosen the principal investigator must consider alternatives to the use of live animals in his/her experiment. In line with the CCAC Guidelines on Animal Use Protocol Review, protocol forms should include a declaration that the principal investigator has considered all nonanimal alternatives before making the decision to use animals in his/her research. The most obvious choice of animal species and model for a specific research program may be the same model used by other researchers for the same research. However, with ever increasing numbers of animal models available including new spontaneous mutations, and genetically modified animals constantly being developed, the investigator must consider all factors when selecting the best model for his/her research. Some of the factors that will influence which animal model the investigator selects are: • • • • • • • • • • • • • • Appropriateness of the model or organ system for the proposed study Genetic aspects of the model Natural vs. experimentally produced models. Both natural models and induced models of disease are useful depending on the objectives of the study. Responses of the animal to procedures Environmental aspects important to that particular animal model Background information available on the animal and specific model Species availability Numbers needed, according to statistically appropriate design Age and sex needed Life span of the animal model Size of the animal model Cost of both the animal model, and its ongoing care Facilities required to house the chosen model appropriately Husbandry expertise. Some models require not only special housing, but also special care. Among these factors are scientific considerations as well as purely practical ones. All are important to the success of the research program. Once the most appropriate animal model for the research program has been chosen (whether it is a specific mouse strain that will require specialised care and housing, or a conventional farm animal such as a pig), the research scientist should review the many influences (the non-experimental factors) that might potentially affect the outcome of the study. Those factors should be identified and accounted for at all stages to ensure they do not increase the variability or adversely affect the outcome of the experiment. The many non-experimental factors that can influence the response of the animal model in an experiment can be grouped as follows: • • • • Animal factors Physical / environmental factors Husbandry, animal care, and handling factors Research manipulation factors Each group of factors will be discussed in this module, along with suitable examples to emphasise their importance. Suggested project for research scientists, graduate students and post-doctoral students upon completion of the material in this module: Develop a master list of non-experimental variables that could influence your research. Use this list to review the controls placed on each experiment. Establish a log book to record/document all the pertinent non-experimental variables. Animal-Related Factors that Influence the Response of the Animal Model in an Experiment There are many animal-related factors that influence the response of the animal model in an experiment, and thus must be accounted for in the preparation and design of the study. Some of these are listed here: • • • • • • • • • Genetic make-up Inbred vs. outbred vs. mutants vs. genetically modified Age, sex, reproductive status Microbial flora Biological rhythms Presence of stress/distress Diseases Overt disease Latent (subclinical or silent) infections • Genotype-related conditions A number of animal factors are pre-selected by the investigator: the age, sex and reproductive state of the animal, and its metabolic state (e.g., young and rapidly growing, adult, aged). The health status must also be considered when selecting the source of the animals. Of the many factors that can cause unknown or undesirable complications to the response of the selected animal model, disease states are very significant. Disease organisms, overt or latent (subclinical or silent), can significantly interfere with valid experimental results. Three examples are presented here: Example 1: Infection causing disease Example 2: "Ordinary" bacteria causing disease in immune deficient models Example 3: Silent infection affecting research results Example 1: Infection causing disease SDAV (sialodacryoadenitis virus) infection in rats is a highly infectious disease with a short clinical course that is usually non-fatal. Most rats recover quickly with subsequent immunity to re-infection. Rat with SDVA Interference with research: SDAV infection alters several factors of the immune system and thereby may interfere with research. There is inhibition of phagocytosis, reduced interleukin-1 production by pulmonary macrophages, and depletion of epidermal growth factor. Because of the site of the infection, it could also complicate studies involving the eye, salivary glands, lacrimal glands and respiratory tract. Example 2: Ordinary bacteria causing disease in immune deficient models Immune deficient or immune compromised models (e.g., nude or severe combined immunodeficiency (SCID) mice) are very susceptible to ordinarily non-pathogenic organisms such as Pasteurella spp. or Staphylococcus spp. Special caging and care procedures are vital to minimizing such infections. Nude mice Inadvertent infections in these special models can not only cause serious disease, but they will also interfere with the animal's immune response during research. Example 3: Silent infection affecting research results Mouse parvovirus (MPV) is a clinically silent infection. In mice with normal immune systems the infection lasts up to 6 months, while in immunodeficient or immunosuppressed mice, infection and shedding of the virus may be lifelong. The virus requires rapidly dividing cells to replicate, and grows in gut mucosa with shedding of the virus in feces of infected mice. MPV persistently infects the lymphoid tissue, particularly the T cells and causes changes in immune system responses, either stimulating or suppressing depending on the studies being done. Infected T cells may not grow properly when cultured in vitro. Parvoviruses may also interfere with cancer research; T cells from infected mice may have diminished cytolytic capacity. From these three examples, it should be obvious that infections, even subclinical infections causing no overt disease signs, can significantly affect the results obtained in a study. The efforts of many people, at many levels, to eliminate such infections from the laboratory animal models, have contributed significantly to minimising this unwanted variable in biomedical research that uses animal models. Avoiding Infectious Disease in Laboratory Animals VAF (Virus Antibody Free - free of specific viruses) status of rodents was developed to avoid research complications caused by infections. Actions that managers of laboratory animal facilities and researchers themselves can take to limit risk of infections ruining research include: ensuring the health quality of animals before purchase; conducting health monitoring according to facility rules; observing all facility SOPs established to limit disease introduction. Investigators must share the responsibility of ensuring the disease free status of their animal models. Knowing the health status of the animals and documenting it, are a very important part of the records that must be kept by the principal investigator, as part of defining the animal model in the publications arising from the research. Physical and Environmental Factors Room Temperature Small laboratory animals respond to temperature variations by changes in behaviour (e.g., shivering, huddling) and metabolic rate (including increased food consumption if they require more body heat production). These changes could affect several metabolic processes including drug metabolism. Daily animal room temperature fluctuations should therefore be limited (by good heating/ventilation design) to +/- 2oC. Daily temperature fluctuations should be monitored and recorded. For some studies it may be necessary to measure cage (microclimate) parameters, and not just room environment. Relative Humidity Animal room relative humidity should be maintained at 55%+/-15%. This is important for several reasons: for the welfare/comfort of the animals (and the staff); for minimising disease spread by reducing the viability of airborne microbes; for allergen reduction. Prolonged relative humidity (RH) of less than 40% can cause ringtail in young, unweaned rats, and result in respiratory irritation. Ringtail in a young rat. Ventilation Recommended air exchange rates in animal rooms are 15-20 air changes per hour. Such high rates, compared to human office or laboratory spaces, are necessary to remove animal generated heat, ammonia, carbon dioxide, and airborne particles (dust and allergens). Static microisolator cages may contain high levels of ammonia and carbon dioxide despite good ventilation rates in the room itself. Air pressure gradients from animal rooms to corridors, or between zones in an animal facility are also important for containment of micro-organisms. Within a laboratory animal holding room there can be significant variations in ventilation, and levels of ammonia and CO2, as well as air flow. Randomising the location of animals in different treatment groups in a rack or in the room may help to avoid bias in the results due to these factors Lighting The lighting cycle for the animals has several aspects; the day/night cycle, the intensity of the lights, and the wavelength. Timer control of day/night cycle is necessary to maintain a consistent diurnal rhythm in the animal's metabolic state. The intensity and wavelength are also important to animals. Albino rodents in particular experience retinal damage when room light intensities are above 300 Lux. The sudden onset of lights in the morning affects some hormone levels - effects that may last for several hours. The use of dusk/dawn lighting systems, which gradually change light intensity between dark and light phases is encouraged. For studies where the light levels might influence the research results, randomising the location of animals in different treatment groups on a holding rack may be useful in avoiding a light-induced bias in the results obtained. Light "Pollution" Can Alter Tumour Growth Rates In a study reported by Dauchy, et al., in the journal Laboratory Animal Science (1997), light contamination during the dark phase significantly altered the growth of a tumour (Morris hepatoma) in rats and changed some metabolic factors. In this experiment, the light "pollution" was a very low light level from a light in a hallway shining through a window into the animal room. This study reinforces the need to examine all factors that might cause variability, including the actual levels of light in the animal room, to ensure that the results obtained are meaningful. Effects of diurnal, light-contaminated dark phase, and constant light on estimated tumor growth and carcass weights in Buffalo rats bearing hepatoma 7288CTC. Daucy, et al., 1997. Noise The impact of noise on the behaviour or responses of laboratory animals in biomedical research has received too little study. The fact that loud "buzzer" noises may induce seizures in young rodents (this has been used to create a model of audiogenic seizures) is well known. Both intensity and sound frequency are important. Rodents and some other animals are particularly sensitive to ultrasonic frequencies, ones that we may not even be aware of since they are beyond the range of the human ear. Low frequency and other noises, for example from nearby construction, may also disturb the animals. Feeds and Water Unless otherwise specified by the investigator, SOPs in most animal facilities include provision of regular (perhaps certified) feeds. Water is usually municipal water with perhaps some treatment in the animal facility. If special dietary or water requirements are needed for the research project, the researcher must inform the animal facility management and laboratory animal technical staff. Laboratory Animal Bedding Unless otherwise specified by the investigator, SOPs in most animal facilities include provision of regular bedding materials for that facility. Any special bedding requirements have to be specified by the principal investigator. The phenomenon of resins in softwood bedding (e.g., cedar shavings) activating some of the hepatic enzyme systems (P450 enzymes) is well known. This may complicate results if the experimental outcome is related to hepatic enzyme activity. Animal Care and Handling Factors Animal Stress Stress from many different sources can affect the animal's physiology, biochemistry and behaviour. Sources of stress in the handling and care of the animals include transportation, and the handling and manipulations done by animal care and research staff, and of course the procedures done as part of the research itself. Transportation Stress Laboratory animals are rarely used in the same location where they are raised, so usually they are transported to the facility where the research will be done. A number of studies have shown that animals experience varying degrees of stress as a result of the transport, and that it takes some time upon arrival at the research facility to return to a normal physiological state. Eating, drinking and growth tend to return to normal levels in about a week after delivery to the new location. Some subtle physiological and immunological changes may last longer. A common recommendation is to allow laboratory animals at least one week conditioning after transport to the research facility. Housing Factors Caging The amount of space per animal, and the number of animals per cage may influence an animal's response in an experiment. Identical caging should be used for all animals in a study, to ensure that the space per animal and number of animals per cage remains consistent within a study. Studies have shown that the number of rodents per cage affects the stress level (either isolation or crowding), and their growth. As a general rule small rodents should be housed in small groups to minimise stress, and for social enrichment. If the research requires individual housing, this should be scientifically justified to the animal care committee. Environmental Enrichment The value of providing an enriched environment in improving the well-being of the animals, must be emphasised. In the context of controlling research variables however, it must be noted that any changes (improvements) to the cages will have behavioural, physiological and anatomical effects, some of which result in permanent changes to the animal. (Module 10 provides a more in-depth discussion on environmental enrichment.) Therefore any improvements or enrichments should be uniformly and consistently provided to all animals for the duration of an experiment. Changes in the cage's physical environment should only be made following consultation with the investigator. Routine (Daily/Weekly) Animal Care and Husbandry The daily routines of the animal care staff may have a profound impact on the way an animal responds in an experiment. As a general principle all animals should be handled the same way, and the same time of day. Handling must be gentle, and consistent. Most animals quickly become familiar with their regular caretakers, and their stress level rises when unfamiliar people handle them. The kind of handling each animal receives may in fact alter its behaviour or physiology, and thereby affect its response in a study. One example of this comes from a handling study conducted in pigs. Hemsworth and co-workers published a paper in 1986 describing a study in which the responses of pigs to three kinds of handling; pleasant handling, unpleasant handling and minimal handling, were compared. The pigs exposed to pleasant handling approached people more quickly (not surprising). The females receiving pleasant handling were different with respect to age at first estrus and sexual receptivity when bred, and had a significantly higher pregnancy rate than the other two groups. Although not a statistically significant results, the males receiving pleasant handling reportedly had larger testicles. Hemsworth PH, Barnett JL and Hansen C. 1986. While it is interesting to speculate whether these results can be correlated with human teenage behaviour, they do emphasise the point that how the animals are handled affects their behaviour, physiology, and anatomy. Consistent handling, by animal care staff, by research technicians, and by the investigators, will ensure that this source of variability is minimised. The weekly routine in any animal room must also be understood by the investigator. In many facilities, animal cages are cleaned once or twice weekly on specific days. Taking samples just after the cages have been cleaned may result in altered results because of the disturbance of the animals at that time. In addition, it must be noted that weekend and holiday animal care routines are generally different than regular week day routines. This may alter the animals' responses on weekend days if sampling is scheduled then. Applying Basic Animal Behaviour in Your Research Project An animal learns from experience what will be happening to it when it is handled. Animals very quickly learn handling routines and procedures. Assuming the handling is competently done, not only will an animal's stress level be reduced, it will be much more likely to accept the manipulation being done. During the conditioning period before an experiment begins, animals should be exposed to the routines that will be part of the study. This is particularly important if the study will involve special restraint, use of devices such as collars or jackets containing emerging catheters (e.g., rats with tethers for brain recordings; sheep in a metabolism crate). Familiarizing the animal to manipulations or restraint BEFORE a project starts is important for both welfare and scientific reasons. Rewards for good behaviour are an excellent way to enhance a cooperative attitude in an animal. Rewards such as "gummi-bears" or Fruit Loops are enjoyed by rats. Other examples are, giving a dog a dog biscuit after blood sampling, giving a cat a treat, giving a non-human primate a special treat. Of course these would need to be acceptable to the research project. Research Manipulation Factors In addition to the many non-experimental variables that must be considered and controlled to ensure that the fewest animals need to be used and that the results are valid, there are the many research or protocol variables that the investigator and all research personnel must consider, and control. For some studies such as the surgical induction of cerebral ischemia (stroke) in a rodent model, there may be many variables to control; duration and depth of anesthesia, body temperature during surgery and during recovery, duration of the application of the ischemia, timing of the analgesia, post-operative care and monitoring, etc. All of these may influence the outcome of the ischemia. It is recommended that for each specific research procedure a Standard Operating Procedure (SOP) be written and observed by everyone involved, to standardise as much as possible each and every animal manipulation. Time as a Research Variable The normal biological diurnal rhythms in an animal's biochemistry and physiology alter its responses depending on the time of day that treatments are applied or samples are taken. Thus efforts should be made to take repeated samples at the same time of day, every day. The duration of the manipulation(s) for each animal should also be maintained as consistent as possible. Biochemical and hematological changes start happening when an animal is taken from its cage. Studies have shown that some of these changes last for minutes to hours and will be reflected in the results obtained. For each animal in all treatment groups including control groups, time to sampling (from removing the animal from the cage) should be consistent. The influence of a familiar attendant working in the animal room (left), cage movement (middle), and 1 min ether anasthesia (right) on heart rate in 1 rat, and the packed cell volume, blood Haemoglobin, serum total protein content, serum potassium and sodium concentration of 3 to 8 animals per mean and standard deviation. Significance of differences between control and stressed animals are : ***P < 0.001; **P < 0.01; *P < 0.05. Gaertner K, Buttner D, Dohler K, et al. 1980. Summary In this module we have tried to emphasise the importance of "routines" in all aspects of research with animals. By doing so, the research scientist accomplishes both scientific and ethical goals - using the fewest animals to generate valid, reproducible scientific data. The responsibilities of the various members of the biomedical research team in controlling both the non-experimental and protocol variables, as presented at the beginning of the module, are reviewed here in summary: Responsibilities of the principal investigator • Consider all pertinent non-experimental variables • • • • • • Outline need for controlling pertinent variables to all team members Ensure that all experimental variables are controlled or conducted using Standard Operating Procedures (SOPs) Ensure monitoring and recording of controls on variables (through Standard Operating Procedures) Ensure animal health quality before purchase Assure health monitoring is done according to facility rules Observe all facility SOPs established to limit disease introduction Responsibilities of the graduate students, post-doctoral students and research technical staff • • • • Monitor and record controls on all variables Conduct all experimental procedures according to Standard Operating Procedures (SOPs) Employ skilled animal handling and manipulation techniques Observe all facility SOPs established to limit disease introduction Responsibilities of the facility manager • • • • • • Understand demands for controls on non-experimental variables for all research underway Ensure consistent facility environmental operations Ensure high level of animal care training and expertise Ensure animal health quality before purchase Ensure health monitoring is done according to facility rules Implement Standard Operating Procedures for all animal facility operations Responsibilities of the animal care facility staff • • Conduct all daily animal facility routines in a consistent manner, according to Standard Operating Procedures Conduct all animal care handling and manipulations in a consistent, gentle, humane way Responsibilities of the laboratory animal veterinary staff • • To advise on and ensure health status of all animals To effect procedures that will maintain animal health quality Quality Animal Care = Quality Science References - Research Issues CCAC. 1993. Chapter III. The Environment. In: Guide to the Care and Use of Experimental Animals. Vol 1, 2nd Ed. Ottawa: CCAC. pp 21-29. Dauchy R, Sauer, L., et al. 1997. Light Contamination During the Dark Phase in "Photoperiodically Controlled" Animal Rooms: Effect on Tumor Growth and Metabolism in Rats. Laboratory Animal Science 47 (5) 511-518. Dell RB, Hollerhan S and Ramakrishnan. 2002. Sample Size Determination ILAR Journal 43(4) 207213. http://dels.nas.edu/ilar_n/ilarjournal/43_4/v4304Dell.shtml Donnelly H. 1995. Chapter 11. Quality in laboratory animals. In: Laboratory Animal - An introduction for Experimenters. Tuffery AA. Ed. Chichester: Wiley & Sons. pp181-203. FBR. 1987. The Biomedical Investigator's Handbook. Washington: Foundation for Biomedical Research. 86 pp. Festing MFW and Altman DG. 2002. Guidelines for the Design and Statistical Analysis of Experiments Using Laboratory Animals. ILAR Journal 43(4) 244-258. http://dels.nas.edu/ilar_n/ilarjournal/43_4/v4304festing_b.shtml Gaertner K, Buttner D, Dohler K, et al. 1980. Stress response of rats to handling and experimental procedures. Lab Animal 14:267-274. Gaines Das RE. 2002. Role of Ancilliary variables in the Design, Analysis and Interpretation of Animal Experiments. ILAR Journal 43(4) 214-222. http://dels.nas.edu/ilar_n/ilarjournal/43_4/v4304Gaines_das.shtml Hemsworth PH, Barnett JL and Hansen C. 1986. The influence of handling by humans in the behaviour, reproduction and corticosteroids of male and female pigs. Applied Animal Behavioural Science. 15:303-314. Johnson PD and Besselsen DG 2002. Practical Aspects of Experimental Design in Animal Research. ILAR Journal 43(4) 202-206. http://dels.nas.edu/ilar_n/ilarjournal/43_4/v4304Johnson.shtml Lipman NS and SE Perkins. 2002. Chapter 29. Factors that May Influence Animal Research. In: Laboratory Animal Medicine, 2nd Ed. Fox JG, Anderson LC, Loew FM, Quimby FW, Eds. Orlando: Academic Press pp 11434-1184. Lawlor M. 1990. The size of rodent cages. In: Guidelines for the Well-Being of Rodents in Research. SCAW. Pp.19-27. Morton DB and Townsend P. 1995. Chapter 13. Dealing with adverse effects and suffering during animal research. In: Laboratory Animal - An introduction for Experimenters. Tuffery AA. Ed. Chichester: Wiley & Sons. pp 215-231. National Research Council. 1991. Infectious Diseases of Mice and Rats. NAS. Washington: National Academy Press. 397p. Shaw R, Festing MFW, Peers I, et al. 2002. Use of factorial designs to optimize animal experiments and reduce animal use. ILAR Journal 43(4) 223-232. http://dels.nas.edu/ilar_n/ilarjournal/43_4/v4304Shaw.shtml Sample Questions A researcher has ordered some transgenic mice from an out-of-province commercial supplier. Which one of the following best describes how the mice should be handled upon arrival at the research facility? a. b. c. d. e. They should be examined carefully and placed into quarantine for at least a week. They should be microchipped so they can enter the research project immediately. They should be held in a barrier facility for one week with all the other mice. Blood should immediately be collected from each mouse for disease screening. They should immediately be placed into breeding groups for maximum productivity. Which one of the following statements concerning a latent virus infection in a mouse is most important in a research setting? a. b. c. d. e. It It It It It cannot be detected since there are no signs of disease. does not affect the health of the mouse. may alter biochemical or immune functions. is transmitted to mice from rats. only occurs in young less than 1 month old. Why is it important to have a ventilation rate of 15 or more air changes per hour in an animal room? a. b. c. d. e. To To To To All remove heat generated by the animals. remove carbon dioxide exhaled by the animals. remove ammonia from the urine and feces in the cages. remove airborne particles. of the above The principal investigator is responsible for all but which one of the following? a. b. c. d. e. considering all pertinent non-experimental variables; outlining the need for controlling pertinent variables to all team members; considering replacement, reduction and refinement alternatives; ensuring consistent facility environmental operations; ensuring animal health quality before purchase. Module 06 - Basic Animal Care Module Objectives The objectives of this module are to describe: • • • • • • • animal facility security animal facility zoning and traffic flow as it relates to disease control basic animal facility operations basic sanitation procedures basic animal care procedures individual animal identification animal experiment identification The information will be presented as a "virtual tour" of a hypothetical multi-purpose laboratory animal facility. Tour of Animal Care and Services Unit Hello, Professor. Welcome to the Animal Care and Services (ACS) unit. We're pleased to give you a tour of our laboratory animal facilities. I brought out a floor plan to get you oriented before we do the tour. As you can see from the colours on this floor plan, our animal facility is divided into zones, and we have entry rules for each area - no exceptions. Most of these rules have to do with minimizing the risk of our animals becoming contaminated with any unwanted infectious diseases. We are in the offices, labs and services area, right here. This zone has the offices, lockers, showers, loading dock, storage rooms for feed, bedding and extra caging, and a couple of labs. Image courtesy of Dr. Ernest Olfert, University of Saskatchewan. On the left here is the conventional animal wing. "Conventional" means the animals housed here are not under any special housing requirements. These animals are in good health based on veterinary examination but we don't do complete virus or health screens for animals housed in this area. One wing of this area houses our larger conventional animals - we only have some resident dogs and pigs in at the moment. They're in larger multipurpose rooms in floor pens. We house our dogs, pigs and sheep in floor pens. The hoofed animals get bedding, and those pens are cleaned out two or three times a week. When we have cats in, they're group-housed in rooms with all kinds of amenities, like cat trees, perches, scratching posts, litter boxes, cat toys, and so on. The dogs are in fairly roomy dog pens, but if they're going to be here long term, we make sure they get out of their pens for exercise and play with each other and the technicians as often as possible during the week. Actually that exercise and play time is very important to the dogs. While they're out they also get their grooming and handling. As part of that they get dog biscuit treats to eat. Bioexclusion Zone Through this double set of doors on the right is our cleanest zone. It holds our VAF rodents, immune deficient models, and transgenic strains. "VAF" stands for virus antibody free. That means all the rodents housed here have been tested for a group of viruses and don't show antibodies to those viruses. They are shipped to us from the commercial suppliers in filtered crates and are supposed to be virus free when we get them. But we do some testing during their quarantine period. Image courtesy of Dr. Ernest Olfert, University of Saskatchewan. Before entering this zone everyone has to do a complete change of outer clothing in this entryway. We supply the clothing and footwear for inside the area. We encourage researchers to let our trained animal technicians do most of the treatments and sampling, but if you or your graduate students are going to come and go, we'll supply all the coats, gloves, masks, head caps and booties. At the far end of this zone is a smaller area that is our highest bioexclusion zone. Everything going into that area is sterilized before it is brought in. Except the people of course, hahaha. Everyone has to shower in the anteroom entry suite to get in there. That's where we keep some of the most sensitive transgenic and knockout rodents and the ones undergoing genetic manipulation. We've got special filtered ventilation and air pressure systems to help make sure unwanted microbes don't get in. We also put the animals in either static microisolator cages or in ventilated cage racks. To give you an idea of how carefully our technicians have to work with microisolator cages or ventilated racks to make sure no contamination happens, here's a couple of SOPs describing the procedures step by step. "SOP" stands for Standard Operating Procedure. For almost all of the standard things we do around here, we try to be as routine as possible, so that every job is done the same standard way every time. And we've written that down, as "Standard Operating Procedures". I can give you copies of any of our facility SOPs if you want. These can also help if you're doing a study according to the Good Laboratory Practice regulations for drug studies. Standard Operation Procedure: Mouse Microisolator Cage, or Individual Ventilated Cage, Change (Extracted from an actual SOP). Why all the precautions in the bioexclusion zone? Well, those mice are extremely valuable. One researcher there has almost a year plus more than $70,000 invested in developing her transgenic strain, so we do everything we can to make sure no disease gets in and destroys the research. Although we don't have any gnotobiotic animals right now, if we did they would be housed in that area too. We have two isolators that have just been set up to start a project next week. They're completely sealed plastic bubbles capable of containing gnotobiotic and axenic (germ free) animals. The air goes in through HEPA filters, and the food and water is sterilized and then put into the isolator bubble through disinfectant dip tanks. HEPA filters? That stands for High Efficiency Particulate Air filters. What that means in real terms is that such a filter will be at least 99.97% efficient at removing all particles in the air down to a size of tenths of a micrometre. That gets most microbes too, so the air coming through is almost "sterile". So you can imagine they're pretty tight filters, and they need a reliable, strong air pressure to draw the air through. Once the animals are in the isolator, we handle them through gloves sealed into the plastic isolator walls. That sure is a lot of extra work, but in the last two studies we didn't have any breaks either in the isolator or in the procedures, and so the animals' germ free status was preserved. Biocontainment Zone On the other side of the building is the biocontainment zone. Projects that use biohazardous agents have to be done there. We can only work with Level 2 biohazardous agents in this facility. Those animals are housed in ventilated cages, and there's a biological safety cabinet in three of the rooms. Like the VAF area I mentioned, there are special procedures to come and go into this zone. Everyone working in there has to use procedures set out in our biocontainment SOPs. They put on surgical gowns, booties, caps and masks before they go in through those double doors, and they leave those all behind when they exit. The ventilation system is set up to "contain" any infectious agents, which means that the air pressure is lowest inside the animal rooms, and it's drawn out of there through filters to the outside. We've got an autoclave in there so we can sterilize any stuff coming out, including the bedding and animal tissues if we have to. OK, ready to go on our tour? Let me get you a lab coat while you put on these disposable booties, and we can start. While we're getting ready I'll give you a run-down on our security system. Image courtesy of Dr. Jim Love, University of British Columbia The doors to the animal area are always locked. Our staff have pass cards and ID codes to get in. We'll have to issue you a card when your research starts. Here, put on this visitor ID card, and I'll sign you in. After you. Rat Room Image courtesy of Dr. Jim Love, University of British Columbia. Let's go down the left corridor to the corner. We can peek into this rat room. That is Ms Thera Peutick, one of four animal care technicians who cares for the animals in this wing. Right now she's changing cages, moving the rats from dirty cages to clean ones. That's done twice a week here. In this wing cage changing is on Mondays and Thursdays, and in the next wing it is on Tuesdays and Fridays. Usually that takes about an hour per room, but the rats, like most other rodents, take a while to settle down again after cage changing, so you might think about that when you plan your sampling times. Image courtesy of Dr. Ernest Olfert, University of Saskatchewan. The dirty cages go out that other door in the room, see there on the opposite side of the room from where we're standing. That leads to the back alley, or "dirty" corridor where all the dirty cages are stacked. All these plastic cages get wheeled down the hall to the rack washer, a walk-in, truly industrial strength washer. With the detergents we use and the high temperature in the washer (the cage washer is programmed so that the water temperature must reach 83°C (180°F) for at least 10 minutes, for the whole wash cycle to run), the cages come out very, very clean. But in this zone the cages are not sterilised each time like they are in the cleanest bioexclusion area. Image courtesy of Dr. Ernest Olfert, University of Saskatchewan. The bedding Thera is putting into the cages is a processed paper chip product. Actually, there are quite a few choices for bedding: wood chips of a couple of sizes; corn cob particles of a couple of sizes; processed paper chips; and a few other types. We settled on this one because it is a fairly big particle size, and the rats and mice seem to prefer that. But the bedding does more than just make it comfortable for the animals. It helps absorb the urine and feces and slows down the build-up of ammonia in the cages. Did you know that some researchers have studied which kinds of bedding and other materials that lab rats and mice prefer in their cages? Imagine setting up an experiment where you can ask the rats what they like. Well, you can't actually "ask" them, but I guess by giving them certain choices in a controlled way, you can find out which choice they like the most by how much time they spend there. And it turns out that rats and mice prefer bedding of a fairly big particle size, so they can push it around and make nests. Rodents also like to have a place inside the cage to go into or maybe hide. That's what those other plastic things are inside the cages. We're really sold on giving all the animals something extra in their cages to "enrich" their environments - that's part of our overall cage enrichment plan. And the CCAC (Canadian Council on Animal Care) really promotes this too. It maybe doesn't seem like much, but we do our best. We also put some shredded paper in the cages so the rats and mice can make nests with that material. We try to treat each animal the same way on a study to minimize study variables, and that includes the enrichment items. There's a maximum number of animals allowed per cage for all our animals. The CCAC set down some minimum space per animal recommendations, but we think of those as absolute minimums. We try not to put that many animals in a cage and work with the researcher to set up numbers of animals in each cage that fit with the experimental design. Besides, with the plastic condo in there, it takes up a bit of space too. But it does add some vertical space inside the cage so maybe that helps a bit. Have a look at the ceiling lights in the animal room, through this window. In this wing the lights are on a 12-hour (6:30 am to 6:30 pm) automatic schedule. Would that be OK for your project? In all the animal rooms we now have the brightness of the lights at a maximum of 300 Lux at cage level. That's a lot less bright than most of us are used to in our labs or offices, but that's necessary to avoid causing retinal damage to albino animals, and many of our rat and mouse strains are albinos. The lights in the animal rooms are turned on and off by the automatic timer clock. We can set that to any particular time your research needs. We don't have light timers that slowly turn the lights up, but I wish we did. I read that when the lights suddenly come on, it upsets the animals and some of their hormone levels change for a few hours after that. Food and Water In most areas we use ordinary city tap water for the animals. We use