{"id":641,"date":"2022-10-21T15:10:50","date_gmt":"2022-10-21T19:10:50","guid":{"rendered":"https:\/\/pressbooks.library.upei.ca\/planetaryhealth\/?post_type=chapter&#038;p=641"},"modified":"2022-10-21T15:13:37","modified_gmt":"2022-10-21T19:13:37","slug":"human-interaction-with-companion-animals","status":"publish","type":"chapter","link":"https:\/\/pressbooks.library.upei.ca\/planetaryhealth\/chapter\/human-interaction-with-companion-animals\/","title":{"raw":"Human Interaction with Companion Animals","rendered":"Human Interaction with Companion Animals"},"content":{"raw":"&lt;h2&gt;Authors: McDuffee, L.A.&lt;\/h2&gt;\r\n\r\n&lt;div class=\"textbox__content\"&gt;\r\n\r\nAfter reading this chapter you should be aware of:\r\n&lt;ul&gt;\r\n&lt;div style=\"font-weight: 400\"&gt;\r\n\r\nHuman interaction with companion animals\r\n&lt;ul&gt;\r\n&lt;li&gt;List the potential benefits of companion animals to human health: cardiovascular, exercise, mental health, social capital, service, and therapy&lt;\/li&gt;\r\n&lt;li&gt;Explain possible negative health aspects of living with companion animals: zoonosis, parasites, the burden of care; grief&lt;\/li&gt;\r\n&lt;li&gt;Explain negative effects of pets on the environment\/planet: CO2 emissions from the production of pet food, feces, plastic bags of feces, loss of biodiversity, competition for food&lt;\/li&gt;\r\n&lt;li&gt;Disadvantages to human health - feces, methane and carbon dioxide, predation leading to loss of biodiversity.&lt;\/li&gt;\r\n&lt;\/ul&gt;\r\n&lt;\/div&gt;\r\n\r\n<hr \/>\r\n\r\n<h1>Human Interaction with Companion Animals<\/h1>\r\n<div style=\"font-weight: 400\">\r\n\r\nIn the Anthropocene, most vertebrate animals live in captivity as livestock or companion animals (Bovenkirk). North America is the world\u2019s leading country in pet-keeping, having over 300 million pets, which is four times the number of children. Approximately 58 % of Canadian households own at least one cat or dog, and in 2020 the dog population was estimated at 7.7 million while the cat population was estimated at 8.1 million. (CAHI). In many households dogs and cats are considered important companions for family members and indeed may be referred to as \u201ca member of the family\u201d(Silcox; AVMA 2012). Other animals can be beloved pets and have similar importance in the lives of humans; however, most of the literature focuses on the most common pets which are cats and dogs.\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\n<span style=\"text-align: initial;font-size: 1em\">There are numerous positive health effects reported for pet owners.\u202fThe COVID-19 pandemic has highlighted the importance of pets promoting social capital in our lives improving our quality of life and mental health (from CAHI)., Wood:Social capital and pet ownership? ).<\/span>\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\n<span style=\"text-align: initial;font-size: 1em\">Healthy pets may lead to healthy humans in other ways as well. In terms of physical activity, adults with dogs take 25% more steps per day than adults without dogs, and children with dogs are significantly more active than children without them (Owen et al. 2010). There is evidence that dog and cat owners were less likely to be obese and more likely to report excellent health (Utz 2014), and dog owners got more exercise, were fitter, and were seen less often by doctors than non-owners (Heady, Na, &amp; Zheng, 2008).<\/span>\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\n<span style=\"text-align: initial;font-size: 1em\">Cardiovascular benefits have been reported for pet owners (Beck and Katcher). In a benchmark study in the 80s pet owners discharged from a coronary care unit had better outcomes compared to nonowners and this was attributed to the social support provided by pets (Freidman, E 1980). Subsequently, other similar studies reported that a prospective study found that dog\u202fownership was associated with an\u202fincreased likelihood of 1-year survival after a myocardial infarction, and dog ownership could be considered an independent predictor of survival (Friedmann\u202f&amp;Thomas, 1995). Further evidence has shown that that pet owners had slightly lower systolic\u202fblood pressures, plasma cholesterol, and triglyceride values than non\u2013pet owners\u00a0 (Anderson,\u202fReid, and Jennings (1992).<\/span>\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\n<span style=\"text-align: initial;font-size: 1em\">Health research into chronic pain suggests that dogs may indirectly improve their\u202fowners\u2019 ability to cope with, manage, and live with chronic pain by providing emotional, social,\u202fand mental health benefits. (Carr).