Posts in Category: ZimmVet News & Events
Pet Arthritis is Common and Treatable
By Dr. Maria Krenz, DVM – ZimmVet-763-856-4848
Pet arthritis can affect any age, sex, or breed of dog and cat. Research shows that arthritis is diagnosed in 25 percent of dogs in their lifetime, and x-ray evidence shows arthritis in 60 percent of dogs. In one study, 90 percent of cats over 12 years of age had x-ray signs of osteoarthritis. As your pet ages, wear and tear on their joins can lead to primary arthritis. Secondary arthritis is the result of an injury that once damaged the joint cartilage. Some pets can be born with poor joint that don’t line up properly, making them more likely to develop arthritis, such as elbow dysplasia, hip dysplasia, osteochondrosis, and more.
Diagnosis of Pet Arthritis
Veterinarians make a diagnosis of arthritis based on what they find during a physical exam, as well as tests like x-rays, and symptoms at home.
Exam Findings in Dogs
Limping is the most common sign in dogs. It may happen occasionally, progressively (gets worse over time), or be ongoing. Stiffness is common sign after periods of rest. Stiffness and lameness may decrease when the dog warms up a bit with some activity. A dogs limping may become worse after it has played or gone on a walk.
Exam Findings in Cats
As opposed to the limping seen in dogs, many cats become less active, begin to hide, or develop behavioral changes. They may become more irritable, have decreased grooming, or difficulty getting into position in the litterbox. A veterinarian may move the cats join, but it is possible that there will not be any outward signs of pain.
Treatment of Pet Arthritis
The goals with pet arthritis management are to decrease your pet’s discomfort and to slow down further changes to the joint. Multiple types of treatment are usually necessary to manage pain, stiffness, and discomfort. It is best to work together with your veterinarian to find what treatments would be best for your pet. Pets will need additional medications over time as the arthritis progresses. Many of the common treatments include weight loss in overweight pets, glucosamine and omega fatty acid supplements, laser therapy, alternative therapies such as chiropractic, and oral pain medications.
In cats there are less options for treatment due to organ sensitivity to drugs long term. Solensia is a new product on the market for cats. This medicine helps to stop the pain and progression of arthritis in cats with a monthly injection. Solensia has been used in Europe, and was recently released for use in the US.
Surgical Treatment
Some Joint conditions need surgery to treat them. Examples are cranial cruciate ligament rupture, elbow dysplasia, osteochondritis dissecans, joint incongruity, intra-articular fractures, and joint instability. If your pet has severe hip dysplasia, your veterinarian may suggest a total hip replacement or femoral head/neck ostectomy.
For information on how age and pet obesity play a roll in arthritis, check out some of our other blog posts, Living with a Senior Pet and Pet Obesity.
Disclaimer: This written content is meant to be educational and is not medical advice. Always consult a veterinarian about medical advice for your pet.
Get Your Dog Ready for Hunting Season
By Dr. Maria Krenz, DVM – ZimmVet 763-856-4848
Many people enjoy hunting as a hobby with their dogs. A little preparation can make the time fun for you and your dog. It’s time to get your dog ready for hunting season
Flea & Tick Prevention
Fall is peak time for transmission of Lyme disease from adult ticks. It is also when many pets become infested with fleas. There are a variety of products on the market including topical and oral options. Talk to your veterinarian about what product is best for you pet. Check out this blog post from ZimmVet on preventatives.
Internal Parasites
Hunting dogs are at higher risk to contract roundworms and hookworms from the environment. These parasites can then be passed to people. The University of Minnesota has a great article on internal parasites. Heartworm prevention, such as Sentinel or Simparica Trio®, deworms for these parasites and should be given once a month.
Vaccinations
Make sure your pet is current on vaccinations such as Rabies, Lyme and Leptospirosis. Hunting dogs are at increased risk of these easily preventable diseases. Also, if your dog is going to be hunting with a group of other dogs, its distemper combination, Bordetella and Influenza vaccinations should be up-to-date.
Exercise
Just like a person, a dog that is not properly conditioned before working hard can suffer from performance injuries such as pulled muscles, sore joints and strained or torn ligaments. Gradually increase your pet’s activity over a couple weeks prior to the start of hunting. In addition, be sure to allow your pet time to rest while hunting.
