LEPTOMANIA
The Problem With Leptospirosis Vaccines
by
Patricia Jordan, DVM, CVA, CTCVH, & Herbology
May 2010
http://www.seasidenaturalhealth.com/index.html
TheDogPlace
May 2010 -
In several vaccine lectures that I have
attended in the past four years, the most current information from our
premiere veterinary vaccine researchers, Dr. Ronald Schultz
(Immunologist) and Dr. Richard Ford, (Infectious Disease Professor,
Clinical Director of NC College of Veterinary Medicine), is that Leptospirosis vaccines are not recommended vaccines.1, 2 Dr.
Ron Schultz, who lives in a Leptospira endemic area of the country,
still does not recommend the Leptospira vaccines and does not vaccinate
his own dogs.3
The CDC on
Leptospirosis In The U.S:
The most
current CDC fact sheet states that Leptospirosis in humans is
not a reportable disease in the United States. The few cases
that occur are mostly traced to Hawaii which is not a part of
the continental United States. The disease does occur more in
tropical climates and is reported to have a fatality rate
worldwide in humans of 1-5%. With most of the cases in the US
occurring in Hawaii or in travelers that went to tropical
destinations we can put the exposure of Leptospirosis in the US
into proper perspective.4
Indeed, when while I
requested the epidemiological information on Leptospirosis in
the Commonwealth of Massachusetts prior to a lecture promoting
Leptospirosis vaccines in dogs, I found that Massachusetts had
never had even one case of Leptospirosis reported in humans
since they started looking for Leptospirosis 5 nor were
any cases of Leptospirosis reports in dogs confirmed for the Commonwealth of Massachusetts.
World-wide
Lepto Information:
Again, I
gathered this information for the purpose of properly
understanding the true status of the Leptospirosis disease and
the need for a preventative program within the veterinary
clinical setting. Researching the areas of the world that are
trouble spots of Leptospira exposure - Okinawa, Philippines, Sri
Lanka, Malaysia, Indonesia, Brazil, Cuba, Guatemala, Borneo -
most of the areas that suffer from this disease in a natural
setting, have a number of common environmental parameters: standing water or flooding, post hurricane flooding and tropical areas of increased water fall. US military personnel
have seen infections with Leptospira when at duty in stations in
tropical and subtropical locations. Another factor to consider
with Leptospirosis is the presence of rat infestations. This can
be found in slums of Brazil and the crowded areas of rat
infested alleys of the NY Bronx, to the rat infested prisons of
Malaysia. Sewer workers in China are exposed to Leptospirosis;
post flood waters from hurricanes in Cuba bring predictable
exposure to Leptospira.
There is also a
seasonality of autumn associated with the disease. People and
animals exposed to infected areas of water, ponds and smaller
lakes, hunters and people taking part in water sports are at
risk in selected reservoirs harboring pathogenic serovars of
Leptospira. Occupations exposing the workers to animals - as in
butchers and slaughterhouse workers - are at increased risk, as
are veterinarians and farmers. One dairy maid in the UK lost a
pregnancy at 23 weeks due to the first known case of human
intrauterine exposure to Leptospirosis.6 A caution to
handling the tissues of any animals that could become infected
with pathogenic strains of Leptospirosis would be prudent to
note; namely in cows, pigs, and dogs. Understanding the factors
that increase the risk of exposure to Leptospirosis is necessary to avoid Leptospirosis exposure.
Last year there
was a report of the use of
Leptospirosis as a biological warfare
weapon in Somalia, the pathogen being added to the drinking
water supply of soldiers.7 A newly reported reservoir
of Leptospira in bats is also a matter of study .8
California sea lions and harbor seals have been found to carry
Leptospira and Japan has found Leptospira in flying squirrels
imported from the United States as pets from Texas.9,10
Other than these aforementioned areas, the fact is that the
typical veterinary patient in the continental United States
will not be at risk nor exposed to a pathogenic serovar of this
organism that is nevertheless listed as the most rapidly
growing zoonosis in the world.