\u00a0 However, the benefits may only occur specifically with people who actively use human\u2013animal interactions as a pain-coping mechanism, and care should be taken before recommending companion-animal ownership to all persons suffering from chronic pain (Bradley &amp; Bennet)<\/span>\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nAside from COVID 19 isolation promoting the ownership of pets, previous reports showed that companion animals provided psychological benefits to pet owners with particular benefits to those in one-person households (Antonacopoulos &amp; Pychyl 2010). Female university students were less likely to report being lonely and depressed as a benefit of animals in their room. Psychological effects of pets include a feeling of being needed, and a feeling of well being which were in part a result of increased social interactions between people with dogs such as meeting at a dog park and positive social effects from positive comments and attention by people who are drawn to pets in the community (Wells, 2009).\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\n<span style=\"text-align: initial;font-size: 1em\">Other impacts that pets have on wellbeing of humans include alleviation of highly stressful life occurrences such as divorce and death in the family, alleviation of depression and anxiety, and these effects were shown to extend to all members in the household (Lewis, Kr\u00e4geloh, &amp; Shepherd, 2009). Other studies have shown positive effects of pets on childhood development and healthy aging ((Beck &amp; Katcher). (See SIlcox and add silcox as ref in above statements)<\/span>\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\n<span style=\"text-align: initial;font-size: 1em\">These studies show evidence of the positive impact that pets have on wellbeing. In fact, in several countries pet ownership has been shown to result in savings to the national health program. (in Fine: Understanding Our Kinship with Animals: Input for Health Care Professionals Interested in the Human\u2013Animal Bond <\/span><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/B9780128012925000018%22%20\/l%20%22!\" target=\"_blank\" rel=\"noopener\" style=\"text-align: initial;font-size: 1em\">Aubrey H.Fine<sub>1<\/sub><\/a><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/B9780128012925000018%22%20\/l%20%22!\" target=\"_blank\" rel=\"noopener\" style=\"text-align: initial;font-size: 1em\">Alan M.Beck?<\/a>)\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nDomestic animals also provide benefits to human health when trained as service and therapy animals. Service animals are trained to provide specific medical care or support to a person with physical, mental or emotional disabilities and reside with that person, while Therapy animals work with more than one person and reside with a handler or at the facility where they work. The best known example of assistance animals is the Guide dog which is highly trained to guide humans with impaired vision. The success of Guide dogs as \u201cadaptive technology\u201d led to the training of dogs to provide other services including hearing, mobility, medical alert needs and many others; and the success with dogs led to training of other species as service animals such as guide ponies and service monkeys (Beckoff encyclopedia).\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\n<span style=\"text-align: initial;font-size: 1em\">Therapy animals are not service animals. In animal assisted therapy a person trained in that therapy incorporates an animal into a prescribed therapeutic plan (Beckofff bk 1).\u00a0 Well known examples of therapy animals include horses used in therapeutic riding programs or equine facilitated psychotherapy and dogs providing affection and comfort to people in hospitals, retirement homes, nursing homes, schools, hospices, disaster areas, and to people with learning difficulties.<\/span>\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\n<span style=\"text-align: initial;font-size: 1em\">Although there are amazing stories of the benefits from the human animal bond and from loyal service and therapy animals, it is important to be aware that the human animal bond (HAB) and its relationship with human mental health is complex (Hill), and the HAB may interfere with self care and contribute to noncompliance of health\/medical recommendations. For instance, if there is a contradiction between pet care and self care the owner may choose to put the animal\u2019s needs first resulting in noncompliance toward their own therapy. One example is a patient being referred to a rehabilitation facility that does not allow animals. This may not be a viable option to that owner due to lack of pet care and may lead to non compliance by the patient. This could have a critical effect on patient outcome (McNicholas; silcox?). There is also evidence\u202fthat pets can have no effect or be associated with decreased health and morale in some human animal interactions (Scoresby, K.J, 2021; (Beck and Katcher). Therefore, it is essential to investigate the human animal interactions in the daily life of each patient. This will help the physician make recommendations for the patient which work for the entire family including the pet members.