02/09/2011-Animal Advisory Board-Agenda Packet-RegularAGENDA
WEDNESDAY, FEBRUARY 9, 2011
7*00 PM
CITY COUNCIL CHAMBERS
502 ELM STREET
1. Call Meeting to Order.
2. Approve Minutes: December 15, 2010
3. Discuss, Consider and Possibly Act on Best Practices for the Animal Shelter.
4. Animal Control Update,
5. Adjourn.
I, the undersigned authority, do hereby certify that this Notice of Meeting was posted on the
bulletin board, at the City Hall of the City of Sanger, Texas, a place convenient and readily
accessible tote general public at aAetime4;,and said notice was posted on the following date
and time: > r % ,,.° � ' ? 4 . and shall remain posted until meeting is
adjourned.
Tami Taber, City Secretary
City of Sanger, Texas
Tl►is facility is wheelchai►• accessible and accessible parking spaces are available. Requests for
accommodations or interpretive services must be made 48 hours prior to this meeting. Please contact
the City Secretary's office at (940) 4584930 for further information.
y, do ,hereby certify that this Notice of 1VIeeting was posted �n the
lIall of the City of Sanger, Texas, a place convenient and readily
general public at a,tness,;and said notice was posted on the following date
F C /.
t ; m. and shall remain posted until meeting is
y
Tami Taber, City Secretary
City of Sanger, Texas
T`Y.FS.
�f%ulllttltc'•
This facility is wheelchair accessible and accessible parking spaces are available. Requests for
accommodations or interpretive services must be made 48 hours prior to this meeting. ]Please contact
the City Secretary's office at (940) 458-7930 for further information.
Association of ShelterVeterinarians�TM
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Anoma-I 5 1 ers
���e �.ssoc°i�t�o� of �'d�elte�^ Ueterin�zric�ns ®2D10
' Authors:
Sandra Newbury, Mary K. Blinn, Philip A. Bushby, Cynthia Barker Cox,
Julie D. Dinnage, Brenda Griffin, Kate F. Hurley, Natalie Isaza, Wes Jones, Lila Miller,
Jeanette O'Quin, Gary J. Patronek, Martha Smith-Blackmore, Miranda Spindel
Guidelines for Standards of Care in Animal Shelters
Table of contents
Authors 3
Introduction 7
Background 8
1. Challenges to Ensuring V\/elfare 8
2. The Need for Standards 9
3. The Five Freedoms and Companion Animals 10
How to Use This Document 11
Management and Record Keeping 12
1. Establishment of Policies and Protocols 12
2. Management Structure 12
3. Training 12
4. Anirrial Identification and Record Keeping 12
Facility Design and Environment 13
1 . Primary Enclosure 13
2. Surfaces and Drainage 15
3, Heating Ventilation, and Air Qualify 15
4. Light 16
5. Sound Control 17
6. Drop Boxes 17
Population Management .18
1. Capacity for Care 18
2. Protocols for Maintaining Adequate Capacity for Care 19
3. Monitoring Statistical Data 19
Sanitation 20
1. Cleaning and Disinfection 20
a) Sanitation Procedures 20
b) Fomite Control 22
2. Other Cleaning 23
3. Rodent/Pest Control 23_•
Medical Health and Physical Well-being 24
1, Veterinary Relationship and Recordkeeping 24
2. Considerations on Intake 25
4
Table of contents..
3. Vaccinations 25
4. Emergency Medical Care 26
5. Pain Management 26
6, Parasite Control 27
7. Monitoring and Daily Rounds 27
8, Nutrition 28
9. Population Well-being 29
10. Response to Disease or Illness 29
a) Isolation 29
b) Diagnosis 30
c) Outbreak Response 30
11, Medical Treatment of Shelter Animals 30
Behavioral Health and Mental Well-being 32
1 . Considerations on Intake 32
a) Beho0oral History 32
b) Minimizing Stress 32
2. Behavior Evaluation 32
3, In -shelter Care 34
a) Environment 34
Enclosures 34
Separation 34
b) Daily Routine 34
c) Enrichment and Socialization 34
Interactions with People, 34
Behavioral Considerations for Long-term Shelter Slays 35
Other Types of Enrichment 36
d) Behavioral Modification 36
Group Housing 37
1. Risks and Benefits of Group Housing 37
2, Facilities 37
3, Selection 37
4. When Group Housing is Inappropriate F 38
Animal Handling 39
1. Restraint 39
2. location and Timing 39
3. Equipment 39
4. Feral Cats 39
Euthanasia 40
1, Euthanasia Technique 40
a) Carbon monoxide 40
b) Ioerificofion of Death 41
2. Environment and Equipment 41
3. Record Keeping and Controlled Substances 42,
4. Staff Training 42
Spaying and neutering 43
1. Veterinary Medical Guidelines 43
2. Surgery and Anesthesia 43
3. Identifying Neutered Animals 44
Animal Transport 45
1. Responsibilities of Participating Individuals and Organizations 45
a) General 45
b) Responsibilities, at Point of Origin 45
c) Responsibilities During Transport 46
Primary Enclosure and Occupancy 46
Vehicles 46
Transporter Responsibilities 47
dl Responsibilities of Destination 47
I
public Health 43 I
1. Zoonoses 48
2. Animal -Related Injuries 49
3. Emerging Diseases and Anti -microbial Resistance 50
Conclusions 51
References 52
Glossary of Terms 63
6
Introd:iction
Introduction
The Association of Shelter Veterinarians (ASVj is
an international organization whose mission is
to improve the health and well-being of animals
in shelters through the advancement of shelter
medicine. This document is the result of work
that the ASV began in 2008 to address the lack
of guidelines or standards of care for animals in
shelters.
The first step in the process was to convene a
taskforce to define the scope of this project. An
exhaustive review of the scientific literature was
undertaken to uncover as much data as possible
pertaining to housing, care, health, and well-being
of dogs and cats in population settings. Members of
the taskforce then undertook writing this document
over a period of 2 years. In some cases, answers
were not available in the literature; in those
instances, recommendations have been based on
the collective expert opinion of the authors.
Every attempt was made to balance animal welfare
science with practical and realistic recommendations
specific for shelters. The guiding principle was
always animals' needs, which remain the same
regardless of the mission of an organization or
the challenges involved in meeting those needs.
As with any specialty, shelter medicine continues
to evolve; studies and clinical experience continue
to provide new information that animal caregivers
must consider in order to provide truly humane care.
Principles of animal care that were believed to be
appropriate just a few years ago may no longer
be considered to be effective or humane. Shelters
should bear this in mind and be willing to adapt as
they review their programs.
The Guidelines for Standards of Care in Animal
Shelters is intended to be a living document that
wilI be periodically reviewed and revised. This
document does not attempt to provide specific
operational instructions, as these must be tailored to
each individual setting. References are provided that
can be used to obtain more detailed information. It
is the authors' greatest hope that this document will
serve shelter animals and those who care for them
by providing scientific and humane guidelines for
their care.
7
Guidelines faA Standarzls of Care in Animal Shelters
Background
Historically, the provision of care for stray,
unwanted, and owner -relinquished animals in
the United States dates back to the founding of
the first large-scale animal shelters in New York,
Boston, and Philadelphia in the late 1800's. Most
shelters were originally intended for handling large
numbers of dogs for brief periods of time as part of
animal control programs. That mission drove shelter
design and operation for nearly 100 years. Animal
sheltering has evolved considerably since those
early days.
Sheltering organizations can now be found for
almost any companion or domestic animal species
(e.g., rabbits, birds, rodents, horses, livestock),
and for many exotic species as well. The entities
delivering services vary from large, well -established
agencies with significant resources, to grass -roots
groups, loosely -networked individuals, or individuals
acting alone. The spectrum of programs is equally
diverse, including: traditional open -admission
shelters; care -for -life sanctuaries and hospices;
In contrast to many other settings such as zoos or
laboratories (AZA 2009, 2010; ILAR 1996), the
care of animals in shelters remains unstandardized
and unregulated at the national level. Although as
of 2010, at least 18 states require animal shelters
to be registered or licensed (CO, GA, IL, IA, KS,
MA, ME, MI, MN, MO, NE, NH, 4, NC, PA,
RI, VT, WI), and six require establishment of an
advisory board (CO, KS, LA, ME, MO, TX) (ASPCA
1. challenges to Ensuring
9elfure
The heterogeneous, fragmented nature of shelter
systems, coupled with the lack of a consistent
regulatory structure, has made it difficult to ensure
adequate care for shelter animals. This difficulty is
compounded by a multitude of challenges.
There is a,growing body of literature documenting a
I list of stressors for animals entering shelters, such
as:
a
leaving a familiar environment; confinement;
dapting to new sounds, smells, and unfamiliar
animals; and being handled by unfamiliar people.
As occurs in zoo, farm, and laboratory settings,
shelter animals can be challenged by boredom,
frustration, isolation, social deprivation and other
stresses arising out. of confinement (Griffin 2006;
Stephen 20051. Length of stay has been clearly
identified as a risk factor for animal illness in shelters
(Dinnage, 2009; Edinboro 20041.
M
expl
E]
individuals with good intentions but ,with little to
no appropriate training in population husbandry,
animal behavior, animal health, and/or veterinary
medicine, lack of awareness of information about
sheltering or lack of connections to the larger shelter
community may be additional barriers to ensuring
adequate care.
There have been a growing number of incidents
where shelter conditions have caused severe animal
suffering and unnecessary death (ALDF website;
Dudding 2009; HSUS 2007; Mckinnon 2009;
Peat 2009; WBZN 20091. A growing number of
allegations of cruelty have been filed against shelters
or sanctuaries for failure to provide adequate and
humane care (lA Times 2010). Lack of acceptable
standards of care and failure to recognize or respond
to animal suffering has contributed to these cases.
Many of these issues are not unique to the sheltering
community. Over a quarter century ago, scandals
revolving around substandard animal care, neglect
and mismanagement rocked the laboratory animal
world (Blum 1994) and the zoo community (Maple
2003). For laboratories, this led to significant federal
regulation of animal care; for zoos, this triggered
considerable internal dialogue and enhanced self -
regulation (Wielbnowski 2003). Debates about
farm animal welfare continue with less apparent
progress. Consequently, the failure to self-regulote
husbandry in some concentrated animal feeding
operations ("factory farms") has begun to drive
the public to seek legislative solutions (e.g., ballot
initiatives to ban gestation and veal cratesj.
2. The deed forr Standards
Despite the lessons learned from the high -profile
examples referenced above, and the availability
of substantial resources to guide shelter operations
(ASPCA 2009; HSUS 2010; Miller 2004b,
2009; NACA 2009c; Peterson 2008; UC Davis
website), it is regrettable that serious deficiencies
in companion -animal care in shelters continue to
occur. There is convincing evidence that societal
expectations for the care and welfare of animals
Background
have increased. This ethic is reflected in the
professional literature as well as in extensive
guidelines and/or codes of ethics issued by trade
organizations, regulatory bodies, advisory boards
and policy -making agencies for animals in almost
every conceivable setting except animal shelters
[e.g:, zoological parks (AZA 2009, 2010; Kohn
1994), research laboratories (CACC 1993; ILAR
1996;. SCAW 2001), breeding kennels (AKC
20061 20081, catteries (CFA 2009; CVMA 2009),
exotic wildlife sanctuaries (ASA 2009; Brent 2007;
GFAS 20091, animal agriculture (FASS 1999;
Mench 2008; Veissier 2008), pet industry retailers
(PJAC 20091, boarding kennels (CVMA 2007;
New Zealand 1993; PCSA 2009), domestic
wildlife rehabilitation (Miller 2000), animal rescue
(ARA), equine rescue and retirement facilities (AAEP
2004; GFAS 2009)],
It might be assumed that anti -cruelty statutes would
protect shelter animals, but these statutes are often
not sufficient to ensure that animals in either public
or private shelter and rescue settings receive proper
care. One reason for this is that many retain 19th-
century wording, which is difficult to interpret in
modern settings, i.e.:
"Whoever overdrives, overloads, drives when overloaded, overworks, tortures,
torments, deprives of necessary sustenance, cruelly beats, mutilates or kills an
animal, or causes or procures an animal to be overdriven, overloaded, driven
when overloaded, overworked, tortured, tormented, deprived of necessary
sustenance, cruelly beaten, mutilated or killed;.., and whoever, having
the charge or custody of an animal, either as owner or otherwise, inflicts
unnecessary cruelty upon it, or unnecessarily fails to provide it with proper
food, drink, shelter, sanitary environment, or protection from the weather, and
whoever, as owner, possessor, or person having the charge or custody of an
animal, cruelly drives or works it when unfit for labor, or willfully abandons it,
or carries it or causes it to be carried in or upon a vehicle, or otherwise, in an
unnecessarily cruel or inhumane manner or in a way and manner which might
endanger the animal carried thereon, or knowingly and willfully authorizes or
permits it to be subjected to unnecessary torture suffering or cruelty of any kind
commits the crime of cruelty to animals".
It can be difficult to apply this outdated anti -
cruelty language to address modern concerns
t']
Guidelines for Standaizls of Care in Animal Shelters
Table 1. Five Freedoms
For Animal Welfare (Farm
Animal Welfare Council
2009),
about physical and psychological suffering from
confinement as well as suffering from illness or
death. Furthermore, there can be a large gap
between adequate care and deficiencies serious
enough to prosecute under existing cruelty statutes.
This leaves the possibility that substantial numbers
of animals will live in substandard conditions within
organizations expected to protect animal welfare.
In some cases, the organizations that are at fault
for providing inappropriate or negligent care are
governed by the same entity that investigates animal
cruelty, creating a conflict of interest.
Because the legal definition of animal cruelly varies
from state to state it is beyond the scope of these
guidelines to specifically and directly address animal
cruelty. However, it is clear that when failure by an
individual to provide certain minimum standards of
care constitutes animal cruelty, the same standards
must apply to shelters. Good intentions or lack
of resources should not serve as an excuse for
municipalities or private organizations to permit or
perpetuate animal cruelty.
�i�r�
�€�panian Animals
The American Veterinary Medical Association
(AVMA) has brief care guidelines for companion
animals including some recommendations for
humane societies (AVMA 2008), They have also
stated, through the AVMA Animal Welfare Principles,
2. Freedom from by providing an appropriate environment
Discomfort including shelter and a comfortable resting area
4. Freedom to Express by providing sufficient space, proper facilities
Normal Behavior and company of the animal's own kind
that animals should be treated with respect and
dignity throughout their lives (AVMA 2006).
A broader, independent set of standards developed
from within the shelter veterinary community is
needed to identify best and unacceptable practices
as well as minimum standards of care for shelter
animals — whether in a large organization, a small
home -based effort, or something in between. In order
to be flexible enough to guide any Type of sheltering
situation, standards need to clearly describe some
general principles without being overly prescriptive.
The welfare principles enumerated as the Five
Freedoms (Table 1) (Farm Animal Welfare Council
2009) provide a model that is applicable across
species and situations, including animal shelters. The
Five Freedoms were created in 1965 in the United
Kingdom as a result of a report by the Brambell
Commission (which later became the Farm Animal
Welfare Council) to address welfare concerns in
agriculture settings. There is ample evidence that the
Five Freedoms are broadly accepted as guidelines
for welfare for all animals. For example, a survey of
large animal faculty at veterinary schools indicated
strong support for these principles in the United States
(Heleski 2005), and it has been recommended
that they are equally useful as a framework for
zoo animal welfare (Wielebnowski 2003). The
Five Freedoms also form the basis for minimum
standards for dogs, cats, and animals in boarding
facilities promulgated by the New Zealand Ministry
of Agriculture (New Zealand 1998, 2007) and
recently, for standards from the Canadian Veterinary
Medical Association for cats (CVMA 2009).
This approach has also been embraced by the
laboratory animal community (Bayne 1998; CACC
1993; ILAR 1996; SCAW 2001). As performance
standards, rather than engineering standards, the
Five Freedoms define outcomes and Imply criteria
for assessment, but do not prescribe the methods by
which to achieve those outcomes. The Guidelines
for Standards of Care in Animal Shelters has been
written using the,Five Freedoms for Animal Welfare
as the basis for all sections in this document.
10
How to use this document
i-�OW to USE' tills
document
There are 12 sections in the document. Each section
should be read in its entirety so that recommendations
are not taken out of context and misunderstood.
Shelters should not focus solely on the limited
number of unacceptable practices or call outs that
have been separately highlighted. These represent
summary points that draw attention to some issues of
great concern, but do not provide sufficient basis for
thorough evaluation of a program.
No sheltering organization, regardless of
its circumstances, i.e., budget, size, etc.,
should engage in any practice that is deemed
unacceptable. Unacceptable practices must be
corrected without delay. For example, failure to
identify and provide analgesia for painful conditions
is unacceptable and corrective steps must be taken
immediately. Whenever a practice is identified as
"must", it is believed that without adherence to this
recommendation, the delivery of a minimum level of
acceptable or humane care is not possible. Use of
the word "should" implies a strong recommendation.
It is recognized that implementation of "ideal"
recommendations may not be possible in all
circumstances but would certainly enhance care for
animals. A glossary of terms is provided at the end
of this document to aid in understanding.
The terms "long-term" and "short-term" are used in
several sections of this document (e.g., Facilities,
Behavior, Medical Health and Physical Well-beingl.
It is difficult to define when a shelter stay shifts
from being short-term to long-term, and the impact
of length of stay may affect individual an
differently. Therefore, recommendations found
throughout this document that refer to long-term stays
do not have a specific timefrome associated with
M. Ideally, recommendations to ensure physical
and behavioral health and well-being for long-term
care should be implemented as soon as possible,
regardless of length of stay expectations, but
especially whenever a stay is anticipated to exceed
1 or 2 weeks.
Management and record keeping
Management and record keeping
Lines of authorig,
responsibilitJ, and
supervision should
ideally be put in
writing, reviewed
periodically and
updated when roles
change.