Food
Overweight pets are at an increased risk for performance injuries as well as exhaustion. Get your dog ready for hunting season by making sure they are an ideal weight prior to the start of hunting season. Weight loss occurs safely over several months when a pet is more than a few pounds overweight. Contact your veterinarian to make a weight loss plan for your pet. During hunting, a dog’s calorie intake increased. Feeding small frequent meals can help your pet keep up to the demands of hunting.
Paws
Many dogs can wear down their paw pads and form painful ulcerations. Keep protective boots on hand for your dog to wear. Dogs can suffer from cuts and debris in their eyes, especially in grass and wooded areas. Keep an eye saline solution with you, along with some bandaging material to stop bleeding until you can get to your veterinarian. Your veterinarian can help you put together a first aid kit for your pet or you can purchase a premade kit.
Senior Hunters
Senior dogs can often remain active and healthy with the help of your veterinarian. Older pets benefit from a daily glucosamine supplement such as Dasuquin. One month before hunting, start your dog on this supplement if you don’t already have them on it year round. Senior dogs do well on pet pain medication started a day prior to the hunt and continued daily. The goal is to control the pain before it builds up. If your pet is already on a daily pain medication your veterinarian can prescribe additional medications to help during hunting. Contact your veterinarian to make a plan to keep your senior hunter comfortable.
Disclaimer: This written content is meant to be educational and is not medical advice. Always consult a veterinarian about medical advice for your pet.
Improving your Pets Lifespan
By Dr. Maria Krenz, DVM – Zimmvet (763)856-4848
Advances in medical technology and preventative care are allowing pets to live longer, happier lives. It is not uncommon for cats to reach 20 plus years of age, and small dogs to live 14-16 years. More often pets are seen as a family member and people are looking for ways to spend as much time as possible with their beloved pets. Owners can improve their pet’s lifespan and quality of life with a few simple care guidelines. Improving your pets lifespan.
Weight Management – Add 2 years of life!?
Extensive research has been performed to evaluate the effects of obesity on lifespan and medical conditions, such as arthritis. Data shows that an ideal weight pet will live on average two years longer as compared to its obese littermate. Since pet owner’s control their cat or dog’s feedings, lifespan is directly influenced by an owner’s ability to regulate calories and provide adequate exercise.
There are many resources available for pet owners to help their pet’s lose weight. The first step is to schedule an appointment with your veterinarian to set a goal weight for your pet, calculate their calories needed for safe weight loss and create a weight loss plan.
There are many tools available to help pet owners achieve their pet’s weight loss goals. Talk to your veterinarian about what works best for your pet.
Regular Home and Professional dental Care-Add 4 years of Pet Life
Dental Care – Improving lifespan by up to 4 years!
Regular oral care and keeping a pet’s mouth healthy has been documented to add 4 years to their lifespan. Dental disease causes more than just oral pain and infection; it also impacts your pet’s organs, such as heart, liver and kidneys. Daily home dental care with products approved by the VOHC (Veterinary Oral health Council), will help keep your pet’s mouth healthy. This can include daily brushing, using a chew or water additive. Besides home care, pets also need professional dental cleanings, just like humans who go to the dentist. Your veterinarian will examine your pet’s mouth during their wellness exam and indicate when a dental cleaning is necessary.
Preventative Care/Annual Wellness Visits
Your veterinarian is available for more than just taking care of sick pets, he or she is your pet’s partner in preventative medicine. Yearly exams for pets under 7 years of age and twice yearly exams for pets over 7 years of age can identify problems before they become severe. Part of the wellness visit should include bloodwork to screen major organ functions such as your pet’s liver and kidneys. Any program to keep your pet healthy will include administering appropriate vaccinations, deworming and using products to prevent common illnesses such as Lyme disease.
For more information on dental cleaning please visit https://vcahospitals.com/know-your-pet/dental-cleaning-in-dogs. Interested in learning more able pet Obesity? Please visit our other blog post at https://www.zimmvet.com/blog/pet-obesity/
Disclaimer: This written content is meant to be educational and is not medical advice. Always consult a veterinarian about medical advice for your pet.
Heatstroke in your pet!