<\/span>\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nIt is also important to recognize that companion animals interacting and living with humans need to be healthy to provide health benefits. The appropriate veterinary care is important to promote a strong human animal bond. The HAB is defined by the American Veterinary Medical Association as \u201ca mutually beneficial and dynamic relationship between people and animals that is influenced by behaviors\u202fessential to the health and wellbeing of both\u201d (AVMA). Unhealthy pets con be a source of zoonotic diseases (Tarazona et al) transmitting infectious diseases to humans when they are not healthy themselves.\u202fMore on health disadvantages\u2026 burden of care??\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nMoreover, it is also important to acknowledge that pets contribute to poor planetary health. The pet animal population accounts for 25 to 30 per cent of the environmental impact of meat consumption in the United States and are responsible for creating approximately 64 million tons of carbon dioxide each year. They also produce millions of tonnes of feces every year, much of it individually wrapped before being sent to landfills. Whereas feces left in the environment contaminate waterways with bacteria, viruses and parasites. (Suzuki report; Voith)\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nCats can have an additional negative effect on the planetary health due to their agency as predators. Many owned cats are allowed to be free ranging, and there are many free ranging feral cats in most communities.\u00a0 Free-ranging domestic cats impact biodiversity through predation, fear effects, competition, disease and hybridization. Prey items include a wide range of animals, including birds, mammals, reptiles, amphibians, fish, and invertebrates like butterflies and dragonflies. (Trowburst) Another indirect impact on the planet is competition with wild animals for food. For example, every mouse eaten by a cat cannot be eaten by a hawk. Domestic cats can also impact wildlife through cat-transmitted diseases like toxoplasmosis, rabies or feline leukemia (Voith).\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\n<span style=\"text-align: initial;font-size: 1em\">Overall, there is much evidence of mental and physical health benefits from humans interacting with domestic animals; however,\u202fthis is unique to each individual, including patients, and their circumstances. Questions about pets and interactions with animals should be a routine part of history taking for the medical record. (see See Silcox- recommendations for clinicians. supplemental) This information may be pertinent for both mental and physical health aspects of patients.\u00a0 Conscientious and responsible pet ownership should be promoted to optimize health benefits from pets and to protect the planet. Patient-Centered Medical Homes should consider including a veterinarian as one of the health professionals on the team.<\/span>\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\n&nbsp;\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\n<hr \/>\r\n\r\n<\/div>\r\nReferences:\r\n<div style=\"font-weight: 400\">\r\n\r\n&nbsp;\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\n\"The History of Human-Animal Interaction .\"\u202fAnimal Rights. Retrieved April 25, 2022 from Encyclopedia.com:\u202f<a href=\"https:\/\/www.encyclopedia.com\/politics\/encyclopedias-almanacs-transcripts-and-maps\/history-human-animal-interaction\" target=\"_blank\" rel=\"noopener\">https:\/\/www.encyclopedia.com\/politics\/encyclopedias-almanacs-transcripts-and-maps\/history-human-animal-interaction<\/a>\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\n&nbsp;\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nBekoff, M. (2007) Anthrozoology. Encyclopedia of Human-Animal Relationships. A global exploration of our connections with animals.\u202f (From introduction: anthrozoology\u202fsee text in office pp) Greenwood press. Westport Conn 2007.