Adequate training
is required to
ensure humane
animal care, as
well as staff and
public safe0i
A unique identifier
(name and/or
number) and
record must
be established
for each animal
upon intake.
Implementation of the recommendations in this
document requires adequate resources, planning,
training, and monitoring; these operational
principles form the foundation upon which many
other elements described in this document must rest.
To build this foundation, organizations must have a
clearly defined mission; policies and protocols that
reflect current information; adequate staff training
and supervision; and proper management of
animal care. Because animal health is interwoven
into virtually every facet of sheltering or rescue
programs, veterinarians should be integrally
involved with development and implementation
of an organizational plan, and must have
supervision of medical and surgical care of animals.
Organizational functioning, employee health and
well-being, and animal wellness are inextricably
linked (Reeve et al 2004; Rogelberg et al 20071.
� . ��tca%ii�iv�e�at' �fr ��f,ieie� caredIreitocols
A clearly defined mission forms the basis for
development of organizational policies, including
those relating to animal care, intake, treatment,
adoption, and euthanasia. Policies must address
the resources and legal/contractual obligations
of the organization. Protocols must be developed
and documented in sufficient detail to achieve and
maintain the standards described in this document,
and updated as needed to ensure that they reflect
current information and pertinent legislation (Hurley
2008a); All staff land volunteers as needed) must
have access to up-to-date protocols. Expert input on
all,policies and protocols related to maintenance of
physical and behavioral animal health should be
provided by a veterinarian. Ideally, this veterinarian
would have training or experience in shelter
medicine as well as knowledge about the particular
population.
�. Management structure
A clearly defined structure that outlines accountability,
responsibility, and authority for management
within the organization is essential and must be
communicated to all staff and volunteers. lines of
authority, responsibility, and supervision should
ideally be put in writing, reviewed periodically
and updated when roles change. Authority and
responsibility must be given only to those who have
the appropriate knowledge and training. Many
decisions involve issues of resource allocation as
well as population health and individual animal
welfare; in these cases broad consideration must
be given to all factors, and decisions may well
be made by a group of qualified individuals.
However, in cases where animal welfare could be
compromised, a veterinarian's decision should not
be overridden. Supervision and accountability for
all staff and volunteers are essential to ensure that
policies and protocols guide daily activities.
Ad
anifo
equate training is required to ensure humane
mal care, as well as staff and public safety (ILAR
1996): This includes allocating time and resources
r employees and volunteers to complete training
prior to undertaking responsibility for tasks. The
skills, knowledge and training to accomplish each
task must be successfully demonstrated before
proficiency is assumed. Continuing education should
be provided in order to maintain and improve skills.
Documentation of training should be maintained.
4. Aanirnal Identi9icatiean and
record Keeping
A unique identifier (e.g., name and /or number) and
record must be established for each animal upon
intake. Identification should be physically affixed to
the animal le.g., collar or tag) for the duration of
the animal's stay unless this poses a safety risk for
animals and/or staff. Basic elements of a record
should include: the Identifier, results of microchip
scan, microchip number if present, source of animal,
d
gen
ates of entry and departure, outcome, species, age,
der, physical description (breed and colors), and
available medical and behavioral information. (See
section on Population Management and section on
Medical Health and Well-being for more information
on medical records and population data collection.)
12
Facility
®esign
and Environment
Shelters must provide an environment that is conducive
to maintaining animal health. Facilities must be
appropriate for the species, the number of animals
receiving care and the expected length of stay in
order to ensure physical and psychological well-
being of the animals. The design should provide for
proper separation of animals by health status, age,
gender, species, temperament, and predator —prey
status (see section on Medical Health and Physical
Well-being and section on Behavioral Health and
Mental Well-being for more information), and include
sufficient space for the shelter operations described
in this document (intake, examination, holding,
adoption, isolation, treatment, food storage, laundry,
and when necessary, euthanasia).
Entrances and exits, hallways, and rooms should be
arranged so that movement through the facility ("foot
traffic" j and cleaning, as described in the Sanitation
section, should proceed from the areas housing
the most susceptible to disease and/or healthiest
animals to those who are most likely to be a source of
contagious disease. One set of guidelines
recommends that at least 10% of the facility
housing capacity should be made available for
isolation of animals diagnosed with or suspected of
having infectious diseases (New Zealand 1993).
Organizations that provide services to privately owned
animals (e.g., spay/neuter or veterinary clinics) should
separate those animals from shelter animals.
i . Prienarr� Enclosure
A primary enclosure is defined as an area of
confinement such as a cage, run, kennel, stall, or
pen, where an animal eats, sleeps, and in most
sheltering situations spends the majority of its time.
The primary enclosure must be structurally sound and
maintained in safe, working condition to properly
confine animals, prevent injury, keep other animals
out, and enable the animals to remain dry and
clean. There must not be any sharp edges, gaps
or other defects that could cause an injury or trap
a limb or other body part. Secure latches or other
closing devices must be present. Wire -mesh bottoms
or slatted floors in cages are not acceptable for
Facility Design and Environment
primary enclosures for cats and dogs. Enclosures
that permit care and cleaning without removal of the
animals (e.g., double -sided or compartmentalized
enclosures) are very important to prevent disease
transmission and should be provided for recently
admitted or ill animals and those who are younger
than 20 weeks of age.
The primary enclosure should be readily cleaned
and disinfected. Even in home -based shelters, where
the home itself or a room within the home may be
the primary enclosure, sanitation is important. Until
disease concerns have abated, newly arrived
animals should be housed in areas of the home, or
enclosures within the home, that can be properly
and easily sanitized.
Tethering is an unacceptable method of confinement
for any animal and has no place in humane sheltering
(HSUS 2009aj. Constant tethering of dogs in lieu of
a primary enclosure is not a humane practice, and
the Animal Welfare Act prohibited its use in 1997
for all regulated entities (APHIS 1997aj.
Primary enclosures must provide sufficient space
to allow each animal, regardless of species, to
make normal postural adjustments, e.g., to turn
freely and to easily stand, sit, stretch, move their
head, without touching the top of the enclosure,
lie in a comfortable position with limbs extended,
move about and assume a comfortable posture for
feeding, drinking, urinating and defecating (AAEP
2004; CFA 2009; Hansen 2000; King County
2009; Kulpa-Eddy 2005; New Zealand 1993).
In addition, cats and dogs should be able to hold
their tails erect when in a normal standing position.
Primary enclosures should allow animals to see out
but should also provide at least some opportunity to
avoid visual contact with other animals (Carlstead
1993; Overall 1997; Wells 1998).
A range of minimum dimensions have been
suggested for primary enclosures for dogs and
cats (CFA 2009; Griffin 2006; New Zealand
1993). Most of these recommendations exceed
Poor cat housing is
one of the greatest
shortcomings
observed in
shelters and has
a substantially
negative impact on
both health and
well-being.
unacce
Tethering is an
ptable
method of
confinement for
any animal and
has no place in
humane sheltering.
13
Guidelines for Standanls of Care in Animal Shelters
Enclosures that
permit care and
.cleaning without
removal of the
animals are veg
important to
prevent disease
transmission, and
should he provided
for recently
admitted and ill
animals, and those
U)ho are younger
than 20 weclzs
of age.
Figure 1 . Minimal spacing
recommended between
litterbox, resting place,
and food.
what is typically found in many shelters. Because
of the wide range of body sizes for dogs, specific
recommendations for minimum kennel sizes are not
included in this document. However, the size of
each primary enclosure must be sufficient to meet
the physical and behavioral parameters described
above. Less than 2 feet of triangulated distance
between litterbox, resting place and feeding area
has been shown to adversely affect food intake for
cats (Figure 1) (Bourgeois 20041. Cats housed in
cages with 11 square feet of floor space were found
to be significantly less stressed than those with only
5.3 square feet of space (Kessler 1.999b). The Cat
Fanciers' Association recommends a minimum of 30
cubic feet per cat (CFA 2009). Shelters should strive
to exceed these dimensions, particularly as length of
stoy increases. (See section on Group Housing for
dimensions recommended for group housing.
In addition to size considerations, proper layout of
the primary enclosure is essential to maintain animal
health and welfare. Food and water bowls or
receptacles must be provided. The location of food,
water, and litter containers relative to each other,
resting areas, doors, etc., can have a significant
impact on the well-being of animals (CACC 1993).
Separation between food, urination and defecation,
and resting areas should be maximized. A primary
enclosure must allow animals to sit, sleep and eat
away from areas of their enclosures where they
defecate and urinate. This can be accomplished
through the use of double -sided or compartmentalized
enclosures; single enclosures for cats of sufficient size as
described in the figure above; a \valking dogs with
sufficient frequency on a daily basis that they do not
need to urinate or defecate within their enclosures,
provided this can be accomplished without undue risk
to health and safety,
Attention
should be paid to the habits of individual
animals. Confinement, even in compartmentalized
housing, will inhibit some dogs, from urinating or
defecating. Many cats will avoid defecation and
urination if litterbox location or substrate is aversive
(CACC 1993; Neilson 20041. Cats must have a
litterbox large enough to comfortably accommodate
their entire body.
For cats, vertical as well as horizontal dimensions are
extremely important because cats show a preference
for spending more time on raised surfaces and high
structures than on the floor. Some dogs also prefer
to rest on elevated surfaces. Elevated resting places
should be provided whenever possible, as long
as this would not restrict animal movement within
the enclosure. A soft resting place should be made
available for all animals to provide comfort and
prevent pressure sores from developing (Crouse
1995; New Zealand 1998(.
Cages or crates intended for short-term, temporary
confinement or travel (e.g., airline crates, transport
carriers, cages or crates designed to restrict mobility
during a defined period for recovery or treatment
including small stainless steel cages less than 2 ft
x 2 ft), are unacceptable as primary enclosures
an
200
d are cruel if used as such (CFA 2009; Miller
0). Crates or cages must not be stacked upon
each other in a manner that increases animal stress
and discomfort, compromises ventilation, or allows
waste .material to fall from the cage above into the
cage below.
Poor cat housing is one of the greatest shortcomings
observed in shelters and has a substantially negative
impact on both health and well-being. Existing
housing can be modified to improve feline welfare
cutting portholes in stainless steel cages
14
to increase available space and create multi -
compartment Housing units) (UC Davis 2009j. Cats
must have places to hide (e.g., paper bag or box
large enough to provide concealment) and should
have high points to perch upon (Carlstead 1993;
Crouse 1995; De Monte 1997; Griffin 2002,
2006, 2009a; Hubrecht 2002; Rochlitz 1999,
2002; Wells 2000j. One study found that the
ability to hide led to decreased stress hormones in
cats (Carlstead 1993). Ideally, cats should not be
restricted to floor level cages, since these are more
stressful compared to elevated cages.
As the length of stay increases (e.g., beyond 1-2
weeks), it becomes progressively more important to
provide space that is both mentally and physically
stimulating; alternatives to traditional housing must be
provided. For animals housed long term, the physical
environment must include opportunities for hiding,
playing, resting, feeding, and eliminating. For cats,
the environment should also allow for scratching,
climbing and perching. Protected indoor -outdoor
access is ideal for most species, especially when
animals are held long term. Outdoor spaces must be
suitably enclosed to protect from adverse weather,
vandalism, and prevent escape or predation.
�. �u��a��s end �r��n�ge
Non -porous surfaces that can be easily disinfected
and are durable enough to withstand repeated
cleaning should be used in all animal areas and
must be used in those areas housing, puppies and
kittens, or animals who are infectious or who are
newly admitted with. an unknown health history.
These principles are equally important in home -
based programs. A sealed, impermeable surface,
such as sealed concrete or epoxy is ideal for
flooring (New Zealand 1993). Carpeting should
not be used in animal housing areas because it
cannot be effectively cleaned and disinfected. In a
home -based setting or light use situation, linoleum
or tiled floors may be acceptable, but seams and
grout lines require higher maintenance and attention
to sanitation than a sealed surface. Points where
walls meet floors should also be sealed. Peeling,
Facility Design and Environment
scratched or chipped floors that cannot be properly
sanitized should be repaired or replaced.
Special accommodation (e.g., soft bedding or slip -
proof mats) is required for animals with arthritis,
muscle weakness, or other mobility impairments as
these animals may have difficulty rising if surfaces are
too slippery. Floors should be gently sloped to enable
wastes and water to run off into drains. Waste water
should not run off into common areas or adjacent
kennels. Adequate drainage must be provided (New
Zealandl993). When drains,are located in common
areas special care must be taken to sanitize and
disinfect those areas prior to allowing animal access.
Drain covers should be designed to prevent toes
from being caught in drains.
. �=��c�€aua�, ���Sftl��'a�r�, ��d far
Temperature and humidity recommendations vary
with the species of animal being housed, but it
is essential that each primary enclosure allows
an animal to comfortably maintain normal body
temperature (AVMA 2008a; New Zealand 1993).
Temperature and humidify levels should be evaluated
at the level of the animal's body within its enclosure.
For dogs and cats, the AVMA recommends
the ambient temperature should be kept above
60°F (15.5°C), and below 80°F (26.6°C), and
the relative humidity should range from 30 to
70% (AUMA 2008a). Because of breed, body
condition, medical condition, haircoat, facial
conformation, and age differences, animals must
be monitored individually to ensure their comfort
and to ensure they can adequately maintain their
body temperature. If animals appear too cold (i.e.,
shivering or huddling together for warmth) or too hot
(i.e., excessive panting), necessary measures must
be taken to ensure animal comfort and safety (i.e.,
adjustments to the thermostat, additional bedding,
fans, movement to another area of the shelter, health
evaluation, etc.) Proper bedding materials, when
kept clean and dry, can help animals maintain
appropriate body temperature.
Cages or c1^ates
intended for
short-term,
temporary
confz�2ement
or travel are
unacceptable as
primary enclosures
and are cruel if
used as such.
E
Guidelines for Standarzls of Care in Animal Shelters
Fresh air is essential for maintenance of good
health and well-being as well as .limiting the
spread of infectious diseases (CFA 2009). Proper
ventilation removes heat, dampness, odor, airborne
microbes, and pollutant gasses such as ammonia
and carbon monoxide, while allowing for the
introduction of fresh, oxygenated air. Ventilation
must be maintained at a high enough rate to
provide clean air in all areas of the shelter including
within primary enclosures. All ventilation systems
must be adequately maintained and air quality
should be monitored at the level of the animal.
Between 10 and 20 room air exchanges per hour
with fresh air is the standard recommendation for
adequate ventilation of animal facilities (European
Council 1986; Johnson 2004; ILAR 1996).
Ventilation requirements vary depending on
population density and pollutants in the air. A
facility may require a higher ventilation rate when it
is at full capacity compared to when it is relatively
empty, as animals themselves are a major source
of heat, humidity and ammonia. Other pollutants
also increase with the number of animals housed.
Ventilation rates may need to be adjusted seasonally
and should not be thermostat -controlled. Systems that
circulate air only when the temperature.or humidity
require adjustment do not provide adequate
ventilation throughout the year. Ventilation must be
accomplished without compromising maintenance
of appropriate temperatures.
Because canine respiratory pathogens can be easily
transmitted through the air, isolation areas for dogs
should have separate air circulation from the rest of
the facility (Appel 1972). Separate air exchange
for feline isolation areas are a lesser priority as
cats do not readily aerosolize their pathogens
(Gaskell 1982; Wardley 1977). To prevent droplet
transmission of respiratory viruses, however, cat
cages facing each other should be spaced more
than 4 feet apart (Gaskell 1977; 'Povey 1970;
Wardley 1977). Although adequate ventilation
to provide good air quality is essential, investment
enclosures and other aspects of facility design
that reduce fomite transmission (e.g., doubles ide
enclosures that allow animals to remain inside their
enclosures during cleaning) is also critical to animal
health. Even excellent ventilation will not overcome
the harmful effects of inadequate housing.
Good air qualify requires good sanitation and
cleaning to reduce sources of airborne particles
and gaseous contaminants such as ammonia,
carbon monoxide, and hydrogen sulfide (FASS
Guide 1999). Published guidelines for maximum
ammonia exposures reflect hazards to human health
or adverse affects on animal production and should
not be used as an indicator of proper sanitation.
Although some of the regulations for concentrated
ani
l
mal feeding operations cite minimum ammonia
evels at or below 10 parts per million (ppm),
acceptable levels in a shelter should be less than
2 ppm G. Patronek 2010, unpublished data). In
properly run shelters, ammonia should be below this
level even before morning cleaning. Dust control
is important because microbes may be transmitted
by airborne dust (FASS 1999). Airborne dust can
contain a variety of bicactive aerosols, particularly
endotoxins, which have pro -inflammatory effects
and a negative impact on lung function (Donhom
2002; Rylander 2006, 20071.
4. Light
Facilities should be designed to offer as much natural
light
s
as possible. When artificial light is used, it
hould closely approximate natural light in both
duration and intensity (CFA 2009; Griffin 2006;
Al Zealand 1993; Patronek 2001). Enclosures
should be positioned so individual animals can
avoid being exposed to excessive amounts of light or
darkness. For example, cats on the lower level of a
cage stack would spend most of their day in shadows
unless light fixtures are mounted such that light shines
into the lower level cages (CFA 2009). Cages should
be spaced far enough apart to allow ambient light
to reflect off the ceding and floor. Adequate amounts
of darkness are as . important as light. Light and
darkness should be provided so that they support the
natural (circadian) rhythms of wakefulness and sleep.
16
Adequate lighting is also necessary for effective
observation of animals (AAEP 2004).
4 0cnlJlfl� �Ul ilf 6'�n
An appropriate acoustic environment is essential for
good animal health and welfare. Noise should be
minimized in animal areas. Dog and cat hearing
is more sensitive than human hearing so it can be
assumed that noise levels that are uncomfortable to
humans are even more uncomfortable for animals.
Many common features of animal shelters contribute
to elevated noise levels, including: forced air
ventilation, barking dogs, non -porous building
materials, use of power hoses, metal kennel gates,
and metal food bowls. Excessive noise contributes
to adverse behavioral and physiological responses
(Spreng 20001.