By Dr. Maria Krenz, DVM – ZimmVet-763-856-4848
When a dog’s internal body temperature is above 105 degrees F, the dog may be suffering from heatstroke. Dogs have only a couple of ways to cool off—blood vessel expansion and panting. When dogs pant, they evaporate moisture from their tongues, nasal passages, and the lining of their lungs, and this cools them down as air passes over the moist tissue. They also cool off via vasodilation. Blood vessels, especially in the ears and face, expand, bringing overheated blood closer to the surface to cool down.
Signs of Heat Stroke
Heat Stroke in pets! Heatstroke in dogs is life-threatening and can also result in very serious complications. Recognizing early signs of heatstroke may help you remedy the condition before things get too serious. Early signs of heatstroke include:
- Heavy Panting
- Rapid Breathing
- Excessive Drooling
- Dry Mucous Membranes
- Bright red gums and tongue
- Skin that is hot to the touch
- High Heart Rate
Affected dogs become hyperactive and may have difficulty maintaining balance. As exposure to excessive heat goes on, the dog’s condition worsens and includes signs of shock, pale mucous membranes with white or blue gums, a very rapid heart rate, and a drop in blood pressure. The dog hyperventilates, and dehydration becomes more severe. Pupils dilate, the pulse becomes more irregular, and the dog has muscle tremors. They may become lethargic and unwilling to move, urinate or defecate uncontrollably, collapse, and become comatose.
Why Does Heat Stroke Occur?
Heatstroke generally occurs during the hottest part of the year, especially when it is humid. Contributing factors include: breed, age, physical fitness, if a pet is overweight, medical disorders and being in closed conditions such as a car.
How to Treat Heatstroke
Heatstroke therapy involves immediately trying to lower the dog’s body temperature. If you notice signs of heatstroke in your dog, it’s critical to stop any activity and help your dog cool down by:
- Walking or carrying the dog to a well-ventilated, cool area.
- Spraying or sponging the dog with cool (not cold) or tepid water, especially on the underside. Do not immerse the animal in cold water.
- Using a fan to blow cool air on them.
If at home cooling does not bring your dog’s body temperature below 103 degrees bring your dog to your veterinarian or local pet emergency clinic. Severely affected dogs require fluids, medication, support, and oxygen. Complications may not occur immediately, so it’s important to let your veterinarian determine the type of follow-up treatment required.
Conclusion
Heatstroke in Pets! Immediate action and correct treatment are so important because they can mean the difference between a swift and complete recovery and long-term complications.
Always provide plenty of cool fresh water, shade, and frequent rest periods when it’s hot. And never leave your dog in the car.
Please visit the AAHA website at https://www.aaha.org/your-pet/pet-owner-education/ask-aaha/how-can-i-prevent-heatstroke-in-my-pet/ for more information. More information on heatstroke and summer fun with your pet please visit our other blog post https://www.zimmvet.com/blog/wp-admin/post.php?post=885&action=edit.
Allergies in Pets
By Dr. Maria Krenz, DVM – Zimmvet (763)856-4848
Allergies in Pets
Imagine that you have burning eyes, itchy skin or hair loss, but without the ability to talk. Just like people, many pets suffer from allergies. If you have owned a pet with allergies, you know the common signs: skin redness, scratching, licking, chewing at the skin, ear and skin infections, hair loss, excessive paw licking among others. Pet allergies are a medical condition that requires lifelong management to control the symptoms. Some pets only have seasonal allergies, such as spring time, and need to start treatment prior to when allergy signs begin for best management.
Types of Allergies
- Atopic Dermatitis (Atopy) – Inhalation of pollens, molds and other things in the environment.
- Atopy is seasonal, one of the most common triggers in the spring time is Tree Pollen.
- Food Allergies – Allergies to certain foods such as chicken, beef, or pork.
Treatment Options
Pets that suffer from Spring allergies need to start treatment to manage the symptoms as soon as it starts getting warm. It is best to work with your veterinarian to create a plan that is best for your pet. Common treatments include the following.
- Antihistamines: Benadryl is a common medication used to control allergies. Speak to your veterinarian about how much and how often you can give your pet Benadryl. Other antihistamines include cetirizine, hydroxyzine and others.
- Shampoos: Often, pets with allergies have a poor skin barrier, which allows more allergens to get into the body. Bathing is usually needed at least every 2-3 days. Make sure you have shampoo that is made to help with itchy skin and allergies!
- Omega Fatty Acid Supplements: These supplements are a natural anti-inflammatory agent, and can help reduce itching and help with general skin health.