\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\n&nbsp;\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nUrbanik, Julie.\u202f(2012) Geography and human animal relations.\u00a0 Placing Animals : An Introduction to the Geography of Human-Animal Relations, Rowman &amp; Littlefield Publishers.\u202fProQuest Ebook Central, https:\/\/ebookcentral.proquest.com\/lib\/upei\/detail.action?docID=988804.\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\n&nbsp;\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nKeulartz, J., Bovenkerk, B. (2021). Animals in Our Midst: An Introduction. In: Bovenkerk, B., Keulartz, J. (eds) Animals in Our Midst: The Challenges of Co-existing with Animals in the Anthropocene. The International Library of Environmental, Agricultural and Food Ethics, vol 33. Springer, Cham. https:\/\/doi-org.proxy.library.upei.ca\/10.1007\/978-3-030-63523-7_1\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\n&nbsp;\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nFine, A. H., Beck A. M., (2019) Understanding Our Kinship With Animals: Input for Health Care Professionals Interested in the Human\u2013Animal Bond. Handbook on animal assisted therapy. Academic Press. 3-12\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\n\u00a0DOI: 10.1016\/B978-0-12-815395-6.00001-8\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\n&nbsp;\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nThe Canadian Animal Health Institute (CAHI) 2020 Pet Population Survey\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nFebruary 15, 2021\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\n&nbsp;\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nSuzuki: (<a href=\"https:\/\/davidsuzuki.org\/living-green\/is-your-pet-care-planet-friendly\/#:~:text=The%20scoop%20on%20poop,steps%20or%20rolls%20over%20it\" target=\"_blank\" rel=\"noopener\">https:\/\/davidsuzuki.org\/living-green\/is-your-pet-care-planet-friendly\/#:~:text=The%20scoop%20on%20poop,steps%20or%20rolls%20over%20it<\/a>.)\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\n&nbsp;\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nCarr, E. C. J., Norris, J.M., Hayden K. A., Pater, R., Wallace, J. E., (2020) A Scoping Review of the Health and Social Benefits\u202fof Dog Ownership for People Who Have\u202fChronic\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nPain\u202f, Anthrozoos, 33:2, 207-224, DOI: 10.1080\/08927936.2020.1719761\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\n&nbsp;\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nTarazona\u202f et al: Ariel, M., Tarazona ,*, Maria C Ceballos 2,3 and Donald M Broom Human Relationships with Domestic and Other\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nAnimals: One Health, OneWelfare, One Biology Animals 2020, 10, 43; doi:10.3390\/ani10010043\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nUse the zoonosis table only\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\n&nbsp;\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nTrouwborst, A., (2020) Domestic cats and their impacts on biodiversity: A blind spot in\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nthe application of nature conservation law\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nPeople and Nature. 2:235\u2013250. \u2000\u2000DOI: 10.1002\/pan3.10073\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nSilcox, D., Castillo, Y. A., Reed, B. J., (2014) The Human Animal Bond: Applications for Rehabilitation Professionals. 45, 27-37.\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nWood, L., Martina, K., Christiana, H., Houghton, S., Kawachi, I., Vallesi, S., McCune, S., (2017) Social capital and pet ownership \u2013 A tale of four cities. SSM Population Health. 3, 442-447.\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nAntonacopoulos, N., &amp; Pychyl, T. A., (2010). An examination of the potential role of pet ownership, human social support and pet attachment in the psychological health of individuals living alone. Anthrozo\u00f6s, 23(1), 37-54. doi: 10.2752\/175303710X12627079939143\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\n?Friedmann, E., Thomas, S. A., Son, H., Chapa, D., &amp; McCune, S. (2013). Pet\u2019s presence and owner\u2019s\u00a0 blood pressures during the daily lives of pet owners with pre- to mild hypertension. Anthrozo\u00f6s, 26(4), 535-550. doi:10.2752\/175303713X13795775536138\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nHeady, B., Na, F., &amp; Zheng, R. (2008). Pet dogs benefit owners\u2019 health: A \u201cnatural\u201d experiment in China. Social Indicators Research, 87(3), 481-493. doi:10.1007\/s11205-007-9142-2\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nLewis, A., Kr\u00e4geloh, C. U., &amp; Shepherd, D. (2009). Pet ownership, attachment, and health-related quality of life in New Zealand. E-Journal of Applied Psychology, 5(1), 96-101.