water bottles in some rooms, and have automatic watering systems on racks in other rooms. If you need special control over the water your animals get, we have distilled water outlets in each area - actually it's reverse osmosis water. For some of the immunodeficient animals we put a few drops of hydrochloric acid in the water to bring the pH down to 2.8. That's to reduce the chances of bacteria like Pseudomonas from contaminating the water bottles or sipper tubes. We keep all the feeds in a proper storage room according to manufacturers' recommendations, close to the loading dock. And we use all the pelleted feeds within six months of milling to make sure there's no loss of nutrient value. In the animal rooms we just keep enough feed in those covered plastic containers, for daily use. For researchers who need sterilized diets for their animals, we can get either irradiated or autoclavable feed. Our facility prefers the irradiated bags, because they come sterilized, and we can disinfect the outside of the bags properly. The heat and steam of autoclaving destroys some of the feed's nutrients such as vitamin K, and so we have to buy special autoclavable diet, or add extra vitamins later. Image courtesy of Dr. Ernest Olfert, University of Saskatchewan. We routinely use certified rat and mouse chow and get it in at least once a month. If you will be needing any special diets for your animals make sure to let us know well ahead of time, OK? When we get back to the office I'll give you a sheet with the ingredients and analysis of the diet we're using, for your master experimental log book. Image courtesy of Dr. Ernest Olfert, University of Saskatchewan. All the cages have lab chow available all the time and the animals are free to eat whenever they choose. Our standard feed is a certified chow for all the rodents and rabbits, but we can get whatever you need for any animals. The lab chow supplies all the nutrients the animals need, and the company certifies it to be the same ingredients no matter when we buy it, so if your study lasted two years you could be assured that the diet would be consistent all the way through. Sometimes researchers need more strict controls over what is in (or what is not in) the feed. Then they have to go to semi-synthetic or even synthetic diets where the whole diet is made up of refined chemical ingredients. There are a number of companies that make those diets up for researchers. Animal Identification To make sure animals never get mixed up, we have ID cards on each cage, and in some studies the animals get tattooed, micro-chipped, or ear-punched to make sure they are properly identified. I've got more details about each of these ID methods. Here's a brochure for you to read. Once you've decided on a method of identifying your rats, let us know and we can order the stuff for you. Image courtesy of Dr. Ernest Olfert, University of Saskatchewan. Here's a sample of our regular cage card. The CCAC recommends that every cage card should have at least the following information on it about the animals and the experiment: arrival date, source (supplier's name) type of animal, breed or strain, sex, age and/or weight, number in the cage, name of investigator, and the protocol number. There's also room on the card to mark down your treatments. Some of this information can be embedded in a bar code to facilitate record keeping. However, enough information should still be printed on the card for the technicians to read. Image courtesy of Dr. Ernest Olfert, University of Saskatchewan. Sometimes we put a bigger card with the same information on the room door or wall, if that works out better, for floor pen animals for example. Image courtesy of Dr. Ernest Olfert, University of Saskatchewan. Click this link for a look at an Animal ID Brochure. Procedures Room These next two rooms are our procedures rooms, right down the hall from the animal rooms. You are free to use one of them for all your weighing, sampling, or other treatments. None of the manipulations should be done in the animal holding room itself. That's one of the CCAC guidelines. We have some commonly used equipment here, but you may have to bring your own special equipment. It's best to book the room ahead of time once you know your schedule. Image courtesy of Dr. Jim Love, University of British Columbia. Image courtesy of Dr. Jim Love, University of British Columbia. We also have a fully equipped surgery in our facility, and a couple of highly skilled staff to help with the anesthesia, assist the surgery, and provide monitoring after the surgery. That area can also be used for euthanizing animals at the end of a study to do tissue or blood collections. Down this hall towards the loading dock, are the feed and bedding storage rooms. Now let's go back to the office. You can take your booties off here, and put them in that garbage can. I'll take your lab coat, thanks. Ordering Animals How can you order animals when you're ready to start your project? Well, ordinarily we get rodents shipped in once a week from the commercial suppliers. If the strain you want is on your protocol, and the animal care committee office has approved it, we can place the order any time you're ready. Usually the animals are shipped the following week after we've placed the order - at least for the commonly used strains. The suppliers crate them in filtered cardboard or plastic shipping crates with some sort of moist food inside. They put only so many animals in each crate depending on how big they are. When they get to the airport we get a call and drive out and pick them up and bring them to the animal facility. Sometimes they're consigned to a shipping company and then they're delivered here by the company. On arrival the crates are inspected and checked to make sure they contain what we ordered. Then they either go directly into the assigned animal rooms if they're going into the conventional area for short term studies, or they are held in the quarantine area till they're checked. We've got an SOP for that too. The veterinary staff does the health screening of the incoming animals and the regular testing of all the longer term colonies in this facility. That cost is included in the per diem charges. Although you probably didn't think about this, we also have waste disposal SOPs. All animal carcasses or tissues are collected and saved frozen till they can be taken for incineration. We make sure that this material is NEVER thrown into the ordinary garbage. Here we are back in the meeting and lunch room. Would you like a coffee? End of Tour This is a photo of all the staff taken last summer. We're very proud of our staff. Through the CALAS training program they've all gotten one certificate level or another. CALAS stands for the Canadian Association for Laboratory Animal Science - our national professional association that sets out training programs, and tests and certifies laboratory animal technicians. The CALAS training along with their experience working with all kinds of animals, makes it easy for me to say that the animals here are always in expert hands. Plus, the staff come in every day of the week and of the year including Christmas and New Year's to check the animals and do any treatments or other monitoring. Sample Questions Any milled diet such as chow or pellets should be used within which one of the following time periods? a. b. c. d. e. Two months of ordering Four months of storage at the animal facility Six months of milling date Nine months if stored in a cool room One year if stored in the freezer Which one of the following best describes the ventilation regarding the anteroom and containment room of a level 2 biohazard containment area? a. b. c. d. e. The air pressure is negative in the anteroom and containment room with respect to the corridor outside the room. The air pressure is positive in the anteroom and containment room with respect to the corridor outside the room. The air is HEPA filtered prior to entering the anteroom and containment room. The air inside the anteroom and containment room is controlled by extra fans. The air pressure in the containment room is neutral across the anteroom to the corridor. Module 07 - Environmental Enrichment Topics The objectives of this module are: • • • • To To To To introduce the reader to the concept of environmental enrichment. discuss the elements involved in environmental enrichment place the effects of environmental enrichment within the research effort provide examples of environmental enrichment As a start to this module, there is a short exercise to introduce some of the areas to be covered and to encourage the reader to think about how we keep experimental animals and where we might need to make improvements. In this exercise, we will try to compare the well-being of a wild and a laboratory mouse, without delving too deeply into the husbandry or lives of either. Let your own thoughts or perceptions about the two animals guide your answers. There are no right or wrong answers but there may be some unexpected outcomes. The scores are not important, as you will see in the commentary. Wild Mouse versus Laboratory Mouse Measuring Well-being One of the ways we can look at our treatment of laboratory animals is to compare them with their wild counterparts. As background information and perhaps to introduce some bias, you should know that in the wild, mice live about three hundred days or so while outbred laboratory mice will live about six to seven hundred days. If a young wild mouse is brought into the laboratory, it will live for about six hundred days or so. Below, you are asked to compare the wild and laboratory mice using the Five Freedoms as set out by the UK Farm Animal Welfare Council. The scale shown goes from minus 5 to plus 5 and should be used to indicate your idea of how each parameter affects the well-being of each mouse. Using a piece of paper, give a score for each mouse in each of the categories, either plus or minus. You may feel that you do not know enough about either mouse to judge properly but you should allocate a score based on what you think each mouse experiences. Consider the laboratory mice to be living in an animal facility and that they are not part of an experiment. If you want to print off a paper copy of the following scales, print out Appendix D . You can also print off this page of the website in order to complete this activity. The Five Freedoms Wild Freedom from hunger and thirst Freedom from discomfort Laboratory Freedom from pain, injury and disease Freedom to express normal behaviours Freedom from fear and distress Total A second system of looking at the well-being of the two mice considers in more detail some of the parameters that affect their lives. The scoring system is the same as for the five freedoms. Wild Food • • • Quality Variety Availability Water • • Quality Availability Activity • Social o o • Variety Stress Physical o o Variety Extent Laboratory Environment • • • • • • Climate Variation Extremes Space Size Complexity Health • • • Infections Injuries Deficiencies Total Commentary When such tests are done with groups of volunteers, every possible result occurs. Either both tests show the wild mouse to be better off or both show the laboratory mouse to be better off. Sometimes one test shows the wild mouse to be better off and the other the laboratory mouse to be better off. Occasionally the results show that the mice have equivalent levels of well-being. A closer examination of the results shows that wild mice are better off in some respects than laboratory mice and worse off in others. For example, the environment of the wild mouse is much more varied but the availability of good quality food is less than for the laboratory mouse. The difference in final scores may be just a reflection of how much better or worse a particular parameter seems to be to us. So these tests are highly subjective; we may be displaying our anthropomorphic views on the lives of laboratory or wild mice or we may have been influenced by some pre-existing knowledge about them. Many people are surprised by their results. There is often an admission that even though the laboratory mouse came out as better off in the test, that maybe the wild mouse was better off, at least for the shorter life they live. This should make us wonder how the mice view the importance of various aspects of their daily life. In the tests, we gave each parameter the same weight. But maybe a complex environment is worth much more than the quality of water. Maybe living a life with all its varied ups and downs for three hundred days is much better than an uneventful life of seven hundred days. For the purpose of this module, these tests introduce a number of different ideas with regard to environmental enrichment for laboratory animals. In particular, if we look at those categories in each test where the laboratory mouse was less well off than the wild mouse, we realize that we have room for improvement. Admittedly, the tests are inaccurate and we may have overemphasized or underestimated the extent of problems, but the fact that we think about them is important both to the animals and to the studies they are used in. Introduction Much of our knowledge on the effects of environmental enrichment comes from studies on rats and mice. The most common source of information comes from our observation of the wild counterparts to our domestic and laboratory animals. We recognize that wild animals have certain behaviours that are commonly performed. All young animals run and jump and play and this is important for the development of strong muscles and bones, for good coordination, and for developing social skills and relationships. They also learn discipline from adults and young animals that get out of line are likely to be punished. Wild animals of all ages must deal with both threats and deprivations (e.g., predators, parasites, a lack of food or a poorly balanced diet, poor shelter against miserable weather, excessive cold or heat, etc.). Laboratory animals are sheltered from these problems but are they better off? Experimental animals were traditionally kept in caging which provided little or no social or physical stimulation. The use of such caging was justified on the basis of reduction of disease spread, ease of sanitation, prevention of fights between animals, easy recognition of illness through measuring food and water intake, etc. However, at the time, little consideration was given to the behavioural and psychological well-being or the stress induced by social isolation and physical deprivation. It is recognized now, that the well-being of animals is greatly improved if they are provided with opportunities for interaction with each other and their environment. Furthermore, there is an increasing volume of literature denoting the deleterious effects of impoverished environments on experimental results. (See article by William M.S. Russell at this link) Although the term "environmental enrichment" is used to describe efforts aimed at improving the living conditions for animals, the move is really from a very impoverished environment to a less impoverished environment. It is unlikely that the level of complexities encountered by wild counterparts will ever be achieved within the laboratory. Furthermore, it is possible that the wellbeing of an animal will not be increased by our ideas of increased complexity in its environment. Nevertheless, the wild species are often taken as the norm against which the environment of the captive animal is measured. Some argue that the wild and laboratory animals are no longer the same behaviourally, but most wild behaviours are seen in the laboratory animal. The presence of a normal range of behaviours and the absence of abnormal behaviours or stereotypies is a reasonable indication that the animal is coping with its environment. To make such judgements, we must be able to recognize normal and abnormal behaviours. Those species that are prey animals in nature, seldom reveal that they are hurting in any way as this would be an invitation for predation. Another approach to evaluating well-being is to use the Five Freedoms of the UK Farm Animal Welfare Council. These freedoms were defined to give guidance to farmers on the goals of husbandry. However, the freedoms are easily adapted to other animals and have been accepted by various groups including the World Veterinary Association and Humane Societies. The five freedoms are: 1. 2. 3. 4. 5. freedom from hunger and thirst (by ready access to fresh water and a diet to maintain full health and vigour) freedom from discomfort (by providing an appropriate environment including shelter and a comfortable resting area) freedom from pain, injury and disease (by prevention or rapid diagnosis and treatment) freedom to express normal behaviour (by providing sufficient space, proper facilities and company of the animal's own kind) freedom from fear and distress (by ensuring conditions and treatment which avoid mental suffering) The freedoms are general enough to allow them to be used for any animal species and to allow for interpretation related to particular species. They must be applied carefully with an understanding of the biology of each species and care must be taken to avoid using our own ideas as animal standards. For example, it is customary to keep newly weaned piglets at a temperature of about 27° 0 C, day and night. However, when the piglets had the opportunity to control the temperature themselves, they preferred a temperature of about 29°0 C during the day and about 15°0 C at night. Terms like "discomfort" make us think about the animal's living conditions and while we tend to think of the extremes of heat and cold, or wet and dry, there are grades of discomfort in between the extremes as we know from our own experience. A cool room is uncomfortable if we do not wear enough clothes and a hairless animal without any means of building a nest or others to huddle with may be uncomfortable at the normally recommended temperatures in the animal facility. We can assume, given our present knowledge, that the health, nutrition and general environment needs of the common laboratory animal species are being met in present day laboratory animal facilities. The major challenge for us is to provide them with social and physical opportunities to live and behave in a normal manner. To do that we must have some knowledge of what a particular animal needs based on understanding their preferences. All animals require social interactions although for some this interaction is intermittent and occurs only at breeding times. Most wild animals occupy their days in the search for food and water. The threat of predation is a fact of life for many small animals, including those in the laboratory where we are the predators. To be frightened without having any means of protecting yourself is a stressful experience. Lack of space or structure to exercise or play, in the case of young animals, is detrimental to bone and muscle development and maintenance. The major factors to be considered then are: • • • • Opportunities Opportunities Opportunities Opportunities to socialize or not to occupy time during waking hours to hide and structure for exercise Opportunities to Socialize or Not Totally isolated animals are known to be different from group-housed animals. This is seen even with pet animals like dogs. A dog that lives with a family and has little interaction with other dogs behaves differently than a dog that has been well socialized with other dogs. But not all animals want to live together and it may be undesirable to have groups with both sexes present. Aggression may be a problem with some species and strains but this may be reduced or prevented if the environment is sufficiently complex. Sight barriers may be enough to break aggressive activities within a group. There should be the possibility for an animal in a group to socialize or not. This is often difficult to arrange in a small cage but even a small cage may be broken up into separate areas. For example, the use of small igloos in a mouse cage allows some to be in the igloo and some outside. Opportunities to Occupy Time During Waking Hours Searching for food, gathering nesting materials, play, travel, exploration, etc., are all activities that help pass the time. The environment of many cages does not allow much of this to occur. The highly nutritious food provided allows animals to consume their daily needs with very little effort. Monkeys that work for their food waste less than those with easy access to it. While commercially available foods are processed to contain all the elements that an animal requires, they may be low in palatability and certainly in variety. It is possible to vary the diet for most experimental animals without imposing yet another variable on the study by providing small amounts of treats. These treats provide additional tactile, olfactory, and taste stimuli. Cage equipment, nesting material, etc., allows the animal to interact with and in some cases manipulate their environment. The equipment or material in the cage should be appropriate for the animal's behavioural needs. Perches for birds, for example, should be the correct size or in a variety of sizes so that the birds can pick the most comfortable one for them. Animals are sometimes given toys to play with but the toys should have some relevance to the animal or it will soon be neglected. Some animals, e.g., rats, may not like new toys, especially if they have no apparent function for the animal and the toy may be buried. The unpredictability of another animal may provide the majority of the diversion required to prevent the development of stereotypies that often develop when there is nothing to do. Rats have been shown to work harder to gain access to another rat than to gain access to their favourite toy. Exploratory behaviour is an important component of the daily routine for many young animals, particularly rodents. This activity is often studied in rats and it is recognized that there are clear behavioural differences between rats that have had the opportunity to explore, for example, in a complex environment and those that have been reared in a simple environment. Rats that have been reared in the standard rat cage will stand up and look out when the top is removed. They will rarely attempt to leave the cage. On the other hand, rats that have lived in a complex environment will take the opportunity to explore the room if the cage is left open. Opportunities to Hide Most laboratory animals appreciate a place to hide, whether it be from cage mates, people or unexpected noises. Even within gregarious species, individuals may require a place to get away. Thus, where possible, animals should have a place within the cage where they feel safe. This may be a dark corner or it may be a sight barrier (e.g. tubes, overturned containers), which allows them to look for the cause of their alarm without revealing themselves. Chickens preferred sight barriers made of vertical slats with small spaces between the slats. Disputes among animals often end when the "chasee" gets out of the sight of the chaser. Unexpected noises are common in animal facilities and may be startling to animals. The natural tendency for the prey species is to hide while they try to determine the source of the noise. Large human figures peering into cages may also be frightening, causing the animals to seek refuge. If there is nowhere safe to hide, the animals will be stressed. Opportunities and Structure for Exercise Space for exercise is important, particularly in young animals. Animals like to run or hop and this is important for bone and muscle development. Space alone is usually not enough as can be seen in the pacing of some large cats in zoos. There should be structures within the space to allow climbing, stretching, swinging, etc. Even relatively small structures within a cage will be used for exploration. Mice are often seen clinging upside-down to the food hopper. Environmental Enrichment and Research Results Improving the environment is not just a nicety for research animals. There is a considerable body of literature now that demonstrates the influence of an animal's physical and social environment on research results. One of the earlier demonstrations showed that social and physical stimulation of rats resulted in a thicker cerebral cortex with more dendritic connections. Tumours in isolated mice grow faster than the same tumours in mice housed at appropriate densities. Isolation of mice has been shown to increase the toxic effects of some drugs. It has also been shown that environmental enrichment is beneficial at any stage of an animal's life. The effects may be different between young and old animals but the old will also benefit. For this reason it is important to consider environmental enrichment as a variable in an experiment and to account for it. It is not an option, however, to omit environmental enrichment to reduce the variables in a study unless the investigator is prepared to include all the deleterious effects of an impoverished environment on the study. Even then, it would be difficult to say that the results represent the normal state of the animal. However, if an investigator feels that attempts at environmental enrichment will jeopardise the results of a study, then this should be justified to the Animal Care Committee. Environmental enrichment encompasses more than just the physical and social environment of a group of animals. Because we interact with them at various levels, we may have a profound effect on their life. We should treat animals in a manner that minimizes any discomfort or stress they may experience at our hands. All the environmental enrichment in the world will not be of any value if an animal fears the arrival of a human being at its cage. It may not be just the presence of a person but it may also include the sounds and smells associated with an experimental procedure, for example. Our activities in the animal facility may be disturbing, even if they do not directly involve the animals. Noise is disturbing to animals and we should minimise extraneous noises as much as possible. Some people bustle and have an air of urgency about them that is unsettling to animals. Doors are allowed to slam shut or objects fall on the floor. Equipment like cage washers, vacuums etc. may be upsetting, particularly to pregnant animals. If we try to see things as the animals might see them, we will probably be able to improve their living conditions. In return, people working with the animals, particularly the animal care technicians, feel better about their jobs when they see the animals responding to their enriched environment. It must be emphasised that changing an animal's environment, whether it be giving it a clean cage devoid of familiar "homey" smells or adding toys or other objects for enrichment, will be a variable that should be accounted for. It is important, then, not to make changes to the environment without the agreement of the principal investigator and if changes are made, they should be applied consistently to all animals in the study. It should be remembered that there may be effects of withdrawing enrichment, for example, if the animals move from a facility with very complex environments to one where there is minimal complexity. Examples of Environmental Enrichment (General) There follows a series of examples of enriched environments for animals. The form of enrichment provided for a species should take into account the normal environment for that species and how the species interacts with its environment. It is not necessary, or even generally feasible, to duplicate exactly the natural environment but the substitutes should allow the animal to perform as many of its natural behaviours as possible. Further examples of environmental enrichment may be found in the literature. Comfortable Quarters for Laboratory Animals. Eds. Viktor and Annie Reinhardt may be accessed via the Internet at http://www.awionline.org/pubs/cq02/cqindex.html. The CCAC publication "Guide to the Care and Use of Experimental Animals Vol.1 2nd edition, has a section on the Social and Behavioural Requirements of Experimental Animals (Chapter VI) and it can be found on the CCAC website. An extended list of references may be found on the CCAC website at www.ccac.ca Examples of Environmental Enrichment (Mice) Even a simple glass bottle will provide variation in the environment for a mouse in a small cage. In this case, the mouse and her offspring are using the bottle as a nesting spot. In some cases, the mice use the bottle as a urinal, thereby keeping the rest of the cage dry and clean. If this happens, the bottles must be changed frequently. Mice will not use it once there is a significant amount of urine in the bottle and will block up the entrance. A divider in the cage like the one shown allows the mouse to use different "rooms" for different purposes. In this case one of the small rooms has been selected for the nest. It is important to provide mice with nesting materials so that they can construct a suitable nest. This does not just apply to breeding mice as male mice will also build nests. The nesting material is given in the large "room" and the mice select where they will build the nest. Most select one of the smaller "rooms". Examples of Environmental Enrichment (Rats) This blue Plexiglas structure was introduced into a large bin approximately 100cm X 160 cm, to provide the rats with something to play on and to exercise in. There were 20 rats each weighing about 200g in the bin. This picture was taken one morning when most of the rats were resting. There are twenty rats in the picture and the space where most are resting was about 1000 cm2. (The CCAC recommended minimum space for a single rat greater than 150 g is 250 cm2.) Rats do not mind lying on top of each other but they need space to do other things. Crowding occurs when the space is so limited that the animals cannot get away from each other and this is stressful. This is the same structure as in the previous picture. The picture was taken within a few minutes of the structure being turned upright. The rats demonstrated two behaviours that we should try to accommodate. They wanted to hide under something and they wanted to explore. Rats, particularly young rats will make use of any structure in their cage to play, explore, hide etc. It is not necessary to provide something that would be present in their natural environment. Examples of Environmental Enrichment (Guinea Pigs) These guinea pigs are housed in large bins with shavings in the bottom. They have places to hide when they are startled and they are given hay as roughage. Examples of Environmental Enrichment (Rabbits) These rabbits are group housed as befits a social species. They have places to hide and shelves to climb on. The sawdust allows them to "dig" although they cannot dig burrows. They groom each other and indulge in other amicable interactions. Female rabbits may be kept this way at any age but male rabbits will start to fight when they reach puberty. Examples of Environmental Enrichment (Ferrets) Ferrets are playful animals that like to run, tumble and hide. Even simple structures can be fun. The empty feed bag shown here allows them to run inside, tumble around and run out again. Three ferrets that escaped from their pen and set off the security alarms were recaptured by placing a bag on the floor. The report from security described the capture of the three masked bandits. Examples of Environmental Enrichment (Cats) These two cats have a large indoor pen with access to the outside. They have individual resting areas but they prefer to lie together. It is important to provide animals with as much choice as possible, the choice to be together or to be apart in this case. They also have scratching posts and other toys in the pen. Animals do not necessarily get along together all the time and so it is important to provide group housed animals with space to be apart when they want to be. Examples of Environmental Enrichment (Sheep) Sheep are frequently used in laboratories and these flock animals become extremely distressed if they are held in isolation from other sheep. If isolation is necessary for some reason, an effort must be made to allow them to see and smell other sheep otherwise the stress of the isolation will have profound effects on the experimental results. Examples of Environmental Enrichment (Swine) Environmental enrichment includes the human. Some animals evoke a stronger reaction in people than others but all animals should be treated with respect and kindness. This Yucatan pig enjoys a back scratch and will lie down to have his stomach scratched. The pen has sawdust on the floor and the pigs spend a large proportion of their active time rooting and "ploughing" the sawdust. These pigs have an outdoor run also and urination and defecation occur there, keeping the inside sawdust dry and clean. Examples of Environmental Enrichment (Monkeys) Environmental enrichment can include the provision of a variety of foodstuffs. While specially prepared diets are nutritionally complete they are usually not very interesting. This monkey has been given a popsicle but Jello and various fruits and vegetables may also be given without risking an imbalance in his diet. Some of these extra treats may be used to carry medications if this is required. An extension of the use of feedstuffs to carry medication is the training of animals to take their own medication. This monkey has been given a syringe with juice carrying the medication and he will take the juice voluntarily. Although we can force most of our experimental animals to do what we want, it is always better to have their cooperation. The level of stress on the animals, technicians, and investigators is less when force is not needed. Monkeys and dogs have been trained to present arms or legs for blood sampling. The training requires patience but the rewards are great for both the animals and the investigators. "Old Bill" lives in a large pen with logs for climbing and sitting. He receives a variety of foodstuffs that he has selected as his favourites. The food is placed so that he climbs each day and gets exercise. The floor of the pen is covered in sawdust that contains sunflower seeds, raisins or peanuts so that Bill spends much of his time foraging as he would in the wild. He is approximately 20 years old and his hair is thinning, but he still has an interest in the female monkey in the next pen. The examples of environmental enrichment shown above give an idea of the range of improvements that can be made in the way animals are housed and handled. Many research animals have not been covered but species should not be held in environments that fail to meet their basic social and physical needs. This applies to all animals but it is especially important for wild animals being held in captivity. However, even those animals that have been bred in captivity for many generations retain many of the traits seen in their wild counterparts. Laboratory mice and rats are still prey species and still behave to protect themselves from predation. They need safe places within their cages, places to hide. We must remember that mice are not just small rats. Rats prey on mice in the wild so we cannot keep mice and rats together within the same airspace as the pheromones from the rats will be distressing to the mice. Examples of Environmental Enrichment (Birds) Chickens, quail, ducks, and turkeys, and other birds are often used in research. There is sometimes a conflict between the commercial housing of birds, particularly chickens, quail, ducks and turkeys, and the research housing of the same birds. It is common for investigators to invoke the need to do research using the same housing conditions that are used in the industry so that the results of the research will be applicable. Many of the industry standards for the housing of these birds are under review, both from within the industry and among the public that purchase the product. For example, many members of the public are concerned by the battery system of housing hens to produce eggs and there have been many attempts in recent years to move away to more bird-friendly housing (e.g., free range systems and aviaries). There is a need, too, in research institutions to provide modified, enriched environments for birds to avoid the demonstrably stressful housing used by the industry. Not all birds need space to fly but the provision of aviaries or flight cages for research pigeons helps maintain their health. Most birds like to peck and scratch in dirt, looking for food to eat. It is said that chickens will spend up to 50% of the day looking for food in this manner. In addition, they consume a much wider variety of foods than those kept in small cages with a processed diet brought to the cage. Most birds engage in dust or water bathing and this is an important component of their maintenance behaviour. Most birds perch and so they should be given the opportunity to perch. Other Animals Fish, amphibians, and reptiles are common research animals. Although there has been little research done on these animals in terms of environmental enrichment, there is considerable information on their husbandry in captivity and on their behaviour in the wild. It is reasonable to try to provide these animals with some form of environmental enrichment. This will vary widely among the species. Small fish, for example, may benefit from having places to hide, even if predation is not a threat in an aquarium with only one species. Hiding places may be "caves" on the bottom or plants growing in the water. The unpredictable movements of plants, even artificial plants, may provide stimulation and novelty to the fish. It may be necessary to cover some sides of aquaria so that the fish are not being continuously startled by the sight or shadow of large humans passing by. Reptiles and amphibians have specific requirements depending on the species. As cold-blooded animals they are somewhat more dependent on their physical environment to meet their needs. It is important to design the environments to meet the requirements of the animal, based on observation of wild animals. If group housing is used, then issues of territoriality, hierarchy, etc. must be considered. Many reptiles require different temperatures depending on their activity so cooler refuges should be available within the environment. Amphibians and reptiles need places to hide. Climbing animals should have things to climb on. Animals that spend time in the water in the wild should be able to do so in the laboratory. The guide is to try to provide the right conditions for the animals to fulfill most of their major behavioural activities. Summary In the past, animals were kept in cages or pens that provided very little substrate for them to engage in many of their natural behaviours. Environmental enrichment is a phrase used to cover a wide range of additions or modifications of the environment to allow animals a more varied life. Although many of the changes are indeed to the physical environment, changes in social opportunities for the animals are also important; and social opportunities include interactions with people. A major benefit of environmental enrichment is the reduction in stress in the animals with beneficial influences on the research projects they are involved in. Sample Questions Which one of the following statements regarding environmental enrichment is incorrect? a. b. c. d. e. It It It It It benefits the animal benefits the animal technicians is not required by the CCAC can affect experimental results can be simple and inexpensive Which one of the following is likely to provide the most effective enrichment for an animal? a. b. c. d. e. Toys Treats Nesting material Another animal A larger cage Module 08 - Basic Diseases and the Animal Facility Module Objectives At the end of this module, the reader should: 1. 