Excessive noise from barking dogs is a particular
welfare concern because of both its magnitude
and duration (Sales 1997). Cats, in particular, are
Aversely affected by the sound of barking dogs
(McCobb 2005). Sound levels in a shelter can
exceed 100 db, largely due to barking (Coppola
2006). Sound is measured on a logarithmic scale,
so a 90 db sound is 10 times louder than an 80
db sound. Any sound in the 90-120 db range
can be felt as well as heard and may lead to
irreversible hearing loss in humans. For comparison,
a jackhammer produces noise in the 110 db range,
and a subway train 95 db. Levels of 50-70 db
or higher are considered likely to be detrimental to
the hearing of rodents and rabbits (CCAC 1993).
(See section on Public Health .for information on
occupational safety.)
Because sound can .have a detrimental effect,
interventions to reduce sound in shelters are important
for animal health and well-being. Architectural
strategies to minimize the impact of noise (e.g.,
arrangement of caging, materials selection for
cages, doors, and latches) should be implemented
in facility design or be added to an existing facility.
Appropriate architectural strategies combined with
behavior modification or enrichment strategies to
Facility Design and Environment
reduce barking can dramatically reduce noise levels
(Griffin 2009c; Johnson 20041. Staff must also be
instructed to avoid creating excessive noise during
routine activities (e.g., slamming cage or kennel
doors, tossing metal bowls). Noise -producing
equipment should be located as far away from
the animals as possible (Hubrecht 2002). Sound
absorbent materials must be durable enough to
permit repeated cleaning and should either be
out of the animal's reach or resistant to destruction
(Hubrecht 2002). Shelters should be designed so
that cats are not exposed to the noise of barking
dogs (McCobb 2005). In a study of shelter dogs,
visual contact with other dogs improved welfare and
did not increase barking (Wells 1998); therefore
preventing visual contact should not be used as a
general strategy to reduce barking.
Music has been used to reduce animal stress in a
variety of different settings (Line 1990; Wells 2002).
While anecdotal reports support this finding, little
dato exist to recommend its use for shelters. Music
or other sounds as a form of enrichment need to be
considered carefully, particularly if animals have no
way to move away or control their exposure. Many
animals, including dogs, are able to hear frequencies
above what humans can hear. Therefore, if music is
introduced, radios or other sound systems should not
be placed directly on cages and the volume should
not exceed conversational levels. In one study,
heavy metal music was shown to increase barking
and arousal, whereas classical music had a calming
effect (Wells 2002).
�a. ®tr�j� Bo es
Although shelters often face challenges posed by
limited operating hours for public access, the use
of unattended "drop boxes" where live animals are
placed by the public in receptacles for later intake
may result in animal suffering or death and should
be avoided. Alternatives should be provided (e.g.,
dr)p-off arrangements with police department or
veterinary emergency clinics). Information about
these alternatives should be made available to the
public.
The use of
unattended `drop
boxes" where live
animals are placed
by the public in
receptacles for later
Z12take may result
in animal suffering
or death and
should be avoided.
17
Guidelines for Standaizls of Care in Animal Shelters
Population Management
Capacit�� to provide
humane cay°e has
limits for every
Organization, just
as it does in private
homes.
Population management describes an active
process of planning, ongoing daily evaluation, and
response to changing conditions as an organization
cares for multiple animals. Effective population
management requires a plan for intentionally
managing each animal's shelter stay that takes into
consideration the organization's ability to provide
care that meets the recommendations outlined in this
document. The capacity to provide humane care
depends on the number and condition of animals
admitted and their duration of stay; the size and
condition of the facility; staffing levels and training;
and other factors as well as the number of available
enclosures. There are many ways to maintain a
population within an organization's capacity for
care whether in a shelter or home -based rescue
organization. Active population management is one
of the foundations of shelter animal health and well
being (Hurley 2004a), and must be based on an
appreciation that capacity to provide humane care
has limits for every organization, just as it does in
private homes. When a population is not managed
within an organization's capacity for care, other
standards of care become difficult or impossible to
maintain.
Every sheltering organization has a maximum
capacity for care, and the population in their care
mustnot exceed that level. Factors that determine
,
capacity for care include: the number of appropriate
housing units; staffing for programs or services;
staff training; average length of stay; and the total
number of reclaims, adoptions, transfers, release, or
other outcomes. Many factors can alter the capacity
for care. For example, loss of animal care staff, or
malfunctioning enclosures, can temporarily decrease
the capacity for care until such time as new persons
are hired and appropriately trained, or enclosures
are repaired or replaced. Operating beyond an
organization's capacity for care is an unacceptable
practice.
Maximum housing capacity must be based on the
number of animals who can be adequately housed
within available primary enclosures, (See section
on Facilities and section on Group Housing for
in on adequate housing.) Ideally, shelters
should maintain their populations below maximum
housing capacity to allow for daily intake as well
as more flexibility when choosing appropriate
enclosures for each animal. Maximum housing
capacity must not be exceeded. Even though
enclosures may be available, it may be necessary
to leave some empty due to other constraints
on capacity for care (e.g,, staffing levels and
opportunities for enrichment).
The National Animal Control Association (NACA)
and the Humane Society of the United States (HSUS
2010j recommend a minimum of 15 minutes of
care time per day for feeding and cleaning each
animal housed in the shelter (9 minutes for cleaning
and 6 minutes for feeding( (HSUS 2010; NACA
20)96(. For example, if 40 animals are present, a
minimum of 10 hours of care would be required for
basic care (40 animals Q 15 minutes/animal = 10
hours). Ability to provide services such as medical
and behavioral evaluation or treatment, adoption,
spay/neuter or euthanasia can be similarly
evaluated based on average time for service
(Newbury 2009a, 20096(. Staffing or volunteer
work hours must be sufficient to ensure that the basic
needs of animals in the shelter are met each day.
an
av
Length of stay has a dramatic effect on the experience
d needs of animals in shelter care. The type of
care and enrichment provided to sheltered animals
must be appropriate to the length of stay (Patronek
2001(. Average or median length of stay is also
a key factor contributing to the number of animals
present in the shelter each day, which in turn affects
the ability to provide adequate care. For example,
if an average of 5 cats per day enter the shelter
and each stays an average of 5 days, the average
daily population would be 25 cats. If the average
length of stay rises to 10 days with no change in the
erage intake, then the average daily population
would double to 50 cats.
Adequate staffing must be available io ensure that
each critical point of service (e.g., vaccination or
medical evaluation, spay/neuter surgery, or a
physical move to adoption) is delivered promptly.
Delays resulting in even one to two additional days
oI care may result in crowding and poor animal
welfare in facilities that operate near maximum
capacity. Expected demand for these critical
points of service should be estimated based on the
expected numbers of animals who will need each
service and the length of time it takes to complete
each procedure (e.g., number of animals needing
evaluation or spay neuter surgery prior to adoption).
Operating beyond capacity for care will result in
unwanted outcomes including: delays or failure
to provide necessary care; use of substandard
housing; increases in staff and animal stress;
haphazard mixing of animals; increased risk of
infectious disease exposure; and increases in
negative interactions between animals (Hurley
2008b; Newbury 2009a, 2009b). Operating
beyond capacity for care creates a vicious cycle;
services required for moving animals through the
system are delayed. These delays prolong average
lengths of stay for animals, leading to increased
daily population. This further taxes the organization's
capacity for care, worsens conditions, and threatens
animal well-being (Newbury 2009a, 2009b).
Once a shelter has exceeded its capacity for care
it is no longer possible to ensure the Five Freedoms,
idequate capacity for care and housing, Policil
must provide a means of balancing admission with
the outcomes available (e.g., adoption, transfer,
release, return to owner, euthanasia, or others).
Increasing the number of animals housed beyond
the capacity for care is an unacceptable practice.
Inspection of all animals must be performed daily in
order to routinely evaluate and monitor adequacy
of capacity and to identify needs for housing, care,
or service (CFA 2009; New Zealand 1993).
Appropriate interventions must be made before
animal numbers exceed the capacity for care and
housing. Waiting to respond until capacity has been
exceeded results in animal suffering.
Monitoring population statistics over time is a
necessary component of a population management
plan. At minimum, statistics must include monthly
intake (e.g., stray, owner surrendered) and outcomes
by type (e.g., adoption, euthanasia, returned to
owner) for each species. For optimal population
management and monitoring, an animal census
(animal inventory) should be taken, evaluated, and
reconciled with records daily to ensure accuracy of
data collection as well as facilitate evaluation of
capacity. Ideally, population statistics should also
include an evaluation by age group, health and
behavior status at intake as well as at outcome.
More detailed data monitoring such as tracking
incidence of disease at intake (pre-existing) and
during shelter stay (from previous exposure or shelter
acquired) is a best practice.
Population Management
Effective
population
management
requires a plan
for intentionally
managing each
animal's shelter
stay that takes
I consideration
the organizations
abiliol to provide
care.
Operating beyond
an organization
ity fo's
act care
is an unacceptable
practice.
19
Guidelines for Standai of Care in Animal Shelters
Sanitation
Enough staff must
be assigned to
complete sanitation
tasks promptly each
day so that animals
spend the majority
of their time in
sanitary conditions.
Good sanitation is an integral part of humane
animal housing. Proper cleaning and disinfection
practices help reduce the transmission of infectious
diseases to both animals and people, and result in
a cleaner and healthier environment (Cherry 2004;
Hoff 1985; Lawler 2006; Weese 2002). A clean
shelter also has the added benefits of increasing
the comfort level of the animals and presenting,a
positive image of the shelter to the public. Protocols
for proper sanitation are essential for any sheltering
program. Providing education and training as well
as ensuring compliance with those protocols is also
essential.
Physical cleaning is defined as the removal of urine,
fecal matter, and other organic material from the
environment (Gilman 2004; Smith 2005). Cleaning
should result in a visibly clean surface, but may not
remove all of the harmful pathogens. Disinfection is
the process that will kill most of the contaminants
in a given area (Gilman 2004). Sanitation, for
the purposes of this document, is defined as the
combination of cleaning and disinfection, and is
a requirement for all shelters and rescue homes.
Sterilization is the destruction of all microbes,
including spores, and is generally reserved for
surgical instruments, surgical gloves, and other
equipment necessary for sterile procedures. True
sterilization of cage and kennel surfaces does not
occur in a shelter (Gilman 2004).
Whether or not infectious disease occurs is dependent
on several factors: the host (exposed animal), the
virulence of the pathogen, the amount of the pathogen
present, and the duration of exposure (Lawler 2006).
Infectious dose defines a threshold amount of a
pathogen required to cause infection and disease. By
cleaning and using disinfectants properly, the number
of pathogens in the environment is decreased,
reducing the dose delivered if an animal is exposed.
Sanitizing with the proper frequency decreases
the products or practices. Very often, even though
protocols appear adequate, changes in practices
(e.g., inaccurate dilution of disinfectants or changes
in day -today cleaning practices) have contributed to
outbreaks (Petersen 2008). Sanitation protocols must
be revised as needed during an outbreak to address
specific pathogens.
d
Enough staff must be assigned to complete sanitation
tasks promptly each day so that animals spend the
majority of their time in sanitary conditions. As an
example, out of the total of 15 minutes recommended
p
gui
er animal for daily husbandry, NACA and HSUS
delines recommend a minimum of 9 minutes per
animal per day for routine cleaning. Thus 40 dogs
Q 9 minutes/dog = 360 minutes. This total time of
360 minutes (6 hrs) would allow sufficient time for
a 0-minute disinfectant contact time in each kennel
because other activities or tasks (e.g., cleaning
other kennels, laundry) can be accomplished while
the disinfectant sits.
p
20
Sanitation
present in a given environment (e.g., presence of
organic matter), and with demonstrated activity
against the pathogens for which the animals are
at risk (Etrepi 20081. Unenveloped viruses such as
)arvovirus, ponleukopenia, and feline calicivirus
are of particular concern, but other disinfection -
resistant agents such as coccidia and Microsporum
Canis may also be problematic. Some disinfectants
have been shown by independent studies not
to be effective against these durable pathogens
(e.g., quaternary ammonium compounds against
unenveloped viruses), in spite of EPA -approved
labeling by manufacturers (Eleraky 2002; Kennedy
1995; Moriello 2004; Scott 19801. Products that
have not been independently validated against
unenveloped viruses and other pathogens of
concern should not be used as the sole disinfectant.
The facility should be cleaned in order of animal
susceptibility to disease and potential risk to
the general population, starting with the most
susceptible animals and ending with those who
carry the highest risk of transmitting infectious
disease. Separate cleaning supplies should be
designated for each area. Appropriate protective
clothing (gloves, gowns, and/or boots), should be
used in each area, and removed before proceeding
to care for other animals in the population. (See
section on Public Health for recommendations on
personal protective equipment.) Failure to follow a
specified order of cleaning may result in susceptible
populations being exposed to disease (Gilman
2004; Smith 2005).
In general, the order of cleaning and care, from first
to last, should be:
1 � healthy puppies and kittens and healthy
nursing bitches and queens;
2� healthy adult animals;
3� unhealthy animals.
Thorough sanitation of primary enclosures before a
new animal enters is essential. Sanitation protocols
must include removal of gross organic matter, pre -
cleaning of surfaces with a detergent or degreaser,
application of a disinfectant at the correct
concentration and for sufficient time, rinsing, and
drying. When water or cleaning and disinfecting
products will be sprayed in or near the area of
the primary enclosure, animals must be removed
from the cage or kennel, or separated from the
area being cleaned by guillotine doors to prevent
splatter, soaking of the animals and stress. It is an
unacceptable practice to spray down kennels or
cages while animals are inside them.
Animals who are housed long-term in the same
enclosure require less frequent disinfection of their
enclosure, but daily cleaning is still essential to
maintain sanitary conditions. In many instances,
cages and kennels can be cleaned using the "spot
cleaning" method, where the animal remains in its
cage while the cage is tidied, and soiled materials,
urine and feces are removed. Spot cleaning may be
less stressful for the animal as it requires less animal
handling and does not remove familiar scents
(Patronek 20011. Daily cleaning is also necessary in
cage free housing and home environments.
Improper cleaning may increase pathogen
transmission (Curtis 2004). Practices that track
pathogens from one enclosure to another put animals
at risk, Mopping should be avoided if possible.
When mopping cannot be avoided (e.g., when
hosing is not possible) a disinfectant with good
activity in the presence of organic matter must be
used, and contaminated mop water should not be
used from one housing area to another. Acceptable
sanitation cannot be accomplished using water
alone, nor using only a disinfectant (e.g., bleach)
with no detergent properties. Care should be taken
when mixing cleaning products as the resulting
mixture could be ineffective or even toxic. Alternative
methods of disinfection such as ultraviolet (UV) light
or reliance on freezing during cold weather are not
sufficient for sanitation in shelters or rescue facilities.
Improper housing and poor facility design can also
contribute to pathogen transmission. Housing for
21
Guidelines for Standarzls of Care in Animal Shelters
opraying down
kennels or cages
while animals
cire inside them is
can unacceptable
practice.
recently admitted or ill animals and those who are
younger than 20 weeks of age should be designed
to permit cleaning without extensive handling of
the animal or removal to an area that has not been
sanitized (e.g., double -sided or compartmentalized
housing). Animal housing areas should be designed
to withstand spraying of water and cleaning fluids;
adequate drainage is essential. (See section on
Facilities for information on appropriate shelter
design to support cleaning and disinfection.)
bJ Fomite Control
A fomite is an object that may be contaminated with
pathogens and contribute to transmission of disease.
The human body and clothing may serve as fomites.
As apparently healthy animals as well as those who
are obviously ill may be shedding pathogens, any
complete sanitation protocol must address proper
hygiene of shelter staff, volunteers, and visitors,
including signage, supervision, and hand sanitation.
Adequate hand sanitation is one of the best ways
to prevent disease transmission and should be
required before and after handling animals and
fomites. Hand sanitation is achieved through hand
washing, use of hand sanitizers, and proper use
of gloves. Sinks should be available in all animal
housing and food preparation areas, and must be
equipped with soap and disposable paper towels.
Hand sonitizer dispensers should be provided in all
animal handling areas. It should be noted that hand
and kittens and newly admitted animals. Garments
must be changed after handling an animal with a
diagnosed or suspected serious illness such as
parvovirus.
All equipment that comes in contact with animals
(e.g., muzzles, medical and anesthetic equipment,
humane traps, gloves, toys, carriers, litterboxes,
food bowls, bedding) including cleaning supplies
s
a
hould be either readily disinfected or discarded
fter use with a single animal. Items that cannot
be readily disinfected, such as leather gloves
and muzzles, represent a risk to animals. Their
use should be avoided especially for animals
who appear ill and during disease outbreaks. For
example, ringworm has been cultured from leather
animal handling gloves in shelter settings. Mobile
equipment such as rolling trash cans, shopping carts,
and food or treatment carts (including their wheels)
m
acc
ay also serve as fomites and should be sanitized
ordingly. Scratched and porous surfaces are
difficult or impossible to completely disinfect and
should be used with caution or discarded (e.g.,
plastic litterpons, airline carriers, plastic and
unglazed ceramic water bowls). Transport cages
and traps, as well as vehicle compartments used for
animal transport must be thoroughly disinfected after
each use.
b
Food and water bowls should be kept clean and
must be disinfected prior to use by a different
animal. Automatic watering devices and water
bottles should not be used if they cannot be
dfected before being used by another animal.
Use of commercial dishwashers is an excellent
22
way to thoroughly clean food and water bowls
(Gilman 2004; Lawler 2006j. The mechanical
washing action and high temperatures attained in
dishwashers will destroy the majority of pathogens
but may not destroy unenveloped viruses such
as parvoviruses. If these viruses are a problem a
disinfectant should be applied to the dishes before
or after going through the dishwasher. When dishes
are sanitized by hand, they must be thoroughly
washed and rinsed prior to disinfection. Ideally,
food and water receptacles should be cleaned in on
area separate from litter boxes or other items soiled
by feces. At minimum, litterpans. and dishes must not
be cleaned at the same time in the some sink, and
the sink should be thoroughly disinfected between
uses.