\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nMcConnell, A. R., Brown, C. M., Shoda, T. M., Stayton, L. E., &amp; Martin, C. E. (2011). Friends with benefits: On the positive consequences of pet ownership. Journal of Personality and Social Psychology, 101(6), 1239-1252. doi:10.1037\/a0024506\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nOwen, C. G., Nightingale, C. M., Rudnicka, A., Ekelund, U., McMinn, A, van Sluijs, E, et al. (2010). Family dog ownership and levels of physical activity in childhood: Findings from the Child Heart and Health Study in England. American Journal of Public Health, 100(9), 1669-1671. doi: 10.2105\/AJPH.2009.188193\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nPatronek, G.J., &amp; Glickman, L. T. (1993). Pet ownership protects against the risks and consequences of coronary heart disease. Medical Hypotheses, 40(4), 245-249. doi:10.1016\/0306-9877(93)90049-V\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nUtz, R. (2014). Walking the dog: The effect of pet ownership on human health and health\u00a0 behaviors. Social Indicators Research, 116(2), 327-339. doi:10.1007\/s11205-013-0299-6]\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nFriedmann, E., Katcher, A. H., (1980). Animal Companions and One-Year Survival\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nof Patients After Discharge From a Coronary Care Unit. Public Health Reports. 95, 307.\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nHill, L., Winefield, H., Bennett, P., (2020) Are stronger bonds better?\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nExamining the relationship between the human\u2013animal bond and human social support, and its\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nimpact on resilience, Australian Psychologist. 55, 729-738, DOI: 10.1111\/ap.12466\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nScoresby, K.J., Strand, E.B., Ng, Z., Brown, K.C., Stilz, C.R., Strobel, K., Barroso, C.S., Souza, M. (2021) Pet Ownership and Quality of Life: A Systematic Review of the Literature. Vet. Sci. 8, 332. https:\/\/doi.org\/ 10.3390\/vetsci8120332\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nBradley, L., Bennett, P., C., (2015) Companion-Animals\u2019 Effectiveness in Managing Chronic Pain in Adult Community Members Anthozoos. 28\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nBeck, A. M., Katcher, A. H., (2003) Future Directions in Human-Animal Bond Research. American Behavioral Scientist. 47, 79-93. DOI: 10.1177\/0002764203255214\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nAmerican Veterinary Medical Association <a href=\"https:\/\/www.avma.org\/one-health\/human-animal-bond\" target=\"_blank\" rel=\"noopener\">Human-animal bond | <\/a>(avma.org)\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nWells, D. L., (2009) The Effects of Animals on Human Health and Well-Being. Journal of Social Issues, 65, 523\u2014543.\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nMcNicholas, J., Gilbey, A., Rennie, A., Ahmedzai, S., Dono, J., Ormerod, E., (2005) Pet ownership and human health: a brief review of evidence and issues. BMJ 331:1252\u20135\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nExploring the differences between pet and non-pet owners: Implications for humananimal interaction research and policy Jessica Saunders1 , Layla Parast1 *, Susan H. Babey2 , Jeremy V. Miles\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nSaunders, J., Parast, L., Babey, S.H., Miles, J.V., (2017) Exploring the differences between pet and non-pet owners: Implications for human-animal interaction research and policy. PLoS ONE 12:\u00a0 <a href=\"https:\/\/doi.org\/10.1371\/journal.%20pone.0179494\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1371\/journal. pone.0179494<\/a>\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nBrooks, H. L., Rushton, K., Lovell, K., Bee, P., Walker, L., Grant, L., Rogers, A., (2018) The power of support from companion animals for people living with mental health problems: a systematic review and narrative synthesis of the evidence. BMC Psychiatry. 18:31 DOI 10.1186\/s12888-018-1613-2\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nVoith, V., L., (2009) The Impact of Companion Animal Problems on Society and the Role of Veterinarians. Vet Clin Small Anim. 39: 327\u2013345 <a href=\"https:\/\/doi.org\/10.1016\/j.cvsm.2008.10.014\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1016\/j.cvsm.2008.10.014<\/a>\r\n\r\n<\/div>","rendered":"<p>&lt;h2&gt;Authors: McDuffee, L.A.