Last year, the
predictable season of post hurricane flooding and Leptospira
exposure in Cuba was handled with the public prescription and
use of homeopathy. This successful use of homeopathy
for public
health is documented with over 2.4 million people in Cuba
administered two doses of homeoprophylaxis in 2007 by the
Ministry of Health in Cuba. The doses of Leptospira nosode had
been prepared at the Finlay Institute, a center dedicated to
development and production of vaccines. Finlay Institute is a
WHO qualified facility dedicated to research, production and
development and produces high quality homeopathic products in
addition to vaccines.11 Understanding that there are
much safer ways to address exposure to Leptospira in the example
of a chemoprophylaxis is important when the record of
adverse events from Leptospira vaccines are discussed.12,13
Outside the
United States where recognized pathogenic serovars of Leptospira
exist and certain workers are at higher risk for Leptospira
infections, except for a few weak references of sewer workers
and agricultural workers in Asia, people are simply not
vaccinated against Leptospirosis.
The reasons are:
-
the leptospirosis vaccines do not work to prevent infections
-
the leptospirosis vaccine is associated with adverse events that preclude their use14
So, if exposure
to Leptospirosis is so specific, if there are known adverse
events, and if there is a lack of protection from the vaccines
in humans, why are Lepto vaccines promoted for dogs in the
United States, or in the United Kingdom or in Australia?
The Bad Vaccine
There are over
230 serovars of Leptospirosis, only a few which are pathogenic.15
The vaccines are serovar specific and several factors are
impacted by this information.16 First of all, any
vaccine administered for specific serovars will only create
agglutinating antibody to those specific serovars.17
Once
vaccinated, the patient’s serum can no longer be a useful record
for diagnostic tests, as the serum antibody titer from the
vaccine cannot be distinguished from antibody caused by natural
infection. This leads to interpretation problems when trying to
diagnose the presence of infection or disease..18
Records of
multivalent vaccines lead to test results of antibody generation
against serovars that were not even included in the vaccine to
begin with.19 This, of course, means that antibodies
came from natural exposure, and not from the vaccine. This
leads to problems using the MAT titer test to even try and
determine beyond doubt which serovar was the serovar of
infectivity, if any.20 If the production of antibody
following vaccination were synonymous with immunity (which it is
not) or immunization (which it is not) the obvious conclusion of
this information is that vaccination does not even result in
protection.21
Due to
molecular mimicry with antigens, the unsettling factor for
disease presence is complicated with cross reactivity of the
antigens with many different disease organisms such as Syphilis,
Lyme, Legionaries, HIV and autoimmune disease.22 Put
simply, this means that it is difficult to distinguish between
antibodies to this range of diseases. Testing of the patient
suspected with a Leptospirosis disease is now done via the PCR
DNA test for the actual organism retrieved from either blood or
urine.
Oregon State
Veterinary Diagnostic laboratory and IDEXX now both advertise
this PCR testing on the DNA of the actual organism.23, 24
One problem with the tests is to understand that you should not
administer any treatment prior to obtaining test samples if you
want a chance at retrieving useful information - as even one
dose of antibiotics is able to turn a positive case to negative
on the PCR test following treatment.25 Any treatment
will also render a test taken at a later date negative.
Treating Leptospirosis
This would be a
good time to let you know how easily Leptospirosis can be
treated. Doxycycline is the antibiotic of choice. This
antibiotic has the ability, even in renal compromise, to
sterilize the urinary tract of Leptospira infection. Doxycycline
can be administered to dogs with renal insufficiency and is
effective in both the infection of the blood or urine stage,
clearing the organism from the kidneys.26
Since there are
so many Leptospirosis serovars out there, and since the
pathogenic strains vary, and since the vaccines cannot guarantee
protection from infection, it would make better sense to not
inject your dog with any Leptospira vaccines.
The trade offs
to avoiding adverse events from vaccination - not the least of
which can be renal failure within 48 hours of injection, or four
years of dermatitis and puritis - would be the human caretakers
actually knowing their dog is sick with a pathogenic strain and
having their dog presented immediately for treatment.27
To do this, animal guardians need to be aware of the symptoms of
Leptospirosis in the dog.
Antibiotic
treatment is quickly effective. The possibility of human
infection from their dog disappears after the first day of
treatment with antibiotics, so
early detection of a real problem impacts human public health
issues as well.28 Doxycycline (chemoprophylaxis) is
also used successfully to prevent human infections (weekly 200
mg for military personnel without previous exposure to
Leptospirosis who are going for jungle training) when taken
prior to the possibility of Leptospira exposure.29
Vaccination
with Leptospira is fraught with problems. Leptospira vaccines
cannot even protect the dog from infection with Leptospira or
renal colonization. Leptospira vaccines have little effect on
the maintenance and transmission of the disease in the animal
populations in which they are applied.30 The
Leptospira becomes the very source of infection of the humans in
contact with the Leptospirosis vaccinated dog.31
There are several cases that I am personally aware of that, in
the end, I could not say beyond any doubt that the Leptospira
vaccine administered to the dog was not the actual reason for
subclinical infection. Chronic shedding of the Leptospira in
turn infected the humans living in the same household!