2. 3. 4. 5. Understand how animals become infected Understand how diseases spread Understand how diseases may be introduced to an animal facility and what steps should be taken to exclude disease Understand how diseases may be contained if they do gain access to a facility Understand the basics of health monitoring programs Introduction The spectre of disease in the animal facility sends shivers down the backs of facility managers, veterinarians and investigators who have experienced outbreaks previously. This is partly because they understand the devastating effects some diseases have on the research program, and the huge amount of work and cost involved in cleaning up after a disease outbreak. Facility managers and veterinarians are not alone in their efforts to prevent infectious organisms from gaining entry to the animal facility. All people who regularly work in the animal facility (e.g., technicians, researchers, research staff, graduate students) must understand how diseases may be introduced and spread. Facility guidelines and standard operating procedures (SOPs) designed to limit the risk of introducing or spreading disease must be followed by everyone. Mechanical systems must work as expected (e.g., to sterilize cages, to maintain air pressure gradients) so even the facility maintenance staff is involved. Diseases may be broadly classified as infectious or non-infectious. This module concentrates on infectious disease. Infectious diseases are caused by a variety of organisms, such as viruses, bacteria, yeast, fungi, and parasites. Laboratory animals, like people, are regularly exposed to potentially infectious microorganisms; however, not all such exposures result in infection. Whether a laboratory animal becomes infected depends on a number of factors related to the infectious organism, and the animal host. For example, microorganisms vary in virulence, or the animal may be exposed to only a small number of infective particles. The animal, species, or strain may be partially or entirely resistant to infection, or more susceptible because it has a deficient immune system, is stressed, or poorly nourished. If an organism does infect an animal, there are several possible outcomes. The infection may be silent or latent, in which case the animal displays no outward evidence of infection; or the infection may cause overt disease with the animal showing a variety of clinical signs depending upon the organs or systems affected. The disease may run its course with complete recovery with or without treatment, leave some damage (residual pathology from the disease), or even lead to the death of the animal. Any animal that recovers from the disease and those animals that have had a latent infection may become carriers of the infectious organism. Infectious diseases pose a threat to animal colonies through a wide variety of mechanisms. Clinically ill animals are poor research animals because of the disruption to their normal physiology and biochemistry. Recovery may be prolonged and recovered animals often continue to carry and shed the organisms that caused the disease, acting as potential sources of infection for healthy animals. Latent or silent infections may also adversely affect the results of an experiment due to changes in the animals' biochemistry or immune system. In thinking of means of controlling infectious diseases, it is important to know how diseases spread, the routes of infection and the routes of excretion of the organism from an infected animal. Routes of Infection There are just a few portals of entry into an animal for infectious agents. The two most common are by inhalation into the lungs and by ingestion through the mouth into the gastrointestinal tract. Inoculation through the skin represents a special case (e.g., insects or needles). In these cases, the disease may spread beyond the skin. Some diseases are sexually transmitted. Occasionally, infection of the skin, eyes or ears may result in disease spreading beyond these organs. Routes of Shedding Organisms are excreted by a variety of routes. For example, organisms may be excreted from the lungs by coughing and sneezing or from the gastrointestinal tract through faeces. Organisms may also be excreted in urine, saliva, milk, pus, from the reproductive tract, or through vectors such as mosquitoes. Skin-based diseases (e.g., fungal infections) may cause shedding of organisms from the skin. Disease Spread There are only a few ways for disease to spread between animals (or between people and animals). Diseases spread: (a) by direct contact between animals, (b) via the environment, or (c) by means of fomites. a. b. c. Direct contact. Animals must be in direct contact with each other for the disease to spread. This applies particularly to skin diseases (e.g., ringworm) but could also include sexually transmitted diseases. Indirect contact through the environment. The environment is important for disease transmission. Respiratory disease is a prime example of this form of transport where the infectious organisms are in the air before they are inhaled. Water and bedding may also be considered part of the environment and so contamination of these by one animal may result in transmission to others. Fomites. Fomites are inanimate objects that have inadvertently become carriers of infectious organisms. Contaminated cages or food, or the utensils for delivering them, are examples but there are a variety of objects which animals come in contact with which may help transmit the infectious organisms. Intermediate hosts or vectors are special cases for disease transmission that should not occur in animal facilities. These include biting insects (e.g., mosquitoes) in which infectious organisms may just be transported between animals (vector) or the infectious organism may undergo some development in the intermediate host. Excluding Disease Many facility design features, facility equipment, and standard operating procedures have as their main objective the exclusion of undesirable organisms and the containment of disease if it should occur. There are three potential sources of infection: animals, people and experimental procedures. For each of these, the following points will be discussed in terms of excluding disease or preventing it from entering an animal facility. Animals • • • • • Sources of animals Arrival procedures Quarantine Interlopers Other animals People • • • • Restricted access Entry requirements Clothing requirements Pets Animal and Facility Related Procedures • • • • • Cells, tissues, fluids, etc. Sources of food, bedding, water Equipment used for housing, changing, feeding, watering Surgical facilities Facility functions (e.g., ventilation, cagewashing, sterilizing facilities, caging systems, barriers, airlocks etc.) Animals Sources of animals. Animals should normally be obtained from reputable suppliers where regular testing of the animals is carried out and where the results of these tests are available. Animals, especially genetically modified animals, obtained from institutions which cannot supply clean bills of health should be regarded with a high index of suspicion if they are to be introduced into a diseasefree colony. Ensuring the disease-free status of immunocompromised animals from such sources is a particular problem, as they may not develop antibodies to pathogens which is the most common method used for health monitoring. Arrival procedures. Research animals arriving at institutions have passed through a number of areas where their health status may have been compromised (trucks, airport freight areas, airplane compartments). Shipping crates are usually not entirely impervious to micro-organisms and airports may be infested with wild rodents. Thus, there is a real possibility that the disease-free animals that left the supplier are no longer disease-free when they arrive. In some cases, when the delivery can be controlled either by the vendor or the purchaser, the risk may be less (e.g., when the vendor is close to the purchaser and purpose specific vehicles are used for transport). Quarantine. The conditioning/quarantine of all incoming animals serves two purposes: it allows the animals to be acclimated after a long trip, and it provides the opportunity to determine if the health status of the animals meets the requirements for entry into the disease-free colony. The quarantine period should be long enough to demonstrate that contamination did not occur during transport. Remember immunocompromised animals may not develop antibodies, and sentinel animals will be required. When rodents come from sources where their health status cannot be assured, a longer period of quarantine may be required to determine their health status. Interlopers. The entry of wild rodents into an animal facility is cause for concern. Some of these animals may carry organisms that facilities want to exclude. Wild rodents may come into close contact with colony animals, but may also contaminate feed, bedding and other materials destined for colony use. An active pest control programme is important. Other animals. It is common for an institution to house both disease-free animals and animals of unknown status in the same general areas. There may be SOPs in place to reduce the likelihood of transfer of a pathogen from one colony to the other. The use of air pressure gradients or airflow patterns assist in separating the colonies. It should be remembered that procedures and facilities are only as good as the people who work with them and that human or mechanical failures do occur. The main focus of this module is the laboratory animal facility in which animals known to be free of certain specified micro-organisms are housed - primarily rodents and rabbits. However, many other research animals do not have highly defined health profiles (e.g., dogs, cats, farm animals, nonhuman primates, fish, etc.). While the precautions regarding entry of these animals into the facility may be less stringent, the requirement to prevent disease spread remains. People Restricted access. One of the risk factors for infections in disease-free colonies is the number of people who have access to the animals. It is important to limit the people traffic to those that must have access. Access may be restricted for people who have visited another animal facility during the same day. Bioexclusion SOPs may require that a specific time period occur from the previous animal facility contact. Entry requirements. In addition to the restrictions mentioned above, entry requirements for all other people (e.g., physical plant workers, visitors, accreditation teams, etc.) should be enforced. Equipment may need to be brought in that cannot be sterilized. It may be desirable to have all visitors put on fresh clothing or shower before entering the unit. Clothing requirements. Protective clothing should be worn when working with animals. A complete change of clothing into facility clothing may be desirable for entry into some areas such as SPF colonies. Showering in may be necessary in some areas. Protective wear could include bonnets, masks, gloves and foot wear depending on the level of protection required both for the animals and the people. Pets. It has been documented that people who have rodents at home, for whatever reason, may spread rodent viruses. This is really a special case of transferring unwanted organisms from an infected colony to a disease-free colony. It is recommended that people working with disease-free rodents should not keep rodents as pets. Normal microorganisms carried by people may be a source of animal disease in some cases. Immunocompromised animals are often susceptible to organisms that do not cause disease in immunocompetent animals. Staphylococcus aureus and Klebsiella pneumoniae are two organisms that some people carry which may cause disease in immunocompromised mice. Animal and Facility Related Procedures Cells, tissues, fluids, etc. Animal cell lines may be contaminated with rodent viruses or Mycoplasma. An outbreak of mouse pox in 1998 was traced to contaminated mouse serum. These materials should be tested for contamination before they are used on animals. Human cell lines that have been passaged through or maintained in animals may also be contaminated. Sources of food, bedding, water. There is the possibility of food and bedding becoming contaminated before it reaches the animal facility. Animal facility SOPs should ensure that any damaged bags are rejected and the outsides of the other bags are disinfected. Unwanted organisms can be introduced in the drinking water, which is a particular concern for immunocompromised animals. Automatic watering systems must be thoroughly cleaned and disinfected on a regular basis. Equipment used for housing, changing, feeding, watering. The equipment used in an animal facility must be kept clean to prevent disease spread within the colony. In some cases, routine autoclaving of the equipment is used to back up the cagewashing facilities. Food, bedding and water may be sterilized at the same time. Irradiated food is often used rather than autoclaved food. Surgical Facilities. These are usually shared facilities and may represent a crossover point for disease-free and possibly infected animals. Although it is unlikely that the two groups of animals will be in the surgery at the same time, it is important to ensure that there is proper sanitation between uses. This applies to all other shared facilities (e.g., radiology units, procedure rooms.). Facility functions (e.g., ventilation, cagewashing, sterilizing facilities, caging systems, barriers, airlocks, etc.). There are a number of facility functions that serve to minimize the risk of bringing unwanted organisms into the facility. It is important that the ventilation system does what it is supposed to in terms of the movement of air through the various areas. As an electro-mechanical system, it is subject to failure (e.g., a damper may fail to open or close when requested, or a fan may not operate as required). Add to this human foibles such as propping open a door and ventilation patterns can change. Airlocks are employed in modern facilities to limit the movement of air between discreet areas within the facilities and between the facility and the outside. Facility SOPs should be in place to ensure that cage washing facilities and autoclaves are checked routinely to ensure that they are performing as required. The use of Standard Operating Procedures will also help ensure that the correct procedures are used each time. Containment of Disease Although it is most desirable to keep diseases out of a colony, sometimes it is necessary to take steps to contain a disease and limit its spread. For example, animals may be isolated from each other, thereby eliminating direct spread of an agent. This may not be practical in some cases and may be detrimental to the well-being of the animals. Microisolator cages may be used to limit airborne transmission. Cage changing should be conducted in a ventilated change station so that airborne particles from one open cage do not land in the next open cage. The same procedure should be used for cages on ventilated racks. Microisolators represent containment at the cage level. Flexible film isolators provide containment at a higher level. These units may contain a number of cages and the air entering and exiting is HEPA filtered. Clean cages are introduced and dirty cages are removed through airlocks with appropriate controls to prevent pathogens from escaping. A number of these units may be placed in the same room, each isolating the animals from the others. Containment barriers may also occur at the room or facility level. Specific procedures should be in place to complement physical barriers. These should be in the form of SOPs for all tasks carried out in the barriers, all aimed at maintaining the containment. Perhaps equally important, people should be aware of what they should not do (e.g., open a microisolator cage lid to look at the mice without using a change station). Animals that jump onto the floor should be considered contaminated. Summary Do not: • • Prop open doors; it interferes with the ventilation system Lift the lids of microisolators for any reason unless they are in a properly ventilated changing station • • • • • • • • Refill water bottles (replace with a new bottle instead) Put rodents that have jumped onto the floor back in their cages Move from contaminated areas to uncontaminated areas Use the same needle to inject two different animals Use the same instruments for surgery on two different animals without sterilizing them Swap enrichment devices between cages Save food from the hoppers when the whole cage is being changed Keep rodents at home if you work in a disease-free rodent facility • • Follow all facility SOPs Clean and disinfect common equipment and areas after each use (e.g., procedure tables, anaesthetic machines) Wear protective clothing, gloves, masks, caps, gowns, shoe covers, etc. as required by facility guidelines Change protective clothing between individual or groups of animals as required Ensure that equipment for cleaning and sterilizing is working up to standard Ensure that a health monitoring program is in place (the design of a health monitoring program is specific to a facility, and is beyond the scope of this module; however readers should be aware that such a program is required). Do: • • • • Health Monitoring There are a number of diseases that should be excluded from animal facilities. Some organisms cause severe disease in the animals and so render them unsuitable for research purposes. Some organisms may be present in the animal without overt signs of disease appearing until the animal is stressed, for example after a surgical procedure. Some organisms may be present in animals without causing any disease but still represent a threat to research because of the changes they cause to the immune system, for example. These latent or silent diseases usually do not provide any clinical signs of their presence. Some are transmitted to humans and may pose a risk to people, while in other cases the diseases do not cause overt disease in the animals but may interfere with their use in research. For example, Q fever, caused by Coxiella burnetii, seldom causes overt disease in sheep but is usually highly infectious for people and may cause a variety of symptoms ranging from mild, influenza-like symptoms to severe pneumonia and infection of heart valves. A health monitoring program is required for any of the reasons given above and it has become more of a necessity with the increase in transfer of animals, particularly mice, between institutions. The health monitoring program should seek evidence for the presence of specific organisms that have may represent a threat to the animals, the research or people. The list will be different for different species and perhaps even within species. (Note: Link to this in a separate window: See list of unacceptable organisms for rats and mice) The organisms include viruses, mycoplasmae, bacteria, internal and external parasites, fungi, etc. The program will generally use a number of techniques (e.g., serology, microbial culture, PCR technology, microscopy, histopathology) to evaluate the health status of the animals. The frequency of testing of a colony depends on a number of factors, some of which increase the need for increased testing (e.g., frequent delivery of animals from many sources), and some of which decrease the need (e.g., good quarantine and management procedures). The testing process may simply involve taking samples from existing animals for serology, culture, etc. Sheep or cattle are usually tested in this manner. For colonies of small rodents, sentinel animals are frequently employed so that the main colony is not disrupted. If colony animals are used, then there are several caveats to be recognized. Since the whole colony will not be tested, enough animals must be tested to be reasonably sure that an infection does not exist in the colony. As an example, if the incidence of infection is 30% in a colony, 10 animals per 100 must be tested to be 95% confident that at least one infected animal will be identified. Often older animals are picked when colony animals are used for surveillance. This may result in some interesting reports, especially from the histopathology examinations as some of the animals may be showing age-related changes. If sentinel animals are used in the health monitoring program, they must be free of any of the unwanted organisms. The major consideration for sentinel animals is that they should be given every opportunity to become infected if an organism is present. Genetically modified animals should not be used as sentinels, because they may not mount a measurable antibody response. Dirty bedding from colony animals may be placed in the sentinel cages since a number of diseases are spread by the fecal-oral route. The sentinel animals should be exposed to the air from colony animals (i.e., they should not have microisolator tops on their cages) and they should be close to the outflow for air in the room. (One design of ventilated rack routes all the air from the rack through the cage containing the sentinels.) When the animals are tested, the hope is that all results will come back negative. However, it should be remembered that the tests are not infallible and so while the results of a single testing may be encouraging, repeated negative tests are more conclusive. Sometimes there are positive results, particularly from serology. False positives do occur and if there is just one positive from an appropriate sample, then retesting may show that the colony is disease free. If a test comes back with a positive result, repeat samples are often taken. Repeat positive results are handled in a number of ways depending on the organism, its ability to spread, its effect on research, etc. The course of action may also depend on the type of animals in the facility. Immunocompromised animals are at a greater risk than immunocompetent animals. If the infected animals are unique, this will influence the course of action Among the options a facility may consider would be: live with the organism if it does not pose a threat to the research, other animals or people; isolate and contain the infected colony; depopulate the infected colony, do a comprehensive decontamination and restock with known disease free animals. The source of disease introduction should be sought as part of the recovery process from a disease problem in an animal facility. Animal sources, transportation, people, cell lines, etc., should all be checked to avoid a repeat of the problem Monitoring for Non-infectious Disease The previous discussion dealt primarily with the detection of infectious diseases since they may spread and threaten a whole colony. However, non-infectious diseases are becoming more important with the large numbers of genetically modified animals being produced. The "secondary" diseases being identified in these animals may affect both the well-being of the animals and the research being conducted on them. A broad health monitoring program for genetically modified animals should also be in place. Observing and Reporting Disease Research scientists, research technicians, graduate students, animal care staff all have a role to play in minimizing the impact of disease in an animal facility. Important elements in health monitoring are the identification of sick animals and the implementation of procedures for dealing with the animals. Animals may be ill because of something unrelated to the experimental protocol. It is important that sick animals are promptly reported to the veterinary staff for diagnosis. It may be appropriate to isolate the animal during the diagnostic period or it may be necessary to euthanize it to secure a definitive diagnosis. The health monitoring program outlined above should be seen as a snapshot of colony health at the time the samples were taken. Very low levels of infection or diseases still in the incubation phase may be missed so it is important to obtain a diagnosis on sick animals between the routine tests. Standard Operating Procedures should be established for the reporting of sick animals and for subsequent procedures (e.g., isolation, euthanasia, necropsy, diagnosis). The following list of unwanted microorganisms is given for interest and is not part of the examinable material. LIST OF UNDESIRABLE ORGANISMS IN ANIMAL FACILITIES Immunocompetent Mice Bacteriology (Culture of the oropharynx and of the cecal/colonic content) • • • • • • • Bordetella bronchiseptica Citrobacter rodentium Corynebacterium kutscheri Pasteurella pneumotropica Salmonella sp. Streptobacillus moniliformis Streptococcus pneumonia Serology (ELISA) • • • • • • • • • • • • • • • • • • Cilia-associated respiratory bacillus (CARB) Ectromelia virus Encephalitozoon cuniculi (ECUN) Epizootic diarrhea of infant mice (EDIM) Hantaan virus K virus Lymphocytic choriomeningitis (LCMV) Minute virus of mice (MVM) Mouse adenovirus (MAD) Mouse cytomegalovirus (MCMV) Mouse hepatitis virus (MHV) Mouse parvovirus (MPV) Mouse thymic virus (MTV) Murine encephalomyelitis virus (GDVII) Murine mammary tumor virus (MTLV) Mycoplasma pulmonis Pneumonia virus of mice (PVM) Polyoma virus • • Reovirus 3 Sendai virus Polymerase chain reaction (PCR) • • • Helicobacter bilis Helicobacter hepaticus Pneumocystis carinii Parasitology • • Endoparasites (Direct examination of cecal and colonic contents, and pooled flotation) Ectoparasites (Direct microscopic examination of hair samples) Immunodeficient Mice Bacteriology (Culture of the lower respiratory tract and of the colonic content) • • • • • • • • • • • Bordetella bronchiseptica Citrobacter rodentium Corynebacterium kutscheri Salmonella sp. Streptobacillus moniliformis Streptococcus pneumonia Pseudomonas aeruginosa Pasteurella sp. B-hemol Streptococcus Klebsiella pneumonia Klebsiella oxytoca Serology (ELISA) • • • • • • • • • • • • • • • • • • • • Cilia-associated respiratory bacillus (CARB) Ectromelia virus Encephalitozoon cuniculi (ECUN) Epizootic diarrhea of infant mice (EDIM) Hantaan virus K virus Lymphocytic choriomeningitis (LCMV) Minute virus of mice (MVM) Mouse adenovirus (MAD) Mouse cytomegalovirus (MCMV) Mouse hepatitis virus (MHV) Mouse parvovirus (MPV) Mouse thymic virus (MTV) Murine Encephalomyelitis virus (GDVII) Murine mammary tumor virus (MTLV) Mycoplasma pulmonis Pneumonia virus of mice (PVM) Murine Encephalomyelitis virus (GDVII) Reovirus 3 Sendai virus Polymerase chain reaction (PCR) • • • • Helicobacter bilis Helicobacter hepaticus Helicobacter sp. Pneumocystis carinii Parasitology • • Endoparasites (Direct examination of cecal and colonic contents, and pooled flotation) Ectoparasites (Direct microscopic examination of hair samples) Rats • • • • • • • • Bacteriology (Culture of the lower respiratory tract and of the colonic content) Bordetella bronchiseptica Citrobacter rodentium Corynebacterium kutscheri Pasteurella pneumotropica Salmonella sp. Streptobacillus moniliformis Streptococcus pneumonia Serology (ELISA) • • • • • • • • • • • • • • Cilia-associated respiratory bacillus (CARB) Encephalitozoon cuniculi (ECUN) Hantaan virus Killham Rat Virus (KRV) Lymphocytic choriomeningitis (LCMV) Rat parvovirus (RPV) Mouse adenovirus (MAD) Mycoplasma pulmonis Pneumonia virus of mice (PVM) Polio virus (GDVII) Reovirus Type 3 (REO-3) Sendai virus Sialodacroadenitis virus (SDA) Toolan's H-1 Virus (H-1) Polymerase chain reaction (PCR) • • • Helicobacter bilis Helicobacter hepaticus Pneumocystis carinii Parasitology • • Endoparasites (Direct examination of cecal and colonic contents, and pooled flotation) Ectoparasites (Direct microscopic examination of hair samples) Sample Questions Which one of the following best describes a static microisolator rodent cage? a. b. c. d. e. It It It It It is a disease barrier at the cage level requires a complex ventilation system should only be used for nude mice must be sterilized before use does not require a ventilated change station Which one of the following best represents a fomite? a. b. c. d. e. An insect in the mange mite group A contaminated weigh scale for mice A disinfectant that kills viruses A sterilized forceps Another animal Which of the following may be a source of contamination of a disease-free colony? a. b. c. d. e. University veterinarian Visitors Physical plant workers Animal care technicians All of the above Module 09 - Pain, Distress and Endpoints Module Objectives This module is devoted to the experience of pain and distress, and the approaches and methods we can use to evaluate that experience in animals. A subsection is devoted to the issue of setting more humane endpoints so that the pain and distress in invasive experiments is minimized. The anatomy and physiology of nociception is covered in the following module on analgesia. Nociception is the scientific term used to describe the neuro-physiology of pain perception, including the nerve pathways involved with transmitting messages to the central nervous system that are interpreted as "pain". The objectives of this section are to: • • • • • • describe the experience of pain in animals outline the sources of pain outline how we can obtain evidence of the pain experience in animals describe stress and distress in animals outline how we can obtain evidence of the distress experienced by an animal present some signs of pain and distress in various animal species Consequences to Animals As an introduction to this module, the student is asked to think about the consequences of the following normal activities within an animal facility. Consider each scenario and try to identify why such common procedures should be stressful, before looking at the explanations. Cleaning the animal's cage. Holding the animal. Turning on the lights in a darkened animal room. The isolation of social animals will be stressful to them and this may turn to distress with the animals showing behaviours that are contrary to their best interests. Often these are stereotypies, i.e., behaviours without any obvious purpose being repeated over and over again. What might you see in the following animals? Rabbit Mouse Non-human primate Pain and Distress in Animals Introduction Pain, stress, distress, fear and anxiety are sensory states that people are able to describe. Pain is the word we use when something hurts e.g., after an injury of some kind, an infection, a headache or sometimes an emotional event. We feel stressed when we are harried, when there seems to be too little time to do everything and so many demands are being made on us, or perhaps when you have to take a course before you can work with animals in your research program!! Usually, we are able to deal with the situations. However, when the level of stress reaches a point where we are unable to deal effectively with it, our responses may become counterproductive to our own well-being and we become distressed. Fear and anxiety are important modulators of the pain experience. Freedom from fear can reduce the pain experienced in humans and animals, which is why tranquilizers are useful adjuncts to analgesia or anesthesia. Definitions and Terminology The following definitions of distress, discomfort and pain were developed by CCAC based on FELASA (Federation of European Laboratory Animal Science Associations) definitions. Distress: Distress is a state associated with invasive procedures conducted on an animal, or with restrictive or other conditions which significantly compromise the welfare of an animal, which may or may not be associated with pain, and where the animal must devote substantial effort or resources to the adaptive response to challenges emanating from the environmental situation. Discomfort: Discomfort is viewed as a mild form of distress. Pain: Pain is an unpleasant sensory and emotional experience associated with actual or potential damage or described in terms of such damage. Suffering: The term "suffering", as in "pain and suffering" is not used in this module in relation to animal experiences, because for some animals (the lower vertebrates) that capacity may not be present in the way that humans perceive it. Instead, the word "distress" is used. Pain and distress in a research animal may be very difficult to assess. We cannot ask the animal how it feels, and so must rely on other means of determining the level of pain being experienced by an animal. Although animals cannot communicate with us verbally and describe their sensations, they respond to pain, stress, fear and anxiety in ways similar to humans. They may show fear and anxiety when confronted with a predator, including us, and they show signs of pain when they hurt (e.g., not using a limb when it has been injured). Novel or strange situations may be stressful, as is isolation for a sociable animal. A stressful situation that is not resolved may progress to a state of distress. For example, inappropriate housing conditions that do not permit a normal range of behaviours may result in the development of purposeless behaviours like pacing or weaving. Even if there are no obvious signs of pain or distress, we should not assume that the animals are free of pain or distress. We may simply not be recognising the signs. We are trying to make an assessment on a totally different species when we often cannot make such an assessment on other humans. The challenge for us is to identify the signs that suggest an animal is in pain or distress. And even if we cannot identify the signs, we should not assume that all is well. Animals, particularly species that have evolved as prey species, will successfully hide signs of pain and stress if it is not in their best interests and if they are able. For example, it is difficult for an animal in the wild to disguise the fact that it has a broken leg but it may disguise other signs of injury or disease to mislead a potential predator. In the lab, mice that have had surgery to implant ova in the fallopian tubes will behave normally if observed soon after they recover from the anaesthetic. This is seen even when a gaseous anaesthetic is used and the animals are mobile within minutes of turning off the gas. However, if the animals are observed without them knowing, they may be sitting apart from the group, licking or scratching at the wound, stretching frequently, etc. The signs may indicate that the animals are having some pain or discomfort. Pain, stress and distress produce some similar behavioural, physiological and biochemical changes which we know as the "fight or flight" mechanism. These changes are the result of a stimulation of the hypothalamic-pituitary-adrenal (HPA) axis, and include alterations in blood pressure, heart rate, or a change in behaviour. Fear in a cat. Notice the snarl and the flattened ears. This cat is indicating that it does not want to be touched. Its next action may be to strike out or to flee. There may be a wide variation in response to a painful or stressful situation in different species and between animals of the same species. Some animals will vocalize if they are hurt and the sounds will be quite different from those usually associated with the species. A guinea pig that is hurt will squeal and try to get away. It will rarely ever bite. A rat, on the other hand, will squeal and try to run away, but it will also bite. There is evidence that different strains of mice respond differently to painful stimuli. Furthermore, a strain that reacts at a low intensity for one stimulus may resist a second stimulus until it reaches a high intensity. It is also important to emphasize the temporal nature of pain. Pain is not constant or consistent. It changes all the time both in intensity and form, so the appropriate treatment must accommodate these changes. Birds may show acute pain by vocalising and wing flapping. Open-mouthed breathing may occur and if the pain persists, feathers become ruffled through lack of preening. A decrease in activity and protection of an injured part may also be seen. In some birds, a state of immobility and unresponsiveness may develop. Chronic pain is also seen in birds (e.g., heavy broilers with arthritis; these birds will respond to analgesics by being more mobile and limping less). Pain in amphibians, reptiles and fish is still a poorly studied subject. However, since they have similar anatomical, physiological and neurological features to mammals and since they respond to aversive stimuli, it may be concluded that they feel pain. Some published guidelines on pain and analgesia in birds and fish are available. The effectiveness of various analgesic drugs in these animals has received limited study. Some animals cope with stress better than others. Some coping mechanisms are internal (e.g., hormonal responses to stress), while some are external (e.g., somewhere to hide may be the coping solution when confronted by a predator, including a person). If there is nowhere to hide in a small barren cage, this coping mechanism may fail to relieve the stress and the animal will move quickly from being temporarily stressed to being distressed. The term frustration is often used to describe the reaction of an animal to stressful situations and conflicts that they cannot resolve. Frustration may develop in a laboratory animal when an impoverished environment curtails the normal behavioural repertoire, for example. Increased aggression in pigs and poultry has been ascribed to frustration when these animals are kept in an impoverished environment. Hungry chickens that were presented with food they could not reach began a preening procedure that differed from normal preening in its "frantic" appearance. This was considered to be a sign of frustration in the chickens. In this module, we will look for evidence of pain, stress and distress from four angles. 1. 2. 3. 