&lt;\/h2&gt;<\/p>\n<p>&lt;div class=&#8221;textbox__content&#8221;&gt;<\/p>\n<p>After reading this chapter you should be aware of:<br \/>\n&lt;ul&gt;<br \/>\n&lt;div style=&#8221;font-weight: 400&#8243;&gt;<\/p>\n<p>Human interaction with companion animals<br \/>\n&lt;ul&gt;<br \/>\n&lt;li&gt;List the potential benefits of companion animals to human health: cardiovascular, exercise, mental health, social capital, service, and therapy&lt;\/li&gt;<br \/>\n&lt;li&gt;Explain possible negative health aspects of living with companion animals: zoonosis, parasites, the burden of care; grief&lt;\/li&gt;<br \/>\n&lt;li&gt;Explain negative effects of pets on the environment\/planet: CO2 emissions from the production of pet food, feces, plastic bags of feces, loss of biodiversity, competition for food&lt;\/li&gt;<br \/>\n&lt;li&gt;Disadvantages to human health &#8211; feces, methane and carbon dioxide, predation leading to loss of biodiversity.&lt;\/li&gt;<br \/>\n&lt;\/ul&gt;<br \/>\n&lt;\/div&gt;<\/p>\n<hr \/>\n<h1>Human Interaction with Companion Animals<\/h1>\n<div style=\"font-weight: 400\">\n<p>In the Anthropocene, most vertebrate animals live in captivity as livestock or companion animals (Bovenkirk). North America is the world\u2019s leading country in pet-keeping, having over 300 million pets, which is four times the number of children. Approximately 58 % of Canadian households own at least one cat or dog, and in 2020 the dog population was estimated at 7.7 million while the cat population was estimated at 8.1 million. (CAHI). In many households dogs and cats are considered important companions for family members and indeed may be referred to as \u201ca member of the family\u201d(Silcox; AVMA 2012). Other animals can be beloved pets and have similar importance in the lives of humans; however, most of the literature focuses on the most common pets which are cats and dogs.<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p><span style=\"text-align: initial;font-size: 1em\">There are numerous positive health effects reported for pet owners.\u202fThe COVID-19 pandemic has highlighted the importance of pets promoting social capital in our lives improving our quality of life and mental health (from CAHI)., Wood:Social capital and pet ownership? ).<\/span><\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p><span style=\"text-align: initial;font-size: 1em\">Healthy pets may lead to healthy humans in other ways as well. In terms of physical activity, adults with dogs take 25% more steps per day than adults without dogs, and children with dogs are significantly more active than children without them (Owen et al. 2010). There is evidence that dog and cat owners were less likely to be obese and more likely to report excellent health (Utz 2014), and dog owners got more exercise, were fitter, and were seen less often by doctors than non-owners (Heady, Na, &amp; Zheng, 2008).<\/span><\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p><span style=\"text-align: initial;font-size: 1em\">Cardiovascular benefits have been reported for pet owners (Beck and Katcher). In a benchmark study in the 80s pet owners discharged from a coronary care unit had better outcomes compared to nonowners and this was attributed to the social support provided by pets (Freidman, E 1980). Subsequently, other similar studies reported that a prospective study found that dog\u202fownership was associated with an\u202fincreased likelihood of 1-year survival after a myocardial infarction, and dog ownership could be considered an independent predictor of survival (Friedmann\u202f&amp;Thomas, 1995). Further evidence has shown that that pet owners had slightly lower systolic\u202fblood pressures, plasma cholesterol, and triglyceride values than non\u2013pet owners\u00a0 (Anderson,\u202fReid, and Jennings (1992).<\/span><\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p><span style=\"text-align: initial;font-size: 1em\">Health research into chronic pain suggests that dogs may indirectly improve their\u202fowners\u2019 ability to cope with, manage, and live with chronic pain by providing emotional, social,\u202fand mental health benefits. (Carr).