- Dermaquin: This product is a natural supplement that comes in a form as a soft chew. Dermaquin helps strengthen the skin barrier which decreases a pet’s allergic response.
- Apoquel: This is a very effective allergy medication. Apoquel directly affects the molecule that causes itch and inflammation in dogs. Apoquel is a tablet medication that is given daily.
- Cytopoint: This allergy treatment is an injection. The effects last about 4-8 weeks. Its mechanism is interrupting the pathway that causes itch and inflammation in dogs.
- Allergy treatments for food can include things such as changing the diet your pet is on.
Speak with your Veterinarian
Allergies can be a very frustrating condition for pet owners. Your veterinarian is here to help find the best treatment for your pet. Often, pets with allergies develop secondary bacterial and fungal skin infections that need to be treated with oral and topical medication. Ear infections are also common secondary condition that would needed prescription medication. For tough cases, your normal veterinarian may refer you to a veterinary dermatologist (skin specialist). Visit this website for more information https://vcahospitals.com/know-your-pet/allergy-general-in-dogs. If your pet is fearful of going into the clinic please visit this website for tips on how to make them more comfortable https://www.zimmvet.com/blog/successful-veterinary-visits/.
Disclaimer: This written content is meant to be educational and is not medical advice. Always consult a veterinarian about medical advice for your pet.
Canine Influenza
By Dr. Maria Krenz, DVM – ZimmVet-763-856-4848
Canine influenza, or dog flu, has been in the news on and off when outbreaks occur. Recently there was an out break in the Minneapolis, Minnesota area that affected many. Make sure your dog is protected from the flu with the Canine Influenza Vaccination.
Spread of Dog Flu
Dog Flu is spread by direct dog-to-dog contact. The secretions from infected dogs coughing and sneezing can stay on objects and people that healthy pets may come in contact with. The virus is active in the environment for up to 48 hours, however, disinfectants can kill the virus. The flu is not seasonal, but can be contracted year round.
Signs and Treatments
Signs of Dog Flu may be mild to severe, but it can also be deadly. The signs of Dog Flu can look like other respiratory diseases such as kennel cough. Signs of Dog Flu can develop 2-4 days after exposure to an infected dog and illness may last up to 2-3 weeks. Signs can include:
- coughing
- sneezing
- nasal discharge
- eye discharge
- decreased appetite
- lethargy
- Fever
- In severe cases, a secondary bacterial infection can cause pneumonia. These pets have high fevers and trouble breathing.
Treatment includes antibiotics for secondary bacterial infections, fluids for dehydration, medication to reduce fever and nutritional supplements. If you notice any signs of illness, make an appointment with your veterinarian for an examination as soon as possible.
What dogs are at Risk?
Pets that are around other dogs are at higher risk of contracting canine influenza. Examples are pets that stay in a pet hotel, dog daycare, training class, dog parks and grooming facilities. Young and Senior Pets, along with pets that have medical conditions that affect their immune systems, are at higher risk of getting severe forms of the dog Flu.
Vaccination
A vaccination for Dog Flu is available. Dogs have no natural immunity to Dog Flu since it is a newer virus. The current vaccination is for both the H3N8 and H3N2 strains. If this is the first time your dog is getting the vaccination, it will need to be boostered in 3-4 weeks and then given yearly. This vaccination is recommended for dogs that are around other dogs frequently. This vaccination is available at ZimmVet. For more information on vaccines visit https://www.zimmvet.com/blog/canine-vaccine-overview/
In conclusion
As long as the facility you are bringing your pet to have good sanitation methods and protocols for disease outbreaks in place, you do not need to be overly concerned about bringing your pet around other dogs such as a Pet Hotel or Daycare. It is best practice that dog facilities require the flu vaccination to keep dogs healthy. If you are wanting more information you can visit the CDC website https://www.cdc.gov/flu/other/canine-flu/keyfacts.html.
**Disclaimer: This written content is meant to be educational and is not medical advice. Always consult a veterinarian about medical advice for your pet.
Dog Bite Prevention!
By Dr. Soderberg, DVM – ZimmVet – (763)856-4848
Dog bites pose a serious health risk to our communities and society. More than 4.5 million people are bitten by dogs each year in the United States, including more than 800,000 who receive medical attention for their injuries. More than half of those bitten are children.