Read the paper
on the use and overuse of veterinary vaccines leading to
emerging public health issues and realize that use of Leptospira
vaccines in dogs is an obstacle to public health!32
In the case of
a duck hunter contracting a case of Leptospirosis, following the
epidemiological field study undertaken by the state of
California and the inability to recover any Leptospira from the
bodies of water, the question needs to be answered if the man
became infected through transmission of the Leptospira from his
vaccinated dog.33
There is a cost
associated with monitoring the environment to continue to assess
the extent of any purported Leptospirosis serovars causing
disease in a given population. To date there are no such
programs set up as the scarcity of the disease economically
makes Leptospira not a “priority” disease, not one that even
needs to be tackled with vaccination. A successful vaccination
program requires that the epidemiological studies are done to
assess the extent of a problem and this is currently not even
being preformed.34
The public and
the veterinary doctors usually do not know that this vaccine
does not confer immunity. Challenge studies are rarely done and
the studies I have evaluated are conflicted and ineffective in
measuring immunity in vivoo35, 36 Production of
Leptospira vaccines are expensive and labor intensive to the
drug companies who must recoup the precious monies spent to have
brought them to market. Is this enough of a reason
to allow the adverse events that follow use of this troubled
vaccine?
Most
information available to the animal caretakers that come from
self proclaimed “dog experts” on the internet are false. The
marketing misinformation that recommends this vaccine is
everywhere. Unfortunately this includes most of the advice
available from veterinary run websites on the internet, and in
the veterinary office in the brochures available to clients. I
found one very fair column on the subject of Leptospirosis
written by a retired veterinarian in Oklahoma, and a great
article that even listed the contraindications for the
Leptospira vaccines in dogs by a veterinarian in Bali - one
place that has a serious Leptospirosis problem.37, 38
The Misinformation Of Leptospirosis Vaccine
Why is this? The truth is that veterinarians are painfully inept at
discussing the facts surrounding Leptospirosis because the bulk
of their information comes from the very drug companies that
stand to profit or at least recoup the many monies this troubled
vaccine has cost their corporations.
One serious
problem veterinarians make is marketing conflict material for
the drug companies. I have seen this misinformation published -
not only in the local newspapers but also on the worldwide web.
A Reidsville, NC veterinary facility that promoted the
Leptospira vaccine in partnership with Pfizer was the source of
one particular case.39 The advice of our
professional medical experts is seriously compromised and
devalued when they do not perform due diligence in the release
of misinformation marketing material. The conflict material
included a telephone number to the veterinary facility, so I
made a telephone call and heard the veterinary receptionist
continue to disperse marketing misinformation. Where is truth in
advertising? Truth is not even found at the very facilities that
administer the jab!
Who then will
be held accountable for the adverse events that follow the
administration of Leptospira vaccines? Certainly not the
corporations that make the vaccine, they have no license to
censure.
Adverse Events From Lepto Shots
As
reported by clients;
Anaphylaxis, anorexia, fever, dehydration, autoimmune disease,
digestive issues, limping, loud vocalization following
vaccination, acute organ failure, renal failure, liver failure,
pancreatitis, death, dermatitis, puritis, cancer, degeneration
of soft tissue - all of these are reports following
administration of the Leptospira vaccine.
Here is another
important fact of vaccine use in general… vaccines are being
linked to death, disease and chronic disability. Vaccines -
because of the immunopathology they activate once the jab has
been delivered - are responsible for the disease that results in those receiving the jab. Immune reaction to the soup
of ingredients delivered in the jab result in autoantibody
production.40 Microbial antigens can also elicit
autoantibody production.41 Indeed vaccines are now
found to be responsible for autoantibody production, autoimmune
disease, and cancer! The immunogenetics of autoantibody and
autoimmune diseases are under genetic control; however the
inciting disturbance to elicit gene response is from the jab
itself.42 Vaccines lead to mutations of the genome,
autoimmune disease in one generation leads to genetic disease in
the next. Vaccines generate genetic impact that not only
determines the severity of the immune response in natural
infections but also dictates response from tissue
histocompatibility markers and the expression of autoimmune
disease with repeated exposure to antigens with subsequent
vaccine administrations. The histocompatibility markers on the
tissues are also reactive to the results of the jab. The
genetic compromise that occurs to anyone’s genome receiving the
jab has never been researched by the drug manufacturer’s that
produce vaccines and therefore prove that vaccine safety and
efficacy have never been determined by the government regulatory
agencies that license and unleash these products upon the
populations.