\u00a0 However, the benefits may only occur specifically with people who actively use human\u2013animal interactions as a pain-coping mechanism, and care should be taken before recommending companion-animal ownership to all persons suffering from chronic pain (Bradley &amp; Bennet)<\/span><\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Aside from COVID 19 isolation promoting the ownership of pets, previous reports showed that companion animals provided psychological benefits to pet owners with particular benefits to those in one-person households (Antonacopoulos &amp; Pychyl 2010). Female university students were less likely to report being lonely and depressed as a benefit of animals in their room. Psychological effects of pets include a feeling of being needed, and a feeling of well being which were in part a result of increased social interactions between people with dogs such as meeting at a dog park and positive social effects from positive comments and attention by people who are drawn to pets in the community (Wells, 2009).<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p><span style=\"text-align: initial;font-size: 1em\">Other impacts that pets have on wellbeing of humans include alleviation of highly stressful life occurrences such as divorce and death in the family, alleviation of depression and anxiety, and these effects were shown to extend to all members in the household (Lewis, Kr\u00e4geloh, &amp; Shepherd, 2009). Other studies have shown positive effects of pets on childhood development and healthy aging ((Beck &amp; Katcher). (See SIlcox and add silcox as ref in above statements)<\/span><\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p><span style=\"text-align: initial;font-size: 1em\">These studies show evidence of the positive impact that pets have on wellbeing. In fact, in several countries pet ownership has been shown to result in savings to the national health program. (in Fine: Understanding Our Kinship with Animals: Input for Health Care Professionals Interested in the Human\u2013Animal Bond <\/span><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/B9780128012925000018%22%20\/l%20%22!\" target=\"_blank\" rel=\"noopener\" style=\"text-align: initial;font-size: 1em\">Aubrey H.Fine<sub>1<\/sub><\/a><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/B9780128012925000018%22%20\/l%20%22!\" target=\"_blank\" rel=\"noopener\" style=\"text-align: initial;font-size: 1em\">Alan M.Beck?<\/a>)<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Domestic animals also provide benefits to human health when trained as service and therapy animals. Service animals are trained to provide specific medical care or support to a person with physical, mental or emotional disabilities and reside with that person, while Therapy animals work with more than one person and reside with a handler or at the facility where they work. The best known example of assistance animals is the Guide dog which is highly trained to guide humans with impaired vision. The success of Guide dogs as \u201cadaptive technology\u201d led to the training of dogs to provide other services including hearing, mobility, medical alert needs and many others; and the success with dogs led to training of other species as service animals such as guide ponies and service monkeys (Beckoff encyclopedia).<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p><span style=\"text-align: initial;font-size: 1em\">Therapy animals are not service animals. In animal assisted therapy a person trained in that therapy incorporates an animal into a prescribed therapeutic plan (Beckofff bk 1).\u00a0 Well known examples of therapy animals include horses used in therapeutic riding programs or equine facilitated psychotherapy and dogs providing affection and comfort to people in hospitals, retirement homes, nursing homes, schools, hospices, disaster areas, and to people with learning difficulties.<\/span><\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p><span style=\"text-align: initial;font-size: 1em\">Although there are amazing stories of the benefits from the human animal bond and from loyal service and therapy animals, it is important to be aware that the human animal bond (HAB) and its relationship with human mental health is complex (Hill), and the HAB may interfere with self care and contribute to noncompliance of health\/medical recommendations. For instance, if there is a contradiction between pet care and self care the owner may choose to put the animal\u2019s needs first resulting in noncompliance toward their own therapy. One example is a patient being referred to a rehabilitation facility that does not allow animals. This may not be a viable option to that owner due to lack of pet care and may lead to non compliance by the patient. This could have a critical effect on patient outcome (McNicholas; silcox?). There is also evidence\u202fthat pets can have no effect or be associated with decreased health and morale in some human animal interactions (Scoresby, K.J, 2021; (Beck and Katcher). Therefore, it is essential to investigate the human animal interactions in the daily life of each patient. This will help the physician make recommendations for the patient which work for the entire family including the pet members.