Reasons a dog could bite:
- Dogs bite for a variety of reasons, but most commonly as a reaction to something.
- If the dog finds itself in a stressful situation, it may bite to defend itself or its territory. They can bite to protect something that is valuable to them, like their puppies, their food or a toy.
- Dogs can bite because they are scared or have been startled. They can bite because they feel threatened.
- Dogs might bite because they aren’t feeling well. They could be sick or sore due to injury or illness and might want to be left alone.
- Dogs also might nip and bite during play. Even though nipping during play might be fun for the dog, it can be dangerous for people.
- It’s a good idea to avoid wrestling or playing tug-of-war with your dog. These types of activities can make your dog overly excited, which may lead to a nip or a bite.
Preventing Dog Bites:
- Socialization is a good way to help prevent your dog from biting. Socializing your pet helps your dog feel at ease in different situations. Introducing your dog to people and other animals while it’s a puppy makes it feel more comfortable in different situations as it gets older. It’s also important to use a leash in public to make sure that you are able to control your dog.
- Responsible pet ownership builds a solid foundation for dog bite prevention.
- Carefully select the dog that’s right for your family
- proper training, regular exercise, and neutering or spaying your pet.
- Educate yourself and your children about how, or whether, to approach a dog.
- It’s important to know how to avoid escalating risky situations and to understand when you should and should not interact with dogs. Some risky situations include, but are not limited to:
- If the owner does not give permission to pet the dog, they are barking or growling, or if the dog appears to be hiding or seeking alone time.
- The dog is on the other side of a fence.
- If a dog is sleeping or eating, or playing with a toy.
- Sick or injured.
- Reading a dog’s body language also can be helpful. Just like people, dogs rely on body gestures, postures and vocalizations to express themselves and communicate. While we can’t always read a dog’s body language accurately, it can give us helpful clues as to whether a dog is feeling stressed, frightened, or threatened.
If you would like to learn more ways to make your pet into a well socialized good citizen please see https://www.zimmvet.com/blog/make-puppies-into-good-citizens-2/
More information:
If you have been bitten by a dog and the dog’s owner is present, request proof of rabies vaccination, and get the owner’s name and contact information. Clean the bite wound with soap and water as soon as possible and consult your doctor immediately or go to the emergency room if it’s after office hours.
Please visit https://www.avma.org/resources-tools/pet-owners/dog-bite-prevention for more information of Dog bite prevention.
Leptospirosis a risk to Pets and People!
By Dr. Maria Krenz, DVM – ZimmVet-763-856-4848
Leptospirosis (Lepto) is an infectious disease and can cause serious illness in dogs and people. This disease is from a spiral-shaped bacteria called Leptospira which live in water or warm wet soil. Any type of animal can potentially get infected. In fact, this has been a problem for years but is now more prevalent; which means Leptospirosis is a risk to all!
How Pets and People get Infected
Lepto is spread through bacteria in the urine of the infected animals. Humans and animals can potentially become infected through skin, bodily fluids (except for saliva), and mucus membranes (such as eyes, nose, and/or mouth). Dogs can pass the disease to each other as well as to people.
Lepto has become more problematic with the increase in development in areas that were once rural. As a result, pets may be exposed to more wildlife such as raccoons, skunks, squirrels, opossums, or deer that have been infected with the disease. In the event that your pet does become infected, it could mean that your pet may have been drinking, swimming, or walking through the contaminated water or soil.
Signs and Symptoms
The signs can vary and are nonspecific. However, some pets do not have any symptoms.
- Common signs to list that have been reported in dogs are:
- Fever
- Vomiting
- Abdominal Pain
- Diarrhea
- Refusing to eat
- Severe weakness
- Depression
- Stiffness
- Severe muscle pain
- Inability to have puppies
- Younger dogs (less than 1 year of age) tend to get the most severe forms of the disease.
- 87-100% of dogs that have been infected will have some degree of kidney dysfunction.
Treatment
The disease is treated with an antibiotic. More often than not pets will need other supportive treatments. Unfortunately, in some cases the disease has caused too much damage to the pet’s liver and kidneys which means the pet doesn’t recover.
Prevention
- Firstly, vaccinating your pet is key in preventing the infection for your dog. See below link for more information on vaccines.
- Second of all, the American Animal Hospital Associations guidelines recommend the vaccination for all dogs regardless of lifestyle!