4. Is there any situational evidence that pain, stress or distress could or should exist? Has there been an injury that makes us believe that the animal must be in pain? Are there any signs that the animal is behaving in an abnormal manner? Has it stopped grooming and looking after itself? Are there physiological changes that suggest the animal is in pain or distress? Has the respiration rate increased? Are there biochemical changes that indicate that the animal is stressed, distressed or in pain? Have cortisol levels increased beyond normal levels? We should be able to gather evidence from the situation and the animal's behaviour without interfering with the animal. However, physiological and particularly biochemical evidence may require restraining the animal and taking blood or other samples. These actions may exacerbate any pain or distress the animal is experiencing and so the findings must be interpreted with care. Although pain, stress and distress will be discussed separately, it will soon be noted that many of the signs overlap. This is to be expected since stress is a common factor in pain and distress. The object is to provide the student with a framework within which it will be possible to identify factors that could have a profound effect on experimental results. Even some of the simplest and common procedures in the animal facility may cause the animal some stress (e.g., changing cages, turning on lights). Looking for Evidence of Pain in Animals Situational Evidence Our own experience with pain and distress can tell us something about an animal's experience, because there is an evolutionary continuum from animals to man, not only with respect to the physical, but also with respect to the behavioural and psychological systems. Situations that cause us pain probably cause pain in animals as well. However we must approach interpretation of animal thinking and behaviour with caution. This is sometimes called "critical anthropomorphism". Animal models have been used extensively to evaluate and test drugs with antinociceptive properties, and to determine the mechanisms whereby pain relief is obtained. This clearly shows that we believe that animals have the same, or a closely similar, neural substrate subserving pain processes, as do humans. Pain is usually associated with physical damage to tissue. Pain is the feeling we experience when pain receptors are stimulated in the tissues. Most tissues have pain receptors and the density varies from tissue to tissue. The skin is well supplied with pain receptors while deeper organs tend to have fewer receptors. Skin incisions are painful, as we know from experience. As a result of tissue damage, chemicals are released that either stimulate pain receptors directly (e.g., histamine, bradykinin) or sensitize them to stimulation (e.g., prostaglandin). The brain is believed to be devoid of pain receptors, so injuries to the brain itself are not painful. However, other tissues within the skull do have pain receptors (e.g., arteries) and so may cause "headaches". Traumatic damage to tissues from a surgical procedure is usually easily recognized. It is important to note that pain and stress can be significantly reduced by good surgical technique and planning so this should be addressed before rather than after the event. A major factor in perioperative pain is surgical skill. We should not substitute analgesics for incompetent surgical technique. Trauma may occur as a result of a slip or a fall and the external evidence may not be so obvious. Infectious diseases cause tissue damage and the resulting inflammation is part of the body's attempt to repair the damage. Conjunctivitis, cystitis and mastitis are examples of infectious diseases that are associated with pain but not all infectious diseases have a pain component. Some immune diseases may result in tissue damage (e.g., some forms of arthritis). Compounds injected into animals may cause tissue damage and pain. Some drugs are known to cause pain when injected. For example, the pH of the solution may not be appropriate. There may be two components to the pain, one associated with the drug itself and one associated with the injection of a relatively large volume into a closed compartment for example a muscle bundle. The latter should not be a factor if the proper volumes for injection are followed. (See www.eslav.org/efpia.htm) All of these examples provide us with evidence that pain could be expected. However, they do not give any idea of how much pain is occurring. That depends on a number of factors that vary the response to pain in different species, different strains, different temperaments, etc. Pain in Animals: Behavioural Evidence The most easily acquired evidence of pain in an experimental animal comes from noting changes in behaviour. Animals change their behaviour in response to pain, particularly pain that persists. The changes depend on the level of pain, the tolerance of the animal, the species and even strain of the animal, the situation under which the pain occurs and a variety of other factors. Short-term pain (e.g., an injection) may be very well tolerated, depending on the site of injection and the substance injected. There may be no behavioural changes as a result of a subcutaneous injection of a nonirritating material. On the other hand, a subcutaneous injection of an irritating material may result in the animal scratching at the site of injection. This repeated scratching at a specific site constitutes a change in behaviour. The same reaction may be seen in animals infected with mites that bite and irritate the skin. Severe short-term pain may produce an aversive reaction in an animal. A normally compliant, friendly animal may attempt to bite someone causing it pain. Alternatively, the animal may attempt to flee from the cause of the pain. Chronic or long term pain (e.g., arthritis, orthopedic procedure) is likely to produce more subtle behavioural changes. Animals and people react to pain through coping mechanisms that are both internal and external. There are descending pathways from the brain to the spinal cord that will inhibit neuronal activity and reduce the sensation of pain. In addition, compounds are released that have opioid effects (e.g., endorphins and enkephalins). These internal reactions to pain will reduce the external behavioural changes. Animals in pain will often withdraw from their social group, choosing instead to remain alone, to be less active and less responsive to external stimuli. Sometimes, persistent pain will cause an animal to traumatize further the area that is hurting. An extreme form of this is seen in animals that have undergone the severing of nerves to the foot. A neuroma frequently develops and this causes pain that seems to come from the denervated foot. The animal's response may include chewing the toes as it attempts to relieve the pain. More often, persistent pain will result in the animal scratching at the site. In our own experience, a persistent itch will cause us to scratch repeatedly at the site. A second complicating factor is that many laboratory animals are nocturnal and so are asleep during the part of the day when we are working and the lights are on. Again it may be difficult to discern signs of pain. However, switching off the lights and using a red light to observe them can overcome this difficulty. Most of these nocturnal animals will become active within a few minutes of the lights being switched off. Animals that are inactive or those that remain separated from the group may be in distress or pain. It is possible to see abnormal postures such as hunched back or tiptoe gait that may also point to pain. Food and water intake is often altered when an animal is in pain, regardless of the source of the pain. Because many animals used in science are housed in groups it is difficult to detect these changes. Loss of body weight can be used as an indirect measure of a decrease in food and water intake. Animals expected to develop pain can be closely monitored to allow accurate measurement of body weight. Grooming is an important activity for animals and a failure to groom is an early sign of pain. The hair may be standing up (piloerection or staring) rather than lying down smooth. It may be dull rather than shiny and it may be matted or clumped, particularly around the face and mouth and the anal and genital openings. Pain in Animals: Physiological Evidence Painful experiences stimulate the hypothalamic-pituitary-adrenal (HPA) axis. Many of the physiological changes seen in pain are a reflection of the release of adrenalin and noradrenalin. Some of these changes may be observed without handling the animal. Dilation of the pupils and an increase in respiration rate may be directly observed. Measuring the body temperature, heart rate or blood pressure in small laboratory animals usually requires some interventions such as restraint or previous surgery to implant recording devices. In larger animals (e.g., cattle) it is possible to see the pulse in the jugular vein with each heart beat and so the heart rate may be determined. Palpation of the heart or a peripheral artery will also provide a measure of the heart rate, which will be elevated in an animal in pain (and also in a nervous animal). The blood pressure will also be elevated and this may be measured using a cuff in some animals (e.g., around the tail in small rodents or over a peripheral artery using Doppler equipment). The Doppler monitor shown on the left is of a style commonly used for larger animals, larger than a rabbit. An appropriately sized cuff is placed over a peripheral artery according to the instructions from the maker. The machine may be set to measure the pressures automatically at given time intervals or it may be used manually. Physiological evidence of pain is best observed in the early stages after a painful stimulus. As the pain persists, the changes tend to lessen so that the changes in heart rate, respiration rate etc. are not so dramatic and may be within the normal range. Pain in Animals: Biochemical Evidence Several biochemical changes accompany painful stimuli. However unless the animal has been previously catheterized so that blood can be collected during the painful stimulus, these changes are not likely to be observed. Some of the compounds or their metabolites may appear in the urine. Corticosteroids (e.g., cortisol) and catecholamines (e.g., adrenaline) will be elevated, from stimulation of the HPA axis. The metabolic rate will be increased and there will be elevation of endorphins and enkephalins. There are also changes in the immune system associated with pain (and distress), some of which can be measured. The widespread effects of corticosteroids may be seen in a range of biochemical parameters, electrolyte changes, metabolic changes, immune factors, etc. This presents the investigator with the difficulty of separating the normal from the pain-induced abnormal biochemical changes. In addition to the four sources of evidence for pain already discussed, other evidence may be useful in special circumstances. For example if an animal in pain is treated with pain relieving drugs (analgesics) and its behaviour and physiology return to normal, we feel confident that it was in pain before. Summary comment In coming to the conclusion that an animal is in pain, we need to examine evidence from each of the areas discussed. One sign alone may be sufficient to identify an animal in pain, but more often we are trying to identify more subtle signs of pain. In these cases, several pieces of evidence will add up to a correct diagnosis. Evidence of Stress and Distress We will look for evidence of stress using the same four areas we looked at for pain. 1. Is there any situational evidence that stress could or should exist? 2. Are there any signs that the animal is behaving in an abnormal manner? 3. Are there physiological changes that suggest the animal is stressed? 4. Are there biochemical changes that indicate that the animal is stressed? Pain is also a stressor, so many of the same signs will be found. However, since there are other forms of stress than just pain, we need to be able to recognize these also. Stress and Distress: Situational Evidence Are there any reasons to expect that the animal may be under stress? Is a social animal (and most of the animals commonly used in biomedical research are social animals that are most comfortable living in small groups) being housed alone without contact with its own kind? Often animals are housed alone as part of an experimental protocol. However, the effect of this must be recognized within the context of the experiment. It is known, for example that in mice, the growth of some tumours is increased if the mice are housed singly when compared with housing in groups. The rabbit is alone in a metal cage, with a wire floor that will allow feces and urine to pass through to the tray below. The water bottle will provide the rabbit with one of the few means of diversion in this otherwise barren cage. It is common for single rabbits in a cage like this to play with the water bottle, allowing the contents to dribble through its mouth to the tray below. Pigs in stalls may also develop this habit. Is the environment stimulating for the animals or does it provide little opportunity for the animals to indulge in normal behaviours? A physically impoverished environment, like a socially impoverished environment is known to be stressful to many species. This is especially so if it is combined with a restriction in activity. Are the animals new to their surroundings or have they just been transported? Animals in these situations often show signs of stress, particularly in their behaviour. And transportation may be as little as being moved from one room to the next, even within their home cage. Some experimental manipulations that are not associated with pain may be stressful. Even picking up an animal in a careless manner or by an unfamiliar person may trigger signs of stress. Food and water deprivation of even short duration may be stressful to animals used to good supplies of these nutrients. Stress and Distress: Behavioural Evidence Again the stressed animal will show some of the behavioural changes noted in association with pain although not the pain specific signs (e.g., lameness, protecting an injured part). Stressed animals may become quiet and unresponsive or they may become hyperactive (e.g., observe the frantic activity of mice when they are placed in a nice clean cage, free from any odours of their marking). In some cases, the animals may return to apparently normal behaviour, even though the stressful situation still persists. This is described as coping and is a response to stress, i.e., the animal tries to return all systems to normal. Stress and distress: Physiological Evidence The physiological changes described under pain are seen in animals stressed by non-painful situations although the level of change may be less. Again these changes result from stimulation of the HPA axis with the release of corticosteroids and catecholamines. Changes in heart and respiratory rates, blood pressure and metabolic rate are all seen. Studies of the immune system have shown changes including suppression of some elements of this system. This ties in well with the well-recognized development of disease in stressed animals and people. These changes in the immune system are being investigated as a subtle indicator of a stress problem when other signs have returned to normal values. Stress and Distress: Biochemical Evidence As indicated above, there are raised levels of corticosteroids and catecholamines in stress. These may return to normal, even in the continued presence of the stimulus, and so their absence cannot be considered evidence of no stress. Distress may be considered to be the state of an animal that has been unable to cope with stress and where its responses not only fail to alleviate the stress but also are detrimental to the animal's wellbeing. The behavioural signs noted in stressed animals in the early stages persist. In addition, the animal develops stereotypies or maladaptive behaviours. A stereotypy is a repeated behaviour that has no obvious purpose (e.g., the pacing of a tiger in a small enclosure, excessive licking or grooming, feather pecking in battery chickens, bar chewing by pigs in stalls). Stereotypies should be seen as indicators of stressful conditions that are causing the animals to be distressed. They are the animals' attempts to cope with the stress and in most cases they do not cause harm to the animal. In a few cases, the stereotypical activity may result in physical harm to the animal. For example, excessive grooming seen in a number of species may result in the formation of hairballs in the animal's stomach or actual trauma to the skin. This type of stereotypy is often seen when social animals are held in isolation (e.g., rabbits or non-human primates). The eating and drinking habits of animals in distress are usually altered. Frequently they refuse to eat and drink and remain passive and unresponsive to their environment. The physiological signs of distress are quite variable. They include the signs of stress given above but modified depending on the success of coping mechanisms. In addition, the changes in behaviour, particularly in eating and drinking will result in weight and hydration changes, depending on the duration of the distress. There may be changes noted in some of the formed elements of the blood, particularly eosinophils, neutrophils and lymphocytes. Distressed animals may be more susceptible to infectious diseases. As with the physiological signs, the biochemical signs may be quite variable but are similar to those seen in stress. Since the HPA axis is intimately involved, there may be changes in adrenal gland secretions and even exhaustion of adrenal function may occur. Other hormonal changes may occur (e.g., the estrous cycle may be disrupted in non-human primates). Signs of Pain and Stress: Summary The following table summarizes the signs of pain and stress and gives an expectation of their occurrence. Since pain and stress are seen in different intensities, the animal's response depends on the species, age, situation and a number of factors. For example, some animals vocalize often as part of their normal behaviour (e.g., cats) while others seldom vocalize except in extreme situations (e.g., rabbits). This table is presented as a checklist of things to look for rather than a definitive or complete description. Additional information on the species specific signs of pain is available in the CCAC Guide: (click here) Sign Pain Stress Protecting injured part e.g., limb, Commonly seen; may be abdomen reluctant to move Seldom seen Vocalizing Especially if forced to move May occur in isolated stressed animal Respiration Rate increased and may be shallow Rate may be increased if animal is also fearful Attitude May be depressed and unresponsive to stimuli Usually alert and responsive, sometimes depressed Food and water intake Usually decreased Often decreased; some stressed animals may overeat Urination and defecation Reduced volume and frequency Both may be increased with diarrhea sometimes Appearance Unkempt, piloerection, reduced self care Unkempt, piloerection and reduced self care Eyes May be sunken, occasional discharge Discharge especially in rats and mice It is our responsibility, when animals are used for research, teaching and testing to ensure that pain is minimized, including for those studies in which pain may accompany the research being done. We should seek evidence for pain, stress and distress in animals from several points of view. Situational and behavioural evidence may be found by observation while physiological and biochemical evidence requires the collection of information by handling or otherwise manipulating the animal. Since there is no single parameter that defines any of the states, we must synthesize our opinion based on all available evidence. Assessment of Pain and Distress in Animals with a View to Setting More Humane Endpoints in Invasive Studies Objectives The objectives of this section are to: • • • • • define the term "endpoint" in relation to minimising the potential for an animal to experience pain or distress in invasive studies present the ethical and scientific concerns important in choosing the appropriate endpoint in a given study describe the observations upon which endpoints can be based make reference to recommended endpoints in the published literature, and provide research examples list some questions that can help the principal investigator and the animal care committee choose the appropriate endpoint in a given invasive experiment, and help ensure that no animals will go past the endpoint and thus experience unnecessary pain or distress Introduction When some level of animal pain or distress may be inherent or unavoidable in a research program in relation to a condition being studied (like cancer or infectious disease), or as an undesirable side effect of the procedures, it is our responsibility to minimize that pain or distress. Anticipating the expected pain and formulating a pain control plan are important. One way of limiting the potential pain and distress is to decide ahead of time at what point such an experiment will stop, to avoid pain and distress that would occur if the experiment continued. When an invasive research project is being planned, the principal investigator should consult the CCAC guidelines on: choosing an appropriate endpoint in experiments using animals for research, teaching and testing http://www.ccac.ca/en/CCAC_Programs/Guidelines_Policies/GDLINES/ENDPTS/APPOPEN.HTM to ensure that choosing the appropriate endpoint is done in compliance with the CCAC guidelines. Defining "Endpoint" For our purposes, the term "endpoint" can be defined as the point at which an experimental animal's pain and/or distress is terminated, minimized or reduced by taking actions such as humanely killing the animal, terminating a painful procedure, or giving treatment to relieve pain and/or distress. The general guideline in the CCAC endpoints guidelines CCAC guidelines on choosing an appropriate endpoint in experiments using animals for research, teaching and testing states: "In experiments involving animals, any actual or potential pain, distress, or discomfort should be minimized or alleviated by choosing the earliest endpoint that is compatible with the scientific objectives of the research. Selection of this endpoint by the investigator should involve consultation with the laboratory animal veterinarian and the animal care committee." This statement acknowledges that there are both ethical and scientific considerations that go into finding an appropriate endpoint. Arriving at that decision involves the researcher and the people at the institution given the responsibility for acting on behalf of the animals used in research teaching and testing. The various stages of an animal's condition in an invasive experiment can be depicted on a scale from "normal" through "moribund" to death at the other end of the scale. When a procedure affects an experimental animal, its condition starts to change from being a "normal" healthy animal. In studies that involve infection, cancer, or arthritis, for example, as the condition progresses there may be increasing pain and distress. Eventually the condition of the animal may reach a point where it becomes obvious that unless action is taken to terminate the condition, the animal will go on to die. This point on the scale is called the "limiting clinical signs". One example of this comes from the regulatory safety testing literature involving the rabies vaccine challenge test in mice (used to test the efficacy of a batch of rabies vaccine). The traditional endpoint for this test has been death in the control animals (and perhaps in some dilutions of vaccinated animals). Using a 4 stage clinical scoring system: Score 1: ruffled fur, hunched back; Score 2: slow movements, circling plus >15% weight loss; Score 3: trembling, shaky, convulsions; Score 4: lameness, paralysis, permanent recumbency; The researchers found that all mice progressing to score 2 went on to die. These observations were the most significant predictors of further deterioration in the animal's condition, and a score of 2 was the earliest point at which those signs appeared. Therefore the experimental endpoint could be set at a score of 2 rather than waiting until the mice died, without affecting the outcome of the test. Cussler, Morton, Hendriksen 1998. Humane endpoints in vaccine research and quality control, Proc Int Conf, Nov 1998. (click here for: cussler.pdf ) When the cardinal signs of the condition are unknown, a pilot study using a few animals under close observation may provide the information to allow the earliest endpoint to be found. Ethical and Scientific Concerns in Choosing an Appropriate Endpoint The above example also raises the issue of the balance between scientific concerns and ethical ones in choosing an endpoint. Selection of an endpoint by the investigator is important because he/she has defined the scientific objectives, and if those are not met because an experiment was terminated too early, then the study and the animals' lives are wasted. The endpoint should not change the outcome or invalidate the results. The objective should be to have a scientifically valid experiment, while at the same time holding any pain and distress to a minimum. Which Observations of Behaviour and Physiology are Best for Selecting the Endpoint? There is no single answer for this question. Each research project where an endpoint is defined to minimise animal pain and distress will probably have a distinct set of observations needed to accurately identify the animal whose condition has progressed to the endpoint. A study of the pain of castration in lambs will use different observations than a study of bacterial infection in mice. Nevertheless the approach to making (and recording) the observations will be much the same. For most studies, there are five areas in which observations of the animal should be made: • • • • • external physical appearance changes in behaviour (both when the animal is at rest and when it is stimulated) changes in body weight (and related changes in food and water intake) body temperature changes in clinical signs (e.g., heart rate, respiratory rate, etc.). Of these, measuring and recording body weight and body temperature should be considered for almost every endpoints assessment. A scale can be set up for each observation (for parametric signs) with increasing changes from normal identified, and tracked by using a checklist to record the observations. That way the changing condition of the animal can be followed from one observation time to the next. This approach also helps ensure that the observations are as objective as possible. An endpoint can be then be pre-set; that point when the scoring of the animal's condition has reached the endpoint. There are two types of observations that can be made: 1. Changes from normal (also called parametric signs) on a continuous scale from normal. These observations include: body weight; body temperature; heart rate; respiratory rate; level of activity or other behaviour. For example a scale could be set up for body weight as normal, 10% weight loss, 20% weight loss; 30% weight loss. Some of the technologies that assist in the recording of these important observations include infrared thermometers, implantable physiological recording and telemetry microchips, computerised activity monitors, etc. 2. Presence or absence of signs (also called non-parametric signs). Signs such as ruffled coat, closed eyelids, nasal discharge, limping, hunched, recumbent, circling, vocalisation, self- trauma, diarrhea, dyspnea, seizures could be recorded as being present or not. Viewing the recording sheet over several observations would reveal if an increasing number of signs were present. To be effective a checklist should be specific for each experimental protocol, for each species, and strain, should list all the common and the cardinal signs in order of observation, and each sign scored as present or absent, or degree change from normal. The CCAC endpoints guidelines provide additional information on the process for developing such checklists. (CCAC guidelines on: choosing an appropriate endpoint in experiments using animals for research, teaching and testing - click here ) Using observational checklists to track the condition of patients has been used in human medicine for some time. The APACHE II scoring system (Acute Physiology and Chronic Health Evaluation) for evaluating seriously ill people in critical care has a scale from "0" being normal to "+4" indicating an observation that is significantly changed from normal. The evaluation is made for more than ten parameters. (Click here for: APACHEII.pdf ) A Sample Clinical Scoring Checklist The checklist for the clinical and physiological observations made in an acute pneumonia model in cattle used to develop vaccines, included: • • • • a rhinitis or nasal score (0 normal to 4 very severe rhinitis), a respiratory distress score (0 normal to 4 very severe respiratory distress), a depression score (0 normal to 4 moribund), and a strength score (0 normal to 4 recumbent, unable to rise). In addition temperature and body weight were recorded. When an animal reached an overall sickness score of 3, that was set as the endpoint and the animal euthanised. This choice of endpoint was based on early experience with the model. Some Endpoints Recommendations from Published Guidelines Body Weight Changes The rate, duration and extent of weight loss are all important. A weight loss of 20% is considered an endpoint, in the CCAC endpoints guidelines. Similarly the UK Coordinating Committee on Cancer Research (UKCCCR) Guidelines for the Welfare of Animals in Experimental Neoplasia (click here ) recommend that weight loss exceeding 20% should be one of the endpoints in cancer research. A number of other endpoints for animal models of cancer research are also presented in this publication. For example, the total mass of the tumour should not exceed 10% of the normal bodyweight for that animal. (CCAC guidelines on: choosing an appropriate endpoint in experiments using animals for research, teaching and testing - click here ) Body condition scoring may be necessary to identify loss of body condition in cancer studies where the general weight loss may be cancelled out by the growth of the tumour. Body Temperature Changes A number of studies have shown that in mouse models of infectious disease (bacterial and viral), animals whose body temperature dropped more than 6°C went on to die, and so this would be one of the recommended endpoints in studies of this nature. Change in Activity Level Lethargy, depression, and sleepiness accompany many disease conditions (produced in part by the actions of cytokines released during the acute phase response). In rodents observing this decrease in activity may require observing them during the dark phase of the room's lighting system. This can be mimicked by turning the room lights off and observing the activity level under red light (the red light test). How Often Should the Observations be Made? The CCAC endpoints guidelines recommend a minimum of two or three observations each day during critical periods, and more frequently if necessary to ensure that no animal's condition progresses past the set endpoint. In pilot studies, continuous monitoring using video equipment can be helpful in identifying critical times. Assisting the Principal Investigator, the Animal Care Committee and the Veterinary and Animal Care Staff in ensuring that CCAC Guidelines on Endpoints are satisfied. The challenges for principal investigators include: setting the earliest scientific endpoint possible; defining limiting clinical signs; using best technologies for obtaining necessary observations. The challenge for animal care committees is to balance the requirements for good science, with the responsibility to minimise pain and distress. This would include pressing for earlier, data driven endpoints whenever possible. The challenges for veterinary, animal care and research staff include: ensuring careful, objective monitoring of all animals; documenting observations made; identifying animals nearing pre-determined endpoints. To help meet these challenges, asking the following questions will hopefully generate the discussion needed to meet our collective responsibilities in ensuring that experimental animal pain and distress are minimised in invasive studies. What are the scientific justifications for using the proposed endpoint? Scientific justification for a proposed endpoint is related to the goals of the project. The work must have scientific merit, and the endpoint must fulfill the scientific requirements. Scientific justification should not rest wholly on comparison with published data, as this does not permit refinement of endpoints. A pilot study might be used to compare a new scientifically justifiable endpoint with data from a previous study using an older, later endpoint. There may be some studies in which going beyond normally accepted endpoints could be scientifically justified, for example, cancer treatments or treatments for other serious diseases. For these to be acceptable from a welfare point of view, the animals would need to be treated as if they were in intensive care, and provided with all possible measures to alleviate their pain and distress while allowing the study to proceed. What is the expected time course for the animals, from the initial treatment to first signs of pain/distress to the death of the animal, based on previous information with the specific model under study? When this knowledge is not available from previous studies, a pilot study with a few animals might provide a means of assessing the time-course of events during a study, to predict the time at which the effects on the animals are the most severe, and the times at which the animals need the most careful monitoring. This information is needed to decide when the most intensive monitoring of the animals should take place so that the endpoint is reached when the relevant personnel are present and can terminate the experiment When are the effects to the animal expected to be the most severe? Knowledge of the time course of the development of a tumour, or infectious disease can also assist in determining when the animals require the most attention. Conditions that are acute, i.e., that progress to severe dysfunction or death in a short period of time, are of particular concern. Providing special care for animals whose condition is severely compromised would help ease the pain and distress they experience. If the course of the disease and expected signs of the adverse effects are unknown, could an initial pilot study, under close observation by the investigator and/or laboratory animal veterinary staff answer these questions? Observation by the investigator should ensure that the necessary scientific objectives are being reached, while the laboratory animal veterinary staff can provide the expertise with regard to clinical signs of pain and/or distress. Has a checklist of observations, on which the endpoint will be based, been established? If not, the pilot study affords the opportunity to compare observations of control animals with treated animals and to identify indicators that can be used to establish the earliest possible endpoint. Who will monitor the animals (identify all responsible) and keep records? All the persons involved in the care and monitoring of the animals should be identified at the outset, and must be skilled at recognizing signs of pain and distress. Has a clear chain for reporting observations been established? It is crucial that the individual(s) responsible for monitoring the animals have a clear reporting line so that the individual with responsibility for deciding on the termination of the experiment is informed promptly of changes in the animal that indicate the selected endpoint is imminent. What will be the frequency of animal observations: a) during the course of the study; and b) during the critical times for the animals? The animal care committee must be assured that the animals are going to be monitored with sufficient frequency to enable the staff responsible to identify any animals approaching the endpoint. Do the investigator(s), animal care and technical staff have the training and expertise to monitor the animals adequately? The animal care committee must also be assured that the individuals responsible for monitoring the animals have the training and experience to do the monitoring. What provisions have been made to deal with any animals that show unexpectedly severe signs and symptoms? Provision should always be made to deal with unanticipated pain and/or distress. For toxicological studies, have existing toxicological data been evaluated? Data mining: It may be possible to predict clinical signs from background data or databases for similar chemicals or substances. Information from human or veterinary clinical practice with similar substances may also be useful. Summary As noted in the CCAC endpoints guidelines, in experiments involving animals, any actual or potential pain, distress, or discomfort should be prevented, minimized or alleviated by choosing the earliest endpoint that is compatible with the scientific objectives of the research. Any distress or pain experienced by the animals in the course of biomedical research, teaching and testing, that is not necessary to achieve the scientific objectives of the research should be avoided. That is our ethical responsibility. Sample Questions Which one of the following best describes the typical physiological response to stress or pain? a. b. c. d. Decrease in body temperature; Increase in heart rate; Decrease in respiratory rate; Immune system stimulation. Repetitive non-productive behaviors called stereotypies may occur in which one of the following cases? a. b. c. d. e. The animal has just been moved to a procedures room; The animal is bored or frustrated; The animal has been restrained for injection; The animal has just been weaned; After the animal has been anesthetized. Which one of the following statements is not correct? a. b. c. d. e. Scientific endpoints for a study should be reached before humane endpoints. Appropriate endpoints may be exceeded if another method of reducing pain and distress is employed, so that useful scientific data may be collected and animals will not be wasted. Pilot studies, using small numbers of animals, should be used to define suitable humane endpoints if the outcome of a new procedure is unpredictable. Pilot studies should be used to identify technical problems that may develop in a novel procedure. Pilot studies need not be reviewed by the institutional Animal Care Committee because very few animals will be used. Module 10 – Analgesia Objectives The objectives of this module are: • • • • • • to review pain in animals to define analgesia to define nociception to outline the anatomy and physiology of nociception to discuss the major groups of pain relieving drugs; their properties, limitations and side effects to discuss the legal requirements in using controlled drugs for analgesia What is not in this module? Drug Doses: Drug doses will not be discussed within this module, because it would have required the consideration of every possible circumstance, every species and strain. However, the investigator should be aware of the mode of action of the drug to ensure unacceptable complications are not added to the study. The investigator is advised to consult a veterinarian about specific drugs for pain relief. As a prelude to this module and as a reminder of some of the material covered in Module 5 on pain in animals, four questions are posed here to introduce some of the important themes in the module. The student should consider the questions before clicking the link to the commentary. Which of the following conditions may be accompanied by pain? a. b. c. d. e. Surgical incision site Arthritis Eye infections Abscesses Gastrointestinal upsets Which of the following signs are often