Spring 2018 Newsletter
AAEVT
Amer ic an Asso c iat ion of Eq uine Ve t er inary Tec hnic ians & Assistant s Message from the President I am honored to have been elected your 2018 President. My passion for horses began before I could even crawl. Growing up, I often wondered how I would be able to combine my passion of horses with a fulfilling career. After obtaining my bachelor’s degree I bounced around in a few equine positions, one of those as a professional groom, before accepting an administrative position at San Dieguito Equine Group. It was there I was nurtured and encouraged to pursue a formal technician education. With their support, I obtained my RVT degree. When I first joined AAEVT I was searching for that sense of community within my new found industry. I can still remember my first AAEVT wet lab, it was a milestone for me. I fumbled through putting on sterile gloves (in a very non formal manner!) and volunteered to process IRAP in front of the group. What was most significant about that moment was the opportunity to share a learning experience with others through great mentorship. My teachers were knowledgeable and my peers were patient. They supported me as I became a better technician and a stronger AAEVT member.
Nicole Lagrange, 2018 AAEVT President
As this year’s president, my goal for 2018 is for EVERY member to have that moment. I want each and every one of you to reach new career highs. I want the activities of the AAEVT to be the cornerstone of the support you need to enhance your careers and our profession through our wet labs and CE events.
With these enhanced skills, I want our technicians to be recognized for the important role they can play in the delivery of compassionate and sophisticated equine veterinary medicine. The AAEVT’s mission is “To promote the health and welfare of the horse through the education and professional enrichment of the equine veterinary technician, assistant, and staff ”. In 2018 I challenge you to get involved in our association and take part in elevating yourself and our profession! Sincerely, Nicole Lagrange, RVT 2018 AAEVT President
CALENDAR OF EVENTS
AAEVT Anesthesia Society SE Educational Event - Rood & Riddle Equine Hospital - Lexington, KY - JUNE 15-17 AAEVT/TEVA CE Event - Marble Falls/Horseshoe Bay, TX - AUGUST 9-11 AAEVT Regional CE Event - New Bolton, PA - AUGUST 11-12 AAEVT Regional Event @ NEAEP Symposium - Saratoga Springs, NY - SEPTEMBER 26-29 AAEVT Annual Convention - San Francisco, CA, - DECEMBER 1-4
AAEVT Northwest Regional Education Event Recap This past weekend’s spring AAEVT Continuing Education event was held in Nampa, Idaho at Idaho Equine Hospital. Most attendees arrived on Saturday afternoon for a quick meet and greet and a tour of the facility. This event was sponsored by Dechra. The attending Dechra representative, Emilee, generously arranged for us to indulge in a delicious taco and drink bar. Everyone arrived bright and early on Sunday morning for a yummy meal from Panera Bread to get us powered up for our day. We started our day with a great presentation by Dr. Shane Smith on foal restraint, examination, and common medical conditions. Participants then walked out to the barn for a demonstration of how to use a horse-sized halter as a harness for handling newborn foals. The next presentation was with Dr. Stuart Shoemaker on regenerative medicine, focusing mainly on blood and bone-based products. He discussed many commonly used modalities, including IRAP, PRP, Pro Stride, Stem Cells, and more. This topic also included an opportunity for participants to learn how to use a shockwave system and to understand its most common uses. Following Dr. Shoemaker was a presentation on acupuncture and pain management by Dr. Morgan Oakleaf who came all the way from Denver, Colorado to share with us her experience with acupuncture and its use in pain management for horses in different disease states. Rounding out our morning was Joan Maier-Bone, CVT providing us with an extensive list of tests that could be run with blood, tissue, and urine samples. Joan’s presentation concluded with a tour through Idaho Equine Hospital’s impressive laboratory and a demonstration of various pieces of lab equipment. A delicious sandwich lunch was provided by Dechra to get us powered up for the afternoon on our feet. Dr. J.D. Conway from Dechra provided us with a review of anatomy and needle placement for various procedures prior to heading out to the barns. At the barns, participants paired up and picked a cadaver limb for our distal nerve block, joint block, and anatomy review lab. Participants enjoyed the time to learn about the joint and peripheral nerve locations via needle placement for procedures. Most participants chose to fully dissect their cadaver limb to visualize the main lower limb structures. This allowed participants to appreciate the size and strength of many of the tendons and ligaments that are frequently used as landmarks for palpation during procedures. One group was able to open the hoof capsule due to the cadaver’s injuries. This was a fantastic experience for participants to visualize the interior of the hoof! Our day concluded with a specialty diagnostic imaging presentation given by Dr. Jared Sharp. We covered nuclear scintigraphy, MRI, CT scan, and x-ray. Dr. Sharp helped us understand the strengths and limitations of each imaging modality. Participants enjoyed a tour of the imaging rooms at Idaho Equine Hospital (including the onsite mobile MRI truck!). Finally, MWI provided us with a nice reception to say our goodbyes, ask any follow-up questions, and most importantly, leave with a full stomach for our return home. Overall, the day was filled with education, fun, and excellent opportunities for peer networking. We hope to see you all at our next continuing education event!