- Unfortunately, there is no current vaccination for cats.
- The vaccination is often combined with the distemper which is considered a combination vaccine. The vaccine is administered yearly.
If your pet is diagnosed, make sure that you avoid contact with their urine. During this time, if your pet has an accident in the house ensure you wear gloves and clean well with disinfectant. Lastly, make sure you wash your hands!
In conclusion it is recommended that you vaccinate your pet; no matter what lifestyle you and your pet live! That way you can both continue to live a happy and healthy life.
CDC Fact Sheet: https://www.cdc.gov/leptospirosis/pets/index.html
Disclaimer: This written content is meant to be educational and is not medical advice. Always consult a veterinarian about medical advice for your pet.
Celebrate St. Patrick’s Day with your Dog!
By: Brook Buckholtz, Customer Service Representative at ZimmVet
Celebrate St. Patrick’s Day with your dog! It’s Saint Patrick’s day and you may want to do something with your furry friend to celebrate, but really aren’t sure what you should do. Thankfully you have a couple options you can choose from; bringing your dog with to go out or sharing a night in. Before you decide here are some tips and ideas on how to ensure you are picking the best option for you both.
Going out with your dog to Celebrate St. Patrick’s Day:
- Make sure you know your dog. If your dog is nervous or has high anxiety around large crowds and other dogs consider leaving them home or staying home with them.
- Ensure that you are your dogs advocate. It’s okay to say no!
- If someone asks to pet your dog and you can tell they are tired say “No, not right now. Thank you for asking though”.
- If your pet seems uncomfortable because someone is getting too much in their space you can say “Could you please step back? (pet name) just needs a little space right now”.
- Be prepared to leave suddenly if needed.
- Make sure to call and confirm with the bar/restaurant or wherever you choose to go that they are actually dog friendly. Below is a list of dog friendly bars/restuarants in Isanti, Chisago, and Minneapolis area.
- Try to only stay for a few hours.
- Go during the day instead of in the evening.
- Bring someone else who can help you manage your dog.
Staying home with your dog:
If you choose to stay home with your dog here are some tips and ideas on things to help you celebrate St. Patrick’s day together.
- Dress your pet and yourself up in some festive green clothing!
- Take photos to post on social media.
- Buy them some green treats (shamrocks) and/or toys.
- You and your dog can also make dog friendly treats at home!
- https://www.zimmvet.com/blog/recipe-for-fun-with-the-pups/ you can add spinach or green beans to achieve the green color!
- You and your dog can also make dog friendly treats at home!
- Paint your dogs toenails with green pet friendly dog nail polish!
Whether you choose to bring your pet or stay home we hope you have a great St. Patrick’s Day!
Flea and Tick Preventatives
Written by Valerie – ZimmVet CSR Lead
Have you ever wondered why your pets’ Veterinarian recommends administering flea and tick preventatives over winter?
There is a common misconception that if there is snow on the ground and temperatures are cooler that fleas and ticks are not out. While it is true that flea and tick activity may slow during the winter months, they are able to survive any time the temperature is above freezing, even during the winter months when it is snowy as long as they have a host such as an animal or person.
Ticks carry various diseases that have the potential of being very dangerous or even fatal for animals and humans. These diseases include but are not limited to Lyme disease, Anaplasmosis, Ehrlichiosis, Rocky Mountain Spotted Fever and Powassan virus disease. If these diseases are contracted and are undetected or remain untreated, they can have long-term adverse effects on the body.
Fleas are very active in the Fall months as temperatures begin to drop. Fleas survive by biting a host and taking a bloodmeal from them. Oftentimes they seek out our furry counterparts as a warm host to survive the fall months which can result on your pet bringing them into your home, where they can survive throughout the winter. It can be very difficult to clear your home of fleas once an infestation takes place as the lifecycle is very complex and they lay large amounts of eggs rapidly. The only way to rid your home of a flea infestation is by vacuuming daily, washing of blankets and bedding in hot water, brushing your pet and treating all fibrous surfaces while treating your pet and administering a preventative. It can take months before your home is free from these pesky biting parasites. Fleas can cause flea bite dermatitis in pets and people which is a reaction to the protein in the saliva from the flea bite and is extremely itchy.
It’s always easier to prevent rather than treat diseases.