associated with pain in animals? a. b. c. d. e. f. Reluctance to move Reduced food intake Failure to groom adequately Ocular discharge Lameness Isolation from the group We should try to relieve pain in animals because: a. b. c. We expect to have our own pain relieved Animals feel pain Pain has an effect on many body systems and so may distort research d. e. results We have an obligation to avoid causing unnecessary pain and suffering to animals The Canadian Council on Animal Care Guidelines require the use of analgesics Which factors influence the choice of drug to relieve pain? a. b. c. d. e. The The The The The severity and duration of the pain duration and effectiveness of the drug most effective drug with the fewest side effects least stressful effective route of administration for the animal most effective drug that does not interfere with the study. The four questions above represent different aspects of pain control in animals. Pain may originate from a variety of sources and while the pain of surgical wounds may be the most common source, we should not forget other causes. The signs of pain will vary from species to species and with the source of the pain. Highly localized pain may cause signs restricted to that locality e.g., the signs of pain from a sore foot may be restricted to the same leg while a generalized infection will provide more widespread evidence of pain. Introduction to Analgesia in Experimental Animals We have an obligation to reduce or abolish pain in animals whenever it occurs and particularly if it occurs in research, teaching or testing. Many investigations that use animals for research and testing have the potential to cause pain or suffering that should be alleviated. When studies may result in pain, the principal investigator should include a plan of action to use analgesic agents, including contingency plans for unexpected events. Veterinary expertise should be consulted. Some experimental situations are obvious candidates for pain therapy. Pain occurs following most surgical procedures, but the severity depends on the invasiveness of the surgery, the organs involved, post surgery complications, etc. In some cases, the pain is of relatively short duration in the immediate post-operative period, while in other cases pain may last considerably longer. For example, animal models of arthritis should be considered painful as the human diseases that they model are known to be painful. Similarly, some forms of cancer in humans are painful, particularly those that are found in bone. However, even solitary tumours may induce pain, depending on their site. Those that ultimately ulcerate through the skin may have been causing pain for a considerable time. Infectious diseases result in a range of pain and distress symptoms. Fever and pain in muscles and joints, "flu-like" symptoms, may be experienced in a variety of viral infections. Gastrointestinal diseases, urinary tract diseases, hepatitis, peritonitis, respiratory diseases, abscesses, conjunctivitis, may all be painful. Antibody-antigen interactions, as in allergies or following immunization, may be itchy or painful. The examples given above provide concrete indications for pain therapy. In very painful states, this may include the use of the most potent analgesic agents, the opioids. However, if we consider our own situations, there are also less serious conditions that have us reaching for the medicine cabinet. We are used to thinking of pain relief in terms of a single analgesic. However, as we learn more about the nature of pain, it is clear that effective pain control may depend on using a number of drugs. Pain can also vary with time, and the pain treatment should match the situation. This may involve using different drugs at different times in the course of treating pain in an animal. The usefulness of local anesthetics in providing short-term pain control should not be forgotten. In addition, we should examine the timing of analgesic administration. The use of analgesics before surgery has been reported to lessen the need for post-surgical pain control although there is still some controversy over the effectiveness of this approach. For the most part we are the cause of pain and distress in experimental animals and we should alleviate that pain and distress as completely as possible using all the tools at our disposal. Concern Over The Impact Of Analgesics On Research Results Although some investigators may worry about the effects of pain relieving drugs on their experimental model, the effects of the pain and distress that the animal may suffer are of greater concern. The physiological and neuroendocrine effects of unrelieved pain and distress may be extensive. More consistent results will probably be obtained from an experimental model when the animal is not experiencing pain and distress. It is a moot point then, whether the risk of side effects from drugs is a greater threat to the experimental protocol than the problems associated with extensive pathophysiology. Further, the side effects of most drugs are quite well known and with careful selection acceptable pain relief can be achieved with a minimum of interference with the investigation. Analgesia in Laboratory Animal Models Analgesia Means "Without a Sensation of Pain" Analgesic drugs, with the exception of local anesthetics, usually do not completely abolish painful sensations but reduce the intensity of the pain and make it tolerable. Nearly everyone has taken an analgesic for a painful condition (e.g., severe headache; after a tooth extraction) and has found the pain diminished and more tolerable. The same effect probably occurs in animals although it is difficult to be certain of this. The approach to pain therapy should be a balance between providing the animal with adequate pain relief without causing the animal further problems. Pain relieving drugs have side effects that must be considered. For example, under certain conditions, many non-steroidal anti-inflammatory drugs (NSAIDs) may cause gastric ulcers and renal damage. Many people are unable to take pain-relieving doses of aspirin for this reason and this has fuelled the search for new NSAIDs. Pre-emptive Analgesia There is increasing evidence that the administration of analgesics prior to surgery reduces the need for analgesics in the post-surgical phase. This information has come primarily from the human field where subjective information on pain is easily obtained. (Woolf and Wall 1986, Lascelles et al. 1995 References from Pain Management book chapter 5) Lascelles et al (1997) and Gonzalez et al. (2000 Pain 88: 79-88) found a similar effect in animals. There is some dispute about the effectiveness of pre-emptive analgesia in man and several reports have been unable to demonstrate any significant reduction in the post-surgical need for analgesics. (Katz, J. Eur. J. Anaesthesiol Suppl 1995 10:8-13 Pre-emptive analgesia: evidence, current status and future directions) Administering Analgesics to Laboratory Animals Oral administration of drugs in food or water may seem attractive as there will be minimal interference with the animal. However, it does depend on the animal eating or drinking a required amount to obtain sufficient drug and this does not always happen. The taste of the drug may discourage the animal from eating it. Water consumption in normal rodents is quite variable and so accurate dosing of any compound in drinking water is difficult. It should be remembered that some analgesics, particularly the opioids, suppress appetite. Although each class of analgesic drug is considered separately, this does not mean that only one should be used at a time. However, care must be taken to ensure that there are few or no reactions between the drugs that would either increase the side effects or diminish the analgesic effects. There are many factors to be considered in choosing an analgesic drug including those listed below. Many of these factors will be discussed in greater detail in the ensuing text. However, each situation should be evaluated separately and a decision made to minimize the pain experienced by the animal. • • • • • • • • • Species Cause of the pain Severity of pain Route of administration Volume required Duration of effect Potential side effects of drug, good or bad Effects on study Effects of administration on animal Pain: Sites of Origin, Pathways, and Neurotransmitters The precise mechanisms of pain appreciation in the central nervous system have not been fully elucidated although much is known of the pathways involved. Some of the transmitters and receptors that play an important role in pain have been identified. This has led to the development of drugs that are designed to interrupt pain pathways at specific sites, usually by occupying receptors and blocking the signals. Interruption or modification of pain transmission can occur at several sites and employ different classes of drugs. This opens up the possibility that optimal pain control may require more than one analgesic. This approach has been adopted to control pain in some human patients, and should be discussed with the veterinarians in cases of pain in laboratory animals too. A detailed description of the pain pathways of the central nervous system is beyond the scope of this module. It would suffice to say that there are three primary sites at which modification of pain transmission can occur: the periphery; the spinal cord; the cerebrum. Most drugs have actions at more than one site. At the periphery, the responsiveness of pain receptors is enhanced by the presence of prostaglandins. These prostaglandins are formed in response to tissue trauma. This means that the receptors will respond to a lesser stimulus than before they were sensitised. A number of endogenous compounds (e.g., histamine, serotonin) may be responsible for the actual pain sensation. In the spinal cord, information on pain is received by cells in the dorsal horn and is passed on to higher centres in the brain along tracts in the spinal cord. Pain fibres coursing into the cerebrum may end in a number of sites, particularly the reticular formation, the thalamus and the cerebral cortex. In the reticular formation, the pain stimuli may evoke arousal, changes in heart rate, blood pressure, respiration and other activities. It is in the thalamus and cerebral cortex where the appreciation or conscious awareness of pain is to be found. Neural Pain Pathways The diagram above also shows pathways coming from the brain down to the spinal cord. Stimulation of these descending pathways can reduce and even abolish some forms of pain. The body also produces chemicals including endorphins that act on the same receptors as externally administered opioids, to provide pain relief. The significance of descending inhibitory pathways and chemicals in the control and modification of pain sensations is unclear, particularly in animals. Many animals (and humans) appear to tolerate pain and show very few behavioural alterations following a painful insult. This may be due in part to the central inhibitory effects and in part to other biological factors. We must accept that if pain relief is required for a human an animal should have pain relief for the same problem. Post-traumatic Hypersensitivity (Windup) It has long been recognised that trauma to an area is often accompanied by an area of hypersensitivity surrounding the trauma. This is sometimes called secondary hyperalgesia to distinguish it from the increased sensitivity to pain within the trauma area called primary hyperalgesia. Hyperalgesia is recognised by an increase in pain produced by stimuli at the threshold for pain or by a decrease in the pain threshold in that area. Windup Following an injury, dorsal horn cells are bombarded by stimuli originating from pain receptors. Over a period of time, the receptive field of these cells increases. While it is likely that many chemical processes are involved in central sensitisation, N-methyl D-aspartate (NMDA) receptors are thought to be key in the process. This process of increasing central sensitisation of dorsal horn cells has been called windup. Analgesic Drugs There are three major groups of analgesic drugs: • • • Opioids Non-steroidal anti-inflammatory drugs (NSAIDs) Local anesthetics There are also several useful drugs that do not fit into these groups: • • Alpha-2 adrenergic receptor agonists N-methyl-D-aspartate (NMDA) receptor antagonists Opioids Drugs of this classification act on one or more of the principal receptors and their subtypes in the brain. The activity is either stimulation (agonist), partial stimulation (partial agonist) or blocking (antagonist) of the receptor. Stimulation of some receptor types may produce unwanted side effects (e.g., respiratory depression) and so the goal of manufacturers is to produce opioids that give good analgesia without the side effects. Some of these drugs are described as agonist/antagonists, indicating that they stimulate some receptors while inhibiting others. One group of opioids, the opioid antagonists, is important for its ability to reverse most of the effects of opioids. Effects of Opioids The effect of opioids on any particular system varies markedly depending on the drug and the species of animal. The following effects are seen to a greater or lesser degree with all opioids. Sedation: Opioids produce sedation in some species but in others may cause increased activity, especially with higher doses (e.g., cats may become excited if given high doses of morphine and rats may show increased activity including pica with higher doses of buprenorphine). Cardiovascular effects: Usually there is slowing of the heart (bradycardia) and a fall in blood pressure (hypotension). Dilation of peripheral blood vessels, as well as changes to the heat regulation centre in the hypothalamus, may contribute to heat loss and result in hypothermia. Respiratory effects: Respiration is usually depressed through reductions in respiration rate and tidal volume with a decrease in the respiratory centre sensitivity to carbon dioxide. Some opioids inhibit ciliary activity in the trachea and this may be significant for an animal recovering from anesthesia. Gastrointestinal effects: Gastrointestinal propulsive movements (peristalsis) are reduced. Appetite is suppressed and animals may be unwilling to eat. Immune system effects: Opioids have been shown to have subtle effects on the immune system (e.g., suppression of cytotoxic activities of natural killer cells). Analgesia and pain tolerance: This is due primarily to stimulation of µ receptors although other receptors are known to have analgesic effects. All of the commonly used opioid analgesics are µ receptor agonists or partial agonists. The effects of opioids described above do not represent any single drug or animal species. There is considerable variation between species and among the different opioids. For this reason, it is important to consult with a veterinarian. As with other drugs, the actions described are for normal healthy animals. Pre-existing conditions may increase the level of the responses and may result in severe reactions in the animal. Care should be taken to identify any potential side effects in compromised animals. Summary of Opioid Effects Analgesia For moderate to severe pain Nervous system May cause deep sedation in some species, hyperactivity in others Cardiovascular Slowing of heart; vasodilatation with increased heat loss Respiratory Reduced rate and tidal volume; depressed ciliary activity in trachea Gastrointestinal Decreased activity in gastrointestinal tract; appetite suppression Immune system May affect natural killer cells Other Abnormal behaviours; metabolic and endocrine effects Duration of Action of Opioids The effects of opioids are quite short in animals following a single injection (one to three hours for most drugs, with species variation). Buprenorphine may provide effective analgesia for a longer period of time. Routes of Administration of Opioids Opioids are usually given by subcutaneous injection but may be given by other routes, including intravenously. Patches impregnated with the opioid fentanyl are available to provide continuous absorption of the drug through the skin over a prolonged period. Epidural use of opioids provides prolonged analgesia in some species, including man, without the usual side effects. Epidural administration of drugs is difficult in small animals. (Link to diagram of epidural injection). Opioids may also be given orally, but their effectiveness is lessened by the degree of metabolism associated with the first pass through the liver. Buprenorphine has been incorporated into instant jelly powder such as Jell-O® for administration to rats. Opioids in Combination with Other Drugs Opioids are sometimes administered in combination with other drugs and the combined effects may or may not be beneficial. For example, fentanyl may be combined with the tranquilising drug droperidol or fluanisone to provide short-term anesthesia. However, the effect of the fentanyl is of much shorter duration than the tranquilliser and so the animal may remain sedated for quite a long time but not have the benefit of the analgesia. Care should be taken when giving an opioid with any other drug which depresses respiration or encourages heat loss because the effect of the two will be more profound than for either alone. Hypnorm© combines the potent opioid analgesic fentanyl with the tranquillizer fluanisone. This combination will permit short surgical procedures in some laboratory animals. Adverse Reactions Caused by Opioids The most life-threatening effects of opioids involve the depression of the respiratory and cardiovascular systems. These are particularly important if the opioids are being used in conjunction with other drugs known to have similar effects (e.g., anesthetic agents). The loss of body heat that occurs when opioids are used may further compromise the respiratory and cardiovascular systems and for this reason, animals should be kept warm when they are recovering from anesthesia, with or without opioids. Some animals respond to opioids with excitation, rather than sedation. In these species (e.g., swine, sheep) the occurrence of convulsions would also represent a life-threatening situation. Specific antagonists to the opioids may be used to counteract the respiratory and cardiovascular depression. Naloxone, for example, may be used but the analgesic effects of the opioids will also be reversed. Examples of Opioids Click on drug for more details Butorphanol Buprenorphine Partial agonist Partial agonist Buprenorphine (brand names include Buprenex©; Temgesic©) is a partial agonist that provides longer pain relief in animals than most opioids. Butorphanol (brand names include Torbugesic ©) is a partial opioid agonist. Non-Steroidal Anti-inflammatory Drugs (NSAIDs) NSAIDs reduce pain by interfering with the production of prostaglandins from arachidonic acid. Prostaglandins, produced at a site of inflammation, sensitize pain receptors in the area. NSAIDs block prostaglandin production from arachidonic acid through the inhibition of the enzymes cyclo-oxygenase 1 and 2 (COX-1 and COX-2). COX-1 occurs normally in the body e.g., in the stomach and kidney, while COX-2 is produced at sites of inflammation. It is desirable to inhibit COX-2 only but most of today's NSAIDs block both enzymes, leading to some undesirable side effects. There are now some selective COX-2 inhibitors on the market. Effects of NSAIDs NSAIDs provide analgesia for mild to moderately painful conditions, although their effect on visceral pain is considered to be poor. As with the opioids, different animals react differently to NSAIDs. NSAIDs have two other desirable effects, namely they reduce fever and inflammation. These effects, along with fewer side effects than the opioids, have led to the widespread use of NSAIDs for treating acute or chronic pain (e.g., headaches or arthritis). There are few effects on the cardiovascular or respiratory systems. Gastric ulceration is possible with most NSAIDs especially when given orally. This effect is least with p-aminophenol derivatives of which acetaminophen (Tylenol©) is the best known. Acetaminophen has the least anti-inflammatory activity of the NSAIDs. Interference with platelet aggregation occurs with all NSAIDs. It persists for the life span of affected platelets following acetylsalicylic acid (aspirin) administration. This effect can result in prolonged bleeding but it is useful in reducing intravascular clotting in some studies. Interference with prostaglandin mediated renal function occurs because the NSAIDs block prostaglandin production in the kidneys (and in the gastric mucosa) where prostaglandins are important for normal function. Animals with already impaired renal function may be pushed to renal failure following the administration of NSAIDs in the event of fluid or blood loss. Summary of Actions of NSAIDs Analgesia Effective for mild to moderate pain Nervous system Should not cause sedation in normal doses Cardiovascular Few effects on heart and blood vessels; affects platelet aggregation Respiratory Few effects; overdoses of some may lead to acidosis Gastrointestinal All have potential to cause ulceration Immune system Anti-inflammatory effects may inhibit antibody production Other May be nephrotoxic; hypersensitivity may occur; metabolic effects As with other drugs, the actions described are for normal healthy animals. Pre-existing conditions may increase the level of the responses and may result in severe reactions in the animal. Care should be taken to identify any potential side effects in compromised animals. Duration of Action of NSAIDs The duration of action depends on the effect being considered and the specific NSAID. For the more commonly used NSAIDs (e.g., flunixin, ketoprofen, meloxicam) the analgesic effect may last for about 24 hrs. There are species differences also in the excretion of NSAIDs and so veterinary advice should be obtained before long-term therapy is initiated. Routes of Administration NSAIDs may be given by oral, intramuscular and subcutaneous routes. It is often convenient to give these drugs to small animals in their drinking water. However, in some cases, the taste may discourage the animals from drinking normally and so the required dose may not be ingested. NSAIDs in Combination with Other Drugs NSAIDs are seldom given in combination with other drugs in animal care although there are some products available for human use (e.g., acetaminophen plus codeine for more severe pain or acetaminophen plus pseudoephedrine for cold symptoms). However, care should be taken when giving an NSAID with some other drugs that have complementary effects. For example, NSAIDs may cause gastric ulceration and this will be made worse if the animal is receiving a corticosteroid at the same time. Similarly, the use of an NSAID at the same time as other anticoagulation therapy may result in unexpected bleeding. Adverse Reactions to NSAIDs The major adverse reactions to NSAIDs given at therapeutic doses come from their ability to cause gastric ulceration and kidney toxicity. This varies from drug to drug and from animal to animal. Animals with gastric ulceration may show signs of abdominal pain and have blood in their feces, however these signs may not be obvious so appropriate monitoring is necessary. These problems are more frequently seen with prolonged administration of NSAIDs. Overdoses of NSAIDs may also include respiratory signs and persistent bleeding due to platelet inhibition. Examples of NSAIDs Click on drug for more details Ketoprofen Flunixin Banamine© contains flunixin as its active ingredient. Local Anesthetics Local anesthetics provide pain relief by blocking pain stimuli from reaching the central nervous system (brain and spinal cord). They differ from the previously discussed opioids and NSAIDs in that they abolish pain rather than diminish it and make it more tolerable. However, they are limited in their usefulness by the need to reach the activated pain receptors or the nerves leading from these receptors to the brain or spinal cord. An advantage of local anesthetics is their local activity with few systemic effects. This allows for local pain relief without distorting other physiological systems that could interfere with the experiment. The primary use of local anesthetics in analgesia therapy is in the relief of pain in the skin. Wound edges infiltrated with local anesthetics provide relief for up to about six hours after surgery, the time over which the acute pain of surgical wounds is at its greatest and when there is the greatest need for pain relief. Local anesthetics may also be infiltrated around nerves if the opportunity arises. Intercostal nerves, for example, may be blocked to relieve pain following a thoracotomy and to permit better respiration. Summary of Actions of Local Anesthetics Analgesia Block pain transmission at receptors and along nerves Nervous system High doses may cause convulsions Cardiovascular High doses may affect the heart and lower blood pressure Respiratory No effects if respiratory nerves are not blocked Gastrointestinal No effects at normal doses Immune May impede phagocytosis Duration of Effects Local anesthetics last for up to six hours, depending on the agent. The effects will be prolonged if the preparation included epinephrine. Topically applied local anesthetics may last for less than one hour. Routes of Administration Local anesthetics may be given by several different routes depending on the objectives. Local infiltration may be used to block receptors in the skin and underlying tissues, or to block nerves coursing through the area. In the latter case, anesthesia (and paralysis) is provided at a site remote from the injection site. Topical application on mucous membranes or subcuticular structures will effectively block receptors in these areas. For example, local anesthetic sprays are used to block receptors on the vocal cords to prevent spasm during endotracheal intubation. When given into the spinal epidural or subarachnoid spaces, all activity in the nerves will be blocked, so that there will be a loss of sensation and a loss of motor function. Local anesthetics are poorly absorbed through intact skin. One preparation that is absorbed through skin is a mixture of prilocaine and lidocaine, however absorption is relatively slow and anesthesia is limited to about five millimeters under the skin. This is enough to anesthetise the cutaneous receptors. The preparation requires a minimum of 30 minutes to penetrate the skin and will require longer to achieve maximum penetration. This is effective when applied to the surface of the rabbit's ear over the artery or vein and wrapping with a occlusive bandage for 30 minutes before injecting or taking a blood sample. EMLA© cream is a mixture of prilocaine and lidocaine Local Anesthetics in Combination with Other Drugs Frequently epinephrine is added to local anesthetics to cause local vasoconstriction and to slow the uptake of the local anaesthetic and increase the effective duration. Although the amounts of epinephrine are small, they may be sufficient to cause an elevation of blood pressure and heart rate. This effect is well recognized by dentists who use this type of preparation. Adverse Reactions to Local Anesthetics Overdoses of local anesthetics may cause convulsions in people and animals. In general, the more potent the anaesthetic, the lower the toxic dose. Procain, prilocaine, lidocaine have low relative anesthetic potencies and high toxic doses while tetracaine and bupivacaine have a high relative anesthetic potency and low toxic doses. Toxic doses vary between animal species and range from 1-5 mg/kg to 15-25 mg/kg. These figures usually refer to local anesthetics injected intravenously, however, toxic levels may be achieved following administration by other routes. Special care must be taken when giving local anesthetics to small laboratory animals, as it is very easy to exceed the toxic dose. Injectable local anesthetics come in solutions of 0.5-5.0%. Even the lowest concentration has 5mg/ml and for the least toxic local anesthetic, 0.1 ml could be toxic for a 20g mouse. Inadvertent intravenous injection of local anesthetic may cause a decrease in cardiac function with a fall in blood pressure. Examples of Local Anesthetics - Click on drug for more details Lidocaine and Prilocaine (EMLA) Summary of Major Effects of the Above Three Groups of Analgesic Drugs The following table summarizes the major effects of the three main groups of pain relieving drugs. These are general effects and are applicable, more or less, to all of the drugs in each group. However, they should be considered guidelines only. More detailed descriptions will be found in pharmacology texts or in texts dealing with pain relief. A veterinarian should be consulted to assist in the selection of the most appropriate analgesia regimen. Table: Summary of Major Effects of Analgesic Drugs Opioids NSAID Local Anesthetics For severe pain For mild to moderate level pain and for chronic pain Block all painful stimuli for duration of anesthesia Nervous System Sedation depending on drug, dosage and species; may cause excitation No effects at normal doses No sedation; excitation and convulsions with overdose Cardiovascular Fall in blood pressure and heart rate; dilation of peripheral blood vessels No general effect; some may cause platelet changes and a possibility of bleeding May cause some vascular changes due to added epinephrine Respiratory Depressed No general effect; respiration rate overdoses may and depth; cilia affect respiration activity in trachea inhibited Gastrointestinal Appetite suppression; gastrointestinal movements reduced No effect unless nerves associated with respiration are involved May cause ulcers in No effects stomach Immune system Subtle effects on May inhibit the immune system some cells of the immune system Other Behavioural changes No effects demonstrated Hypersensitivity Alpha 2-Adrenergic Receptor Agonists The alpha2-adrenergic receptor agonists have been used extensively in animals to supplement other anesthetic agents and to provide increased analgesia. While they provide sedation in most species, the level of analgesia is quite variable, depending on the species, and the dose of the drug. Alpha2adrenoreceptors are found throughout the body, particularly in the vascular system. Stimulation of these receptors results in an initial increase in blood pressure followed by a fall in blood pressure and heart rate. This lowering effect on blood pressure and heart rate is one of the important side effects limiting the use of these drugs to the healthiest animals. Respiration rates are reduced and this results in an elevation of carbon dioxide and a lowering of oxygen in the blood. Rompun© is an example of an alpha-2 receptor agonist. The active drug is xylazine. The most commonly used drugs of this group are xylazine and medetomidine. They are sometimes used in combination with other drugs (e.g., ketamine) to produce general anesthesia (although it is preferable to use inhalation anesthetics in most cases). Specific antagonists are available (e.g., atipamezole) so the depressant effects on the cardiovascular systems and the respiratory systems can be reversed if clinical problems arise. Example of Alpha 2-Adrenergic Receptor Agonists - Click on drug for more details Xylazine Ketamine NMDA Receptor Antagonists N-methyl-D-aspartate (NMDA) receptors are important for the transmission of some aspects of pain in the central nervous system. In particular, they appear to be involved in the development of hypersensitivity that accompanies injuries or inflammation. The main NMDA receptor antagonist in use at present is Ketamine. It is used as an anesthetic agent in conjunction with other analgesics, particularly the alpha-2 adrenergic agonists. Less than anesthetic doses are required to block central sensitisation but the duration of action is short and it is not yet a practical means of controlling pain. Dextromethorphan is also an NMDA receptor antagonist but its use has been primarily as a cough suppressant. The NMDA receptor antagonists prevent the development of wind-up and may also prevent the direct transmission of pain from the viscera. Ketamine is the active drug in Ketalean(TM) Ketamine is the only commonly used member of this group of drugs. It is an anesthetic with relatively poor analgesic qualities. It has not been used extensively to provide pain relief, for example, after surgery because of its short duration of action. Dextromethorphan, commonly used as a cough suppressant, also blocks NMDA receptors and may have a role in pre-emptive analgesia. {Articles on pre-emptive analgesia may be found in a number of journals, particularly those that deal with pain and anesthesia. This is a website to one such journal where this material may be read. (click here)}. Administration of Analgesic Drugs These drugs may be given by a variety of routes. The route of administration and the frequency should not be stressful to the animal. They no more enjoy getting injections than we do. The volume of injections should be considered. Very small volumes to very small animals increase the risk of inaccuracies and the chance of an accidental overdose, thus a dilution of the drug may be needed before it is given to the animal. Large volumes injected into muscles may be painful and so cause the animal more stress. The following website has some useful information on recommended volumes to be given by a variety of routes to research animals. These volumes are considered to be the maximum that should be given in one site. (click here) Legal Requirements Associated with Use of Analgesics Opioids: Many of the opioids are very potent compounds that have the potential to be addictive. They are controlled drugs. Only qualified persons may prescribe them. Careful record must be kept of each dose given. The records are subject to examination by the inspectors from the Office of Controlled Substances of Health Canada. NSAIDs: Many NSAIDs are available as over-the-counter drugs (e.g., aspirin™, acetaminophen). Some of the newer compounds may require a prescription for acquisition. Although there is not a legal requirement to keep a record of administration, this should be standard practice. Local anesthetics: Local anesthetics are available on prescription. Although there is not a legal requirement to keep a record of administration, this should be standard practice. The alpha2-adrenergic receptor agonists: the alpha2-adrenergic receptor agonists are available on prescription. Although there is not a legal requirement to keep a record of administration, this should be standard practice. NMDA receptor antagonists: The NMDA receptor antagonists are available on prescription. Although there is not a legal requirement to keep a record of administration, this should be standard practice. Summary Statement The relief of pain both in people and animals is an inexact science. Evidence of pain is sometimes difficult to demonstrate but the relief of that pain may be even more difficult to confirm. There are many analgesic drugs and their effects differ from species to species and even within a species. The side effects of the drugs may make it difficult to be certain that pain has been relieved. Nevertheless, we must try to relieve pain, particularly that which we have caused. Sample Questions You discover that, due to an error in calculation, a group of rats has been receiving 2 times the therapeutic dose of a NSAID. Which one of the following side effects might be expected ? a. b. c. d. e. Hyperactivity Vomiting Increased clotting time Sedation Fall in blood pressure A rat has undergone a research procedure that requires open chest surgery. Which one of the following is the most appropriate analgesic ? a. b. c. d. e. Morphine Acetylsalicylic Acid Bupivicaine Ketamine Xylazine Which of the following signs may indicate that an animal is in pain ? a. b. c. d. e. Lameness Isolation from the group Disinterest in surroundings Decreased food intake All of the above Module 11 – Anesthesia Objectives The objectives of the section on anaesthesia are: • • • • • To introduce the student to the administration of anaesthetics to laboratory animals To discuss anaesthesia under the following broad headings: o Preanaesthesia o Effects of anaesthetic agents o Anaesthetic administration o Anaesthetic emergencies o Recovery from anaesthesia To provide information on the effects of drugs used during anaesthesia To consider the consequences of anaesthesia and the surgical procedures on recovery To discuss anaesthetic emergencies and their treatment Introduction "Animals must not be subjected to unnecessary pain or distress. The experimental design must offer them every practical safeguard whether in research, in teaching or in testing procedures…" (Ethics of Animal Investigation, CCAC 1989) In this module we will discuss the alleviation of pain during painful procedures such as surgery, through the use of anaesthetic drugs. Anaesthesia is also used for producing muscle relaxation, suppressing reflexes, and producing loss of consciousness for purposes other than prevention of pain perception. For example, anesthesia is required for MRI, CT scans and in some cases for radiology. Because of the wide variability of laboratory animal species, strains, and strains, as well as anaesthetic agents, an appropriate anaesthetic regimen should be developed in consultation with a veterinarian prior to the commencement of any study. Related Information Covered in Other Modules The relief of pain after a surgical procedure, or at other times, is covered in the module "Analgesia". The signs of pain and distress in animals are covered in the module "Pain and Distress and Endpoints". Readers can refer to these modules for further information. The need to use an anaesthetic to perform a procedure implies that the procedure would be painful for an awake animal. In addition there may be some residual pain after the animal recovers from the anaesthetic and analgesics should be used. Some drugs described here appear in both the anaesthesia and analgesia modules. Preanaesthetic Treatments There are several reasons why the use of preanaesthetic agents should be considered: • • • • to to to to reduce apprehension in the animal allow a reduction in the dose of anaesthetic required reduce some of the side effects of the anaesthetic agent provide some analgesia after the anaesthetic has worn off The preanaesthetic agent should allow a reduction in the dose of anaesthetic required. This applies particularly to injectable anaesthetics where control of the depth and duration of anaesthesia is often more challenging than with inhaled anaesthetics. The combination of preanaesthetic and anaesthetic drugs must provide sufficient pain blocking so that the animal does not feel pain during the surgical procedure. Most anaesthetic agents do more than produce unconsciousness and pain relief. They are potent drugs that may affect every system in the body. The effects on the respiratory and cardiovascular systems may be particularly significant during the anaesthetic period, however effects on other organ systems may be more significant depending on the goals of the research. While some preanaesthetic agents may reduce anaesthetic side effects, more often it is