2018 AAEVT Regions & Regional Contacts US West
AK, AZ, CA, CO, HI, ID, MT, NV, OR, UT, WA, WY
US East
AL, CT, DE, FL, GA, KY, MA, MD, ME, MS, NC, NH, NJ, NY, OH, PA, RI, SC, TN, VA, VT, WV
Meg Schenk
Mandy Zachgo
Kirsten Pace
Jaime Newbill Hicks
rckymtnhighmjs@gmail.com
mzachgo@ucdavis.edu
pacenme@yahoo.com
jaimelvt84@gmail.com
CO, ID, NV, WY 303-668-2936
AZ, HI, MT, UT 805-708-7400
MA, ME, NH, NY, VT 845-399-1681
Fl, KY, MD, TN, VA, WV 804-690-0389
Jenna Powell
Kristine Matarazzo Jlynn Flint
jfarley@sdequine.com
kmatarazzo@hotmail.com
CT, DE, NJ, OH, PA, RI 908-268-5237
AK, CA, OR, WA 415-505-5731
US Central
AR, IA, IL, IN, KS, LA, MI, MN, MO, ND, NE, NM, OK, SD, TX, WI
Jackie Camacho
IA, IL, IN, MI, MN, ND, SD, WI
909-967-0113
jacamacho1120@gmail.com
Karen Chapman TX, LA, OK 979-255-1252
kchapman@cvm.tamu.edu
Katie Jones
AR, KS, LA, MO, OK, TX 612-298-9964 jones1035@gmail.com
AL, GA, MS, NC, SC 607-742-1331
US Central
IA, IL, IN, MI, MN, ND, SD, WI
909-967-0113
jacamacho1120@gmail.com
Deborah B.Reeder
CFO Katie Soobrian
President Nicole Lagrange
President-Elect Lindsey Schoelen
San Dieguito Equine Group
Tennessee Equine Hospital
nicolelagrange@gmail.com
lschoelen@tnequinehospital.com
Executive Director/CEO B.A., RVT, VTS-EVN 544 Saddleridge Dr. Wimberley, TX 78676 Cell: (214) 505-1548 Fax: (760) 301-0349 DBReeder@gmail.com
RVT, BA DVM Access Inc. Bellingham, WA Cell: (604) 803-8787 ksoobrian@yahoo.com
jlynn.flint@gmail.com
AR, IA, IL, IN, KS, LA, MI, MN, MO, ND, NE, NM, OK, SD, TX, WI
Jackie Camacho
AAEVT Executive Board 2018
Katie Jones
AR, KS, LA, MO, OK, TX 612-298-9964 jones1035@gmail.com
Canada/International See Regional Director
RVT
San Marcos, CA Cell: (760) 672-9498
Secretary Rexanne Morrison LVT Morrison Performance Horses Cell: (817) 694-1711
rexannmorrison1@gmail.com
LVMT
Thompsons Station, TN Cell: (615) 591-1232
Regional Director Wiss Costanza
CVT Luitpold Pharmaceuticals Lancaster, NH Cell: (631) 291-0438 wcostanza@adequan.com
Immediate Past President Ali Harman
BS, RVT Acampo, CA Cell:(650) 787-1333 ali.harman1031@yahoo.com
NOMINATE YOUR VETERINARY TECHNICIAN/ASSISTANT TODAY!
Two veterinary technicians/assistants will win all-expense paid trips to the 2018 AAEVT Annual Conference during the AAEP convention in San Francisco, California, be featured in the winter issue of EquiManagement magazine and each veterinarian nominator will win $1,000 for his or her clinic. How’s that for a Win-Win award? Simply fill out the form below by July 13, 2018, to nominate a veterinary technician/assistant who exemplifies: - Passion for equine health - A commitment to further his/her knowledge of equine well-being - A dedication to shaping the future of equine health This award is brought to you by Boehringer Ingelheim Animal Health in partnership with EquiManagement magazine and the American Association of Equine Veterinary Technicians and Assistants (AAEVT).