Indeed,
research is now available to show how the histocompatibility
sites of human and animal tissues are reacting with
vaccine-injected antigens that in turn are responsible for the
adverse, lethal disease pathology that kills or dis eases the
patient.43 Indeed there are examples of the very
vaccine antigen to immune cell response with both Leptospira and
Lyme disease vaccines producing the same pathology as the
natural infection itself.44, 45, 46
To clarify,
these vaccines can cause the disease pathology that we are
vaccinating against. In some cases with viral vaccines they can
even result in the viral disease itself.
This brings
more understanding to the statement in the book ‘Vaccination
Examining the Record’ by Judith A. DeCava: “a person not
vaccinated has ONE RISK, catching the disease, where a
vaccinated person has TWO RISKS; catching the disease and damage
from the vaccine”.47 We now know that the vaccines
have not been safety tested and they have not really been proven
effective in providing true immunity. The immune system
reactivity vaccines are responsible for can be the expression of
the adverse events and diseases that follow vaccine
administration.48 Specific Leptospirosis severity
may be associated with the intensity of the humoral immune
response. Vaccines and previous natural exposure would determine
this humoral immune response.49 Therefore the “gene
environment” which is impacted by every jab delivered can
determine the T cell activation and immune complexes, auto
antibodies and cytokine cascade that results not only with
future natural exposure to antigen but with every additional jab
delivered. The making of a “super antigen” and lethal
consequences would at the hands of the vaccine administrators.50 This is why Dr. Ron Schultz is on record with a minimal vaccine
protocol and has said you better have a good reason for
injecting because any time you inject you could kill the
patient.
The hypothesis
is that the disease of Leptospirosis is in actuality immune
mediated.50 I believe I have support of this in the
reporting by doctors of the use of pulsed steroid treatment to
save the kidney in cases where the symptoms are the very
description of immune mediated dis ease itself. Patients that
were treated with pulsed steroids were too far from immediate
medical facilities and were treated in the field situations with
high doses of pulsed steroid. Immunosuppressive dosing of
steroids was able to save them from renal failure and the immune
mediated pathology of the disease until they were able to reach
critical care facilities and fluid support for the kidneys.51
This means the antigens in the vaccine are just as capable of
producing disease as in the natural infection because of the
interaction of the antigen and the immune cells, is the dis
ease!
Another factor
now understood is that in direct opposition to the germ theory
of Pasteur, it appears this is another example of the proof that
Microbiologist Antoine Bechamp was correct about disease and the
theory of “terrain”. Terrain theory states that it is the
individual’s system that determines dis ease and the individual
response to presentation of the antigen to the patient’s immune
cells. However, multiple administrations of vaccines hyper
sensitize the patient to a real crisis, and when antigen and
immune cells collide, dis ease results.
Marketing Lepto Vaccines
So beware the
medical professionals that are not Leptospirosis literate and
are just promoting corporate marketing information.
Misinformation seems to me to be the majority of Leptospirosis
information available. Marketers - especially now in this tight
economy - are engaging all of their “business resources” in
order to generate revenue. Adverse event associated vaccine
administration are a real boon to the coffers when the adverse
events follow the cost of vaccinations.
Pfizer
sponsored “scientific” papers on Leptospira are
sponsored with “educational “grants in order to produce
recommendations for vaccination of the dog without proof that
the vaccine is safe or effective. They use words like “likely”
and “appears’ to expotentialize the nonexistent benefit of
vaccination. They are “reaching” in their efforts to provide a
benefit for vaccine use. They say these vaccines “appear” to be
effective. They write off any adverse events from the vaccines
stating “published data to validate these concerns are lacking
because there is no independent mechanism to report vaccine
reactions in the US”.52
The drug
companies and the veterinarians that are paid as corporate
mouthpieces can all hide behind this statement and all help keep
independent mechanisms for reporting adverse vaccine events from
manifesting by influencing government. The repeatable phenomena
that continue to follow vaccinations are not merely
“coincidences”.