the reduction in anaesthetic dose that provides the greatest relief from the side effects. An ideal preanaesthetic agent should provide some analgesia after the surgery. Some analgesics are quite short acting in animals and depending on the length of the surgery may not last into the recovery period. It is important to ensure that analgesia continues through the surgical period, into and beyond recovery. The effects of the ideal preanaesthetic as described above are not to be found in a single agent. Sometimes more than one drug is used but with care the undesirable side effects do not outweigh the potential beneficial effects. Summary The ideal preanaesthetic agent should: • • • • Reduce apprehension Allow a reduction in anaesthetic doses Reduce or eliminate some of the undesirable side effects of anaesthetics Provide some analgesia after the anaesthetic has worn off Types of Preanaesthetic Drugs The major groups of preanaesthetic drugs are analgesics (particularly the opioids), tranquilizers and anticholinergic drugs. Paralytic or neuromuscular blocking drugs are also used as adjuncts to anaesthesia, particularly in human surgery. Analgesics Some analgesics, as well as providing pain relief, also have a desirable sedative effect. They calm the animals and allow a reduction in the amount of anaesthetic required along with a smoother recovery from anaesthesia. Moreover, a pre-emptive strike against pain is thought to result in a reduced need for analgesics after the surgery. For these reasons, some analgesics may be given as preanaesthetic agents. Of the analgesics, the opioids are commonly used as preanaesthetic agents. Opioids Among the effects of opioids that make them useful as preanaesthetic agents are analgesia (they make pain more tolerable without abolishing it completely) and CNS depression (there is usually depression although some opioids may produce excitation and convulsions in some species). As a general rule, the suitability of any drug for a given species should be checked before using it. The combination of analgesia and CNS depression are both desirable for anaesthesia. This allows for a reduction in the dose of anesthetic agent and provides pre-emptive analgesia. Tranquilizers The principal drugs in this group are the phenothiazine derivatives (e.g., acepromazine, chlorpromazine), the benzodiazepines (e.g., diazepam, midazolam), and the butyrophenones (e.g., droperidol, fluanisone). The alpha 2 adrenergic receptor agonists (e.g., xylazine, medetomidine) could be considered as tranquilizers as well as analgesics but they are seldom used for their tranquilizing effect alone because of their profound cardiovascular effects. The principal effect of tranquilizer drugs administered prior to anaesthesia is the reduction of anxiety in animals. This effect may be achieved with low doses and may not be accompanied by CNS depression. At higher doses, CNS depression may be profound, depending on the drug, and the species. Most of the tranquilizers do not have any analgesic effects and so a lack of response or a diminished response to painful stimuli should not be interpreted as a sign of analgesia. The alpha 2 adrenergic receptor agonists provide some analgesia as well as tranquilization. Tranquilizers generally cause minimal cardiovascular and respiratory depression and some have an effect in reducing the occurrence of cardiac arrhythmias during anaesthesia. There are some exceptions. The alpha 2 adrenergic receptor agonists have profound effects on both cardiovascular and respiratory systems. Some tranquilizers (e.g., chlorpromazine) can cause moderate to severe hypotension, and some phenothiazine derivatives decrease the seizure threshold in certain species. Summary of effects of tranquilizers • • • • Minimal or no analgesia Minimal CNS depression Anxiolytic (calming) Minimal cardiovascular and respiratory depression Anticholinergic Drugs Anticholinergic drugs block the muscarinic actions of the neurotransmitter, acetylcholine. Acetylcholine is a neurotransmitter at many sites throughout the body and so the effects of anticholenergic drugs are widespread. Anticholinergic drugs are used to block two effects in particular during anaesthesia, secretions in the respiratory tract in response to the irritating nature of some inhalant anesthetics, and bradycardia (slowing of the heart) which accompanies most anaesthetics. Respiratory secretions are a complicating factor especially in animals with small airways where even a low level of secretion may compromise respiration. With the advent of less irritating volatile anaesthetics, concerns about respiratory secretions have been reduced, and the primary use is to minimize the bradycardia that follows stimulation of the vagus nerve. Salivation is reduced in many animals although not in ruminants. The muscarinic receptors in the eye are also affected resulting in dilated pupils (mydriasis). There may be a decrease in gastro-intestinal motility. The most commonly used anticholinergics are atropine and glycopyrrolate. Some rabbits possess atropinase, an enzyme which rapidly breaks down atropine and reduces its effectiveness in this species. Glycopyrrolate may be used in place of atropine in cases where the anticholinergic effect is required for a longer period of time. The effects are similar to atropine although the increase in heart rate may be less. Types of Anaesthetic Agents Anaesthetic agents should produce a loss of sensation with a minimum of side effects and they should have a calming effect on the animal during the recovery phase. While there is not a requirement for a loss of consciousness during anaesthesia, that is the case with general anaesthetics. Local anaesthetics for example will produce quite localized or even regionalized anaesthesia without any loss of consciousness. As well, it is advantageous for an anaesthetic agent to provide some level of analgesia during the recovery phase. There are three broad groups of anaesthetic agents namely volatile anaesthetics like isoflurane and halothane, injectable anaesthetics like ketamine, propofol and barbiturates, and local anaesthetics like lidocaine, procaine and bupivacaine. For general anaesthesia inhalant anaesthetics are highly preferred as the anaesthesia is much easier to control and the agent quickly cleared from the body. Volatile Anaesthetic Agents The common effects of anaesthetic agents described above apply to the volatile anaesthetics. These drugs are usually supplied as liquids and require a vaporizer and a carrier gas such as oxygen to deliver them to the patient. Altering the concentration of the anaesthetic agent in the inspired gases easily controls the depth of anaesthesia. In the event that the animal becomes too deeply anaesthetised, the anaesthetic agent is quickly removed from the animal through the lungs. It is important to scavenge waste anaesthetic gases to minimize exposure of people to these agents. Isoflurane • • • • • Highly volatile and must be administered using a calibrated vaporizer to prevent exposure to high concentrations of gas Must be scavenged to avoid occupational exposure Respiratory depression greater than with halothane and may necessitate external ventilation Little hepatic metabolism and a lessened risk of hepatitis Rapid recovery (1-3 minutes) Halothane • • • • • • Highly volatile and must be administered using a calibrated vaporizer to prevent exposure to high concentrations of gas Must be scavenged to avoid occupational exposure May cause cardiac arrhythmias May cause hepatitis in humans but rare in other species Will cause malignant hyperthermia in genetically susceptible pigs Rapid recovery (1-3 minutes) except from very long and deep anaesthesia Nitrous Oxide • • • • • Comes as a gas in cylinders Low anaesthetic potency and cannot produce anaesthesia in animals by itself Causes minimal cardiovascular and respiratory depression May be used to reduce the concentration of other anaesthetic gases although this effect is less than that seen in humans Use with caution in ruminants Injectable Anaesthetics The general effects of anaesthetics apply to the injectable anaesthetics, with some exceptions. Ketamine, for example, does not cause significant cardiovascular depression at the usual anaesthetic doses. Injectable anaesthetics are easily administered requiring little more than a needle and syringe, but once they have been injected it is very difficult to control their effects. There are no specific antidotes for many of these drugs and recovery from anaesthesia depends on redistribution of the drug from the blood to the tissues or its metabolism or a combination of both processes. There are many injectable anaesthetic drugs in use, ketamine, propofol, pentobarbital, methohexital, thiopental. The following notes on a few injectable anaesthetics highlight some important features or exceptions from expected effects. Full details on the activities of the drugs in particular species should be obtained from the veterinarian. Ketamine • • • • • Poor analgesia in most laboratory species and should not be used alone Increased muscle tone Many reflexes remain although animal is unresponsive to pain (e.g., swallowing and blink reflexes) Usually used in combination with another drug (e.g., xylazine, diazepam) Duration of anaesthesia depends on dose. Sodium Pentobarbital • • • • • Narrow safety margin Poor analgesia until animal is completely unconscious Excitation during the recovery phase Gives up to 60 minutes of anaesthesia Controlled drug status Urethane • • • Provides long periods of surgical anaesthesia with little respiratory depression Urethane is carcinogenic Animals should not be allowed to recover from urethane anaesthesia Local Anaesthetic Agents Local anaesthetics are dealt with in more detail in the Analgesia module. They are used particularly for pain relief following surgical procedures in small animals. They are also employed for regional anaesthesia in larger animals (e.g., sheep and cattle for procedures such as dehorning, castrations and caesarean sections). Frequently they are supplemented with tranquilizing drugs to help provide restraint. Animal Factors in Anaesthesia There are a number of factors related to the animal that impact on the quality of anaesthesia. These factors should be considered when the type of anaesthetic agent is being chosen. Species. Different species require different doses of anaesthetic agents. This applies particularly to the injectable anaesthetics. In general, the smaller animals require a higher dose in mg/kg of a given anaesthetic than larger animals. Familiarity with the effects of an anaesthetic agent in one species should not be assumed in another species. The volatile anaesthetics are more consistent in their application between species. The mean alveolar concentration of the anaesthetic agent required for anaesthesia is similar among species and this is controlled by the concentration of the agent in the inspired gases. Differences in the respiratory tract in birds (fixed lungs, air sacs) and other nonmammalian species must be considered when administering inhalation anaesthetics. Strain. Strain differences have been noted even within the same species. Some strains of pigs are more susceptible to malignant hyperthermia during halothane anaesthesia than others (a genetic trait). Age. Young animals and old animals may have an increased risk for anaesthetic complications. In older animals, pathological changes if present in the respiratory system, may result in complications. Young animals may not have developed all the processes required to metabolize the drugs and so may have longer than expected recovery from anaesthesia. Volatile anaesthetics allow more refined control of the anaesthesia in both groups. Weight. Very fat animals may not breathe as effectively during anaesthesia as thinner animals, leading to the problems associated with hypoventilation. In addition, if an agent is given on a mg/kg basis, there may be a relative overdose because the fat does not participate to a great degree in the circulation and distribution of the drug. If part of the recovery from an anaesthetic depends on its removal from the blood into tissues including fat (e.g., the short acting barbiturates) then animals with very little fat (e.g., greyhounds, calves) may experience longer than usual recovery from anaesthesia. Sex. There is some evidence for a difference between the sexes for some anaesthetics. Health of an Animal. Pre-existing disease or pathology may complicate an otherwise smooth aneasthesia. Any disease in the lungs will further compromise respiration during anaesthesia. Liver disease may interfere with the metabolism of anaesthetic agents and kidney disease may limit their excretion. Surgically altered animals (e.g., hypophysectomy, adrenalectomy, thyroidectomy) may be at increased risk at subsequent anaesthesias Demeanor. An exited animal with high levels of circulating adrenalin, elevated heart rate and blood pressure is at an increased risk when undergoing anaesthesia. Previous Anaesthesia. Some of the injectable anaesthetics are not completely cleared from the body for several days (e.g., pentobarbital), even if the animal has recovered consciousness and is behaving normally. Care must be taken if a second anaesthetic quickly follows the first. For those anaesthetics that are extensively metabolized as part of the excretory process, a second anaesthetic may result in more rapid metabolism of the drug than the first, with a shorter period of anaesthesia. Other Factors. Some non-anaesthetic drugs have effects on anaesthetic agents. Chloramphenicol may lengthen the duration of pentobarbital anaesthesia and some antibiotics potentiate the actions of muscle relaxants. Side Effects of Anaesthetic Drugs Like many drugs, anaesthetics also have other effects that may not be desirable. It may be necessary to take account of these side effects whether the animal is anaesthetized for a surgical procedure or for a physiological study of an organ system. The side effects described below occur to a greater or lesser degree with all general anaesthetics. Central Nervous System (CNS) Depression. The commonly used anaesthetics provide CNS depression to the point of loss of consciousness. This does not mean that all neuronal activity has been abolished. Many of the reflexes that are used to assess anaesthetic depth are retained after unconsciousness. However if anaesthetic depth increases, these are gradually lost and even automatic functions like respiration may be lost. Cardiovascular Depression. Anaesthetics usually cause a decrease in cardiac output and a fall in blood pressure. These effects are a combination of a direct influence of the anaesthetic on the heart, reducing its contractility and an effect on the heart and blood vessels by way of the nerve supply to these tissues. Respiratory Depression. One of the effects of anaesthetic agents is to cause a loss of muscle tone and a decrease in contractility. In the respiratory system, this results in smaller breaths i.e., the tidal volume is decreased. At the same time the respiratory rate is decreased. There is also a decreased sensitivity in the receptors that detect the level of oxygen and carbon dioxide in the blood. The overall effect is to reduce the respiratory capability of the animal. Loss of Temperature Control. Anaesthetic agents inhibit the mechanisms responsible for maintaining a steady body temperature. These include the temperature regulating centres in the brain and processes like shivering. The result is a tendency for the animal's temperature to drift downwards towards the environmental temperature. Hypothermia is a major consideration in anaesthesia especially for small animals such as rodents, and controlled supplemental heat must be provided to maintain body temperature. Hormone Release Depressed. Generally, the release of hormones is depressed. Prolactin release may be increased by some general anaesthetics. Depression of Other Functions. Gastro-intestinal motility is depressed by general anaesthetics as is liver function. Urinary excretion is decreased. Anaesthetic Techniques Inhalation Anaesthesia This type of anaesthesia requires the animals to breathe in the anaesthetic. Initially the anaesthetic concentration is highest in the alveoli and as the gas passes into the bloodstream, the animal becomes anaesthetised. At the end of the surgery, the concentration in the inspired gas is reduced to zero and the agent passes from the blood to the alveoli and the animal recovers. The balance between blood and alveolar levels controls the depth of anaesthesia. There are several techniques for anaesthetizing animals with volatile anaesthetics. The animal may be placed in a chamber and the chamber flooded with the anaesthetic gas in the carrier gas at the required concentration. Once anaesthetized, the chamber should be opened in a fume hood and the animal may be removed and placed on a nose cone or some other apparatus for delivering the anaesthetic to prolong the anaesthesia, if that is necessary. This technique is most suitable for small animals. Assisted ventilation may be required in some species (e.g., sheep). Courtesy of Dr Paul Flecknell, University of Newcastle Animals may be masked down by placing a mask over the nose and mouth and allowing them to breathe the anaesthetic gases. Even fairly large animals may be anaesthetized in this manner but it usually results in some accidental exposure to the gases. Some species hold their breath when the mask is placed on their face. Courtesy of Dr Paul Flecknell, University of Newcastle Animals may be anaesthetised initially with a short acting anaesthetic, injected intravenously, an endotracheal tube placed in the trachea and the tube connected to an anaesthetic circuit delivering the volatile anaesthetic. This system has several advantages. It makes it possible to ventilate the animal using a respirator and so maintain normal breathing and respiratory values. It makes it easier to deal with anaesthetic emergencies should they occur and it allows for better control of stray anaesthetic gases in the room. However, endotracheal intubation is difficult in some small animals (e.g., rodents) and the reduction in diameter of the airway in the trachea may significantly affect respiration. Care must also be taken not to significantly increase the dead space i.e., the part of the respiratory system where exchange of gases with the blood does not occur. The ventilation rate and the tidal volume should be set to maintain normal blood gases and this should be discussed with a veterinarian. Courtesy of Dr Paul Flecknell, University of Newcastle Occupational Health and Safety Concerns Human exposure to the inhalation anaesthetic gases should be avoided. Hepatic toxicity may occur with exposure to some volatile anaesthetics. Others are known to be carcinogenic (e.g., urethane). Procedures should be in place to collect or remove all waste anaesthetic gases that leak out or are expired by the anaesthetized animal. Injectable Anaesthesias Anaesthetics may be injected by a number of routes, intravenously, intraperitoneally, intramuscularly and subcutaneously. Injectable anaesthetic drugs may be used to produce general, regional or local anaesthesia. For regional anaesthesia, anaesthetics may be injected into the subarachnoid or epidural spaces to block both the sensory and motor nerves entering or emerging from the spinal cord at that level. Anaesthetics such as the thiobarbiturates should be given intravenously because their high pH (alkalinity) causes tissue damage if injected subcutaneously or intramuscularly. Anaesthesia through Drugs Placed in the Animal's Environment This refers particularly to anaesthetics administered in the water of fish and amphibians. There are several anaesthetics that can be added to the water and the animals allowed to swim until they become anaesthetised. Tricaine methanesulfonate (TMS; MS-222®) is commonly used to anaesthetise frogs and fish. In water, it is very acidic and must be buffered with sodium bicarbonate. Cold-induced "anaesthesia" - Hypothermia Induction of hypothermia has been used for immobilizing neonatal rodents since they do not yet have well-developed thermoregulatory mechanisms, and for immobilising amphibians and reptiles, for surgical procedures with an apparent wide safety margin. It is known that a neural tissue temperature less than about 9°C (5°C is sometimes cited as the desired core body temperature) results in blockage of transmission in the brain and central nervous system to produce unconsciousness. The lack of response to surgery trauma during such levels of hypothermia has been accepted as an indication of insensitivity to pain. However, there are important welfare concerns about the chilling down and warming up periods, the methods of doing so, and the absence of post-operative analgesia with this technique. Definitive studies on the anaesthetic and analgesic effects of hypothermia as the sole agent have not been reported, and since safe and effective alternatives are available, these should be used. Assessment of Anaesthesia Anaesthesia has been described as a series of four Stages. • • • • Stage 1: the period between administration of an anaesthetic and loss of consciousness. Stage 2: the period after loss of consciousness, which may include actions such as uncontrolled movement, delirium, vocalization. Stage 3: the level at which surgery can be performed. Stage 3 anaesthesia is divided into four planes. o Plane 1: "light" anaesthesia - the animal still has blink and swallowing reflexes, and regular respiration. o Plane 2: "surgical" anaesthesia - the animal has lost blink reflexes, pupils become fixed and respiration is regular. o Plane 3: "deep" anaesthesia - the animal starts losing the ability to use the respiratory muscles and breathing becomes shallow; may require assisted ventilation. o Plane 4: the animal loses all respiratory effort, and breathing may stop entirely. Stage 4: anaesthetic crisis! Respiratory arrest and death from circulatory collapse imminent. Reflexes are used to estimate the depth of anaesthesia and while there is some variation in the activity of these reflexes with different anaesthetics, they are consistent enough to be useful as a group. A single reflex should not be used as the sole determinant of anaesthetic depth. • • • • • Pupillary Reflex. Shine a light in the eye and the pupil constricts. This reflex is present at the start of Stage 3 and starts to decrease and will be absent by about the middle of Stage 3. Palpebral Reflex. Touch the corner of the eye and the animal blinks. This disappears early in Stage 3. Corneal Reflex. Touch the cornea and the animal blinks. This disappears early in Stage 3. Be careful not to damage the cornea if this reflex is tested. Withdrawal Reflex. Pull a limb gently, pinch the toe and the animal will pull back the limb. This reflex indicates whether the animal feels pain or not and should be absent before surgery starts. This will occur early in Stage 3. Laryngeal (Swallowing) Reflex. Stimulation of the larynx will cause the animal to swallow. The stimulation may be from outside, for example, an attempt to pass an endotracheal tube or may be internal for example the presence of secretions at the larynx. This is a mechanism to prevent accidental aspiration of fluids into the lungs. This reflex will disappear early in Stage 3. There are some other signs that will help judge the depth of anaesthesia. Respiratory efforts change as anaesthesia deepens. In Stage 1, the animal is awake and respiration may be quite rapid due to the excitation of being handled. It is evenly apportioned between the chest and abdomen and is quite regular. In Stage 2, breathing is still evenly apportioned between chest and abdomen but is less regular and breath holding may occur. Early in Stage 3, breathing is regular with equal contributions from chest and abdomen. As anaesthesia deepens, breathing becomes shallower and more predominantly abdominal. Late in Stage 3 it becomes irregular and in Stage 4 will stop. Muscle tone decreases from a maximum during Stage 2 all the way through Stage 3. Jaw tone is a good indication of muscle tone. Response to Surgical Stimuli. Care should be taken to note any responses to surgical stimuli. Once it has been determined by the reflexes that an appropriate depth of anaesthesia has been reached, surgery will commence. The first incision should be observed to determine if the animal makes any response. A response could include a movement, a pause in respiration or a deeper breath if the animal is breathing spontaneously or an increase in heart rate or blood pressure. If there is surgery in the abdomen, traction on the abdominal viscera is known to be painful and this may provide another indication of whether the anaesthesia is adequate or not. DEPTH OF ANAESTHESIA Stages Reflexes/Signs Stage 1: the period between administration of an anaesthetic and loss of consciousness. Respiratory efforts change as anaesthesia deepens. In Stage 1, the animal is awake and respiration may be quite rapid due to the excitation of being handled. It is evenly apportioned between the chest and abdomen and is quite regular. Stage 2: the period after loss of consciousness, which may include actions such as uncontrolled movement, delirium, vocalization. Muscle tone decreases from a maximum during Stage 2 all the way through Stage 3. Jaw tone is a good indication of muscle tone. Respiratory efforts. In Stage 2, breathing is still evenly apportioned between chest and abdomen but is less regular and breath holding may occur. Stage 3: the level at which surgery can be performed. Stage 3 anaesthesia is divided into four planes. • • • • Plane 1: "light" anaesthesia - the animal still has blink and swallowing reflexes, and regular respiration. Plane 2: "surgical" anaesthesia - the animal has lost blink reflexes, pupils become fixed and respiration is regular. Plane 3: "deep" anaesthesia - the animal starts losing the ability to use the respiratory muscles and breathing becomes shallow; may require assisted ventilation. Plane 4: the animal loses all respiratory effort, and breathing may stop entirely. Pupillary Reflex. Shine a light in the eye and the pupil constricts. This reflex is present at the start of Stage 3 and starts to decrease and will be absent by about the middle of Stage 3. Palpebral Reflex. Touch the corner of the eye and the animal blinks. This disappears early in Stage 3. Corneal Reflex. Touch the cornea and the animal blinks. This disappears early in Stage 3. Be careful not to damage the cornea if this reflex is tested. Withdrawal Reflex. Pull a limb gently, pinch the toe and the animal will pull back the limb. This reflex indicates whether the animal feels pain or not and should be absent before surgery starts. This will occur early in Stage 3. Laryngeal (Swallowing) Reflex. Simulation of the larynx will cause the animal to swallow. The stimulation may be from outside, for example, an attempt to pass an endotracheal tube or may be internal for example the presence of secretions at the larynx. This is a mechanism to prevent accidental aspiration of fluids into the lungs. This reflex will disappear early in Stage 3. Respiratory efforts. Early in Stage 3, breathing is regular with equal contributions from chest and abdomen. As anaesthesia deepens, breathing becomes shallower and more predominantly abdominal. Late in Stage 3 it becomes irregular and in Stage 4 will stop. Stage 4: anaesthetic crisis! Respiratory arrest and death from circulatory collapse imminent. Body temperature should be measured and steps taken to prevent the fall in body temperature that usually accompanies anaesthesia, particularly in small animals. Capillary refill time may give an indication of the adequacy of cardiovascular function. If a pink paw is squeezed, it will go white but the pink will return within about two seconds. If the time is significantly longer than this, then blood flow through the capillaries is compromised, usually because anaesthesia is too deep and the blood pressure is too low. If a pulse can be felt and if the anaesthetist is experienced with respect to the feel of the normal pulse, it is possible to get an indication of the cardiac output. In addition, the pulse rate can be counted and compared with the heart rate as heard through a stethoscope or counted from an electrocardiogram. There should not be a difference between the two. Blood pressure gives a good indication of the effectiveness of the heart's contractions and the resistance to flow in the peripheral vessels. It may be measured either indirectly (e.g., a Doppler system or directly with a catheter in an artery). A falling mean arterial pressure is a sure indicator of deepening anaesthesia, if there are no other possible causes like severe haemorrhage. Additional Monitoring. If an arterial blood sample and the capability to measure blood gases are available, then this information provides a very accurate picture of the effectiveness of the ventilation. This information can be used to fine tune ventilation to maintain normal physiological parameters. End tidal CO2 and pulse oximetry are non-invasive methods of obtaining information on the blood gas status. Anaesthetic Management Whenever possible, and particularly for more complex surgeries, there should be an "anaesthetist" involved. Anaesthetic management accounts for all the processes and events during a period of anaesthesia that will result in freedom from pain during the surgical procedure and a return to a normal physiological state as soon as possible after recovery. The assessment of the depth of anaesthesia is only one part of anaesthetic management. An important component is ensuring that all equipment is functioning properly. During the course of the surgical procedure, there will have been changes in the fluid balance of the animal that should be corrected. Some of these are normal: continued production of urine, and losses from the respiratory tract. Continuous saliva production, especially in ruminants, will deplete body water and electrolytes. An anaesthetized sheep may produce 800 ml/hr of saliva high in bicarbonate, which is lost to the animal because it cannot swallow while under anaesthesia. This secretion is not reduced by anticholinergic drugs like atropine and will soon lead to fluid depletion and an acid/base imbalance. Blood loss may account for a serious loss of fluids and this is particularly important in small animals that have a very small blood volume. (It is convenient to estimate the blood volume of an animal at 70 ml/kg. This is only an estimate for the purpose of rapid simple calculation of blood loss or the volume of blood that might be taken from an animal. A 20g mouse has about 1.4 ml of blood and a loss of 0.2 ml represents 14% of its blood volume.) The loss of fluids through evaporation may be significant if deep body cavities are open during the surgery. It has been estimated that the fluid loss through evaporation from an open human abdomen is about 500 ml/hr. Fluid losses should be replenished throughout the surgery, rather than waiting to the end. Unexpectedly large losses should be replaced as soon as possible. It is not always possible or desirable to replace blood with blood but the consequences of a reduced circulating blood volume on cardiovascular performance must be considered. If vascular access has been established, it is important to ensure that this access is patent. This is usually accomplished by slowly running fluids through the needle or catheter. Occasionally, the needle becomes displaced or there is a kink in the tubing and the vascular access is lost through clotting of the needle. Paralytic Agents (Neuromuscular Blocking Drugs) Neuromuscular blocking drugs are used as an adjunct to anaesthetics to provide greater muscle relaxation during a surgical procedure or when control of respiration is necessary. These compounds paralyze skeletal muscle so that voluntary control of the muscles is lost. Most significantly, there is loss of activity in the muscles of respiration and in muscles that are responsible for some reflexes used to judge the depth of anaesthesia (see above). Loss of the muscles responsible for respiration means that an artificial method of respiration must be used. Loss of reflexes means that it is difficult to ensure how deeply the animal is anaesthetized. The major concerns about the use of paralyzing agents are that they produce paralysis, but not loss of consciousness or pain relief, and that their effects may last beyond the anesthesia. Thus an animal may appear to be anaesthetized (i.e., unresponsive to any painful stimuli) while in reality, it is unable to respond because of the muscle paralysis. Emergencies The three major emergencies while an animal is anaesthetized result from anaesthetic overdose, blood loss and equipment failure. Any of these could result in the death of the animal. Anaesthetic overdoses with injectable anaesthetics are the most difficult to deal with because there are no specific reversal agents. Respiratory depression is the most easily observed effect of the overdose and takes the form of a decreasing ventilatory effort. If this occurs artificial ventilation should be initiated to try to maintain normal blood gases until the animal metabolizes the anaesthetic or otherwise reduces the concentration in blood. It is advisable to have respiratory support equipment always available when animals are anaesthetized. Courtesy of Dr Paul Flecknell, University of Newcastle Blood loss will be recognized if a large vessel is accidentally cut. However, the continual loss of small amounts of blood may add up to a serious problem. This may occur if the animal has been given anticoagulating drugs like heparin and there is no spontaneous clotting. If the level of anaesthesia has been deep at the start of the surgery, there may have been little bleeding due to the low blood pressure. The surgeon may not have had to deal with the many small bleeding points that would have been obvious if the blood pressure had been higher. Many of these will start to bleed as the animal recovers or if the anaesthesia is lighter. If blood loss is anticipated then appropriate replacement fluids should be available as well as a venous catheter placed at the start of anaesthesia so that fluids, drugs, etc., may be administered if necessary. The anaesthetist should be aware of the functioning of the equipment at all times and have backup plans to protect the animal if there should be a failure. Such failures could include a massive electrical shutdown that halts all electrically driven devices. Recovery from Anaesthesia Recovery from anaesthesia more or less mirrors the induction pathway although the timing differs. Thus while rapid induction pushed the animal through Stage 2 and avoided the excitement stage, recovery is slower and some excitation may be seen particularly following barbiturate anaesthesia. Very close monitoring of the animal must continue into the recovery phase, and particular care must be taken to ensure that the airways are patent and that breathing is unimpeded. Any anaesthesia-induced abnormalities present at the end of the anaesthesia, such as hypothermia or dehydration, should be corrected. One dangerous effect of hypothermia is that the anaesthetic drugs will not be metabolized as quickly and the duration of the anaesthesia unnecessarily prolonged. There are a number of factors that will influence the rate and quality of the recovery. If a preanaesthetic agent was used, this may increase the time to full recovery because of the tranquillizing effects of some of these drugs. On the other hand they will make recovery calmer with less of the excitement phase. The anaesthetic agent will determine the rate of recovery. Volatile anaesthetics are quickly blown off and the animal regains consciousness. Injectable anaesthetics are slower since they depend on metabolism and excretion for their inactivation. The duration of anaesthesia may govern the rate of recovery, especially for those agents where rapid recovery is due to clearing into tissues from the blood with metabolism later (e.g., thiobarbiturates). Long anaesthesia with one of these drugs will result in saturation of the tissues and prolonged rather than rapid recovery. The longer the period of anaesthesia, the more difficult it is to keep everything normal, even with very extensive monitoring. It is likely then that recovery will be different compared to a short anaesthesia. The quality of the anaesthesia may be important in the recovery. If anaesthesia was turbulent with periods of very deep anaesthesia, the likelihood of abnormal physiology and biochemistry is greater, with delayed recovery. The surgical procedure, especially if it was accompanied by blood loss may affect recovery. The duration of the surgery and the insult on the organs may be important. For example, a thoracic procedure may result in incomplete expansion of the lungs and the compromised ventilation may need longer to return the respiratory parameters to normal. Some of the animal factors described as influencing anaesthesia may also affect recovery. Older and younger animals, for example, may not metabolize the drugs as quickly. Sample Questions When comparing volatile anesthetics with injectable anesthetics, which one of the following statements is correct? a. b. c. d. e. Volatile Volatile Volatile Volatile Volatile anesthetics anesthetics anesthetics anesthetics anesthetics allow for greater depth of anesthesia. enable more precise control of anesthetic depth. are more easily administered. are safer for the operator to use. cause fewer cardiovascular changes. An animal's response to an anesthetic agent may depend on: a. b. c. d. e. Age Weight Medical condition Species All of the above Module 12 - Euthanasia of Experimental Animals Objectives • • • • • To discuss the principles of euthanasia - the humane killing of animals To discuss the emotional impact on people of killing animals To outline the criteria for a humane killing technique To describe the advantages and disadvantages of a number of methods of euthanasia To discuss the importance of choosing the correct method of euthanasia based upon the tissues to be collected for analysis Introduction Experimental animals are killed for various reasons. The reasons include: to provide cells or tissues for in vitro research; to collect blood, tissues or other samples at the end of a study; to do veterinary pathology or diagnostics; to prevent unnecessary pain and suffering when the approved endpoint is reached and when they are no longer needed or are culled from a breeding program. Whenever an animal is killed in the course of research, teaching and testing, it must be done with respect and in a way that ensures the death is as painless and distress-free as possible. The CCAC Guide to the Care and Use of Experimental Animals states: "In the use of animals in research, teaching, and testing it is essential that the scientific community take on the mantle of responsibility for applying scientific judgement and new knowledge to ensure that, when the life of an animal is taken, it is assured of a "good death"." Terminology The word euthanasia means a gentle death. The derivation of the word is from the Greek: eu - well or good; thanatos - death. Euthanasia is defined as a quiet or