Advisory Board: DeeAnn Wilfong, Sheri Miller, Kelly Fleming, Sandra Nunn, Jane Tyrie, Kristy Ely, Ky Carter, Jessie Loberg, Deb Reeder, Jeannie Willems
Spring Technicians Update: Disaster Preparedness In December 2017, we helped manage horses during the Lilac Fire in Southern California. Although we deal with emergency situations almost daily, we often don’t slow down to consider how we handled them. But having a plan so that you can “just respond” is crucial.
Here’s what we did at the San Dieguito Equine Group. I hope that this account helps you set up your own emergency protocols. Early in the morning on Dec. 7, 2017, every staff member had their eyes on the weather. We noted that the winds were up and blowing hot, dry and fast from East to West, which put us instantly on alert for fires. The Lilac fire caught sometime late morning and as word spread, we started to do what we do.
First Hour
We rescheduled everything and decided who needed to go home and evacuate as their homes and personal horses were in the projected route of the fire. Three staff, including one administrator, one veterinary technician and one veterinarian, lived just downwind of the fire. Our team instantly became smaller.
by Nicole Lagrange, RVT Meanwhile back at the clinic, we took stock. Since it was Thursday, I knew I only had hours to consider and order supplies because deliveries would not be made on the weekend. If I needed anything, it had to be delivered the next day. I considered they type of injuries we would be treating: lacerations, punctures, smoke inhalation, burns and tie-up’s from the horses running loose for hours. Items that I checked our inventory for and ordered if needed include: 1 L bags of fluids, IV Sets, short term catheters, IV bag pumps, DMSO solution, banamine, getamacin, butorphanol, examination gloves, suture, silver cream, 5 L bags of fluids, combi rolls, vetwrap, elasticon, brown gauze, soft gauze, telfa pads, ophthalmic flush/wash, ophthalmic Neo-poly Bac ointment. Equipment that was available on every truck included a digital x-ray system, ultrasound machine, ophthalmoscope, and dental headlamp.*Note if you had nothing else this one piece of equipment was used by everyone! I received calls from our local distribution and drug representatives asking what supplies they could send, so be prepared to answer A LOT of phone calls. Make sure their numbers are saved to your cell phone and not just stored in a computer. You might loose internet service or electricity. Make sure everything is charged. Third and Fourth Hours Our practice owner approved any overtime that the employees wanted to work that night to assure that if anyone was hurt it would be covered under our insurance. Each employee was then contacted to find out if they were willing to work at the Del Mar Evacuation center. By the close of the day at our office at 4 pm we had 10 employees who were willing to work for the evening and divided them up into pairs or groups of three to work out of each truck. A veterinarian, technician and assistant teamed up in each vehicle.
One of our veterinarians has worked at San Luis Rey Downs every day for more than 30 years. Our staff is familiar with many of the horses, as well as their owners and trainers, who train and work at the Downs.
Always thinking of the team, our office manager did a quick stop purchasing food and water for everyone for the evening on the way to the evacuation site. By this time in the day it was starting to get dark and all roads leading into the fire, including the Downs were closed. Most horses were arriving to Del Mar Racetrack since it is the largest evacuation site that could house all evacuees, not just racehorses.
The San Luis Ray Downs caught fire, so we dispatched the veterinarian and registered veterinary technician who were familiar with the Downs to assist with the horses at the scene. They mostly provided sedation to frightened horses that had been running loose on the grounds due to the barns catching on fire earlier. As well as assisting with getting scared young horses onto trailers as quickly as possible. Many of the horses had just arrived to the track that morning and were untrained yearlings.
The Del Mar Race track, which had a lot of experience with organizing evacuations for large animals, was up and running by the time we arrived at 6 pm. The horses brought in specifically from San Luis Rey Downs were being directed by evacuation officials to a separate stabling area knowing that keeping them separate from the other evacuated horses would make it easier to unite the horses with the correct trainers and owners. This proved to be a critical organization detail.