AA
Pfizer mouthpiece states that “they would advise to
strongly consider vaccination” because “they appear to work”,
yearly boosters “appear to be necessary”. They admit that the
weak spot is “vaccine development” and “diagnostic assays”, that
reemergence of this disease could very well be the result of
vaccine programs!53
When I pressed
for the proof from Merial that their Leptospira vaccines did
indeed provide an entire year of “immunity” they finally sent me
an article that did not even test their vaccines. The company
forwarded work from Intervet in the Netherlands. Intervet is the source of much conflict in the UK for
mounting yearly marketing campaigns in order to advocate yearly
vaccinations of pets, despite the fact this is not a
recommendation from the World Small Animal Veterinary
Association or our AVMA or AAHA, or in Australia. The paper that was supposed to prove the
worthiness of the Leptospira vaccines was conflict material that
also failed to properly test vaccinates in a method that would
prove immunity. The paper was also not even using the Merial
vaccines in their study. The conflict work was performed at the
Dept. of Bacteriological R & D for Intervet International BV in
the Netherlands.54
If you read the
paper A Shot in the Dark about the scandal surrounding the push
to vaccinate dogs in the UK with Leptospirosis vaccines, despite
the lack of proof of the existence of a Leptospirosis problem.
You will find out that the drug companies conspired to format a
market for their product with only anecdotal evidence of the existence of any Leptospirosis problems.55 What truthful information or facts do we really have to
base due diligence on?
This problem of
the drug company making a market for their product when a risk
for the disease does not exist, or when there is a risk of
vaccine induced adverse events, is not beneficial to the animals
is counter-productive for animal welfare. A few examples of this
happening in human medicine with Glaxo Smith Kline and the Hep B
vaccine, the Merck Gardasil vaccine and the
Bird Flu and Swine
flu vaccines have all resulted in a call for investigations and
criminal charges to be brought against the WHO.56, 57
Who Is WHO In The Vaccines
World?
The WHO Vaccine
Advisor, Juhane Eskola made over 6 million Euros researching
vaccines he then advised the WHO to recommend for the recent
swine flu “pandemic”. Similarly, the CDC Childhood Vaccine
Advisor, Dr. Paul Offit made so much money with Merck making a
rotavirus vaccine that he said “it was like winning the
lottery”. Now Professor Ulrich Keil Director of WHO
Collaborative Center for Epidemiology is admitting to PACE
investigation that the vaccine advisors are often employees of
the pharmaceutical companies and the WHO is only a screen for
unearned commercial promotion of pharmaceutical products.
Indeed, even
the US courts hearing the case of Lymerix vaccine damage and
ordering the recall of the adverse event associated vaccine
stated that the federal employees should never be allowed to
consult in areas where they set federal policy. In veterinary
medicine, many researchers are indeed employees of the
pharmaceutical companies they become the mouthpiece for. Despite
being on faculties of our leading veterinary institutions, many
have their research grants supplied to them from the
pharmaceutical industry.
Vaccine adverse
events will remain anecdotall so long as government and industry continue to protect vaccine use.
When the only safety or effectiveness studies come from conflict
sources - those that stand to profit from the sale and use of
the vaccines - we need to understand that corporate integrity or
lack thereof is the only unit of measure.
This year
another effort by Canine Health Concern in the UK is once again trying to stop the unethical
marketing of vaccine protocols that are not within the standard
of care for veterinary medicine and constitute fraud. This
letter of concern has been signed by many veterinary professionals in the hopes that unsafe and dangerous
vaccines are not promoted to the public from drug marketers.58
The Leptospira
vaccines are not safe. Pfizer gives ‘immunization support
guarantees” and this says, "buy
ours it is the best”. As they talk about “serovar shifts” and discuss that “diagnostic assays
are wrought with problems”; that they cannot explain how high
MAT titers are obtained against serovars not even in the
vaccines, that the vaccine itself can produce disease in the
dog, you see quickly over a dozen ways to beat the ‘immunization
guarantee”.59
Cornell helped
Pfizer with the “educational” paper and now, we see Cornell has
a” better vaccine” as they have yet another idea how to make an
effective Leptospira vaccine. Cornell disses the
aluminum
adjuvant used for a century in veterinary vaccines. The aluminum
adjuvant; which has been in all the Leptospira vaccines
even now to this very day, despite being
found to cause cancer.