easy death, or means of producing one. We tend to use many different words in an apparent effort to avoid stating plainly that an animal is being humanely killed: "put down"; "put away"; "put to sleep"; "put out (of its misery)"; "sacrifice". The term "sacrifice" is still used in scientific publications and presentations. Principles for Humane Killing The main welfare principles for a humane method of killing an animal are: • • there should be very rapid (immediate) unconsciousness and subsequent death there should be no pain or distress accompanying the procedure These points are emphasised in the CCAC guidelines and in the Canadian Veterinary Medical Association position statement on euthanasia. The CCAC guidelines state: "The most important criterion of acceptance of a euthanasia method as humane is that it have an initial depressive action on the Central Nervous System (CNS) to ensure immediate insensitivity to pain." (click here) The CVMA position statement on euthanasia reads: "The Canadian Veterinary Medical Association believes that when an animal has to be killed, its death must be quick, and cause the least possible pain." (click here) In addition, the circumstances leading to the humane killing of the animal should not produce fear or psychological stress on the animal. Other criteria used to evaluate methods of euthanasia are discussed below. The application of these principles requires professional judgement, well-maintained equipment, and technical competence, coupled with an understanding of the animal, its behaviour and its physiology, and an understanding of the environmental and ecological impact, the sensitivities of other personnel, and the concerns of the general public. Training and Expertise of Personnel Personnel must be adequately trained to ensure that euthanasia is carried out in the most humane manner, and that it is done with professionalism and respect. Training should include: recognizing pain and distress in the behaviour of an animal, proper methods of handling and restraining the animal, proper application of the method and use of equipment, recognizing and assessing unconsciousness, methods of ensuring the death of the animal, and recognizing and confirming death. This training is beyond the scope of this module and should be provided by the institution separately. Handling of the Animal Prior to Euthanasia Any restraint of the animal necessary for humanely killing it should be done in a gentle, careful manner to minimise fear, distress and/or pain. Where the restraint may cause fear, distress or pain, the use of tranquillizers or sedatives should be considered. Equipment Used to Perform Euthanasia Any instruments or devices used for euthanasia of animals should allow for easy observation of the animals and be professionally designed and kept in good repair so that their use effectively produces rapid unconsciousness and death. They should be cleaned of all animal tissue, blood, or excreta after each use. Evaluating the Humane-ness of a Method for Killing an Animal When expert panels evaluate methods of killing animals, they use a number of criteria to determine whether a given method is humane and therefore acceptable. The following criteria were used by the AVMA Panel on Euthanasia, in their 2000 report: http://www.avma.org/resources/euthanasia.pdf • • • • • • • • • • • ability to induce loss of consciousness and death without causing pain, distress, anxiety or apprehension time required to induce loss of consciousness reliability safety of personnel irreversibility compatibility with requirement or purpose emotional effect on observers or operators compatibility with subsequent evaluation, examination or use of tissue drug availability and human abuse potential compatibility with species, age, and health status ability to maintain equipment in proper working order • safety for predators/scavengers should the carcass be consumed Most of these criteria are self-explanatory. However, some will be discussed briefly: a) irreversibility; b) scientific concerns relating to compatibility with requirement or purpose, and with subsequent evaluation, examination or use of tissue; c) emotional effects on observers or operators. Irreversibility - Ensuring the Death of the Animal While any acceptable method of euthanasia rapidly renders the animal unconscious and insensitive to pain, there must also be assurance of the death of the animal. Only when there is assurance that blood is no longer being delivered to the brain because the heart has stopped and all other movements such as respiration or reflex activity have ceased, should the animal be considered dead. For some methods this involves two steps, the application of the method producing initial unconsciousness, and secondly ensuring that the animal cannot regain consciousness or recover (for example, exsanguination, opening the chest, severing major blood vessels, cervical dislocation after CO2 euthanasia). Scientific Concerns Relating to Choice of Euthanasia Method Euthanasia methods may affect tissues and thus impact on subsequent biochemical, histological or electron microscopic analyses. The direct effects are generally subtle or absent. Methods which cause anoxia may produce pulmonary congestion and edema, depending on the rapidity of death. Tissue hypoxia may produce alterations (e.g., metabolic acidosis). Alterations in the central nervous system tissues probably occur more rapidly than to other tissues or organs, so it is important that tissues be prepared as rapidly as possible following unconsciousness and death of the animal. Proper handling of the animal prior to death to avoid stress or fear is also important. Where there are scientific concerns about the impact on research results of a chemical method of euthanasia and a physical method of euthanasia is proposed, it must be justified and approved by the animal care committee based on scientific evidence. There should be an evaluation of the skills of the personnel, and of the location and equipment to be used, before any physical method is approved. Emotional and Psychological Impact on Humans There may be emotional and psychological effects on the people performing the euthanasia, and on observers, that must be acknowledged. In research laboratories staff may become attached to the animals and experience uneasiness at having to euthanize them at the end of a study. Regular exposure to the task may raise defence mechanisms that may result in callousness or rough handling of the animals. A number of steps can be taken to minimize the negative impact of having to perform euthanasia. Euthanizing animals can be made less distressful by ensuring that people are skilled in the techniques, that they have a good understanding of the physiological events associated with dying (assurance of unconsciousness, reasons for body movements), and are using the most esthetically acceptable techniques. A forum for open discussion of an individual's concerns about euthanasia, and support, should be available. Any person who feels uncomfortable with euthanizing an animal should discuss it with his/her supervisor or the veterinarian. Modes of Action of Euthanasia Agents Euthanasia agents cause death by: a) brain hypoxia; b) direct depression of neurons necessary for life to function, and; c) physical disruption of brain activity and destruction of neurons necessary for life to function. Choosing an Acceptable Method of Euthanasia There are many methods available for humanely killing an experimental animal. Before any method is used, it must be considered by the animal care committee during protocol review. The approval of the proposed euthanasia method should always include consultation with a veterinarian. Appropriate records should be kept of euthanasias, method/drug and personnel involved. A number of the commonly accepted methods of euthanasia, with a few key points related to those methods (advantages, disadvantages, comments), are presented here. Full discussions of a given agent or method are available in the listed references. In particular, Appendix XIV of the CCAC Guide Methods For Euthanasia By Species (Methods In Order Of Acceptability) - should be consulted. The reader is encouraged to bookmark that section of the CCAC Guide for future reference. Unacceptable methods or agents are merely listed in this module without comment. The reader is also referred to the institutional veterinarian for additional information on any euthanasia method. Classification of Euthanasia Agents Methods of humanely killing animals are usually grouped as chemical (inhalation, injectable, or other) or physical methods. Chemical Agents - Inhalation Inhaled euthanasia agents are delivered either as vapours (from a liquid) or gases to the animal, usually in a closed chamber to avoid human exposure. Volatile Inhalant Anesthetic Vapours Any of the commonly used inhalation anesthetics (e.g., halothane, isoflurane, and others) can be used to overdose and kill an animal. Rodent preference tests have indicated halothane is the least aversive to inhale. Thus halothane is considered the most acceptable, and is the only one discussed here. All these agents must be used in closed chambers (for small animals) and the vapours must be scavenged to avoid human exposure. Halothane Anaesthetic Advantages: • • • easily achieve high vapour levels in closed containers quick acting relatively non-irritating to inhale Disadvantages: • • human health risk on exposure to vapours must be used in circumstances that ensure no human exposure to vapours Inhalant Gases There are several gases that can be used to kill an animal, carbon dioxide, carbon monoxide, and inert gases such as argon and nitrogen. Of these, carbon dioxide is considered acceptable for euthanasia in small laboratory animal species, and is the only one discussed here. Carbon Dioxide Carbon dioxide (CO2) is heavier than air and is nearly odourless. Compressed gas cylinders of CO2 are readily available. At concentrations above 70%, unconsciousness usually occurs in less than a minute. Advantages: • • • inexpensive and readily available rapid onset of unconsciousness minimal risk for human exposure Disadvantages: • • • • • • difficult to ensure optimal concentration in chamber irritating to inhale and to mucous membranes aversion in rodents longer to unconsciousness than inhalant anesthetics neonatal mammals, amphibians and reptiles have higher CO2 tolerance and should not be euthanized by CO2 exposure should not be used in any animal with the ability of prolonged breath-holding Comments Welfare concerns regarding the use of CO2 for euthanasia have been raised. Among the issues are questions of what concentration of CO2in the chamber is optimal for rapid unconsciousness with a minimum of distress, avoiding the reflex respiratory reactions to anoxia, optimal procedure for placing the animal(s) in the euthanasia chamber, and the irritant properties of CO2 when inhaled. When CO2 euthanasia is used it should be done according to an approved SOP (Standard Operating Procedure). Chemical Agents - Injectable Acceptable Injectable Euthanasia Agents A number of commercially produced injectable euthanasia agents are available. These are discussed here. Barbiturates All barbituric acid derivatives are generally excellent euthanasia agents if given intravenously at high doses. Intraperitoneal administration can also be acceptable when the intravenous route would cause distress. They act by depressing the central nervous system (anesthetic properties). Concentrated solutions of sodium pentobarbital are the most widely used. The Canadian Veterinary Medical Association (CVMA) considers intravenous injection of concentrated barbiturates to be the most humane method of euthanizing companion animals. From the CVMA Position on Euthanasia: "Intravenous injection of a concentrated barbiturate is widely considered the most humane method of euthanising companion animals. It is rapid acting, reliable, and effective and is therefore superior to all other forms of euthanasia." Records must be kept of all barbiturate use. Advantages: • • • speed of action to unconsciousness smooth induction relatively inexpensive Disadvantages: • • • controlled drugs available only to licensed veterinarians intravenous injection requires skill in smaller animals drugs persist in the animals and carcasses must be disposed of in a manner that prevents scavenging Comments Intraperitoneal injection may be acceptable in some circumstances where intravenous injection would be distressful, or where intravenous access is not available. T-61 T-61 is an injectable euthanasia agent comprised of three drugs: a local anaesthetic, a strong hypnotic, and a paralytic. It must be administered intravenously at the dose and rate recommended by the manufacturer. Advantages: • it is not a controlled drug and so availability is less restricted, however it needs to be ordered, stored and used like a controlled drug because of the potential for abuse Disadvantages: • • must be given as recommended; intravenously, slowly in dogs there may be vocalisation and muscle contractions upon injection Comments In most circumstances the disadvantages outweigh the advantages and barbiturates are the preferred injectable agents. Chloral Hydrate Chloral hydrate is a sedative that has a slower action in depressing the central nervous system. Death occurs due to hypoxemia as respiratory centres become depressed. It may be conditionally acceptable in some species in high doses when given intravenously. (click here) Chemical Agents - Other Routes Tricaine Methane Sulfonate (TMS or MS 222) Tricaine methane sulfonate is a benzoic acid derivative that is used for anesthesia of fish and amphibians, and can also be used for euthanasia in these species. Stock solutions are dissolved in water (concentration greater than 250 mg/litre) and buffered, and the animal is immersed in the solution until dead. Immersion in benzocaine hydrochloride solution may be an alternative to TMS for euthanasia of fish or amphibians. Unacceptable Chemical Euthanasia Agents • • Strychnine (rodent pesticide) Nicotine • • • • Magnesium sulfate Potassium chloride Any neuromuscular blocker (paralytic) Other toxic chemicals Some of these chemicals may be acceptable for killing the animal if it is already deeply anesthetized, for example at the end of a study when blood sampling is taking place and these chemicals are injected to ensure death. Potassium chloride may be useful in the field to reduce the dose of euthanasia drug needed, where the carcass may be accessible to scavengers. Physical Methods of Euthanasia Whether any physical method of killing an animal is humane depends very much on the skill and training of the operator, and on properly functioning equipment. The skill of the operator must be monitored. Properly applied, most physical methods can produce a humane death of the animal. The use of any physical method requires justification to the animal care committee. Cervical Dislocation Cervical dislocation may be acceptable in small rodents and some species of poultry. Training and skill of operator is essential. Advantages: • • • done properly it produces rapid unconsciousness accomplished without equipment avoids tissue contamination with chemicals Disadvantages: • • • skill and experience required the procedure may be aesthetically unpleasant limited to small animals Decapitation Decapitation involves severing the neck and head. Guillotines specifically designed for the procedure should be used. The devices should be kept in good repair to ensure that decapitation is humanely done. Advantages: • • rapid loss of consciousness avoids contamination of brain with chemicals Disadvantages: • • • animal must be carefully restrained the procedure may be aesthetically unpleasant personal injury may occur Stunning Stunning the animal by a blow to the head may be acceptable in small or young animals with a soft skull. Death of the animal must be ensured secondarily. Training and skill of operator is essential. Penetrating Captive Bolt A penetrating captive bolt "pistol" causes concussion by trauma to the brain. The bolt, spring loaded in the front of the device, is driven out by a gunpowder charge, penetrating the skull and brain. With accurate placement of the device against the skull of the animal, there is sudden unconsciousness progressing to death of the animal due to brain trauma. Advantages: • effective use causes immediate unconsciousness Disadvantages: • • • • the procedure may be esthetically disturbing animal must be adequately restrained training and experience of personnel essential device must be properly maintained Shooting Shooting an animal appropriately can produce immediate unconsciousness proceeding to death, and is a humane way to kill an animal. Using a firearm to kill an animal should only be done by highly skilled operator, and in accordance with legal use regulations. Guidelines for aiming the firearm to the head to penetrate the brain are available. Shooting as a means of collecting wild animal specimens is acceptable under certain conditions, depending on the skill of the personnel and use of appropriate firearms. The term "collection" is appropriate for this method of killing wild animals. Advantages: • • immediate loss of consciousness if bullet destroys much of the brain may be best option for killing wild or free-ranging animals Disadvantages: • • dangerous to personnel and to other animals in the area may not directly hit the brain in free ranging animals Kill Traps Kill traps are occasionally used to collect field specimens of small rodents, but they do not always result in a quick humane death of the animal. Other Physical Methods of Killing Experimental Animals The following method may be acceptable under certain conditions, if approved by an animal care committee. Thoracic (cardio-pulmonary) compression involves forceful pressure on the chest of small birds in the field when alternative methods are not available. This is not an appropriate technique in laboratory settings. Adjunctive Methods Some additional methods of physically killing animals are acceptable when the animals are already deeply anaesthetized for other reasons. These adjunctive methods include exsanguination (bleeding out the body) quick-freezing the body in liquid nitrogen, pithing (rendering the animal brain dead by destroying the cerebral hemispheres using a sharp probe introduced into the brain cavity through the foramen magnum). Carcass Disposal A Reminder: All experimental animal tissues/carcasses must be disposed of according to institutional policy. Summary Statement The humane killing of animals requires knowledge, skill, respect for the animal, and an understanding of the many factors that are part of the choosing a humane method. The primary welfare principles for a humane method of killing an animal require that there should be very rapid (immediate) unconsciousness and subsequent death, and there should be no pain or distress accompanying the procedure. Web-based References on Euthanasia CCAC. 1993. Guide to the Care and Use of Experimental Animals, Volume 1, Chapter 12 Euthanasia. 2000 Report of the AVMA Panel on Euthanasia. http://www.avma.org/resources/euthanasia.pdf European Commission, Recommendations for Euthanasia of Experimental Animals, Part 1. 1996. Laboratory Animals 30: 293-316. http://www.lal.org.uk/pdffiles/LA1.pdf European Commission, Recommendations for Euthanasia of Experimental Animals, Part 2. 1997. Laboratory Animals 31: 1-32. http://www.lal.org.uk/pdffiles/LA2.pdf Additional Reference Seaman WJ. 1987. Postmortem Change in the Rat: A Histologic Characterization. Iowa State University Press. Sample Questions Which one of the following should be the primary criteria for choosing a method of euthanasia? a. b. c. d. e. Safety for personnel Minimal cost and regulation Rapid unconsciousness and pain free application Aesthetic aspects of the procedure Ease of administration Which one of the following methods of killing an animal is unacceptable? a. b. c. d. e. Exposure to carbon dioxide Administration of strychnine Immersion in MS 222 Penetrating captive bolt Shooting with a firearm Appendix A - Timeline Back to Module 02 Galen of Pergamum, a Greek physician, catalogued experiments performed by Alexandrian physicians from 300BC, on differences between sensory and motor nerves and tendons. 129 - 199 0 125 Landmarks in Animal Based Research 150 175 Key Moral Statements 200 1250 St Thomas Aquinas 1260 declared in his Summa Theologiae that humans were unique and opposed the use of data based on vivisection on the grounds that all other animals were incapable of rationality because they possessed no mind. Andreas Vesalius Illustrated public lectures of anatomy with systematic non-human vivisection. 1514 - 1564 1250 1275 1300 1325 1500 1525 1550 Engl this o Ro 162 The first people to r subjects were profe Rene Descartes 1595 exaggerated the Christian centered prevalent humanist attitude into a mechanistic philosophy, the concept of beast-machine, which provided a convenient ideology for early vivisectionists. us William Harvey lectures of stematic ection. Demonstrated the circulation of blood using animals, extrapolated the results to humans and showed the value of vivisection for comparative physiological investigation. 1628 1550 1575 1600 1625 1650 1675 Alexander Pope 1688-1744 Samuel Johnson 1709-1784 Marshall Hall pioneered welfare issu science by proposing t cal procedures be reg that took into consider suffering of animals. English essayists and poets who argued that animals may feel pain and that this ought to be taken into consideration. Robert Boyle 1627-1690 Robert Hooke 1635-1703 1790 Richard Lower 1631-1691 rst people to record their genuine concern for the welfare of some of their experimental cts were professional physiologists based on a moral objection to perceived cruelty Humphrey Primatt 1776 1824 extended the principle of justice beyond the sphere of humans, to include all animals. The anthropocentric world view was being challenged by the notion that animals ought to be protected for their own sake. Whether an animal had a soul or not was no longer an issue. UK Roya for the pre of Cruelty Animals fo Jeremy Bentham August Comte The beginnings of the theory of utilitarianism. Shift from an anthropocentric world view towards animals’ capacity to suffer. Development of Positivi differentiation between empirical investigation and ethical values. 1798 1748 C D a m p v 1813 Francois Magendie nd ve 1783 1700 1725 1750 1775 Determined that many bodily processes resulted from the cofunctioning of several organs. This was the basis of modern physiology and set in train numerous invasive animal-based experiments. 1800 1825 1875 l Hall The UK House of Commons was presented with a Bill aimed at regulating vivisection, and a contrary Bill allowing for a regulation-free environment resulting in the appointment of a first Royal Commission of Inquiry to investigate laboratory procedures involving animals which found no instances of animal abuse but recommended that animal experimentation be regulated. The Cruelty to Animals Act received royal assent in 1876. d welfare issues from within by proposing that physiologiedures be regulated in a way into consideration the of animals. 1824 Charles Darwin UK Royal Society for the prevention of Cruelty to Animals founded. Publication of The Descent of Man and Selection in Relation to Sex and Expression of the Emotions in Man and Animals. 1871 omte ent of Positivism: tion between nvestigation al values. 1847 1871 1906 RSPCA changed its position to objection to painful procedures being performed on animals. British Association for the Advancement of Science published guidelines that aimed to minimize suffering and discourage conducting experiments of dubious scientific merit. Continuous lobbying by anti-vivisection societies resulted in the Second Royal Commission on Vivisection. However, due to medical advances described and the advent of World War I which focused the UK society’s attention in other directions, the public were less keen to condemn all experimentation. Crawford Long 1902 Discovered the anaesthetic properties of ether. Extraction of the first hormone. 1842 Claude Bernard 1882 1920 Demonstrated that a precise approach to experimentation must involve the study of one parameter while holding other variables constant. Discovery of bacterium responsible for tuberculosis. Frederik Banting Charles Best Discovery of diphtheria antitoxin which reduced infant mortality from 40% to 10% . 813 ns. n Isolation of insulin. William Morton 1909 Further work on the anaesthetic properties of ether led to technically sophisticated surgical procedures. Chemical treatment for syphilis. ased 1847 1825 1850 1875 1900 1925 1950 Appendix B - Standard Operation Procedures: Mouse Microisolator Cage, or Individual Ventilated Cage, Change (Extracted from an actual SOP) Back to Module 06 Purpose: To describe the procedures for changing mouse static microisolator cages, or individual ventilated cages from a ventilated rack. General Information All persons working with animals must adhere to the following standard operating procedure. All personnel who work with microisolator caging will be trained by ACS (Animal Care Services) to ensure that the barriers are properly maintained. Entry into the facility is limited to those persons that have been previously trained and have permission from the ACS Director. Mice that are taken out of the facility for any reason will not be allowed to return. All mice entering the facility must have complete health records accompanying the shipment. Mice shipped into the SPF (Specified Pathogen Free) facility must arrive in undamaged filtered crates to be acceptable. Shipping crates must be opened only by ACS staff for transfer to microisolator caging. Cage Examination Examine cages prior to each use to ensure that they are in good repair (e.g., no cracks). Stainless steel lids should be free of any sharp edges or loose bars. The microisolator filter tops must be intact and dry. Equipment and Materials • • • • • Laminar Flow (Class II Biological Safety Cabinet) Cage Change Station Spray bottle with disinfectant - Clidox® mixed as per instructions Sterile supplies of diet, bedding and waters Sterilized waste containers, paper towels and other required supplies Specific equipment required for intended procedures, pre-sterilised Changing Cages NOTE: All manipulation of mice and cages must be performed in the laminar flow hood (Class II Biological Safety Cabinet). • • • • • • Put on booties, gown, face mask, hair bonnet, and gloves upon entering each room. Prepare a container of disinfectant following label instructions for dilutions. Make sure that the laminar flow hood is turned on and operational. Check the gauges to make sure. Prior to use of the hood for any reason, spray all surfaces inside the hood with Clidox®. Place a container of disinfectant inside the hood for dipping hands between dirty and clean cages. Bring the necessary pre-sterilized cages complete with bedding and feed on a clean cart to the change hood. Change one cage at a time as follows: remove dirty cage from the rack and place it in the hood; place a clean cage beside the dirty cage in the hood; remove the microisolator bonnet from the dirty cage; place the dirty bonnet bottom side down under the hood; remove the cage card holder from the dirty cage and place it on the clean cage; remove the dirty water bottle from the wire bar lid and remove the wire bar lid; transfer the mice to the clean cage using a disinfected forceps; place the wire bar lid on the clean cage; fill the hopper with feed and place fresh water bottle on cage; replace filter bonnet on cage. Submerse hands in the disinfectant solution, and repeat for next cage. Change gloves between each group or type of animal (e.g., between different investigators, different strains, or different protocols). Housekeeping • • • Daily: Empty trash and replenish supplies as needed, on a daily basis. Keep the room neat, clean, and clutter-free. Record all activities on the room logbook. Weekly: Disinfect animal room floor with disinfectant once per week. Monthly: Disinfect walls, light fixtures, cabinets, and cage racks. Change air filters. Receiving New Shipments Unopened cartons of animals will be taken directly to the facility. Prior to entering a room, the exterior of the carton will be sprayed with Clidox® until wet. Allow the container to sit for 10 minutes before taking it into a room. Spray the shipping crate again with Clidox® and put into the laminar flow change hood. Gently make an opening in the top of the shipping carton with scissors. Using forceps that have been disinfected pick up the individual mice by the base of their tails and transfer them from the shipping carton into the sterile cage. Follow the standard cage changing procedure. Appendix C - Animal Identification Brochure Back to Module 06 Animal Identification It is important, in most cases, to be able to identify individual animals in a study. In a few situations, small group identification may be enough if all of the animals in the group are to be treated in the same manner and if individual variations in response to a treatment are not to be accounted for separately. Ideally, the method should ensure a permanent, indisputable identification of an individual and should not place a burden on the animal. Letters and numbers are often used to identify animals and these should not be so complex as to increase the risk of human error in the recording of data particularly in the transcription process. Ear tags are commonly employed in farm animals (e.g., sheep, cattle) and sometimes in small laboratory animals, including mice. However, for these very small animals, the ear tags are heavy and distort the ears and are not recommended. In addition, it is often the practice to use two tags so that if one is lost, the animal will still be identified. Wing clips and leg bands are commonly used to identify birds. Collars with identification tags may be used for dogs and cats. Tattooing, either with numbers and letters or with other codes, provides a good means of identification. There is some risk that the tattoos will fade and become illegible so they should be checked on a regular basis. Tattooing may be done on any part of the body but consideration should be given to a location where the tattoo may be read without excessive handling of the animal. Microtattoos which are small tattoo dots on specific parts of the body, can be useful particularly in albino animals. Temporary or short term marking with various dyes is possible in some birds and animals, especially those with white areas of fur or feathers, or on the tails of some rodents. Marking pens may be used to apply the marks but as with other systems, the marks must be clear and the identity of the animal unmistakable. Depending on the type of marker used, renewal may be required as often as daily to ensure reliability. Ear notching is another way of identifying small rodents and pigs, although tattooing is preferred. There is a universally recognized notching scheme for small rodents but others have devised their own pattern of coding. It is important to place the punches and notches accurately so that identification of the animal is indisputable. The use of implantable microchips has increased since these provide a unique and tamperproof means of permanently identifying animals. These chips are glass encased passive transponders, i.e., they must be energized from outside for the information encoded on them to be released. This information is usually just an identification number but some of the newer microchips will also indicate the body temperature of the animal. The microchips and scanners are relatively expensive but are very useful where positive identification of valuable animals is required. The passive integrated transponder (PIT) tag is being widely used in salmonid aquaculture to identify tagged fish as they pass interrogation sites during their migration. The PIT microchip is implanted in the body cavity of the fish, rather than subcutaneously as in mammals. Photo of a microchip injector and a microchip Caption: Microchip with needle and injection device. Photo of a microchip scanner Caption: Hand held scanner. Data may be downloaded to a computer. Several of the techniques described above may be associated with pain to the animal (e.g., ear tagging, ear punching, microchip insertion, tattooing). This may necessitate the use of an analgesic. Small animals (e.g., mice) may be anesthetized with a volatile anesthetic which allows for quick recovery from the procedure. In larger animals, a local anesthetic may be sufficient to allow the procedure. For some animals, the use of a systemic analgesic like butorphanol may be sufficient to alleviate the pain. Several other methods of identification have been used in the past but have limited if any application in the laboratory. Toe clipping to identify newborn rodents in a litter or for some wild animals (e.g., salamanders) is now considered inappropriate. Branding is also not necessary for the identification of cattle, horses, etc., as there are more humane ways to identify them. However, cattle or horses purchased from farm animal sources may have been branded previously. Fish are often identified by clipping fins or by means of small tags on the gills or on the back. Field biologists are interested in identifying animals to follow their activities in their home ranges or on migratory pathways. Radio transmitters are placed on a wide variety of animals from moose to small birds. These transmitters emit a radio signal that allowed the investigators to locate the source of the signals. Satellite and global positioning technology are also used. Some of these transmitters are applied externally to the feathers or fur and are designed to fall off the animal after a certain period of time. On birds, for example, the transmitter will be lost during the bird's annual molt. Appendix D - Wild mouse versus Laboratory mouse Back to Module 07 In each of the categories give a score for each mouse, either plus or minus. You may feel that you do not know enough about either mouse to judge properly but you should allocate a score based on what you think each mouse experiences. Consider the laboratory mice to be living in an animal facility and that they are not part of an experiment. The Five Freedoms Freedom from hunger and thirst Freedom from discomfort Freedom from pain, injury and disease Freedom to express normal behaviours Freedom from fear and distress Total Wild Laboratory A second system of looking at the well-being of the two mice considers in more detail some of the parameters that affect their lives. The scoring system is the same as for the five freedoms. Wild Laboratory Food ß Quality ß Variety ß Availability Water ß Quality ß Availability Activity ß Social o Variety o Stress ß Physical o Variety o Extent Environment ß Climate o Variation o Extremes ß Space o Size o Complexity Health ß Infections ß Injuries ß Deficiencies Total Appendix E – Buprenorphine Back to Module 10 Name: Buprenorphine (buprenorphine hydrochloride) Trade Names: Temgesic, Buprenex Preparation: Sterile injectable liquid packaged in 1ml vials, in boxes of 5 vials. Each 1ml contains 0.3 mg buprenorphine, in pH adjusted water. Description: Buprenorphine is an opioid analgesic (narcotic agonist/anatagonist) classed as a narcotic under the Controlled Substances Act. Availability: Buprenorphine is a controlled substance classified as an experimental drug in Canada, and must be obtained through a licensed veterinarian. Regulations regarding security and record keeping apply. Indications: For relief of moderate to severe pain, as in the post-surgical period. Dosage: Consult the laboratory animal veterinarian. Routes of administration: Intramuscular, subcutaneous, intravenous, oral Duration of action: Six to twelve hours depending on the species. Mechanism of analgesic action: Buprenorphine is a m agonist, and binds to m opiate receptors in the central nervous system. Clinical pharmacology: Pain relief begins about 15 minutes after intramuscular injection and persists for 6 hours or longer. Some sedation also occurs. Buprenorphine is metabolised by the liver and clearance is related to hepatic blood flow. Physiological effects: Cardiovascular: May cause a decrease in heart rate and blood pressure. Respiratory: Depression of respiration is observed. Drug Interactions: Buprenorphine in the presence of other narcotic analgesics, sedatives or tranquilisers, or general anesthetics may cause increased CNS depression. When used in such combinations the dose of one or both agents should be reduced. Notes: Buprehorphine has been incorporated into jello and fed to rats. Oral administration requires higher doses because a significant amount of the drug is metabolised during the first pass through the liver. References: Pain Management in Animals. 2000 Flecknell P and Waterman-Pearson A (eds). WB Saunders, London 184pp Laboratory Animal Anesthesia. 1996. Flecknell P. Academic Press, London. 274 pp. Appendix F – Butorphanol Back to Module 10 Name: Butorphanol (butorphanol tartarate). Trade Name(s): Torbugesic (injectable), Torbutrol (tablets). Preparation: Sterile injectable liquid in 10ml or 50 ml mulitdose vials. Each ml contains 10mg of butorphanol tartrate. Description: Butorphanol tartrate is a synthetic, centrally acting, opioid agonist-antagonist analgesic classed as a narcotic under the Controlled Substances Act. Availability: Butorphanol is a controlled drug and must be obtained through a licensed veterinarian. Regulations regarding security and record keeping apply. Indications: For the relief of mild to moderate, deep or visceral pain, and for chronic pain. Some sedation accompanies the analgesia. Dosage: Consult the laboratory animal veterinarian. Routes of administration: Intramuscular, subcutaneous, or intavenous Duration of action: About 4 hours Mechanism of analgesic action: Butorphanol is a synthetic opioid agonist-antagonist analgesic acting at the m and k receptors. Clinical pharmacology: Butorphanol tartrate is a member of the phenanthrene chemicals. The chemical name is morphine-3, 14-diol, 17-(cyclobutylmethyl)-, (-), (S-(R*,R*))-2,3-dihydroxybutanedioate (1:1). In animals, butorphanol has been demonstrated to be 4-30 times more potent than morphine. Butorphanol also has potent antitussive activity. Physiological effects: Cardiovascular: Cardiopulmonary depressant effects are minimal. Respiratory: Cardiopulmonary depressant effects are minimal. Drug Interactions: used with caution with other sedative or analgaesic drugs as these are likely to produce additive effects. Notes: References: Pain Management in Animals. 2000 Flecknell P and Waterman-Pearson A (eds). WB Saunders, London 184pp Laboratory Animal Anesthesia. 1996. Flecknell P. Academic Press, London. 