Second Hour
We went directly to the separate stabling area and start checking on each horse, many of their grooms and trainers were there since they were not being allowed back to San Luis Rey Downs. Having the horse’s caretakers present was very helpful because we could see the most critical horses first. The stabling area had lights but they were overhead which made looking over each horse particularly challenging, because all of their legs were in the dark. A good, high quality, bright headlamp, like the ones used for dentistry was crucial. More than 75% of the large lacerations, bumps, lumps, etc. that we saw that night were on the stifle and medial gaskin. Many of these would have been missed if you were simply glancing over a stall door to see if a horse looked “ok” because the lights were overhead. It is critical to walk into each stall of every horse with a headlamp on and really look them over closely. Several horses had very deep punctures or burns that appeared as abrasions until you got a headlamp on them to appreciate the full extent of the injury. We had three to four staff members working together on each horse: one person holding the horse, one veterinarian evaluating the horse, with a technician assisting and managing supplies. When able, we had another person writing down a brief description of each horse, any known information about the horse (owner, trainer, etc.) as well as what we gave it for medications with a date, time and contact information for us as treating veterinarians. We then left this piece of paper taped to the door of that horses stall. We repeated this procedure over and over for hours late into the night until we attended to every horse. It is important to note that several of our staff worked with other veterinarians who were solo practitioners, or who had run out of supplies to most efficiently care for horses that night. Just as we thought things had calmed down, things got pretty sticky. There were still missing horses many trainers and grooms combed the barn isles, peaking in stalls, looking for unaccounted for horses. As the evacuation of San Luis Rey Downs was nearly complete late that night, efforts by owners, grooms and trainers turned to organizing/finding their horses. Trainers and grooms were combing the grounds looking at each horse and then moving the ones that they were responsible for to their stabling area. Most of the horses that were moved to different stalls never got their treatment sheets moved with them. Fortunately there was great verbal communication between the veterinarians that were working on site that night, and information was shared among everyone as to which horses were most critical, and exactly which medications they were getting. Going forward it would be helpful to make sure that important
medical treatment information stayed with the horses as they moved through the barns. I came up with an idea for future use, using luggage tags as brief medical records. Soft gel luggage tags could easily be attached to the halters of the horses, with our logo and contact information on them, and written on the backside with quick treatment notes. I’ve seen other options for identifying the horses, but none for conveying treatment information. In the future it would be interesting to imagine some kind of microchip technology being used to gain treatment information, however, it seems that a uniform identification system will need to become more widely used, perhaps microchips would be useful here? Overall the experience left a real impression on me about what it means to be part of a horse community, and work as a team. That night I saw horse trainers from famous barns hauling in back yard ponies in their fancy rigs. I saw people so dirty from soot and ash that had waited on the side of the road for hours to pick up horses from behind fire lines. Veterinarians and technicians from many different practices just handing out supplies to each other, performing radiographs using equipment that wasn’t theirs while assisting a veterinarian they had never met; riding in the back seat of a truck sitting on top of an x-ray system to hurry to a horse that was down in a trailer. The stories could go on and on, but most importantly we were all working together. This sense of community is what makes our jobs so special. I hope that this article will help people to be a little more prepared if they have to assist in a natural disaster. Sometimes it’s not being on the scene immediately that makes the difference, it’s slowing down, thinking of the whole scenario and doing some quick planning that makes the outcome all the better.