Cornell is now reporting that the aluminum adjuvant used for
five decades is now known to be “unreliable”. They say it
“destroys the antigens structure” and that it” degrades amino
acid sequence “. Did the aluminum do this to the
genomes of the victims receiving these adjuvants? Apparently so
as the WHO in 1999 declared these adjuvants, the same found in
children’s vaccines, as “carcinogenic” in the IARC.60
Cornell wants
to take a whack at putting yet another Leptospira vaccine out
there. Cornell’s Baker Institute of Animal Vaccines will make
yet another type of vaccine and this one will be better, this
one is made with genetically engineered bacteria genes from E.
coli, this one will be safe, try this one.61 (January
25, 2010)
Do Vaccines Confer Immunity?
Understand that
there is no backbone for support of vaccination. The most widely
used statement from disease illiterate professionals marketing
the vaccines is: “the long history of well established success
that vaccines have been responsible for the control of
infectious disease” is as long as the history of vaccine use and
as much a figment of the promoter’s imagination as I have ever
seen consistently appear as defense for vaccinologists.
There is
no proof that vaccines create immunity. Vaccines are linked to
the generations of immune reaction diseases that now plague
highly vaccinated populations. As my colleague Dr. Stephen
Blake has said over and over,” never before in the history of
man has there ever been a greater medical assumption more
responsible for the death and disease than the use of vaccines
as we know them today”.
Know the risks
for natural infection, seek immediate treatment if your dog gets
sick, and realize the germ is not the problem; the individual’s
immune system is the determinant. Optimal nutrition is the key
to immune health .Prior genetic damage from vaccines should be
considered. Become proactive in the search for truth, never
assume the medical professional performs due diligence. Poison
is poison no matter if injections contain toxins, chemicals,
heavy metals, viruses and microbial protein, antibiotics and
fungi stats or genetically engineered monsters.
Having the “new
thing” with genetically engineered products will not be proven
any safer than the earlier poisons. Know the promoters will not
perform due diligence in establishing safety, that our
government to date accepts safety studies from this conflict
source and provides for no independent testing, that the
vaccine-promoting professionals, the doctors, will not be
expected to perform due diligence in the researching of these
products and at this time still do not recognize the vaccine
induced disease and adverse events nor report them to any
independent monitoring system. Understand that they will unleash this vaccine without really
knowing if the vaccine is safe or effective, just as they have for all the vaccines that
have come before.
Intervet Schering Plough is revving up for their annual vaccine
propaganda marketing in the UK again, promoting unsafe vaccines
on the anecdotal evidence that there is even a need for the
vaccine in the first place.62 The only protection
from this marketing mania is to know the lack of science behind
both the making and administration of these vaccines. Understand
that the client will not have recourse against these marketing
giants when their pets become ill. Understand that drug
companies are responsible and yet are unable to be held
accountable. To the vaccinologists out there, Dr. Ron Schultz
says it is an indefensible practice. Culpable responsibility
does lie in the hands of the administrator of the jab. Only the
informed animal owner will understand this so pass the
information forward!
Dr. Jordan's website:
www.seasidenaturalhealth.com/index.html
Dr. Jordon is part of a new public service group
www.veterinaryhomeopathyconsultants.com answering questions
about veterinary homeopathy.
http://www.thedogplace.org/Vaccines/Leptomania-10052-Jordan.asp
References
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Schultz R, Everything You Need To Know About
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Cavaliers of the Northeast.
-
Ford R DVM MS Diplomate ACVIM, Vaccines and Vaccination
Building the Protocol-Implementing the Guidelines.
Framingham, MA July 25, 2007.Sponsored by Merial.
-
Schultz R, Everything You Need To Know About
Vaccines. Seminar Danbury, CT. June 15, 2007.Sponsored by
Cavaliers of the Northeast.
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CDC Leptospirosis Information Sheet
http://www.cdc.gov/ncidod/dbmd/diseaseinfo/Leptospirosis
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Hershey-Grove D MPH, Commonwealth of
Massachusetts, executive Office of the Health and Human
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Communicable Disease Control, Office of Integrated
Surveillance and Informatics, William A. Hinton State
Laboratory Institution,305 South Street, Jamaica Plain, MA
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Goldstein RE, Leptospirosis Epidemiology
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Intervet Ltd-National Vaccination Month
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