Foot traffic also plays a role in fomite transmission.
Certain areas of the shelter, like isolation and
quarantine areas, should be restricted to a small
number of shelter staff. Transport of sick animals
throughout the shelter, especially from intake areas
to holding or euthanasia areas, should be planned
to minimize spread of disease. Floors, as well as
other surfaces (e.g., tables, and countertops),
should be immediately sanitized after contact with
urine, feces, vomit, or animals known or suspected
to have infectious disease.
Footbaths pre inadequate to prevent infectious
disease spread and should not be relied on
for this purpose. Poorly maintained footbaths
may even contribute to the spread of disease.
Achieving adequate contact time (e.g., 10 minutes)
is impractical, and footbaths require frequent
mointenance because the presence of organic
debris inactivates many disinfectants. Dedicated
boots that can be disinfected or disposable shoe
covers are more effective and should be used
in contaminated areas (Morlgy .2005; Stockton
2006). It is unacceptable for animals to walk
through footbaths.
H tz:"r 0 k:;uhUegUg
Outdoor areas around the shelter must be kept
an, recognizing it is impossible to disinfect
gravel, dirt, and grass surfaces. Access to areas
that cannot be disinfected should be restricted to
animals who appear healthy, have been vaccinated
and dewormed, and are 5 months or older. Ideally,
feces should be removed immediately from outdoor
areas, but at minimum must be removed at least
daily. Standing water should not be allowed to
accumulate in areas around the shelter because
many pathogens thrive and mosquitoes breed
readily in these moist environments.
Foster homes are an integral part of many shelter
programs. Complete disinfection of a private
home is impossible. All foster caregivers should be
trained to minimize contamination of their homes
by confining newly arrived foster animals or those
showing signs of illness in areas that can be readily
disinfected.
Many rodents and insects harbor bacteria and other
pathogens that can contaminate food products,
resulting in food spoilage or direct transmission of
disease to the animals (Urban 1998), Areas of food
storage are particularly vulnerable to infestation. All
food should be kept in sealed bins or containers
that are impervious to rodents and insects (New
Zealand 19931. Food should be removed from
runs at night if rodents and insects are present. If a
shelter is experiencing a problem, solutions must be
humane, safe, and effective.
Sanitation
23
Guide/roes for Standmzls of Care itt Arsimal Shelters
Medical Health and Physical Well-being
Health is not merely the absence of disease or
injury but is also closely tied to an animal's physical
and mental well-being (Hurnik 1988j. Proper
medical management and health care for shelter
animals is an absolute necessity and must include
attention to overall well-being. It is commonly
accepted that animal shelters have a.responsibility
to provide for the health and welfare of all animals
who enter their care. Unfortunately,• compromised
animal health and welfare have been documented
in animal shelters, and without proper precautions
shelters can experience severe disease outbreaks
resulting in wide -scale death and/or euthanasia.
Animals often a«ive at shelters already experiencing
health challenges, and even healthy animals
entering new, expertly designed facilities may have
their welfare compromised, or risk becoming ill
without a functional medical healthcare program.
Without proper medical care, shelter animals can
suffer and die unnecessarily (HSUS 2007; King
County Animal Services Reportj.
Shelter medical programs must include veterinary
supervision (see Glossary for_ definition] and the
participation of trained staff to provide evaluation,
preventive care, diagnosis and treatment (ASV
position statement on veterinary supervision in
animal shelters]. Disease prevention should be
a priority, but appropriate treatment must also be
provided in a timely fashion. Preventive healthcare
that is appropriate for each species should include
protocols that strengthen resistance to disease and
minimize exposure to pathogens (Fowler 1993j.
Training and continuing education for those who
carry out the protocols must be provided. Ensuring
compliance with protocols should be a part of
program management.
Shelter healthcare protocols should support individual
animals regaining and maintaining a state of
physical health and are essential for maintaining an
overall healthy population by reducing the frequency
and severity of disease. Individual animal welfare
must be maintained within the balance of decisions
and practices that support the overall population.
Comprehensive shelter medical programs that begin
on intake and continue throughout each animal's
shelter stay are the foundation of a shelter housing
a population of increasingly healthy animals (AAHA
2006; CFA 2009; FASS 1999; Griffin 2009a;
Larson 2009; Miller 2004a; New Zealand 1998j.
Decline of animal health and welfare after intake;
sick or injured animals languishing without proper
treatment; wide scale disease outbreaks; animals
dying as a result of shelter -acquired disease or
injury; and frequent zoonotic disease transmission
in the shelter are indicators of a poor healthcare
program (FASS 1999j. (See section on Physical
Health and Well-being for information concerning
expected mortality rates.)
'9 e �9����o��s�� ����stra®n�hop ��d
l�e��ir�6���g�in�
All health care practices and protocols should be
developed in consultation with a veterinarian;
ideally one familiar with shelter medicine. A formal
relationship with a veterinarian should be in place to
ensure that those responsible for daily animal health
care have the necessary supervision and guidance.
The best way to ensure that health core practices are
in keeping with professionally accepted standards is
to implement written standard operating procedures
(SOPs�.
Medications and treatments must only be
administered under 'the advice or in accordance
with written protocols provided by a veterinarian,
and all drugs must be dispensed in accordance with
federal and state regulations.
Accurate medical records are essential. Whenever
possible a medical and behavioral history should
be obtained from owners who relinquish animals
to the shelter. Shelters must document all medical
care rendered to each animal. Ideally, records
should include each animal's date of entry,
source, identification information; a dated list of
all diagnostic tests including test results, treatments
(including any medications with drug dose and
route of administration) and procedures, and
24
immunizations while in the care of the shelter. All
medical information should be provided in written
form with the animal at the time of transfer or
adoption.
oc�UL"o,v�c�d
Each animal's individual health status should be
evaluated and monitored beginning at intake and
regularly thereafter (AAEP 2004; UC Davis 2009(.
This allows any problems or changes that develop
during an animal's shelter stay to be recognized,
distinguished from pre-existing conditions, and
addressed.
A medical history, if available, should be obtained
from the owner at the time of surrender. Any available
information should be solicited when stray animals
are impounded as well. Ideally, this information
should be obtained by interview, although written
questionnaires are acceptable. Each animal should
receive a health evaluation at intake to check for
signs of infectious disease and/or problems that
require immediate attention (UC Davis 2009). Intake
evaluations should be documented in the medical
record. Every attempt should be made to locate
an animal's owner, including careful screening for
identification and microchips at the time of intake.
Intake health evaluation should therefore include
scanning multiple times for a microchip using a
universal scanner. Research has shown that the
likelihood of detecting microchips increases with
repeating the scan procedure multiple times (Lord
2008). (See subsections below for information on
vaccination and other intake treatments.(
Separation of animals entering shelters is essential
for proper maintenance of health and welfare,
Beginning at intake, animals should be separated
by species and age as well as by their physical and
behavioral health status. Young animals (puppies
and kittens under 20 weeks [5 months] of age)
are more susceptible to disease and so should
be provided with greater protection from possible
exposure, which can be more easily accomplished
when they are separated from the general
Medical Health and Physical Well-being
population. Starting from the time of intake and
continuing throughout their stay, healthy animals
should not be housed or handled with animals who
have signs of illness. (See section on Behavioral
Health and Well-being for more information on
intake procedures.1
Vaccines are vital lifesaving tools that must be used
as part of a preventive shelter healthcare program.
Vaccination protocols used for individual pets in
homes are not adequate in most population settings.
Strategies must be specifically tailored for shelters
because of the higher likelihood of exposure to
infectious disease, the likelihood that many animals
entering the shelter are not immune (Fischer 2007(
and the potentially life -threatening consequences of
infection. Some vaccines prevent infection whereas
others lessen the severity of clinical signs (Peterson
2008). Panels of experts (AAFP 2006; AAHA
2006) agree that protocols must be customized for
each facility, recognizing that no universal protocol
will apply to every shelter situation.
Guiding principles for core vaccination in shelters,
that are generally applicable to most shelters, are
available (AAFP 2009; AAHA 2006(. Within this
framework, specific vaccination protocols should be
tailored for each program with the supervision of
a veterinarian, taking into consideration risks and
benefits of the vaccines, diseases endemic to the
area, potential for exposure, and available resources
(Miller & Hurley 2004; Miller & Zawistowski 2004)
Because risk of disease exposure is often high in
•shelters, animals must be vaccinated at or prior
to intake with core vaccines. Pregnancy and mild
illness are not contraindications to administering
core vaccines in most shelter settings because the
risk from virulent pathogens in an unvaccinated
animal would be for greater than the relatively low
risk of problems posed by vaccination (AAFP 2009;
AAHA 2006; Larson 20091. Core vaccines for
shelters currently include feline viral rhinotracheitis,
calicivirus, ponleukopenia (FVRCP) for cats (AAFP
Animals must be
vaccinated at, or
prior to, intake
with core vaccines.
Guidelines for Strtndmzls of Crtre in Animal Shelters
An elnelgelzcy
lnedicrtl plan must
be in place to
p1^ovide �pp1^opri�tte
i�nd timely
vetel^in�cry 7nedic�l
cd1^e fo1^ rcny anin2�l
ivho is injul^ed, i1a
dish^ess, 01^ sl�o2vilag
SEg?'lS 0 f SZ�Q1I ZfZCll12t
illness.
2009) and distemper, hepatitis, paroinfluenza, and
canine parvovirus (DHPP)/distemper, adenovirus 2,
parvovirus, and parainfluenza virus (DA2PP) and
Bordetella bronchiseptica for dogs (AAHA 2006).
The use of modified live virus vaccines (MLV) is
strongly recommended over killed products for core
shelter vaccines in cats and dogs, including those
that are pregnant, because they provide a faster
immune response.
Rabies vaccination on intake is not considered a
priority in most shelters, as the risk of exposure to this
disease is not high within most shelter environments.
However, animals should be vaccinated against
rabies when along -term stay is anticipated; when
risk of exposure is elevated; or when mandated by
law. At minimum, animals should be vaccinated for
rabies at or shortly following release.
Shelters that house animals for extended periods of
time have an obligation to ensure that vaccinations
are repeated in accordance with shelter medicine
recommendations (AAEP 2006; AAHA 2006).
Re -vaccination is recommended for puppies and
kittens until maternal antibody wanes. Puppies and
kittens must be re -vaccinated (DHPP and FVRCP,
respectively) at 2-3-week intervals for the duration
of their shelter stay or until they are over 18-20
weeks old.
Shelters that do not vaccinate with core vaccines
immediately on entry, or do not vaccinate all
animals, are much more likely to experience deadly
outbreaks of vaccine preventable disease (Larson
2009j. Protocols for• managing adverse reactions
must be provided by a veterinarian and required
treatments must be accessible, Training on proper
vaccine storage and administration, and treating
reactions, should be supervised by a veterinarian.
The location for injection of a specific vaccine
(i.e., rabies in the right rear leg) should follow
administration site guidelines (AAEP 2006; AAHA
2006). Records of any ,immunizations provided
while in the care of the shelter should be kept.
4. ��a����r��y Medical Care
An emergency medical plan must be in place to
provide appropriate and timely veterinary medical
care for any animal who is injured, in distress, or
showing signs of significant illness (AAEP 2004;
CFA 2009; CVMA 2009; FASS 1999). Staff
should be trained to recognize conditions that
require emergency care. The emergency care
plan must ensure that animals can receive proper
veterinary medical care and pain management
promptly (either on site or through transfer to another
faciliiyj or be humanely euthanized by qualified
personnel as permitted by law.
�. �aib� Ma��������v�
Shelters often care for animals with acute or
chronically painful medical conditions. The American
College of Veterinary Anesthesiologists (ACVA)
defines pain as a complex phenomenon involving
pathophysiological and psychological components
That are frequently difficult to recognize and interpret
in animals (ACVA 2006). Pain must be recognized
and treated to alleviate suffering. Unrelieved pain
can result in chronic physical manifestations such as
weight loss, muscle breakdown, increased blood
pressure and a prolonged recovery from illness or
injury (Robertson 2002). Early pain management
is essential. Failure to provide treatment for pain is
unacceptable.
Recognizing and alleviating pain in a wide variety
of species can be complex and difficult (Paul -Murphy
2004). Individual animals have varying reactions to
stimuli and may manifest a variety of clinical and
behavioral signs (ACVA 2006). Although there
are multiple scales and scoring systems published
for gauging animal pain, few have been validated
and there is no accepted gold standard system for
assessing pain in animals (IVAPM 2005). However,
it is generally assumed that if a procedure is painful
in human beings then it must also be painful in
animals (ACVA 2006; APHIS 1997b). It is the
shelter's responsibility to combine findings from
physical examination, familiarity with species and
breed, individual behavior, and knowledge of the
�•7
degree of pain associated with particular surgical
procedures, injuries and/or illnesses in order to
assess pain.
Pharmacologic and non pharmacologic approaches
to the treatment of pain are evolving; in either case,
treatment should be supervised by a veterinarian.
Analgesia must be of an appropriate strength and
duration to relieve pain. Non-pharmacologic (e.g.,
massage, physical therapy) approaches that help
increase comfort and alleviate anxiety can be used
to supplement pharmacologic interventions. When
pain con be anticipated, analgesia should be
provided beforehand (pre-emptive). Animals must
be reassessed periodically to provide ongoing pain
relief as needed. When adequate relief cannot be
achieved, transfer to a facility that can meet the
animal's needs, or humane euthanasia must be
provided.
Many animals entering shelters are infected with
internal and external parasites (Bowman 2009j.
Though not always clinically apparent, parasites
can be easily transmitted, cause significant disease
and suffering, persist in the environment, and
pose a risk to public health (CAPC 2008; CDC
20091. Shelters have a responsibility to reduce risk
of parasite transmission to humans and animals.
An effective parasite control program should be
designed with the supervision of a veterinarian.
Animals should receive treatment for internal and
external parasites common to the region and for
any obvious detrimental parasite infection they are
harboring. Treatment and prevention schedules
should be guided by parasite lifecycles and
surveillance testing to identify internal and external
parasites that may be prevalent in the population.
Ideally, animals should receive parasite prevention
on entry and regularly throughout their shelter
stay to prevent environmental contamination and
minimize risk to people in the shelter. At minimum,
because of the public health significance, all dogs
and cats must be de -wormed for roundworms and
hookworms before leaving the shelter. Because
Medical Health and Physical Well-being
many parasite eggs are very difficult fo eradicate
from the environment, prompt removal of feces,
per sanitation, and treatment as described above
are important steps to help ensure that individual,
environmental, or population level parasitism does
not threaten the health of animals or humans.
Rounds must be conducted at least once every 24
hours by a trained individual in order to visually
observe and monitor the health and well-being of
every animal. Monitoring should include food and
water consumption, urination, defecation, attitude,
behavior, ambulation, and signs of illness or other
problems (CFA 2009; New Zealand 2007; UC
Davis 2009). Monitoring should take place before
cleaning so that food intake and condition of the
enclosure as well as any feces, urine, or vomit can
be noted. For animals housed in groups, monitoring
should also take place during feeding time, so
that appetite (food intake) or conflicts around food
may be observed. Any animal that is observed to
be experiencing pain; suffering or distress; rapidly
deteriorating health; life -threatening problems;
or suspect zoonotic medical conditions must be
assessed and appropriately managed in a timely
manner (AAEP 2004; CDA 2009; CFA 2009;
New Zealand 2007).
When apparently healthy animals remain in care
for longer than 1 month, exams including weight
and body condition score should be performed
and recorded by trained staff on at least a monthly
basis. Veterinary examinations should be performed
twice each year or more frequently if problems
are identified. Geriatric, ill, or debilitated animals
shAd be evaluated by a veterinarian as needed for
appropriate case management.
There are many examples of health conditions
that require ongoing assessment and management
including, but not limited to, dental conditions,
retroviral infections, endocrine imbalances, and
basic appetite/weight changes. In addition, animals
must be provided with appropriate grooming
Medical rounds
must be conducted
at least daily by a
trained individual
in order to visually
observe and
monitor the health
and well-being of
every animal.
27
Guidelines for Standaizls of Care in Animal Sbeltes
Food that is
consistent with the
nutritional needs
and health status
of the individual
animal must
be provided.
Animals ivho guard
food or prevent
access by cage mates
must be housed or
fed separately.
and/or opportunities to exhibit species specific
behaviors necessary for them to maintain normal
healthy skin and hoircoot or feathers (CDA 2009;
CFA 2009; New Zealand 1998(. Dirty, ungroomed
or matted haircoats are uncomfortable, predispose
animals to skin disease, and in extreme cases can
lead to severe suffering. Appropriate grooming
and/or bathing is an essential component of animal
health and should never be considered cosmetic or
optional.
Va aV'l5tlrf�1�"@'�E�'H
Fresh, clean water and proper food are basic
nutritional requirements for physical health. Fresh,
clean water must be accessible to animals at all
times unless there is a medical reason for water to
be withheld for a prescribed period of time. Water
should be changed daily and whenever it is visibly
soiled. Food that is consistent with the nutritional
needs and health status of the individual animal
must also be provided. The amount and frequency
of feeding varies depending on life stage, species,
size, activity level, health status of the animal and the
particular diet chosen. Food must be fresh, palatable,
free from contamination and of sufficient nutritional
value to meet the normal daily requirements to allow
an animal to attain maximum development, maintain
normal body weight, and rear healthy offspring. Food
in animal enclosures should be examined regularly
to ensure it is free of debris and not spoiled. At
minimum, uneaten food must be discarded after 24
hours. Food that has been offered to an animal and
remains uneaten must not be fed to another animal.