Equine influenza (EI) is not only an acute, extremely contagious viral disease in horses, it’s one of the most common causes of equine viral respiratory tract disease. However, influenza viruses are constantly changing at the molecular level as they pass from one host to another so, like human flu vaccines, equine flu vaccines must periodically be updated to protect against the strains currently circulating in the field and threatening horses. Identifying a new threat In February 2013, the annual Ocala Horse Shows in the Sun (HITS) event nearly came to a halt due to an outbreak of equine herpesvirus (EHV-1) and equine influenza virus (EIV) that impacted a large number of horses. While the initial quarantine was established due to a positive EHV-1 case, it quickly became apparent through PCR testing of nasal swabs that many more horses were impacted by EIV. The highly pathogenic strain of influenza that impacted these horses was ultimately isolated and identified as Florida ‘13 through the Merck Animal Health Respiratory Biosurveillance Program. Influenza outbreaks in well-vaccinated horses are generally indicative of significant antigenic drift and inadequate protection. Phylogenetic analysis of the Florida ‘13 strain confirmed that significant antigenic drift had indeed occurred and that this isolate was significantly different from viruses contained in current vaccines. Florida ‘13 represents a current, clinically significant strain responsible for a large influenza outbreak in well-vaccinated horses. The significance of Florida ‘13 Flu strains are named based on the hemagglutinin (HA) and neuraminidase (NA) surface glycoproteins. Influenza virus is constantly undergoing random mutations in the amino acid composition of surface proteins. This process of minor evolutionary mutations and alterations, known as antigenic drift, leads to new virus strains that a horse’s immune system may not recognize. Different strains of EIV can be compared to one another by sequencing the HA glycoprotein. The HA glycoprotein is the most important of the two glycoproteins because it is the target for neutralizing antibodies generated by flu vaccines and it contains the receptor binding site that enables the flu virus to enter host cells. Florida ‘13 differs from Ohio ‘03 (OIE recommended clade 1 isolate) by seven amino acid changes, and five of those mutations occur on the surface of the HA glycoprotein and are in or near regions associated with antibody binding or receptor binding sites – making them critically significant. This is likely why Florida ‘13 was able to “break through” and cause disease in these well-vaccinated horses competing at the HITS show. Today’s equine influenza All current circulating strains of influenza in the horse are subtype A2 (H3N8). These strains originated from the American lineage and
what’s known as the Florida sublineage. The Florida sublineage is divided into two separate groups called clade 1 and clade 2. Equine influenza isolates (strains) are named according to the location and year of isolation. (See accompanying diagram “Today’s Equine Influenza”) Evidence confirms that the clade 1 strain primarily circulates in the United States while clade 2 predominantly circulates in Europe. (To date, no outbreaks of clade 2 have occurred in the United States.) The World Organisation for Animal Health (OIE) Expert Surveillance Panel on Equine Influenza currently recommends that vaccines contain both clade 1 and clade 2 viruses of the Florida sublineage. The next generation of Prestige® flu-containing killed virus vaccines from Merck Animal Health • Florida ‘13 Clade 1: Based on a highly pathogenic isolate from the 2013 Ocala, Fla., influenza outbreak that impacted a large number of wellvaccinated horses – exclusively identified and isolated through the Merck Animal Health Biosurveillance Program • Richmond ‘07 Clade 2: Meets World Organisation for Animal Health (OIE) and American Association of Equine Practitioners (AAEP) guidelines for clade 2 influenza protection • In addition, Kentucky ‘02 remains part of our flu-containing vaccine line
Get Involved in the Perform with Prestige Owner Sweepstakes Merck Animal Health has launched a national horse owner sweepstakes that’s designed specifically to send owners your way for expert advice and vaccination recommendation. The goals of the sweepstakes include: - Educate horse owners on the risks of equine influenza and the importance of vaccinating - Encourage them to visit their veterinarian for a custom vaccination program - Promote the importance of a veterinary-client-patientrelationship (VCPR)
The Perform with Prestige Sweepstakes will run from March 15 to June 30, 2018, and is being promoted through a robust, national media plan. Horse owners will have the opportunity to win great weekly and monthly prizes, as well as a horse trailer to the grand prize winner. Participate by displaying materials in your clinic and online properties. Various promotional items are available to order, including: - Ready-to-use social media graphics - Digital banner ads for your website - Reminder pad and counter card - EIV infographic poster - Pens and other items For more information, contact your distributor partner, Merck Animal Health representative or call 1-800-521-5767. Copyright © 2018 Intervet Inc., d/b/a Merck Animal Health, a subsidiary of Merck & Co., Inc.
Equine Rabies Case Reality
Texas veterinarian showcases real-life equine rabies fatality and case learnings.
Viral respiratory and neurologic diseases are the leading preventable causes of death in horses.1 One of the core equine diseases that has a 100% fatality rate is rabies.