274 pp. Compendium of Veterinary Products, 6th Ed. 1999. Canadian Animal Health Institute. North American Compendiums, Hensall, Ontario Appendix G – EMLA Back to Module 10 Name: EMLA Trade Name(s): EMLA Cream Preparation: EMLA (Eutectic Mixture of Local Anesthetics) is a eutectic mixture of lidocaine and prilocaine bases, in 30 gm tubes. Each gram of cream contains 25 mg lidocaine and 25 mg prilocaine as an oil/water emulsion. Description: An emulsion of two local anesthetics. Availability: Indications: For use as a topical anesthetic for skin. Dosage: Cream is applied to area of skin at least 30 minute and ideally one hour before analgesia is needed at the site. Cream is left in contact with the skin for 5-10 minutes. Routes of administration: Apply topically on the skin in the area where analgesia is required. Duration of action: Local analgesia of intact skin is achieved after a 60 minute application under an occlusive dressing. Analgesia increases up to 120 minutes. The duration of analgesia after I-2 hour application is at least 2 hours and decreases after 5 hours. Mechanism of analgesic action: Lidocaine and prilocaine are amide-type local anesthetic agents. They stabilize the neuronal membrane preventing the initiation and conduction of nerve impulses Clinical pharmacology: Lidocaine and prilocaine are amide-type local anesthetic agents. They stabilize the neuronal membrane preventing the initiation and conduction of nerve impulses. Physiological effects: Cardiovascular: Respiratory: Drug Interactions: Notes: References Pain Management in Animals. 2000 Flecknell P and Waterman-Pearson A (eds). WB Saunders, London 184pp Laboratory Animal Anesthesia. 1996. Flecknell P. Academic Press, London. 274 pp. Compendium of Pharmaceuticals and Specialities 36th Ed. 2001. Canadian Pharmacists Association, Ottawa, Ontario Appendix H – Flunixin Back to Module 10 Name: Flunixin (flunixin meglumide). Trade Name(s): Banamine. Preparation: Flunixin is an aqueous injectable solution containing 50 mg flunixin per ml, packaged in 50 ml and 100 ml multidose bottles. Description: Flunixin is an injectable non-steroidal anti-inflammatory (NSAID) - analgesic. Availability: Flunixin is a prescription drug. Indications: It is useful as a medium duration analgesic and anti-inflammatory drug. Like other NSAIDs, it also has some anti-pyretic properties. It is used for visceral or musculoskeletal pain in horses. Dosage: Consult your laboratory animal veterinarian. Routes of administration: Intravenous or intramuscular. Duration of action: Up to 12-24 hours. Mechanism of analgesic action: Clinical pharmacology : Flunixin meglumine is a potent, non-narcotic, nonsteroidal, analgesic agent with anti-inflammatory activity (NSAID). Antipyretic activity has been demonstrated in laboratory animals. Physiological effects : Cardiovascular: Respiratory: Drug Interactions: Drug interactions have not been studied. Notes: Not to be used in food producing animals. References Compendium of Veterinary Products, 6th Ed. 1999. Canadian Animal Health Institute. North American Compendiums, Hensall, Ontario Pain Management in Animals. 2000 Flecknell P and Waterman-Pearson A (eds). WB Saunders, London 184pp Laboratory Animal Anesthesia. 1996. Flecknell P. Academic Press, London. 274 pp. Appendix I – Ketamine Back to Module 10 Name: Ketamine (ketamine hydrochloride) Trade Name(s): Ketaset, Ketalean, Rogarsetic, Vetalar Preparation: Ketamine hydrochloride is supplied as a injectable solution at a concentration of 100 mg/ml. The solution is slightly acid (pH 3.5-5.5). It is supplied in 10 ml and 50 ml bottles. Description: Ketamine is a rapid acting anesthetic producing an anesthetic state termed "dissociative anesthesia" because it appears to selectively interrupt association of the brain before producing sensory blockade. It also produces analgaesla. Pharyngeal - laryngeal reflexes are maintained, as is skeletal muscle tone. Availability: Ketamine is a prescription drug. Indications: Useful as a rapid onset, short acting general anesthetic in a wide range of species. It is best used for short surgical procedures or for chemical restraint for minor procedures. Dosage: A wide range of doses have been used in a wide range of species. Consult your laboratory animal veterinarian. Routes of administration: Ketamine can be administered parenterally by intramuscular, subcutaneous or intraperitoneal injection. Duration of action: Following injection of recommended doses, most animals become ataxic in about five minutes; anesthesia lasts about 30 minutes. Recovery is generally smooth if the animal is not stimulated or handled. Complete recovery usually occurs within four to five hours. Mechanism of action: Ketamine produces an anaesthetic state termed "dissociative anaesthesia" because it appears to selectively interrupt association of the brain before producing sensory blockade. Clinical pharmacology: Ketamine hydrochloride is a nonbarbiturate general anaesthetic in the cyclohexylamine group, with the chemical name 2-(o-chlorophenyl)-2-methylamino cyclohexanone hydrochloride. Physiological effects: Cardiovascular: There is mild cardiac stimulation, blood pressure and heart rate are usually moderately and transiently increased. Respiratory: There is respiratory depression; the respiratory rate is usually decreased. Drug Interactions: Ketamine can be used in effective combinations with a variety of sedatives or tranquilisers. Notes: Many protective reflexes are not abolished, and so monitoring the depth of anesthesia is not similar to other general anesthetics. The eyes remain open with the pupil dilated so lubricating eye ointments should be instilled. References: Compendium of Veterinary Products, 6th Ed. 1999. Canadian Animal Health Institute. North American Compendiums, Hensall, Ontario Pain Management in Animals. 2000 Flecknell P and Waterman-Pearson A (eds). WB Saunders, London 184pp Laboratory Animal Anesthesia. 1996. Flecknell P. Academic Press, London. 274 pp. Appendix J – Ketoprofen Back to Module 10 Name: Ketoprofen Trade Name(s): Anafen Preparation: Anafen injection is supplied in two concentrations, 10 mg/ml for small animals and 100 mg/ml for large animals, in multidose vials. It is also available as 5mg, 10mg and 20mg tablets. Description: Ketoprofen is a nonsteroldal anti-inflammatory (NSAID) and analgesic drug of the propionic acid subclass of carboxylic acid derivatives. Other propionic acid derivative NSAIDS Include ibuprofen, naproxen and fenoprofen. Availability: Ketoprofen is a prescription drug Indications: Ketoprofen has potent anti-inflammatory activity against acute, subacute and chronic infflammation, and is useful for management of post-surgical pain, and for relieving chronic pain (e.g., arthritis, etc.) and for the symptomatic treatment of fever. Dosage: Consult the laboratory animal veterinarian. Routes of administration: Ketoprofen can be injected by intramuscular, intravenous or subcutaneous routes, or given orally (tablets). Duration of action: Ketoprofen has a long duration of action and can usually be administered once a day. Onset of activity occurs within 1/2 hour after parenteral injection and within 1 hour of oral administration. Mechanism of analgesic action: The primary mechanism of action is through inhibition of prostaglandin synthesis by interfering with the cyclo-oxygenase pathway of arachidonic acid metabolism. Clinical pharmacology: Ketoprofen is propionic derivative; 2-(3-benzoyl phenyl) propionic acid. Other propionic acid derivative NSAIDS include ibuprofen. Like other NSAIDs, ketoprofen produces analgesic, anti-inflammatory, and antipyretic effects. Notes: Like other NSAIDs, ketoprofen may cause irritation of the gastrointestinal tract, and should not be used if there is impaired liver and/or kidney function, or coagulation disorders. References: Compendium of Veterinary Products, 6th Ed. 1999. Canadian Animal Health Institute. North American Compendiums, Hensall, Ontario Pain Management in Animals. 2000 Flecknell P and Waterman-Pearson A (eds). WB Saunders, London 184pp. Laboratory Animal Anesthesia. 1996. Flecknell P. Academic Press, London. 274 pp. Appendix K – Xylazine Back to Module 10 Name: Xylazine Trade Name(s): Rompun, Anased, Xylazine HCl Injection Preparation: Sterile injectable liquid packaged in 20 ml vials with a concentration of 20 mg/ml, or 50 ml vials with a concentration of 100 mg/ml. Description: Xylazine is an alpha-2-adrenergic agonist sedative with analgesic properties. Availability: Xylazine is a prescription drug. Indications: Used alone for short minor manipulations or minor surgical procedures. See below for use in combination with other drugs for anesthesia. Dosage: Consult the laboratory animal veterinarian. Routes of administration: Intramuscular, subcutaneous, or intravenous Duration of action: Sedation lasts a few hours; the analgesia is of shorter duration. ROMPUN is a potent sedative and analgesic as well as a muscle relaxant. Its sedative and analgesic activity is related to central nervous system depression. Its muscle-relaxant effect is based on inhibition of the intraneural transmission of impulses In the central nervous system. Sedation develops within 10-15 minutes after intramuscular injection and within 3-5 minutes following intravenous administration. Mechanism of analgesic action: Xylazine is an alpha-2-adrenergic agonist sedative with analgesic properties. Its sedative properties relate to central nervous system depression. The muscle relaxant properties relate to inhibition of the Intraneural transmission of Impulses In the central nervous system. Clinical pharmacology: The sedation and muscle relaxation produce a sleep-like state, with decreased respiratory and heart rates. There is significant depression of respiration and heart rate. The decrease in heart rate is related to a transient change in conductivity of cardiac muscle due to a partial atrioventricular block. Physiological effects: Cardiovascular: Significant depession of heart rate Respiratory: Significant respiratory depression Drug Interactions: Should not be used in combination with other tranquilisers. There are additive effects when used in combination with anesthetics or analgesics and then required doses would be lower. Notes: In dogs and cats vomiting may occur soon after administration of xylazine. References: Compendium of Veterinary Products, 6th Ed. 1999. Canadian Animal Health Institute. North American Compendiums, Hensall, Ontario Pain Management in Animals. 2000 Flecknell P and Waterman-Pearson A (eds). WB Saunders, London 184pp Laboratory Animal Anesthesia. 1996. Flecknell P. Academic Press, London. 274 pp Glossary Index: A | B | C | D | E | F | G | H | I | K | M | N | O | P | Q | R | S | T | U | V | W | Z Ad hoc An ad hoc committee is one that is set up for a particular purpose. Adrenalectomy Surgical removal of the adrenal glands. Aesthetically Tastefully; concerned with appearance. Agonist When talking about drugs, this refers to a compound that stimulates or enhances activity of the cell receptors. Air lock In biosafety facilities airlocks are usually two sets of doors in a corridor which when closed form a series of air locks to prevent air moving in or out of the area. Only one door should be opened at one time. Air pressure gradient Different air pressures in an animal facility's ventilation system can be used to help create barriers to contain or exclude microorganisms. A clean, biocontainment room or area, for example, would have a higher air pressure than the corridor, so that when the door is open, the air flows out rather than in. Albumin Albumin is one of the major plasma proteins. It has many functions in the blood plasma including carrying molecules (and some drugs) throughout the body. Allergen Any substance capable of producing a type 1 allergic reaction. Alpha2 adrenergic receptor agonists This is a group of pain relieving drugs that includes xylazine and medetomidine. Alveoli The alveoli in the lungs are the small grape-like clusters of outpouchings at the end of the lung's air ducts, where gas exchange (oxygen, carbon dioxide) takes place. Anaphylaxis A generalized allergic reaction (also called anaphylactic shock) in sensitized individuals that results in lifethreatening symptoms which may include vascular collapse, shock and respiratory distress. Anoxia Anoxia means a total lack of oxygen. Often used interchangeably with hypoxia, which means a reduced supply of oxygen. Antagonist When talking about drugs, this refers to a compound that opposes the activity of the cell receptors. Anthropomorphic This term is used to describe a person's attitude when he/she ascribes human attributes to an animal, or to the animal's experiences or perceptions. Anti-rejection drugs People who have received an organ transplant need medication every day to prevent organ rejection. Drugs called immunosuppressants or anti-rejection drugs help suppress the immune system to prevent or reverse rejection. At the same time, these drugs may have side effects. A number of drugs are commonly used for this purpose. Anxiolytic Removing or diminishing anxiety. Arthritis Inflammation of the body joints. Asthma Asthma is a condition of the lungs caused by constriction of the airways and mucus secretion. These interfere with normal air movement in the lungs and cause wheezing. Association of Universities and Colleges of Canada (AUCC) AUCC is the national, non-governmental, not-for-profit organization that represents 93 Canadian public and private not-for-profit universities and university-degree level colleges. They provide a forum for discussion and a framework for action at the national level, facilitate development of public policy on higher education, and encourage cooperation among universities. The AUCC is a member organization of the CCAC, with four representatives on Council. http://www.aucc.ca/en/index.html Atopy Atopy is an inherited, familial tendency to develop some form of allergy such as hay fever, asthma, eczema. Autoclave A machine used to sterilize by a combination of steam and pressure. Axenic Completely germ free. An axenic rat in an isolator would be one that is free of all other microorganisms. Barbiturates Barbiturates are a group of sedative/anesthetic drugs. Some of these have a high potential for abuse, and all are controlled drugs. Benzocaine hydrochloride Benzocaine is a local anesthetic, often used topically in human medicine. It is also used to kill amphibians and fish. Bradycardia Slowing of the heart rate. Bradykinin One of a group of small proteins that actively affect smooth muscle contraction in blood vessel walls, and so have effects on blood pressure. Bradykinin dilates blood vessels, and also stimulates pain receptors. Bronchoconstriction Narrowing of the air passages in the lungs. BSE Bovine Spongiform Encephalopathy Bovine Spongiform Encephalopathy, also known as "Mad Cow Disease", is a chronic, degenerative disorder affecting the central nervous system of cattle, which was first diagnosed in Britain in 1986. [ Back to Index ] Canadian Federation of Humane Societies (CFHS) The Canadian Federation of Humane Societies is a national charitable body comprised of animal welfare organizations and individuals, whose purpose is to promote compassion and humane treatment for all animals. CFHS is a national voice on animal welfare issues, representing its member societies and branches across the country, and is a member organization of the CCAC, with three representatives on Council. The CFHS is committed to ending the suffering of animals by working with the public, government, industry, the scientific community, educators and the media on both the national and local levels. http://www.cfhs.ca/index.htm Carcinogen A carcinogen is a chemical, physical, or biological substance that is capable of causing cancer. Often used in reference to chemicals or pollutants. Some carcinogens are used to produce cancer in research models. Cardiac arrhythmia Irregular beating of the heart. Catecholamines A group of compounds with active roles in the sympathetic and parasympathetic nervous systems. This group includes adrenalin (epinephrin is another name for the same compound) which is a hormone secreted by the adrenal gland, and noradrenalin (norepinephrin is another name for the same compound). Effects include blood vessel constriction and increase in blood pressure, and increased heart rate. Cerebral ischemia Ischemia refers to a lack of adequate blood flow to an area. Cerebral ischemia refers to a lack of adequate blood flow to the brain, which may be the result of a blood clot, blood vessel constriction or a hemorrhage. Cervical dislocation A physical euthanasia technique where pressure is applied to the neck to dislocate the spinal column from the skull, normally only conducted on small animals. Chemical restraint Chemical restraint is the use of sedatives or anesthetics to control an animal's activity and thereby allow certain procedures to be done with minimal stress to the animal. Chloramphenicol Chloramphenicol is an antibiotic once in common use in veterinary medicine but now banned in food producing animals, due to the potential for bone marrow depression of blood cell production. Chronic Wasting Disease (CWD) Chronic wasting disease (CWD) is a transmissible spongiform encephalopathy of elk and other deer, first recognized the 1960s in Colorado and identified as a prion disease in the late 1970s. Deer with CWD have been found in game farms, and wild elk and deer with CWD have been found in the USA and Canada. Class II Biosafety Cabinet Class II biological safety cabinets are designed to have air flow drawn around the operator, into the front of the cabinet to protect the person. Inside the cabinet a downward laminar flow of HEPA-filtered air protects the product being handled. There are several types of Class II biosafety cabinets. CNS The Central Nervous System consists of the brain and spinal cord, in vertebrates. Commensal Commensal means a microorganism that normally lives in close contact with a human or animal without causing any harm. This would include many of the bacteria normally present on a person's or animal's skin or intestine. Conjunctivitis Inflammation of the membranes of the eyelids and around the eye. Controlled drug Controlled drugs are those listed in the schedule to the Narcotic Control Regulations of the Controlled Drugs & Substances Act, and can only be obtained by a licensed doctor, dentist or veterinarian, or by special permit for research purposes. The list includes the barbiturates, and many opiates. Corticosteroids Corticosteroids are hormones produced by the adrenal cortex that affect many body processes. Their properties include anti-inflammatory actions, breakdown of protein and fat, activation in the nervous system, the body's salt and water balance, regulation of blood pressure, and so on. Synthetic corticosteroids are used in many treatments prescribed by physicians and veterinarians. CT Computed Tomography, also called Computerized Axial Tomography (CAT) scanning, is a diagnostic medical tool that uses x rays to obtain a series of cross-section images of the body which are then integrated using a computer. Cystitis Inflammation of the urinary bladder. Cytokines Cytokines are a group of compounds that are secreted primarily from white blood cells when the immune system is activated. They stimulate both the humoral and cellular immune responses, and activate other cells of the immune system. Some of the cytokines are called interleukins. Cytolytic Cyto - cells; lysis - destruction. Cytolytic ability or capacity refers to the ability to destroy cells, by a microorganism, for example. [ Back to Index ] Dander Small scales from hair or feathers which flake off and can become airborne. Demeanor Demeanor refers to a person's bearing ,or behavior towards others. Discomfort Discomfort is viewed as a mild form of distress. Distress Distress is a state associated with invasive procedures conducted on an animal, or with restrictive or other conditions which significantly compromise the welfare of an animal, which may or may not be associated with pain, and where the animal must devote substantial effort or resources to the adaptive response to challenges emanating from the environmental situation. Diurnal rhythm Most animals (and plants) have a daily rhythm of activity. This is the diurnal rhythm. Doppler equipment A Doppler transducer is one that uses ultrasound to evaluate blood flow inside the body. The instrument looks like a microphone, and sends and receives silent, high frequency sound waves. [ Back to Index ] Edema Edema is the term used to describe the presence of abnormally large amounts of fluid in a tissue or organ. Encephalitis Refers to infection or inflammation of the brain. Ascending encephalitis refers to an infection of the nervous tissue that travels up towards the brain and eventually affects the brain too. Endorphins Endorphins are a group of small proteins naturally occurring in the brain around nerve endings, that bind to opiate receptors and thus can raise the pain threshold. Enkephalins are included in this group of compounds. Endpoint The term "endpoint" can be defined as the point at which an experimental animal's pain and/or distress is terminated, minimized or reduced by taking actions such as humanely killing the animal, terminating a painful procedure, or giving treatment to relieve pain and/or distress. Eosinophils, neutrophils, lymphocytes These are different cell types in the white blood cell series. Their numbers change in many conditions such as disease, distress, toxic states. White blood cell counts are useful for diagnostic purposes. Epidural The epidural space is the space around the spinal cord. Epidural anesthesia is produced by injecting the analgesic drug (usually a local anesthetic, but it could also be an opioid) into the epidural space, usually in the lumbar region. The drug directly affects the spinal cord or the nerve roots arising from the cord. Euthanasia To kill an animal painlessly, and without distress. Eczema A skin reaction typically resulting in itchiness, reddening, thickening and possibly oozing. Exsanguination Generally, the excessive loss of blood. As a secondary technique for euthanasia, it may involve deliberately removing as much blood as possible from an animal. Ex vivo Outside the living body, for example removing a liver for studies in a perfusion apparatus. [ Back to Index ] First pass metabolism First-pass metabolism refers to the phenomenon of a drug taken orally which is absorbed through the intestinal wall and goes directly to the liver through the portal vein system and gets metabolized there before reaching the target organ. This is avoided by giving the drugs by other routes (e.g., intramuscular, intravenous). Flexible film isolators Isolators used for housing germ free (axenic) and gnotobiotic animals - a system with a complete barrier against contamination. Flight zone The flight zone is an animal's "personal space". The size of the flight zone varies with the tameness of the animal, and other animal-related factors. Wild animals have a much larger flight zone than most domestic animals that are used to humans. Fomite Any object, that is not harmful itself, but may be capable of carrying an infectious microorganism on it and thus transmit disease. Formalin Formalin, or formaldehyde, in solution is used as a tissue preservative and fixative for tissue specimens. [ Back to Index ] Garbage in garbage out (GIGO) This term refers to the fact that computers will process nonsensical, faulty or incomplete input data and produce nonsensical, faulty or incomplete output. Gnotobiotic A gnotobiotic system is a completely closed biological environment in which all organisms are known. For example, a gnotobiotic mouse could be a mouse that has only one species of bacteria in its intestine. [ Back to Index ] Hantavirus Pulmonary Syndrome (HPS) Hantavirus Pulmonary Syndrome (HPS) is characterized by a sudden onset of fever, pain, vomiting, and onset of respiratory distress and prostration. Mortality rates are high despite symptomatic treatment. Harried A person or animal who/that is harassed or bothered. HEPA filter HEPA filter stands for High Efficiency Particulate Air filter. Such a filter will be at least 99.97% efficient at removing all particles in the air down to a size of tenths of a micrometre. Hepatic Associated with the liver. Hepatitis Inflammation of the liver. Histamine A compound found throughout the body, but in highest concentrations in the white blood cell types that are active in inflammation and allergy responses. Release of histamine and its effects on tissues are responsible for some of the symptoms of allergic reactions. Hypertension High blood pressure. Hypophysectomy Surgical removal of the pituitary (also know as the hypophysis) gland at the base of the brain. Hypotension Low blood pressure. Hypothalamic-pituitary-adrenal (HPA) axis The HPA axis refers to the hypothalamic-pituitary-adrenocortical axis. It is the internal neuroendocrine system that responds to stress and results in production of corticosteroid hormones that affect the brain, the cardiovascular system, and other systems in getting the body ready for what is known as the "fight or flight" mechanism. Hypoxia, hypoxemia A state of reduced oxygen in the blood or organs or tissues. [ Back to Index ] ICCVAM ICCVAM, the Interagency Coordinating Committee on the Validation of Alternative Methods, is an agency of the US National Institute of Environmental Health Sciences (NIEHS), working to develop and validate new safety test methods, and to establish criteria and processes for the validation and regulatory acceptance of toxicological testing methods. Immunocompetent An animal whose immune system is functioning normally and capable of mounting an antibody or cellmediated immune response, is immunocompetent. Immunocompromised An animal whose immune system is not functioning normally and that may be incapable of mounting an antibody or cell-mediated immune response, is immunocompromised. Some genetic models are immune deficient (immunocompromised). Anti-rejection drugs also result in compromise of the immune system. Incubation period A disease incubation period is the period of time between the actual infection and the first signs of disease. Infrastructure This is the basic supporting structure of an organization. Physical infrastructure in this context refers to the buildings and animal facilities used to house experimental animals. In situ In situ refers to something that is in its natural or original position. Intercostal Situated between the ribs. Intraperitoneal Within the peritoneal cavity. An intraperitoneal injection is made into the peritoneal cavity in the abdomen. Intravenous Within a vein. An intravenous injection is made into a vein. In vitro In an artificial environment, for example in a test tube. In vivo Within the living body. Irradiated food There are several types of radiant energy used to sterilize foods. Gamma irradiation is commonly used to sterilize laboratory animal feeds. The amount of irradiating energy is controlled to kill all microorganisms, without affecting the quality of the food. [ Back to Index ] Keratin The primary protein of skin, hair, and nails. [ Back to Index ] Macaque Monkeys The macaques are a subgroup of the old world monkey and baboon family, that are widely distributed in Africa, central and southeast Asia, southern China and Japan. This group includes the rhesus and cynomolgus monkeys – two types of macaques used in biomedical research. Malaise A vague feeling of bodily discomfort or tiredness. Malignant hyperthermia An inherited condition in humans and some animals that results in an uncontrolled increase in body temperature upon exposure to certain anesthetics. Halothane is a potent trigger of malignant hyperthermia in susceptible animals or people. At one time, the genetic trait was common in commercial pigs, but it has been almost eliminated through genetic selection. Mannequin An animal mannequin is an anatomical model used for teaching. Mastitis Inflammation of the mammary glands. Metazoan Multicellular organism (e.g. worms). A protozoan is a unicellular organism. Microisolator (cages) The term "microisolator" describes laboratory animal cages that have an air filter in a frame covering the entire top of the cage, used to minimize contamination of the animals in the cage. MRI Magnetic Resonance Imaging (MRI) is a medical diagnostic technique that creates images of the body using nuclear magnetic resonance. When a patient is placed into the cylindrical magnet, the process follows three basic steps. First, MRI creates a magnetic steady state within the body using a magnetic field 30,000 times stronger than the earth's magnetic field. Then MRI stimulates the body with radio waves to change the steady-state orientation of protons. It then stops the radio waves and “listens” to the body's electromagnetic transmissions at a selected frequency. That signal is used to construct detailed internal images of the body using a computer program. MSDS Material Safety Data Sheets (MSDS) are the internationally standardized way to document the hazardous properties of chemicals and other hazardous agents. Chemical companies provide such data sheets, and collections of MSDS sheets are available from several sources. Mucosa The mucosa is the membrane that lines body cavities including the intestine. Mu receptors Opioid drugs bind to the mu receptors in the brain and nervous tissue . Muscarinic actions of acetylcholine The muscarinic actions of acetylcholine include slowing the heart, increasing secretions from the salivary gland and respiratory tract. Thus, anti-muscarinic drugs used as preanesthetics block secretions that might clog up the respiratory track during anesthesia, and reduce the slowing of the heart rate. Muscarine is a mushroom-derived alkaloid that mimics certain actions of the neurotransmitter acetylcholine, hence the term "muscarinic" actions of acetylcholine. [ Back to Index ] NMDA Receptors N-methyl-D-aspartate (NMDA) receptors are important for the transmission of some aspects of pain in the central nervous system. In particular, they appear to be involved in the development of hypersensitivity that accompagnies injuries or inflammation Neuroleptanalgesia Neuroleptanalgesia is defined as a state of quiescence, altered awareness, and analgesia produced by the administration of a combination of a neuroleptic agent and a narcotic (opioid) analgesic. Neuroma A neuroma is a tumor growth of nerve cells and fibres. It may occur at the end of an injured nerve fibre. [ Back to Index ] OECD - Organisation for Economic Co-operation and Development The Organisation for Economic Co-operation and Development (OECD) is made up of a group of 29 member countries sharing a commitment to democratic government and the market economy. Its work covers economic and social issues, produces internationally agreed-upon instruments, decisions and recommendations that allow for rules where multilateral agreements are necessary for individual countries to make progress in a globalized economy. In the area of safety/toxicity testing of products, the OECD guidelines set standards for such testing, including when animals are used. [ Back to Index ] Pain Pain is an unpleasant sensory and emotional experience associated with actual or potential damage or described in terms of such damage. Peritonitis Inflammation of the lining of the peritoneal cavity (abdomen). Phenothiazine derivative drugs This group of drugs includes commonly used tranquilizers in both human and veterinary medicine such as acepromazine, chlorpromazine. pH pH is the symbol given to the hydrogen ion concentration in a liquid. pH 7 is neutral; higher pH is alkaline, lower pH is acidic. Piloerection Standing up of the body hair. Pithing Pithing is a physical method of rendering an animal brain dead by destroying the cerebral hemispheres. A sharp probe is introduced into the brain cavity through the foramen magnum to accomplish this. Placenta The membranes surrounding the fetus in the womb. Positive pressure ventilated suits Positive pressure ventilated suits are worn by personnel who have to work in maximum containment (level 4 biocontainment). They are sealed suits with their own filtered air ventilation. Pre-emptive analgesia This refers to the administering of pain relieving drugs before the pain is expected to begin, for example giving analgesics before anesthesia and surgery begin. Prion Prions are infectious agents which (almost certainly) do not have nucleic acid - a protein alone seems to be the infectious agent. Prions are small proteinaceous infectious particles which resist inactivation by procedures that modify nucleic acids. Prion diseases are often called spongiform encephalopathies because of the post-mortem appearance of the brain with large "holes" in the cortex and cerebellum. Prion Diseases Prion diseases are often called spongiform encephalopathies because of the post-mortem appearance of the brain with large "holes" in the cortex and cerebellum. Examples include: scrapie in sheep; CWD (chronic wasting disease) in elk and other deer; BSE (bovine spongiform encephalopathy) in cattle. Human prion diseases include: CJD (Creutzfeld-Jacob Disease); Kuru; Alpers Syndrome. Prostaglandin The prostaglandins are a group of fatty acid compounds that have many effects throughout the body, including activity in inflammation, smooth muscle contraction, regulating body temperature, and effects on certain hormones. Protozoan A unicellular organism (e.g. bacteria). A metazoan is a multicellular organism. Pulse oximeter A pulse oximeter is an external probe that uses light bounced off the blood vessels under the probe to determine level of oxygenation of the hemoglobin in the blood cells, through a computer calculation. The pulses of blood with the heart rate are detected. Purpose-bred laboratory animals Animals specifically bred for scientific purposes. [ Back to Index ] Quarantine Refers to the confinement or isolation of animals which may be carrying an infectious disease, usually for a specified period of time, to allow for testing. [ Back to Index ] Red light test To accurately evaluate changes in the level of activity in rodents, the room lights can be turned off and using only a red light, their “normal” activity level will emerge after about 5 minutes. This is the “red light test”. Reflex Reflex usually describes an immediate involuntary response evoked by a stimulus, for example the cough reflex. Ringtail Ringtail in the rat is a condition in young suckling rats and mice, believed to be caused by low relative humidity (less than about 30%). There are annular constrictions on the tail that may progress to necrosis and sloughing of the tail tip. Ringtail can be prevented by maintaining relative humidity at approximately 50%. [ Back to Index ] Scalpel A scalpel is a small surgical knife with a handle onto which a blade is placed. Scavenge, scavenger, scavenging In a surgery room, the scavenging system is used to exhaust all waste anesthetic gasses out of the room to minimize risk of exposure of people to the anesthetic gas. Scrapie Scrapie is a transmissible spongiform encephalopathy - a fatal, degenerative disease affecting the central nervous system of sheep and goats, believed to be caused by prions. Sentinel animal A sentinel animal is an animal known to be susceptible to an infectious agent that is placed in the area suspected of being contaminated, for example in a new shipment of laboratory animals under quarantine. That animal is then tested to see if it became infected or developed antibodies to infectious agents. SPF (Specified Pathogen Free) Specified Pathogen Free is a designation used to describe the health status of animals. It means that a specific list of potentially infectious organisms have been tested for, and not found in an animal or group of animals. Standard Operating Procedure (SOP) Standard operating procedures are written documents that describe in detail, step-by-step, how a procedure should be done. Stereotypy In animal behavior, stereotypies have been defined as behaviors that are repetitive, performed the same way each time, and seem to serve no obvious purpose or function. They may be compulsive behaviors that have become displaced, perhaps due to boredom, frustration, or unresolved stress. Subarachnoid space Injections of local anesthetic into the lumbar subarachnoid space are often called "spinal anesthesia", because they affect the preganglionic fibers in the spinal cord. The intent is to produce complete spinal cord "denervation" including all sensory and motor neurons in the area. [ Back to Index ] T cells The T cells are cells derived from the thymus that play a major role in a variety of cell-mediated immune reactions. (B cells are also important in immunity because they synthesize and secrete antibodies which protect animals from infection, viruses, etc.) Tetanus The disease called Tetanus occurs when a wound becomes infected with bacterial spores of Clostridium tetani. These spores grow and produce a very powerful toxin which affects the muscles by producing rigidity, and in severe cases convulsions. Treatment is difficult, and vaccination is the only way to provide safe, effective long-term protection against tetanus. Thoracotomy Surgery through the chest wall. Thyroidectomy Surgical removal of the thyroid glands. Tidal volume The Tidal Volume in the lungs is the amount (volume) of air inhaled and exhaled with each normal breath. [ Back to Index ] Ultrasonic Sound waves that are too high for humans to hear are "ultrasonic". The hearing range of many animals, including rodents, extends much higher than for humans. [ Back to Index ] Vagus nerve The vagus nerve is the tenth cranial nerve. It is the longest of the cranial nerves and its name derives from the Latin meaning "wandering". The vagus nerve wanders from the brain stem through organs in the neck, chest and abdomen. It supplies both sensory and motor fibres to parts of the neck and chest, and to both the sympathetic and parasympathetic nervous systems to organs in the chest and abdomen. Vasodilation Dilation of the blood vessels (veins, arteries). Usually is accompanied by a drop in blood pressure. Vector A carrier, particularly the animal (e.g. an insect or mite) that can transfer an infectious organism from one host to another. Virulence The degree to which an infectious organism can cause serious disease or invade the host tissue. [ Back to Index ] WHMIS The Workplace Hazardous Materials Information System (WHMIS) is Canada's hazard communication system. The system includes labelling of containers of "controlled products", provision of material safety data sheets (MSDS) and worker education programs. The system is implemented through legislation, and administered by Health Canada. Employers are required to ensure that controlled products used, stored, handled or disposed of in the workplace are properly labelled, MSDSs are made available to workers, and workers receive education and training to ensure the safe storage, handling and use of controlled products. Windup In some forms of ongoing pain, the spinal cord and brain receive pain signals over a considerable period of time. There can be adaptation by the spinal cord that results in the incoming pain signal becoming amplified in a phenomenon known as windup pain. This means the pain signal reaching the brain is stronger than before, and the ability of other pathways to modify (decrease) the sensation is diminished. [ Back to Index ] Zoonosis A zoonosis is a disease of animals that may, under natural conditions, be secondarily transmitted to humans - a disease that is communicable between animals and humans.
© Copyright 2026 Paperzz