Ideally, a consistent diet should be fed to all
animals, rather than a variety of products. Feeding
a consistent diet minimizes gastrointestinal upset,
stress, and inappetance associated with frequent
diet change, and helps to ensure the product is fed
in appropriate quantity. The feeding of raw food
diets is not recommended in shelters because of
concerns about bacterial or parasite contamination
and public health risk (CVMA 2006; Finley 2008,
Lejeune 2001; Lenz 2009; Morley 2006(.
sh
At minimum, healthy adult dogs and cats (over
b months old) must be fed at least once per day
(CDA 2009; CFA 2009). Ideally, dogs should be
fed twice daily (New Zealand 1998); cats should
ideally be fed multiple small meals or encouraged
to forage throughout the day (Vogt 2010). If food
is not available to cats all day, at minimum, they
should be offered food twice daily. Healthy puppies
and kittens must be. fed small 'amounts frequently
or have food constantly available through the day
(free -choices to support higher metabolic rates and
help prevent life -threatening fluctuations in their
blood glucose levels (hypoglycemia(. Debilitated,
underweight, pregnant, and lactating animals
ould receive more frequent feedings to support
in metabolic needs. Veterinary input should
be sought when developing a feeding protocol for
a population of animals, or when treating starved
animals or individuals with unique nutritional and
health needs.
Food intake must be monitored daily. Animals should
be weighed and body condition assessed routinely.
Animals have highly variable metabolic requirements
(Lewis 1987). Each animal should be fed to meet
in needs and prevent excessive gain or loss
of body weight. Animals displaying inappetence, or
extreme weight loss or gain must be evaluated by a
veterinarian and treated as necessary.
dis
Food and water must be provided in appropriate
hes, which should be designed and placed to
give
to
each animal in the primary enclosure access
sufficient food and water. Food and water dishes
must be safe, sufficient in number, and of adequate
size. When more than one animal is housed in an
enclosure, careful monitoring and grouping to match
animals with similar nutritional needs are essential.
Animals who guard food or prevent access by
cage mates must be housed or fed separately.
Location of food and water containers should also
allow easy observation, access for cleaning and
filling and should prevent contamination from litter,
feces, and urine. If automatic devices or drinking
bottles are used, they should be examined daily to
ensure proper function and cleanliness and must be
disinfected between users.
Old food creates a I�ealth hazard by spoilage and/
or attraction of pests. Food distributed to animals that
remains uneaten within 24 hours must be removed
and discarded to prevent spoilage. A schedule of
regular sanitation must be followed for all food and
water containers. Food preparation and storage
areas must be easily sanitized and maintained in a
clean condition. Supplies of food should be stored
in a manner to prevent spoilage or contamination.
Refrigeration is needed for perishable foods. Food
should not be fed after the expiration date. Factors
such as exposure to heat or air may also decrease
shelf life. Toxic substances and vermin should be
kept out of contact with food, food storage, and
preparation areas (AAEP 20041. Stored food should
be clearly labeled if removed from the original
package.
Individual animal health and overall population
health are interdependent. Without one the other
cannot exist in most shelter settings. Shelter medical
staff must therefore regularly monitor the status of
individual animals and the population as a whole
to allow for early detection of problems and prompt
intervention. Ideally, shelters should also monitor and
assess frequency of specific problems (e.g., upper
respiratory infections, parvoviruses) set realistic
goals, develop targeted strategies, and monitor the
effectiveness of medical health programs, ultimately
leading to better overall population management
and individual animal welfare. This type of
surveillance will also facilitate early recognition and
reporting of problems, accurate diagnosis, effective
interventions, and data collection. Animal health
plans must be reviewed in response to changes
observed in animal health, illness or deaths.
In addition to tracking trends related to specific
health problems, a periodic review of the rate of
illness (morbidity) or deaths (mortality) should be
conducted. Shelter deaths are often indicators of
Medical Healtli and Physical WeX being
ng levels of infectious diseases (e.g., parvovirus
or upper respiratory infection; URI) which require a
response by the shelter. Shelter deaths after entry,
not related to euthanasia, should never represent
more than a very small proportion of animal
intakes. For example, statewide data for municipal
animal control and public or private rescue groups
and humane societies in Virginia for the years
2004-2007 indicate that <2% of cats and <1%
of dogs received by those facilities were reported
as having died in the shelter. (This information is
published annually by the Virginia Department of
Agriculture and Consumer Services, Office of the
State Veterinarian.) A survey of 11 open -intake
animal shelters (including large, municipal shelters
in communities such as Los Angeles and New York
City) revealed an average "shelter death rate"
(calculated as number of dogs and cats that died
in the shelter's care divided by total live dog and
cat intake) of 0.75% (range 0.18-1.61 %) (HSUS
2007). Numbers in excess of this indicate a
situation requiring immediate measures for control.
Response to disease and illness must be an integral
part of every shelter health program. A disease
response plan should include measures to minimize
transmission to unaffected animals or people and
ensure appropriate care of the affected animal
(Hurley 2009). Because of the wide variety of
pathogens, modes of transmission, and types
of facilities, no single response can suit every
circumstance (ASV position statement on infectious
disease outbreak management, 2008). (See section
on Public Health for more information on prevention
of disease transmission.)
aJ Isolation
All facilities should have a means of providing
isolation that will allow for humane care and not
put other animals at risk (CDA 2009). Isolation
may be accomplished physically on -site or through
transfer to an appropriate facility. When isolation
is impossible, or inadequate to control transmission
29
Guidelines for Standalds of Care in Animal Shelters
Failure to provide
treatment for pain
is unacceptable.
During a disease
outbreak, physical
separation must be
established between
exposed, at -risk
and unexposed
animals or groups
of animals.
of the particular pathogen, the shelter must carefully
weigh the consequences of exposure of the general
population against euthanasia. Allowing animals
with severe infectious disease to remain in the
general population is unacceptable. Even animals
with mild clinical signs of contagious disease should
not be housed in the general population as doing
so creates a substantial risk of widespread disease
transmission.
b) Diagnosis
In the event of severe or unusual conditions, or
outbreaks• of infectious disease, diagnosis or
identification of specific pathogens should be
sought. Initially, a clinical or working diagnosis,
as determined by a veterinarian, may provide the
basis for treatment and response. When a specific
pathogen has not been identified, a risk assessment
must be performed based on the suspected
pathogens and the number of animals who have
been in contact with the infected animals.
Animals with a suspected infectious disease must
be isolated until diagnosis or subsequent treatment
determines them to be a low risk to the general
population. When an animal dies from unexplained
causes, a necropsy along with histopathology
should be performed to provide information to
protect the health of the rest of the population.
Protocols to define and manage common illnesses
based on clinical signs should be developed and
used in consultation with a veterinarian. Protocols
should detail the expected course of disease and
response to treatment. Veterinary input should be
sought when disease or response to treatment does
not follow expected course.
cJ Outbreak Response
During an outbreak, physical separation must
be established between exposed, at -risk and
unexposed animals or groups of animals. In some
circumstances, it may be necessary to stop intake
or adoptions in order to prevent disease spread. In
other circumstances, a properly set up isolation room
may suffice to control the spread of disease. Ideally,
animal movement should stop until a targeted control
strategy can be implemented. Animal handling
and foot traffic should be limited. In response to
an outbreak, protocols (vaccination, sanitation,
movement, etc.1 should be reviewed to ensure that
measures are effective shelter -wide against the
pathogens of concern. Animals should be monitored
for signs of disease during an outbreak at least twice
daily. Shelters should avoid returning recovered or
exposed animals to the general population while
there is significant risk they may transmit disease to
other animals. When releasing a sick or infectious
animal from the shelter, full disclosure should be
made to the person or organization receiving the
animal. Shelters must also take care that all federal,
state, and local laws are followed concerning
reportable diseases.
d
Although rarely the only option, depopulation is one
means of response to a disease outbreak. Before
epopulation is undertaken, many factors including
transmission, morbidity, mortality, and public health
must be taken into account. All other avenues must
be fully examined and depopulation viewed as
a last resort (ASV position statement on infectious
disease outbreak management, 20081.
11. Medical Treafrnen# ®f She6ger
k�niirna9s
Treatment decisions should be based upon a number
of criteria such as the ability to safely and humanely
provide relief, prognosis for recovery, the likelihood
of placement after treatment, and the number of
animals who must be treated. Duration of treatment
expected, expense and resources available for
treatment should also be considered.
The legal status of the animal must never prevent
treatment to relieve suffering (which may include
euthanasia if suffering cannot be alleviatedl. Shelters
must have specific protocols to provide immediate
care when legal status is an issue.
30
Decisions must balance both the best interest of
the individual animals requiring treatment and the
shelter population as a whole. When treatment is
needed, shelters are responsible for the safety of
the animals, the people working with the animals,
and the surrounding environment. Effective and safe
use of medication requires a 'reasonably certain
diagnosis, proper administration, and monitoring
the course of disease so that success or failure can
be determined. Those providing treatment must have
the necessary training, skills, and resources to ensure
treatment is administered correctly and safely.
Shelters should also have clear policies for handling
disease problems that may develop after adoption.
Adopters or those taking animals from the shelter
should be informed about the presence of any
disease or condition known to be present at the time
of adoption and provided a copy of any treatment
records.
Professional supervision is required for use of
all prescription drugs, controlled and off -label
medication FDA 2009a, 2009b�. Protocols for
Medical Healtli crud Physical Well-being
medication, developed in consultation with a
veterinarian, for management of common diseases
should be provided to staff. All treatments should be
documented.
The use of antimicrobials in shelter populations
warrants special mention. Bacteria ,are capable
of developing resistance to certain drugs. In some
cases, they are able to pass this resistance to other
bacteria, including those that cause infections in
both animals and people. To prevent antimicrobial
resistance from developing, it is vital to limit
antimicrobial use to those situations where these
drugs are clearly indicated �AAHA /AAFP 2006;
AVMA 2008b�. Antibiotic selection and. dosing
should be specific io the infection and animal being
treated; and, when possible, based on appropriate
diagnostics. Inappropriate use of antibiotics is not
a substitute for good preventive medical care.
Guidelines for antimicrobial use in companion
animals have been published and these principles
should also be applied to the shelter setting �AAHA/
AAFP 2006; AVMA 2008b�.
Allowing anin2als
with sever^e
infectious disease
to remain in the
general population
is unacceptable.
31
Guidelines for Standmals of Care in Animal Shelters
Staff must
be trained to
�°ecognize animal
stress, pai9n, and
suffering as well
as successfid
adaptation
to the shelter
environment
ENO
Good health and well-being depend on meeting
both the mental and behavioral needs, as well as
the physical needs, of animals (Griffin 2009a;
Jenkins 1997; McMillan 2000, 2002; Wells
2004a; Wojciechoska 2005). Individual animals
have a wide variety of psychological needs
that are determined by such factors as species,
genetic makeup, personality, prior socialization
and experience. Behavioral care must take
the perspective of each individual animal into
consideration as well as the conditions experienced
by the population (Griffin 2009a; McMillan 2000,
2002; Wojciechoska 2005).
The structural and social environment, as well as
opportunities for cognitive and physical activity, are
important for all species of animals (ILAR 1996).
An appropriate environment includes shelter and
a comfortable resting area, in which animals are
free from fear and distress and have the ability to
express normal, species typical behaviors. Lack of
control over one's environment is one of the most
profound stressors for animals. The stress induced by
even short-term confinement in an animal shelter can
compromise health; and when confined long-term,
animals frequently suffer due to chronic anxiety,
social isolation, inadequate mental stimulation and
lack of physical exercise (Fox 1965; Griffin 2009a,
2006; Hennessy 1997; Patronek 2001; Stephen
2005; Tuber 1999; Wemelsfelder 2005). Proper
behavioral healthcare is essential to reduce stress
and suffering as well as to detect problem behaviors
that may pose a safety risk to humans or other
animals:
Stress and the development of abnormal behaviors
are exacerbated when opportunities for coping
(e.g., hiding, seeking social companionship,
mental stimulation or aerobic exercise) are lacking.
Behavior problems compromise health and welfare
as well as potential for adoption (Griffin 2009a).
aJ Behavioral History
A thorough behavioral history and the reasons) for
relinquishment should be obtained at the time of
intake. Any available information should be solicited
when stray animals are impounded as well. Ideally,
this information should be obtained by interview,
although written questionnaires are acceptable. The
history should be used to alert staff to the presence
of potential problems, such as aggression or anxiety,
and to inform staff of any individual needs, so that
p
200
per care can be provided for that animal (Griffin
9a).
Shelters should be aware that histories provided,
although important, may be either incomplete or
inaccurate. For example, some problem behaviors
such as aggression may be under reported or
under stated (Marder 2005; Segurson 2005;
Stephen 2007). All incidents or reports of a history
of aggressive behavior along with the context in
which they occurred must be recorded as part of an
animal's record.
A
b) Minimizing Stress
nimals experience a variety of stressors in shelters,
beginning with the intake process (Coppola 2006,
1997; Griffin 2009a; Hennessey 1997). Care
must be taken to minimize stress during this crucial
time in order to minimize problems, which may delay
or even prevent acclimation or adjustment to the
shelter environment and prolong or intensify anxiety
an
proc
d mental suffering (Grandin 2004). Duringlntake
edures, particular care should be taken not to
place cats within spatial, visual or auditory range
of dogs (Griffin 2009a, 2009b; McCobb 2005),
2. Behavior evaluation
Assessment of an animal's behavior must begin
at the time of intake. Just as care is taken to note
any physical problems that may require attention,
behavioral problems (stress, fear, anxiety, aggression)
that require intervention or affect how that animal can
be safely handled should also. be noted at the time of
32
intake and entered into an animal's record. Actions
should be taken to respond promptly to behavioral
needs (Griffin 2009a). Ongoing assessment of each
animal's behavior should continue throughout the
animal's stay in the shelter.
Manifestations of normal and abnormal behavior
indicate how successfully an animal is coping in
their environment (Fox 1965; Griffin 2002, 2009a,
2006; Houpt 1985; McMillan 2002; Overall
1997, 2005). Therefore, staff must be trained to
recognize body language and other behaviors that
indicate animal stress, pain, and suffering as well as
those that indicate successful adaptation to the shelter
environment. When animals are well adjusted and
their behavioral needs are satisfied, they display a
wide variety of normal behaviors including a good
appetite and activity level, sociability, grooming,
appropriate play behavior and restful sleeping.
Behavioral indicators of stress, social conflict, pain
or other, suffering, include persistent hiding, hostile
interactions with other animals, reduced activity or
appetite, depression and/or social withdrawal,
barrier frustration or aggression, stereotypic
behaviors (e.g., repetitive spinning, lumping or
pacing) or other abnormal behaviors (Fox 1965;
Griffin 2002, 2006, 2009a; Houpt 1985;
McMillan 2002; Overall 1997, 2005).
The needs of inddual animals will vary. Animals
must be monitored daily in order to detect trends
or changes in well-being and respond to their
behavioral needs. Staff should record their
findings each day (Griffin 2009a; UC Davis
20091. Departures from the normal behavior
and appearance of an animal may also be an
indication that the animal is in pain (ACVA 2006).
When pain or suffering is recognized in animals,
it is imperative that prompt, appropriate steps be
taken to alleviate it. (See section on Medical Health
and Physical Well-being for additional information
on pain management.)
Some individual shelter animals may experience
severe stress that is difficult to alleviate even with
Behavioral Health and Mental Well-being
optimal practices. However, if many animals are
displaying signs of unrelieved stress, steps must
be taken to improve the shelter's stress reduction
protocols. For humane reasons, long-term
confinement must be avoided for feral animals and
for those who remain markedly stressed/fearful and
are not responding to treatment/behavioral care
(Griffin 20091b; Kessler 1999o, 1999b1.
Ideally, a systematic behavioral evaluation should
be performed on all animals prior to re -homing or
other placement (Griffin 2009a). Some evaluations
have been peer -reviewed, commonly accepted,
studied and/or published, but none is scientifically
validated for predicting future behavior in the home
with certainty. However, information gleaned during
such testing (e.g., level of activity and arousal) may
be useful for characterizing the animal's personality,
determining behavioral needs in the shelter, matching
animals with appropriate adopters and identifying
individual animals who may not be suitable for re -
homing or other placement (Animal Rescue League
of Boston 2010; Bollen 2008; Christensen 2007;
its 2000; Griffin 2009a; Ledger 1995; Ledger
1997; Netto 1997; Neidhart 2002; Sternberg
2003; Van der borg 1991). Organizations that
develop their own evaluation should do so in
consultation with a veterinarian or behaviorist familiar
with the science and theory of behavior assessment.
Staff performing evaluations must receive adequate
training in performance, interpretation, and safety. A
standardized behavior examination form should be
used and each evaluation should be documented.
Formal behavioral evaluation should not necessarily
invalidate information provided by the owner or
observations made during staff interactions with an
animal. An overall assessment must include all of
the information (history, behavior during shelter stay,
and formal evaluation) gathered about the animal.
Criteria for a systematic behavioral evaluation of
cats are less well established than for dogs (Siegford
2003). However, cats should be assessed by
observing behavior, and interacting with the cat
to help enhance in -shelter care (e.g., recognition
33
Gtidelines for Standa?zls of Care in Animal Shelters
Enrichment s/could
be given the same
significance as
other components
of animal care
and should not
be considered
optional.
of shy, stressed, fearful, poorly socialized or feral
cats) and help guide appropriate placement (Griffin
2009a, 2009b, 2006; Lowe 2001 j.
a) Environment
Enclosures
Appropriate housing that meets the behavioral
needs of the animals minimizes stress (Griffin
20061 2002; Hawthorne 1995, Hubrecht 2002;
Loveridge 1994, 1995, 1998; McCune 1995a;
Overall 2005, 1997; Rochlitz 1998, 1999,
20021 20051. Even short-term housing must meet
the minimum behavioral needs of animals, providing
separate areas for urination/defecation, feeding
and resting and sufficient space to stand and walk
several steps, and sit or lie at full body length.