Electronic Vet, more commonly known as eVet , is a secure electronic platform for equine vaccination records and health related documents accessible by owners, veterinarians and show managers. The vision of eVet is to make entry into competitions or States paperless, easy and biosecurity compliant. Barbara “Barb” Blasko, M.D. brought eVet to life in 2013 and is now partnered with Robert Jordan to ensure the vision stays on track and grows over the years. “Over the years, I’ve seen so many ideas and products for the equine industry that I’m very skeptical of most things I encounter,” Jordan said. “After my first conversation with Barb, I was blown away. Her vision for the future of digital biosecurity for the equine world was truly groundbreaking and, more importantly, desperately needed in horse sports. We all rely on our equine athlete partners to stay as healthy as possible, and Barb’s history as a physician on the ground floor of human medical informatics development allows her to see the future for our sport." Blasko is a lifelong equestrian who grew up on Long Island, and had her first experience with horses at a fair. Her equestrian passion continued as she matriculated through college, medical school and her residency. With her passion for riding and career in medicine in mind, Blasko created eVet to provide services to improve horse welfare by using the similar technology currently used in human medicine. It combines her passion for making medical information available electronically and helping horses. “I have to tell you that this is probably the hardest thing I’ve ever done in my life,” she said. “It’s by far harder than medical school. It’s harder than being a doctor. I don’t have a business degree, but I’m trying my best to run this company,” Blasko said of creating eVet. Though the idea is simple and effective, getting the eVet Certificate off the ground has been arduous. “I had to get a lot of people to believe in me,” Blasko said. “I had to get some friends and family to help me with the finances and invest some money in the company. I went through probably three or four web developers before I found somebody who wasn’t going to rip me off and could actually help me. And then it is balance, finding the time and money to devote to the company while still working in the ER to support the company; it’s not self-sufficient yet, so I’m still working in order to keep it going.” Last year particularly, Blasko has been focusing on working with horse show managers to expand the use of eVet . “Most of the horse shows that we’ve talked to have really embraced it and really understand the benefit of it,” said Blasko. Big name horse show managers and facilities like HITS, Blenheim EquiSports, the Colorado Horse Park, and Palm Beach International Equestrian Center have already implemented eVet . “The horse show managers don’t pay anything and they all get their own custom portals and log-ons so the staff can log on and pull up all the horses’ vaccine records.” This year our goal is to provide automated submission of up to date vaccine records directly to all shows that our clients are participating in. Blasko and Jordan foresee significant growth over the next five years and will merge into different disciplines and expand globally. Be sure to look up eVet online at https://www.electronicvet.com to learn more.
“My first equine rabies case happened in a suburban barn – this family had a barn behind their house,” recalled Buff Hildreth, DVM, Richland, Texas. “Their 2-year-old gelding, who was new to the barn, started out not wanting to eat and being a little depressed.” “I came out and looked at him in the morning, and I thought, is he colicky? So, I talked to them, and told them, if he doesn't improve, then I need to come back. I came back that evening, and he had become averse to drinking and didn’t like to be touched.” “I could remember Dr. Joe Joyce, who told me when I was a veterinary student, ‘If it looks like everything yet nothing, think rabies.’ So, that's when it clicked,” said Hildreth. Horses across the United States are exposed to rabies through infected wildlife, commonly bats, raccoons, foxes and skunks. No matter where a horse lives, or what a horse does, exposure to wildlife is a reality. “Turns out this horse had not previously been vaccinated against rabies. So, I talked to the mother and referred the horse to Texas A&M,” said Hildreth. “Within the amount of time it took to hook up a trailer, the horse started having laryngeal spasms and becoming somewhat aggressive and hyperexcitable.” “Unfortunately, they only made it about 30 miles and the horse began seizing violently. They called me back and said, ‘we think we lost him.’” Rabies is 100% fatal for horses and, as it is a zoonotic disease, is also a risk to you and your family. “The hardest thing for me was dealing with the mother after the horse succumbed to rabies. She had three sons who had all been exposed to rabies. She was very scared for her sons’ health,” said Hildreth. Annual vaccination is the only way to protect horses from rabies. Rabies is one of five core equine diseases which all horses should be vaccinated annually against. The additional core equine diseases include: West Nile, tetanus, and Eastern and Western equine encephalomyelitis. “Maybe you don't hear about equine rabies often, but if you can vaccinate for something, why wouldn't you? It's zoonotic, you can get it, it's terminal, the horses generally don't look like they have rabies and they expose a bunch of people,” Hildreth said. Be sure to discuss each horse’s vaccination needs with your horse owner clients and drive them to CoreEquineDiseases.com to learn more. About Zoetis Zoetis (NYSE: ZTS) is the leading animal health company, dedicated to supporting its customers and their businesses. Building on more than 60 years of experience in animal health, Zoetis discovers, develops, manufactures and markets veterinary vaccines and medicines, complemented by diagnostic products, genetic tests, biodevices and a range of services. Zoetis serves veterinarians, livestock producers and people who raise and care for farm and companion animals with sales of its products in more than 100 countries. In 2017, the company generated annual revenue of $5.3 billion with approximately 9,000 employees. For more information, visit www.zoetisUS.com. 1 Baseline Reference of Equine Health and Management in the United States, 2015. United States Department of Agriculture. https://www.aphis.usda.gov/animal_health/ nahms/equine/downloads/equine15/Eq2015_Rept1.pdf. Accessed March 12, 2018. All trademarks are the property of Zoetis Services LLC or a related company or a licensor unless otherwise noted. © 2018 Zoetis Services LLC. All rights reserved. COR-00024
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