(See section on Facilities for guidelines for animal
housing.)
Separation
Beginning at the time of admission, separation of
animals by species is essential to provide for their
behavioral needs as well as proper health and
welfare (Griffin 2009a). Prey species (e.g., birds,
guinea -pigs, hamsters, gerbils, rabbits) should be
housed away from predatory species (e.g., ferrets,
cats, dogs) at all times (Quesenberry 2003). It is
extremely stressful for them to be housed in an area
where they are subjected to olfactory, auditory,
and visual contact with predatory species. Because
cats may be profoundly stressed by the presence
and sound of dogs barking, they should be
physically separated from the sight and sound of
dogs (Griffin 2009o, 2009b; McCobb 2005).
Novel environments tend to be especially stressful
for shy, poorly socialized, feral and geriatric cats
and dogs (Dybdall 2007; Griffin 2009b; Hiby
2006; Patronek 2001). Ideally, these animals, or
any animal that is showing signs of stress, should be
housed in separate, calm, quiet areas beginning,at
intake. Even moving an animal to a quieter location
within the some ward may prove beneficial.
bJ Daily Routine
Regular daily schedules of care should be followed
because the stress from husbandry is increased when
it is unpredictable and may even result in chronic
fear and anxiety (Carlstead 1993; Griffin 2002,
20061 2009a). Conversely, when stressful events
are predictable, animals may experience calm and
comfort between stress responses (McMillan 2002f.
Animals also respond to positive experiences in their
daily routines. Feeding and playtime may be greatly
anticipated, thus scheduling positive daily events
should be a priority (Griffin 2002, 2006, 2009aj.
Lights should be turned off at night and on during
daytime hours (Griffin 2002) to support animals'
natural circadian rhythms. Irregular patterns or
continuous light or darkness are inherently stressful.
(e.g
cJ Enrichment and Socialization
Enrichment refers to a process for improving the
environment and behavioral care of confined
animals within the context of their behavioral needs.
The purpose of enrichment is to reduce stress and
improve well-being by providing physical and mental
A encouraging species -typical behaviors
., chewing for dogs and rodents, scratching
for cats), and allowing animals more control over
their environment. Successful enrichment programs
prevent the development and display of abnormal
behavior and provide for the psychological well-
being of the animals. Enrichment should be given
the some significance as other components of
animal care, such as nutrition and veterinary care,
and should not be considered optional (ILAR 1996).
At a minimum, animals must be provided regular
social contact, mental stimulation and 'physical
activity (ILAR 1996). For some animals, social needs
may be partially fulfilled through interaction with
members of the same species.
Interactions with People
Regular positive daily. social interactions with
humans are essential for both dogs and cats (with
the exception of feral animals) (Coppola 2006;
Crowell- Davis 1997; 2004; Griffin 2006;
Hennessy 1998, 2002; Hetts 1992; Hubrecht
34
1992, 1993; Tuber 1996, 1999j. These
interactions are crucial for stress reduction and are
a powerful form of enrichment (Coppola 2006;
Hennessy 1998, 2002; Hetts 1992; Hubrecht
1992, 1993; McMillan 2002; Tuber 1996j.
Ideally, caregivers should be assigned to care for
the same animals on a regular basis, so that the
caregivers become aware of the behaviors of
each individual animal and the animals become
accustomed to the individual caregiver (Griffin
2002, 2006, 2009a).
Performance of daily husbandry is not a means to
provide for the social needs of animals. Animals
should receive some type of positive social
interaction outside of the activities of feeding and
cleaning on a daily basis (e.g., walking, playing,
grooming, petting, etc.(. This is especially important
for animals housed long-term. For animals housed
short-term and with unknown health backgrounds,
social interaction must be balanced with infectious
disease control. When animals must remain
confined for health or behavioral reasons, positive
social interaction still should be provided without
removing the animal from the enclosure.
For puppies and kittens less than 4 months
old, proper socialization is essential for normal
behavioral development. Without daily handling
and positive exposure to a variety of novel stimuli,
animals may develop chronic fear and anxiety or
suffer from the inability to adjust normally to their
environments (Griffin 2006; Lowe 2001; McCune
1995b; McMillan 2002). For these reasons, a
high priority must be placed on ensuring proper
socialization of young puppies and kittens. This may
be best accomplished outside of the shelter (e.g.,
in foster core] (Griffin 2006; McMillan 2002;
Reisner 1994). For puppies and kittens housed
in a shelter, socialization must be balanced with
infectious disease control. Socialization should be
provided by workers or volunteers wearing clean
protective clothing in an environment that can be
fully disinfected between uses.
Behavioral Health and Mental Well-being
Training programs for dogs and cats (e.g., to
condition or teach basic obedience commands
or tricks) also serve as an important source of
stimulation and social contact (Griffin 2009a; Louie
2003; Thorn 2006). For dogs, such training has
been shown to increase chances for re -homing
(Leuscher 2008j. Training methods must be based
primarily on positive reinforcement in accordance
with current professional guidelines (APDT 2003;
AVSAB 2007; Delta Society 2001).
Behavioral Considerations for Long-term Shelter
Sta s
For long-term shelter stays, appropriate levels of
additional enrichment must be provided on a daily
basis. (See section on How to Use This Document for
discussion of long-term stay.( Long-term confinement
of any animal, including feral or aggressive animals,
who cannot be provided with basic care, daily
enrichment and exercise without.inducing stress, is
unacceptable.
Alternatives to traditional cage housing (e.g., large
enriched cages, home or office foster care, room
housingj must be provided for any animal staying
in a shelter long term. Cats must be allowed an
opportunity to exercise and explore in a secure,
enriched setting. Similarly, dogs must be provided
with daily opportunities for activity outside of their
runs for aerobic exercise (Griffin 2009a; Loveridge
1998). Exercise may be stimulated through
interactive games such as fetch or via supervised
playgroups with other dogs. For both cats and
dogs, rooms with a home -like environment may also
be used to provide enrichment and stress reduction.
Precautions, as described in other sections, should
be taken to ensure that disease transmission and
stress are minimized.
Any animal that is observed to be experiencing
mental suffering, distress or behavioral deterioration
must be assessed and appropriately treated in
a timely manner or humanely euthanized. Just as
a severe or rapid decline in an animal's physical
health constitutes an emergency situation and
Long-term
confinement
of any animal,
including feral or
agg�°essive animals,
ivl�o cannot be
provided with
basic care, daily
ens°ichment and
exercise without
inducing stress, is
unacceptable.
Alternatives to
traditional cage
housing must be
provided for any
animal staying in
a shelter long term.
35
Guidelines for Standards of Care in Animal Shelters
The use of
physical force as
punishment or use
of force in anger is
an unacceptable
means of behavior
modification;
these methods are
potentially harmful
to the animal and
dangerous for
the staff.
requires an urgent response, so do such changes in
the behavioral or mental health of an animal.
Reproductive stress from estrous cycling and sex drive
can decrease appetite, increase urine spraying,
marking and fighting, and profoundly increase
social and emotional stress. For these reasons,
animals who are housed long-term should be
spayed or neutered as the rapid decline in spraying,
marking, and fighting and the elimination of heat
behavior and pregnancy will greatly mitigate animal
stress (Hart 1973, 1997; Johnston 1991). This also
serves to facilitate group housing and participation
in supervised playgroups for exercise and social
enrichment.
Other�aes of Enrichment
Enrichment should also be provided for animals
while in their enclosures through opportunities for
play (e.g., toys or human interaction). Feeding
enrichment is another important source of stimulation
and can be easily accomplished by hiding food in
commercially available food puzzle toys, cardboard
boxes, or similar items with holes such that the
animal has to work to extract pieces of food (Griffin
20061 2009a; Schipper 2008; Shepherdson
1993). Feeding enrichment has also been shown
to increase activity level and reduce barking
behavior (Schipper 2008). Other forms of mental
and sensory stimulation (e.g., olfactory, visual,
auditory, tactile and pheromone) are additional and
important ways of providing enrichment (Graham
2005a, 2005b, Griffith 2000; De Monte 1997;
Tod 2005; Wells 2004a, 2004b). For example,
cats benefit from the provision of scratching posts;
dogs benefit from the provision of items to chew and
may also benefit from classical music (Wells 2002)
played at controlled volumes a certain aromas
(such as chamomile or lavender) (Graham 2005a).
Animals may also benefit from visual stimulation and
the ability to observe their surroundings (Ellis 2008).
l
d) Behavioral Modification
Behovior modification is an individualized treatment
strategy designed to change an animal's behavior.
Practices must adhere to the well -described
scientific principles of animal ,behavior and
earning including positive reinforcement, operant
conditioning, systematic desensitization and counter -
conditioning (AVSAB 2007). In some cases, the
use of medications, prescribed by a veterinarian,
in combination with behavior modification
techniques, may be required. The use of physical
force as punishment or use of force in anger is an
unacceptable means of behavior modification;
these methods are potentially harmful to the animal
and dangerous for the staff. (AVSAB 2007;
Hutchinson 1977; Patronek 2001). Descriptions of
unacceptable disciplinary techniques are available
(New Zealand 1998; AHA 2001; CVMA 2004).
Su
fficient resources (e.g., trained staff, time for
behavioral treatment, adequate housing and
working space) must, be available to provide
oppropriate care if behavioral modification is
attempted. The techniques required are generally
labor-intensive and time-consuming and must be
applied consistently over a period of time in order to
be successful. Attempting behavior modification with
aggressive animals poses concerns due to safety
and liability risks; animals believed to be dangerous
should not be re -homed (Bollen 2008; Crowell -
Davis 2008; Phillips 2009).
36
Group Housing
The purpose of group housing in shelters is to
provide animals with healthy social contact
and companionship with other animals in order
to enhance their welfare. In the context of this
document, group housing refers to playgroups as
well as group housing two or more animals in the
same primary enclosure. Group housing requires
appropriate facilities and careful selection and
monitoring of animals by trained staff. This form of
social contact is not appropriate for all individuals.
vlklusiEfiC'
There are both risks and benefits to group housing.
Inappropriately used group housing creates physical
risks of infectious disease exposure and injury
or death from fighting. It also creates stress, fear,
and anxiety in some members of the group. Group
housing makes monitoring of individual animals
more difficult, resulting in failure to defect problems
or inadequate access to necessities like food and
water for some animals. Staff safety may also be
compromised when animals are housed in groups
as it is generally more difficult to manage more than
one animal in an enclosure. However, appropriately
planned groupings for housing or play can be
acceptable, and may even be desirable, when
tailored to individual animals (Griffin 2002, 2006;
Gourkow 2001; Kessler 1999b; Mertens 1996;
Overall 1997; Rochlitz 1998). Benefits of group
housing include opportunities for positive interaction
with other animals including play, companionship,
physical connection, and socialization. Group
housing can be used to provide a more enriched
and varied environment.
2. FacilitiesEssential physical features of a facility to support
planned group housing include 'adequate size of
the primary enclosure; multiple feeding stations and
resting areas; and adequate space for urination
and defecation. Adequate size of group housing is
imperative to allow animals to maintain adequate
social distances. For group housing of cats, a variety
of elevated resting perches and hiding places must
be provided to increase the size and complexity
of the living space jDowling 2003; Griffin 2006;
Overall 1997; Rochlitz 1998). A minimum of
18 square feet per cat has been recommended
for group housing jKessler 1999b). Although no
minimum has been recommended for dogs, for all
species the size should be large enough to allow
animals to express a variety of normal behaviors.
jSee section on Facilities for more information on
primary enclosures.) Sufficient resources je.g., food,
water, bedding, litterboxes, toys) must be provided
to prevent competition or resource guarding and
ensure access by all animals.
Both group housing and playgroups require careful
selection and monitoring of animals by staff or
volunteers trained to recognize subtle signs of stress
and prevent negative interactions (e.g., guarding
food or other resources). Selection considerations
Include separation by age, behavioral assessment
prior to grouping, and prevention of infectious
disease through screening, vaccination and parasite
control.
Random grouping of animals in shelters is an
unacceptable practice. Animals must not be housed
in the some enclosure simply because they arrived
on the some day or because individual kennel
space is insufficient. Unrelated or.unfamilior animals
must not be combined in groups or pairs until after
a health and behavior evaluation is performed;
animals should be appropriately matched for age,
sex, health, and behavioral compatibility. Unfamiliar
animals should not be placed in group housing until
sufficient time has been given to respond to core
vaccines. Intact animals of breeding age should
not be group housed (Hickman 1994). If group
housing is utilized short-term for intact animals, they
must be separated by gender. Sexually mature dogs
and cats should be spayed/neutered and allowed
sufficient recovery time prior to group housing.
Animals who are not socialized to other animals as
well as those who actively bully other animals must
Group Housing
Animals must not
be housed in the
same enclosure
simply because they
arrived on the same
day or because
individual kennel
space is insufficient.
Options for
individual housing
must be available
for animals when
co -housing is not
appropriate.
37
Guidelines for Standards of Care in Animal Shelters
Random 91°0uping
of animals in
shelters is an
unacceptable
practice.
Grouping animals
who fight with
one another is
unacceptable.
not be grouped with other animals (Kessler 1999a;
Overall 19971. Grouping animals who fight with
one another is unacceptable. Allowing animals
to fight is cruel and animals who have engaged
in fighting with one another must not be grouped
together. Caution must be used when attempting to
include any animal with' a history of fighting in a
group.
Smaller groups are preferable to allow effective
monitoring and reduced risk of conflict as well as
decreased infectious disease transmission. Ideally, a
group size of 10-12 should not be exceeded for
cats )Dowling 2003; Griffin 2006; Rochlitz 2005j.
For the safety of dogs as well as caregivers, dogs
should be combined in even smaller groups (e.g.,
no more than 4-6 dogs).
The addition of new animals always results in a
period of stress for the group. If there is constant
turnover )animals joining and leaving) within the
group, animals may remain stressed indefinitely.
For these reasons, turnover within groups should be
minimized.
Because of their susceptibility to infectious disease,
puppies and kittens under 20 weeks of age should
not be group housed unless they are littermates.
Single, unrelated puppies or kittens may be group
housed for socialization purposes if they must stay
in the shelter long-term or if the risk from lack of
social interaction is greater than that for infectious
disease. When placing single orphaned kittens and
p
I
uppies with an alternate mother, with or without a
, risks and benefits to health and behavior for all
animals must be weighed. Even for littermates, all
requirements for group housing must be met.
Pproptri ate
Options for individual housing must be available .
for animals when group housing is not appropriate.
For some animals, even group housing with familiar
animals can be detrimental. Single enriched housing
must be provided for animals who are fearful or
aggressive towards other animals, are stressed by
the presence of other animals, require individual
monitoring, or are ill and require treatment that
cannot be provided in group housing )Kessler
1999a; Griffin 2006j. Because it may take days
to
enri
weeks to acclimate to a group environment,
ched individual housing is preferable when a
shorter stay is anticipated (Griffin 2009a).
1nimal Handling
Handling must always be as humane as possible
and appropriate for the individual animal and
situation. The minimal amount of physical restraint
needed to accomplish the task without injury
to people or animals should be used. Humane
handling requires an appraisal of each animal's
behavior, adequate numbers of properly trained
staff, suitable equipment that is readily available
and in good working condition, appropriate choice
of location for procedures, personal protection such
as gloves or push boards, and judicious use of
tranquilizers (Fowler 1995; Griffin 2006).
When physical restraint is necessary to avoid
human injury or injury to an animal, it should be of
the least intensity and duration necessary. Animals
often respond best to gentle restraint and react
negatively when "over -restrained" (Griffin 20061.
Research indicates that gentle human contact has the
additional benefit of mitigating the adverse effects of
unpleasant stimuli (McMillan 20021. Resistance to
handling and restraint is almost always the result of
fear or anxiety, which are compounded when force
is used. Overly forceful handling is more likely to
result in increased fear and aggressive behavior,
and injury to animals and people (AVSAB 2007;
Blackwell 2008; Hutchison 1977). Adequate
training is key to limiting the use of unnecessary
force during handling and must be provided to
anyone who will be handling animals. Judicious use
of tranquilizers can be the most humane option for
handling a frightened, fractious, or feral animal. It is
unacceptable to use physical force as punishment
or to use force in anger (AVSAB 2007; Patronek
2001).
�. Location and TimingSelection of a calm, private, quiet environment,
and allowing time for animals to acclimate prior to
handling can help minimize stress and. may reduce
the amount of restraint required (ASV position
statement on euthanasia 2010), Handling methods
should prevent escape. Even when animals remain
confined within a room, recapture is stressful. When
the animal does not need urgent intervention,
delaying a procedure to allow that animal time to
relax in a quiet environment before handling is the
best option jFowler 1995; Griffin 2006, 2009a;
Haug 20071.
Each situation should be evaluated individually
and each piece of equipment should be assessed
for its potential to cause harm or increase stress.
Even appropriate equipment may be inhumane or
unsafe if not maintained in good working condition.
Techniques or equipment suitable for one situation
may be inappropriate for another. For example,
although catch poles also known as control or
rabies poles) can be effective for handling large
dogs, they should only be used when other more
gentle alternatives cannot be used. The use of catch
poles for routine restraint of cats, including carrying
or lifting, is inhumane and poses significant risk of
injury to the animal; therefore they must not be used
for such purposes (Griffin 2006; HSUS 1996).
Humane traps, purpose -designed boxes or nets
should be used for handling fractious cats, or cats
who appear unaccustomed to handling. Cages or
crates that do not provide easy access for humanely
removing an unwilling, frightened, or reluctant
animal, either because of design constraints,
damage to the cage or crate, or corrosion of the
fasteners, should be avoided.
4. �'er�9 Cafs
Appropriate procedures for handling and minimizing
stress in feral cats have been described (Griffin
2009b; Levy 2004; Slater 2001). For example,
when capturing or transporting feral cats, squeeze
cages, feral cat boxes, or humane box traps with
dividers should be used for the most humane
restraint and for administering tranquilizing
ections prior to handling.
Animal Handling
Adequate
traZnZng is key to
limiting the use
of unnecessary
force and must
he provided to
anyone who will he
handling animals.
The use of catch
poles for routine
restraint of cats
is inhumane and
poses significant
risk of injury to
the animal.
39
Guidelines for Stanelards of Care in Animal Shelters
When perfor°ruing
euthanasia in
a shelter; each
individual animal
must be treated
with respect.,
The identity of
each ani*mal to be
euthanized niust
be determined
with certainty
beforehand.
Any agent or°
method that is
unacceptable
according to the
AVMA Guidelines
on Euthanasia is
also unacceptable
for use in shelters.
When performing euthanasia in a shelter, each
individual animal must be treated with respect
(AVMA 20071. A veterinarian with appropriate
training and expertise for the species involved should
be consulted to ensure that proper procedures are
used. Any euthanasia method used in a shelter
must quickly induce loss of consciousness followed
by death, while ensuring the death is as free from
pain, distress, anxiety, or apprehension as possible.
The euthanasia method must be reliable, irreversible
and compatible with the species, age and health
status of the animal (AVMA 20071. Any agent or
method that is unacceptable according to the MM
uidelines on Euthanasia is also unacceptable
for use in shelters. The identity of each animal to
be euthanized must be determined with certainly
beforehand, including scanning multiple times for
a microchip using a universal scanner (Lord 2008)
and verifying that the animal is properly designated
for the procedure. An assessment must be made of
each animal's size, weight and temperament so the
appropriate drug dose, needle and syringe size as
well as restraint method can be used.
G
Safely of the personnel and the emotional impact of
euthonasia must be considered. Procedures should
be in place to prevent and address compassion
fatigue throughout the organization, as compassion
fatigue and burnout can be serious problems for
alI shelter personnel, not just those performing the
actual procedures.
1. Euthanasia Technige�e
The most humane methods used for euthanasia of
shelter animals are intravenous (IV) or introperitoneol
(IP) injection of a sodium pentobarbital solution.
Injection techniques, routes of administration,
dosages and methods to verify death vary by age,
size, weight, condition and species of animal,
including birds and reptiles. When euthanizing dogs
and cats in a shelter, IP injections of a pure sodium
pentobarbital (free of additional drugs or additives)
solution should be used only for cats, kittens, and
small puppies. Animals given IP injections should
be placed in quiet, dark, confined areas or held
and monitored to ensure a smooth transition into
o
to
p
unconsciousness because excitement reactions
and delayed unconsciousness are not uncommon
with this route (Fokkema 2009; Rhoades 2002). In
dogs and cats, oral dosing of sodium pentobarbital
should be reserved for use in animals who cannot be
safely approached, trapped or handled (Rhoades
2002). The time to reach unconsciousness may be
prolonged with oral dosing; the drug is not always
fatal when administered orally; and completion of
euthanasia may require a subsequent injection of
sodium pentobarbital (Rhoades 2002). Regardless
f the route of administration, whenever progression
death is prolonged, an additional injection of
sodium pentobarbital should be given. Sodium
entobarbital must not be injected by any non -
vascular route (e.g., subcutaneously, introm'uscularly,
intrathoracic, intrapulmonary, introhepatic, 'or
intrarenal) other than the IP route discussed above,
as these routes are associated with pain and
distress. Intra-cardiac injections are unacceptable
unless it has been reliably verified that the animal is
unc
d
onscious, comatose or anesthetized (i.e., lack of
eep pain/toe withdrawal reflex).
To avoid causing undue stress and anxiety, the
I amount of physical restraint necessary to
perform the procedures safely must be used.
Pre euthanasia drugs should be administered to
animols who are aggressive, severely distressed
or frightened. The most appropriate pre -euthanasia
drugs are anesthetics: a common and cost-
effective combination is a mixture of ketamine
and xylazine (Fakkema 2009). Acepromazine
is not recommended as a sole tranquilizer prior,
to euthanasia because it provides no analgesia
and has unpredictable effects. Xylazine, when
used alone, may induce vomiting which can be,a
welfare concern especially when muzzles are used.
Veterinary guidance should be used for selection of
pre euthanasia drugs.
Th
aJ Carbon monoxide
e use of carbon monoxide as a method of
euthanizing dogs and cats in shelters is unacceptable
r
Euthanasia
due to multiple humane, operational and safety
concerns (ASV position statement on euthanasia,
2010; NACA 20101. As mentioned previously, an
acceptable method of euthanasia must be quick and
painless, and should not cause distress. Any gas
that is inhaled must reach a certain concentration in
the lungs before it can be effective (AVMA 2007).
The high gas flow rates necessary to achieve the
recommended concentration of 6% can result in
noise levels that frighten animals. Placing multiple
animals in a chamber may frighten and distress
the animals and dilute the effective concentration
of carbon monoxide that each animal receives,
creating a haphazard euthanasia experience that
can be prolonged, painful and ineffective.
Agents inducing convulsions prior to loss of
consciousness are unacceptable for euthanasia
(AVMA 2007). Carbon monoxide stimulates motor
centers in the brain and loss of consciousness may
be accompanied by convulsions and muscular
spasms (AVMA 20071. One 1983 study of the
effects of a 6% concentration of carbon monoxide
on dogs could not establish the precise time that loss
of consciousness occurred, and dogs were observed
to be vocalizing and agitated (Chalifoux 1983),
Carbon monoxide is extremely hazardous to human
health because it is toxic, odorless and tasteless; it
also has the potential to cause an explosion at high
concentrations (AVMA 2007; NIOSH 2O04). The
death of at least one shelter worker using carbon
monoxide has been documented (Rhoades 2002;
Gilbert 2000; HSUS 2009b; NIOSH 2O04).
Chronic exposure to low levels of carbon monoxide
can also cause serious human health problems
(AVMA 2007).
Use of carbon monoxide cannot be justified as a
means to save money, take shortcuts, or distance
staff emotionally and physically from the euthanasia
process. Studies have shown that carbon monoxide
is actually more expensive than euthanasia by
injection (Fakkema 2009; Rhoades 2002). It takes
longer than euthanasia by injection and has not been
shown to provide emotional benefits for staff. Some
shelter workers have reported being distressed by
I animals vocalizing, scratching and howling
in the chamber, and by having to repeat the process
when animals survived the first procedure.
bJ Verification of Death
Death must be verified by multiple methods by
trained staff before any animal's body is disposed.
This is true even if the animal is not euthanized but
presumed to be dead when found. After the animal
loses consciousness, the absence of the following
should be confirmed: pupillary and corneal
reflexes; toe withdrawal; pulse; respiration; and
heartbeat. Because lack of a palpable pulse does
not confirm that the heart has stopped, cardiac
standstill must be confirmed with a stethoscope or
visual verification. One method of visual verification
is to insert a needle and syringe into the heart to
observe for lock of cardiac movement. This method
has the advantage of providing visual verification
of cardiac standstill and access to the circulatory
system should additional euthanasia solution need
to be administered. Another certain method of
verifying death is by the presence of rigor mortis.
Failure to use multiple methods may result iri a
failure to recognize a coma -like state that animals
may emerge from several hours after having been
presumed dead,
�n�ir®nm�niand Eq"ipmenf
p A searate room should be designated for
euthanasia in a quiet area away from the main
pattern of foot traffic to minimize distractions and
interruptions. The room should have adequate
lighting and be large enough to comfortably
accommodate the equipment, two to three staff
members, and the animal being euthanized. In
order to prevent distractions and assure a smooth,
dignified, and safe operation, only the people,
directly involved in euthanasia should be in the room
when procedures are being performed.
It is important that the euthanasia room is properly
equipped in order for a safe and humane procedure
to take place. This equipment must include a table
Intro -cardiac
I are
unacceptable
unless it has been
reliably verified
that the animal
ZS ZlnconsciouS,
comatose or
anesthetized
The use of carbon
monoxide as
a method of
euthanizing
dogs and cats
in shelters is
una
mu
cceptable due to
ltiple humane,
operational, and
safety concerns,
Guidelines for &anda?zls of Care in Animal Shelters
that can be readily disinfected, good light source,
a universal microchip scanner, hair clippers,
stethoscope, a variety of needles and syringes,
tourniquets, muzzles, and restraint equipment.
Scales for accurate weighing should also be
available. A new needle should be used for each
The euthanasia surface should"be cleaned before
every procedure. The euthanasia room and
equipment should be cleaned and disinfected
after every euthanasia period. Staff performing
euthanasia should wear protective garments, which
must be removed before going on to other animal
care activities.
Animals should not be permitted to observe or hear
the euthanasia of another animal, nor permitted
to view the bodies of dead animals. Puppies and
kittens with their mothers are an exception. When
selected for euthanasia, mother animals should be
euthanized prior to their offspring so that they will not
be distressed at being separated from their litter, or
by seeing the puppies or kittens dead. The puppies
and kittens should be euthanized immediately
following the mother (Sinclair 2004).
' 3a nd of��j�i�g aged
A record log to document each animal's
identification, amount of euthanasia solution and
pre -euthanasia drugs received, dispensed and
fe
All staff participating in euthanasia must be
provided with the proper training. Ideally, those who
administer drugs should be certified and trained
by a licensed veterinarian, a certified or licensed
veterinary technician, or a certified euthanasia
technician or trainer. Regulations stipulating who
may provide training or supervise euthanasia vary
from state to state and may vary regionally; shelters
are required to act in accordance with state and
federal regulations.
d
42
Spay and
neutering
Animal shelters should require that cats and dogs
who are adopted into homes be spayed or
neutered (AVMA 2009; Looney 2008; Kustritz
20071. Consideration must be given to individual
animal health or circumstances that would create
the need for an exception. Surgical sterilization
(spaying or neutering) prior to release to adopters,
including kittens and puppies as young as 6 weeks
old, remains the most reliable and effective means
of preventing unwanted reproduction of cats
and dogs and decreasing their birthrates (AVMA
2009a; AVMA 2009b; Looney 2008; Kustritz
2007). When prompt, pre -placement surgery is not
available and other spaying or neutering programs
(e.g., vouchers) are implemented, these programs
should include an effective method of follow-up
to confine that the surgery has been completed.
Allowing shelter animals to breed is unacceptable.
Spaying or neutering cats and dogs awaiting
adoption for more than a few weeks is strongly
recommended as the rapid decline in spraying,
marking, and fighting and the elimination of heat
behavior and pregnancy, which can be expected
following spaying or neutering (Hart 1973, 1997;
Johnston 1991), will reduce animal stress (Griffin
2009a).
AA
�uid�lane�
Detailed guidelines for spaying or neutering
programs have been published (Looney 2008).
Spaying or neutering surgery must be performed by
veterinarians or veterinary students under the direct
supervision of a veterinarian in compliance with all
legal requirements (AAHA 2008; AVMA 2008;
Looney 2008), Medical records must be prepared
for every patient indicating the surgical procedure
and anesthesia administered. All controlled
substances must be maintained in accordance with
DEA requirements.
A veterinarian must make the final decision
regarding acceptance of any patient for surgery
based on physical examination and medical history
(if available) as well as the copacity of the surgery
schedule (Looney 2008). Patients undergoing
elective surgery should be in good health and free
from signs of infectious or other disease. However,
veterinarians must weigh the risks and benefits of
spaying and neutering patients with mild infectious
or non-infectious medical conditions in the context
of the animal shelter, where future opportunities for
that animal to receive care may not be available
and the alternative outcome may be euthanasia.
Although some conditions may increase the risk
of complications, the benefits of neutering likely
outweigh these risks in an animal shelter. Cats and
dogs who are pregnant, in estrus, or have pyometra,
as well as those with mild upper respiratory disease,
can be safely spayed or neutered in most cases
(Appel 2004; Looney 2008).
Appropriate housing must be provided for each
animal before and after surgery (Looney 2008).
Enclosures must be secure and provide a flat surface
that is clean, dry and warm with adequate space for
the animal to turn around, while allowing for safety
at various stages of sedation and anesthesia and
good visibility by the staff. Animals who are feral
or difficult to handle should be housed in enclosures
that allow for administration of anesthetics without
extensive handling, and they should be returned
to their enclosures when adequately recovered but
prior to becoming alert (Griffin 2009c; Looney
2008). Ideally, dogs and cats should be housed in
separate areas.
While surgery is being performed, the operating
area must be dedicated to surgery and contain the
necessary equipment for anesthesia and monitoring.
Infectious disease control must be practiced to
prevent transmission among patients (Looney
2008). Aseptic surgical technique is required and
separate sterile instruments must be used for each
patient. Balanced anesthetic protocols that include
sedation, the provision of pre and post -operative
analgesia, stress reduction, muscle relaxation
and controlled, reversible loss of consciousness,
Spay/neater
Animal shelters
should require that
Ca and dogs who
a�^e adopted into
homes be spayed or
neutered
A veterinarian
must make the
finaI decision
regarding
acceptance of
any patient for
St y
43
Guidelines for Standalzls of Care in Anima! Shelters
Allowing shelter
animals to Greed is
unacceptable.
are required (AAHA/AAFP 2007; ACVA 2009;
Looney 2008). Patients must be monitored by
trained personnel (ACVA 2009; Looney 2008).
In addition, plans must be in place to handle any
emergency that might occur.
In the postoperative period, care must be taken to
provide patients with a smooth transition from the
anesthetized state (Griffin 2009c; Looney 2008).
Patients must be evaluated immediately prior to
release and clear instructions (written and verbal) for
postoperative care must be provided. Finally, policies
for managing complications and emergencies that
occur within the 48-hour period after surgery must
be in place (Griffin 2009c; Looney 20081.
d
m
Animal shelters may be involved in transport of
animals locally, regionally or internationally. The
term "animal transport" is typically used to apply
to programs in which animals are transferred over
some distance from one organization or individual
to another. However, the recommendations
in this section should apply regardless of the
purpose, distances or parties involved, as careful
management and planning are always required to
ensure animals' comfort and safety and minimize
risk of disease transmission.
For many animals, animal transport is a life saving
measure, but it also poses risks. Animal transport
programs have the potential to spread infectious
diseases along animal transport corridors and
to new destinations. The stress of transport may
increase susceptibility to infection or increase viral
shedding. Risk of exposure to infectious disease
is increased when animals who originate from
multiple sources are transported in the some vehicle.
In addition to affecting the individual animals
transported, transportation programs may impact
other animals at the source and receiving shelters
in both positive and negative ways. Therefore, risks
and benefits for all animals affected by a transport
program must be carefully weighed. Reasonable
care and precautions help minimize the risk, and
well planned transport programs can be very
successful.
These standards are not intended to apply to disaster
situations in which sudderi large-scale evacuations
are necessary. Exceptions may be necessary for
transport in emergency situations, where short-term
compromises may have to be made; however, pre-
planning for potential disasters is recommended
to minimize deviation from accepted transport
practices. Compromises should not be made when
there is ample opportunity to plan.
a) Generai
Clear, direct, communication is essential among
those involved in any transport program. A
written record of all involved parties, including
responsibilities for each, should be kept in sufficient
detail to allow a trace back to the animal's origins.
A contact person must be identified at each
transfer point. Ideally, written guidelines that all
parties can agree to should be developed jHSUS
2003; PetSmart 2006). Guidelines should address
medical and behavioral selection criteria, as well
as transportation and destination requirements. For
interstate transport, current rabies vaccination is
an import requirement for dogs in all states in the
United States. The majority of states also require
rabies vaccination for cats. A valid Certificate of
Veterinary Inspection (e.g., health certificate) is
also required by most states. It is recommended
that transporters become familiar with the import
requirements far all destinations, which, for states in
the United States, are usually regulated by the state
Departments of Agriculture and/or Health. Although
airline requirements are not legal requirements
many airlines have specific requirements for animal
passengers.
bf Responsibilities at Point of Origin
The shelter where the animals originate should
ideally have a comprehensive preventive healthcare
program, Animals destined for transport must be
vaccinated prior to or upon intake at the organization
of origin and should be treated for internal and
external parasites. In addition to any examinations
required by state or federal transportation
regulations, all animals being transported must
be examined within 24 hours of transport for any
problems. Animals' health and behavior, as known
at the source shelter, must be accurately described
and communicated.
Animal Transport
Rislzs and benefits
for all animals
affected by a
transport program
must be carefully
weighed,
Clear, direct,
communication
is essential among
those involved
in any transport
program.
Gnidelr.'rzes for Standarzls of Care in Animal Shelters
Animals in
transpoF must
be observed
Periodically and
allowed to rest,
exercise, and
urinate and
defecate
at least every
4-6hours.
Clearly written health records that describe health
status and identify animals (health certificate,
rabies certificate and copy of shelter record) must
accompany each animal. Animals should be
identified by a collar, tag, tattoo, microchip, or
any combination of these methods so that their
information can be matched upon arrival. In order to
minimize the risk of infectious disease and optimize
cJ Responsibilities During Transport
Primary Enclosure and Occupancy
The live Animal Regulations (LAR) issued and
maintained by the International Air Transport
Association (IATA) and the Animal Welfare Act do
not directly apply to surface transport of shelter
animals but they are excellent references for animal
transportation. Many of the recommendations below
are derived from these regulations.
During transport, animals must have adequate
space, comfortable environmental conditions,
and good air quality. Additionally, drivers should
be careful to avoid subjecting animals to sudden
acceleration and deceleration stresses, or excessive
lateral movement (cornering), noise or vibration.
Primary enclosures must be large enough for animals
to stand and sit erect, to turn around normally while
standing, and to lie in a natural position. Unfamiliar
animals must not be transported together in the
same primary enclosure. If more than one animal
is in the primary enclosure, there must be enough
space for each occupant to lie down comfortably
at the same time without needing to lie on top of
each other. The enclosure must be sturdy and permit
adequate ventilation. There should be no sharp
edges. Flooring must prevent injury, discomfort, and
leakage of fluids into other enclosures. Absorbent
bedding should be provided. Animals must be
safely and securely confined within the enclosure.
Doors on primary enclosures must be secured to
prevent accidental opening. Primary enclosures must
be secured to prevent movement within the vehicle
during transport,
D
Animals should not be sedated unless recommended
by a veterinarian because this can make them more
vulnerable to hypothermia, dehydration, and injury.
If animals are sedated, veterinary guidance must be
provided for their care.
ehicles
Vehicles must, at minimum, adhere to all federal or
I statutes, recognizing that these regulations may
not be sufficient to ensure animal safety and welfare.
Crates and cages must not be stacked upon each
oth
disc
er in a manner that increases animal stress and
omfort, compromises ventilation, allows waste
material to fall from the cage above into the cage
below, interferes with care and observation, or
hinders emergency removal.
Each primary enclosure must be positioned in the
animal cargo space in a manner that provides
protection from the weather and extremes of
temperature. As in stationary facilities, the ambient
temperature should be kept above 60OF ("15.5°C),
and below 80°F (26.6°C) (AVMA 2008a). A
thermometer should be placed in the animal area of
the vehicle at the level of the animals (NFHS 2010).
m
Fresh air free of vehicle exhaust fumes must also be
ensured (CDA 2009). The vehicle, including the
cargo space, should be heated and cooled when
necessary to provide for normal thermoregulation
(CDA 2009). Placing unconfined or tethered
animals in the back of an open pickup truck for
transport is unacceptable and illegal in many
jurisdictions. Particular attention must be paid
to provision of shade, as a vehicle parked in full
sun, even in comfortable temperatures, can rapidly
exceed safe temperature levels.
Transporter Responsibilities ,
The vehicle driver or animal attendant must have
sufficient training in animal health, welfare and safe
issues to recognize and respond to animal needs
during transport. Although no federal regulations
exist to limit the distance of travel for companion
animals, risk to animal health and welfare increase
with the length of the journey. For example, the
Federal 28 Hour Law requires that, for every 28
hours of interstate travel, all livestock be provided
at least 5 hours of rest during which they must be
off-loaded and given food and water (US Code Title
49 Chapter 805).
All dogs and cats must be observed and allowed
to rest every 4-6 hours (NFHS 2010). In addition,
adult dogs must be allowed to exercise and
eliminate every 4-6 hours. The AWA requires the
driver or animal attendant to observe dogs and
cats as often as circumstances allow, but not less
than once every 4 hours (USDA/APHIS Section
3.90 Care in transit). Maximum transport time to an
intermediate or final destination shelter should be no
more than 12 hours (NFHS 20101. Animals should
not be left unattended when it may be detrimental to
their health and safety.
Food must be provided at least every 24 hours
for adults and more frequently for animals under b
months old. Caregivers are charged with providing
for the individual nutritional needs of the animals.
Because of increased physical stresses, requirements
for food and water may be increased during
transport, compared to normal nutritional needs. If
water is not available at all times it must be provided
at frequent at least every 4 hours) observation stops.
Animal enclosures must be cleaned and any litter
replaced as often as necessary to prevent soiling of
the animals (e.g., vomit, urine or feces). If it becomes
necessary to remove the animals in order to clean,
safeguards must be in place to ensure animal safety
and prevent escape.
dJ Responsibilities at Destination
Points of destination must have enough trained
personnel ready to receive and evaluate animals
upon arrival at the destination facility. Each animal
should receive a documented physical examination
at the time of arrival. Veterinary care should be
available on arrival for any animal requiring care.
The facility must have adequate housing prepared
for
Animal Transport
Pl
Guidelines for Standarzls of Care in Animal Shelters
Public Health
Noise abatement
matey°ials should be
utilized in animal
holding areas, and
hearing protection
must be provided
for employees
working in loud
environments.
It is essential that animal shelters take necessary
precautions to protect the health and safety of
animals, people and the environment in the shelter
as well as in the community. An organization's
mission should never be achieved at the expense of
public health and safety.
Animal shelters must maintain compliance with
federal and state occupational and safety
regulations regarding chemical, biological, and
physical hazards in the workplace. Organizations
such as Centers for Disease Control (CDC),
National Institute of Occupational Safety and
Health (NIOSH) and Occupational Safety and
Health Administration (OSHA) produce guidance
documents for developing a health and safety
program (OSHA Fact Sheet Job Safety and
Health"), and for hazard specific issues that may be
relevant to shelters such as chemical safety (OSHA
Assistance for Cleaning Industry), waste anesthetic
Exposure to excessive noise (e.g., barking, slamming
cage doors, compressors or other equipment may
lead to irreversible hearing loss; this risk is often
under -recognized. Sound levels in some animal
shelters regularly exceed 100 db (Sales 1997),
creating a health and welfare issue for both the
animals and the employees (NIOSH Report No.
2006-0212-3035; NIOSH Report No. 2007
0068-3042). Noise abatement materials should
be utilized in animal holding areas, and hearing
protection must be provided for employees working
in loud environments. (See section on Facilities for
information on controlling noise levels.)
Personal protective equipment (PPE), such as gloves,
smocks, goggles, masks, etc. must be provided
by the employer in order to protect employees
from exposure to chemical and biological agents
(OSHA Personal protective equipment). PPE must
b
inc
e available in sizes to accommodate all staff,
luding those with special concerns such as latex
allergies. Selection of appropriate PPE will be site -
and taskspecific (CDC Guidance for the Selection
and Use of Personal Protective Equipment (PPE) in
Healthcare Settings 2004); therefore a hazard
analysis is recommended as part of a health
and safety program. Employees and volunteers
should wear gloves and change them frequently
while cleaning and disinfecting, especially when
removing animal waste. Eye protection should be
worn when working with cleaning or disinfection
agents (NIOSH Report No. 2007-0068-3042),
F
Smoking should not be allowed in animal shelters
because of the risk of fire and documented health
hazards to humans and animals associated with
second-hand smoke (Rief 1998; Roza 20071.
� . Z®®noses
Zoonotic diseases are defined as those that can
be transmitted from animals to people. All people
are at risk of infection by zoonotic agents, but those
who are immune -compromised are at increased
risk. Many people may not be aware of their
compromised immune status. Immunity may be
weakened due to age, disease, pregnancy, or
medical treatment.
m
P:tblic Health
The infectious disease surveillance and control
recommendations to prevent animal -to -animal
transmission discussed in the section on Medical
Health and Physical Well-being will also aid in
the prevention of disease transmission to humans.
Reliable information on specific zoonotic diseases
can be found on several websites (CDC 2009;
ISU Center for Food Security and Public Health
Zoonoses Resources 2010; Seattle and King
County Zoonotic Disease Program 20101, Shelters
should provide periodic staff and volunteer training
and information on the recognition of potentially
zoonotic conditions and the means of protecting
others from exposure. Training should also identify
to whom concerns should be reported and how
to respond when zoonotic disease is suspected or
confirmed. Ideally, the written infection control plan
for the shelter should address zoonotic concerns
and be available to all staff and volunteers: a
model plan for veterinary hospitals has been
published (NASPHV 2008aj. Reporting to state
human or animal health authorities is required for
some diseases je.g., rabies, anthrax, tularemia, and
brucellosis). It is each shelter's responsibility to know
which animal diseases are reportable. A list can be
obtained from the state veterinarian; information on
animal diseases of interest to public health can be
obtained from the state public health veterinarian or
state epidemiologist.
The public should not have unsupervised access
to areas where animals are isolated for zoonotic
conditions; staff access to those areas should
be limited. Enclosures of animals with suspected
zoonotic disease must be clearly marked to indicate
the condition and any necessary precautions,
Shelters should institute good preventive medicine
protocols such as prophylactic deworming and
external parasite control to decrease the potential
for exposure to zoonotic pathogens (CAPC 2008).
Food and drink should not be consumed in areas
where animals are housed, and use of items
the public may bring in, such as spill -proof cups,
pacifiers, teething toys, and baby bottles should
be discouraged in these areas (NASPHV 2009j.
To further reduce the risk of zoonottc disease
transmission, animals should not be allowed in areas
where food is prepared or consumed (NASPHV
200914
Information about zoonotic diseases should be
made available to visitors, adopters and foster -
care providers. As a person's immune status is
privileged medical information the question should
not be asked; signage and literature can be used to
communicate the increased risk of zoonotic disease
for persons who are immune -compromised. Literature
shAd suggest that immune -compromised adopters
discuss pet selection with healthcare professionals
before adoption. If inquiries are made, shelter staff
shAd refer people to published guidelines or their
healthcare provider (CDC 2009; PAWS 2006).
Each year millions of people are bitten, scratched
or otherwise injured by companion animals. While
estimates vary widely, researchers agree that
bite occurrences are underreported and animal "
bites represent a significant threat to public health
(Patronek 2009j. Fewer bites are reported from cats
than from dogs; however, a much higher percentage
of cat bites become infected compared to dog bites
)Garcia 1997j. Bite and scratch infections can
become quite severe, even if tissue trauma appears
minimol, and may even be fatal. It is impossible to
predict which injuries will lead to serious infection.
Therefore, all persons injured by an animal should
seek medical advice.
Rabies is a fatal disease that is present in all of the
states except Hawaii, and is prevalent in many parts
of the world. Shelter staff must be able to identify
potential rabies exposures and understand the
regulations that apply to reporting and managing
bites to humans and animals. To identify possible
rabies exposures, all persons presenting an animal
must be asked if the animal has bitten anyone within
the last 10 days or had any recent contact with
wildlife. All incoming animals should be examined
for bite wounds; animals who have potentially
m
Guidelines for Standards of Care in Animal Shelters
Housing that
requiares dogs to
be removed by
use of a control
pole or cats to be
removed using nets
01A tongs for daily
cleaning and care
is unacceptable;
alternative housing
must be provided
for those animals.
A thorougl�
investigation
Of individual
circumstances
must be
undertaken before
consideration
is given to
re -homing an
animal with a
history of biting
or threatening
behavior.
been exposed to rabies should be managed in
accordance with the NASPHV Rabies Compendium
and in consultation with state and local health
authorities (NASPHV 2008b).
Due to a higher risk of exposure, persons who
routinely work with companion animals or wildlife
should receive pre -exposure vaccinations against
rabies in accordance with recommendations of
the Advisory Committee on Immunization Practices
(CDC 2008). To help control animal rabies in
the community, animal shelters should vaccinate
for rabies prior to adoption whenever possible or
require that adopted animals receive vaccinations
against rabies after adoption (NASPHV 2008b).
In order to prevent bites and other animal -associated
injuries, all staff and volunteers should have
proper training in basic animal handling skills,
including the recognition of potentially dangerous
behaviors. Clear policies must be developed and
enforced regarding the management of animals
with behavioral concerns. The cages of animals
known to be aggressive or potentially dangerous
must be clearly marked to advise caution. These
animals should be housed such that staff members
can safely provide care without removing the
animal from the primary enclosure (e.g., double -
sided guillotine -separated runs, feral cat boxes).
ousing that requires dogs to be removed by use of
a control pole or cats to be removed using nets or
tngs for daily cleaning and care is unacceptable;
alternative housing (e.g., double -sided cages or
feral cat boxes) must be provided for those animals.
The public should be prevented from having contact
with potentially dangerous animals. Access to
areas where potentially dangerous animals are
held should be restricted; a staff member should
accompany visitors when access is necessary.
H
o
Animals believed to be dangerous should not be
re -homed. A thorough investigation of individual
circumstances must be undertaken before
consideration is given to re -homing an animal with
a history of biting or threatening behavior. Those
with questionable behavior should be thoroughly
assessed by persons with training and experience in
animal behavior. All behavioral concerns should be
documented and discussed with potential owners
before adoption; recommendations for management
should also be provided.
�tommorrro oall Mes'Ostancre
Emerging and re-emerging diseases (e.g., canine
influenza virus and virulent systemic feline calicivirus)
have been recognized in shelters (Crawford 2005;
Hurley 2004c; Schorr -Evans 2003). Since nearly
75% of emerging infectious diseases that affect
h
s
umans are of animal origin (Taylor 2001), animal
helters should monitor for signs of unusual or severe
disease. Early detection can play an important role
in minimizing the impact of an emerging disease on
both animal and human health. Caring for multiple
species, housing animals from various locations,
and frequent introduction of new individuals within
a population can create a favorable environment for
the mutation and spread of pathogens (Pesovento
2007). Separation of species, proper population
management, and proper sanitation should be
employed to reduce the risk of development of novel
pathogens.
Th
B
cert
e development and spread of antimicrobial
resistance is a serious concern in animal shelters.
acteria are capable of developing resistance to
ain drugs. In some cases, this resistance can be
passed on to other bacteria, including those that
cause infections in both animals and people. One
outbreak of multidrug-resistant Salmonella in a shelter
caused 49 confirmed human illnesses, Including 10
hospitalizations (Hurley 2004b); outbreak response
included closing the facility for a period of time.
It
Sta
should also be noted that methicillin-resistant
phylococcus aureus (MRSA), while primarily
a human pathogen, can contaminate public
environments and infect multiple animal species,
including cats and dogs (Baptiste 2005; Weese
2005a, 2005b). Routine use of antibiotics to
prevent infection in healthy animals is unacceptable
50
Paablic Health and Conclusions
and must never be used as a substitute for good
animal health management (AAFP/AAHA 2006).
(See section on Medical Health and Physical
The authors hope that shelters and communities will
look to this document to ensure that all animals in
shelters everywhere are properly and humanely
cared for, regardless of the shelter's mission or
circumstance. The Guidelines for Standards of Care
in Animal Shelters are intended as a positive tool
for shelters and communities to review animal care,
Well-being for more information on medical
treatment.)
identify areas that need improvement, allocate
resources and implement solutions so welfare is
optimized, euthanasia is minimized, and suffering
is prevented. The ASV will review feedback to
these recommendations and revise this document
periodically as additional information becomes
available.
Routine use of
antibiotics to
vent infection in
healthy animals is
unacceptable and
must never be used
as a substitute for
good animal health
management.
51
Guidelines for Standards of Care in Animal Smelters
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62
Analgesic —medication to treat pain
Animal Welfare Actr —signed into law in
1966. It is the only Federal law in the United States
that regulates the treatment of animals in research,
exhibition, transport, and by dealers. It does not
:over shelters
Antimicrobial — a substance that kills or inhibits
the growth of pathogens such as bacteria, fungi, or
protozoas, as well as destroying viruses
6ioactrive —anything that has an effect on living
tissue
Circadian 6�hytrhm — a 24-hour cycle in the life
processes of animals, often used in reference to
cycles of light and darkness
Cohort — a group that moves together
Cvroup-housing — placement of multiple animals
in a primary enclosure
Incubation period —the period of time from
when an animal is first infected with a pathogen
until clinical signs of illness first appear
Infectious dose —the number of pathogens
required to cause infection and disease
Intake —the point of admittance of animals into
the shelter
Intracardiac (IC) —administered directly into the
heart
Intramuscular (IM) —administered into the
muscle
Depopulation — to significantly reduce the Intraperitoneal (IP) —administered into the
number of animals in the shelter through euthanasia peritoneal cavity or abdomen
Disinfection — a process that will kill most of the
pathogens in a given area
llhl
is usuay a cemica
In shelters a disinfectant
Endotoxin— substances released by or part of
certain bacteria, which can have toxic effects on
people or animals
Enrichment — a process for meeting the
behavioral needs of animals by improving their
environment or behavioral care (e.g., toys,
perches, beds, hiding places, etc.)
Euthanasia — to cause the death of an animal
using humane techniques. For purposes of this
document, humane euthanasia is accomplished
Intravenous (IV) —administered into a vein
Inventory — number of animals in the shelter's
care; census
Isolation — a physically separate area of the
shelter used to house and treat sick animals
Length of Stay —period of time an animal is
under th'e shelter's care, from intake to exit
Long-term —see "How to Use This Document"
section
Neuter —removal of the testicles in a male animal
with an intravenous or intraperitoneal injection of a Off -label use of a medication —use of
solution of sodium pentobarbital a medication in any way not indicated by the
manufacturer's label
Fomite — an object that may become
contaminated and transmit pathogens from
one animal to another (e.g., hands, clothing,
equipment)
OSHA —Occupational Safety and Health
Administration; the federal agenry charged with
enforcement of safety and health legislation
Glossary of terms
63
Guidelines for Standards of Care in Animal Shelteis
Glossary of terms
pathogen - a biological agent that may cause Sterilization -destruction of all pathogens using
disease or illness in an animal heat or chemicals; also used in this document in the
context of surgical sterilization (e.g., spay or neuter)
primary enclosure — a restricted area
designed to confine an animal such as a cage,
run, kennel, stall, or pen. In most sheltering
Stereotypic behaviors -repetitive behaviors
exhibited in the primary enclosure that usually
situations, this is where an animal eats, sleeps, and indicate stress such as circling, leaping in the air,
spends the majority of its time
(quarantine - a separate area of the shelter
Random mixing —haphazard placement of
animals originating from different groups together
Re -home - to adopt or place in a private home
setting
Rounds - a process of walking through the shelter
to visually observe and monitor the needs, status,
health, and well-being of every animal
Sanitation -procedures of cleaning and
disinfection to remove In and control and destroy
pathogens in the environment
Socialisation - a process of familiarizing
animals with a variety of stimuli, including direct
contact between animals and humans during their
critical period of early. development; may also refer
to animals of any age spending time with one
another
Spay -removal of the ovaries in female animals;
may or may not include removal of the uterus
acing
Stressor —any factor that creates stress
Subcutaneous (SC) -administered under the
skin
Surveillance -monitoring of a population to
detect changes in health, behavior, or welfare
Tethering -securing animals with a rope, chain
or other device to a fixed point in order to restrict
their movement
vete
Veterinary supervision - a veterinarian
watches over and provides guidance over
designated tasks; may or may not involve daily
involvement or on- site presence of the veterinarian
Zoonoticinfectious disease that can be
transmitted from non -human animals to humans