<\/span><\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>It is also important to recognize that companion animals interacting and living with humans need to be healthy to provide health benefits. The appropriate veterinary care is important to promote a strong human animal bond. The HAB is defined by the American Veterinary Medical Association as \u201ca mutually beneficial and dynamic relationship between people and animals that is influenced by behaviors\u202fessential to the health and wellbeing of both\u201d (AVMA). Unhealthy pets con be a source of zoonotic diseases (Tarazona et al) transmitting infectious diseases to humans when they are not healthy themselves.\u202fMore on health disadvantages\u2026 burden of care??<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Moreover, it is also important to acknowledge that pets contribute to poor planetary health. The pet animal population accounts for 25 to 30 per cent of the environmental impact of meat consumption in the United States and are responsible for creating approximately 64 million tons of carbon dioxide each year. They also produce millions of tonnes of feces every year, much of it individually wrapped before being sent to landfills. Whereas feces left in the environment contaminate waterways with bacteria, viruses and parasites. (Suzuki report; Voith)<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Cats can have an additional negative effect on the planetary health due to their agency as predators. Many owned cats are allowed to be free ranging, and there are many free ranging feral cats in most communities.\u00a0 Free-ranging domestic cats impact biodiversity through predation, fear effects, competition, disease and hybridization. Prey items include a wide range of animals, including birds, mammals, reptiles, amphibians, fish, and invertebrates like butterflies and dragonflies. (Trowburst) Another indirect impact on the planet is competition with wild animals for food. For example, every mouse eaten by a cat cannot be eaten by a hawk. Domestic cats can also impact wildlife through cat-transmitted diseases like toxoplasmosis, rabies or feline leukemia (Voith).<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p><span style=\"text-align: initial;font-size: 1em\">Overall, there is much evidence of mental and physical health benefits from humans interacting with domestic animals; however,\u202fthis is unique to each individual, including patients, and their circumstances. Questions about pets and interactions with animals should be a routine part of history taking for the medical record. (see See Silcox- recommendations for clinicians. supplemental) This information may be pertinent for both mental and physical health aspects of patients.\u00a0 Conscientious and responsible pet ownership should be promoted to optimize health benefits from pets and to protect the planet. Patient-Centered Medical Homes should consider including a veterinarian as one of the health professionals on the team.<\/span><\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>&nbsp;<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<hr \/>\n<\/div>\n<p>References:<\/p>\n<div style=\"font-weight: 400\">\n<p>&nbsp;<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>&#8220;The History of Human-Animal Interaction .&#8221;\u202fAnimal Rights. Retrieved April 25, 2022 from Encyclopedia.com:\u202f<a href=\"https:\/\/www.encyclopedia.com\/politics\/encyclopedias-almanacs-transcripts-and-maps\/history-human-animal-interaction\" target=\"_blank\" rel=\"noopener\">https:\/\/www.encyclopedia.com\/politics\/encyclopedias-almanacs-transcripts-and-maps\/history-human-animal-interaction<\/a><\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>&nbsp;<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Bekoff, M. (2007) Anthrozoology. Encyclopedia of Human-Animal Relationships. A global exploration of our connections with animals.\u202f (From introduction: anthrozoology\u202fsee text in office pp) Greenwood press. Westport Conn 2007.<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>&nbsp;<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Urbanik, Julie.\u202f(2012) Geography and human animal relations.\u00a0 Placing Animals : An Introduction to the Geography of Human-Animal Relations, Rowman &amp; Littlefield Publishers.\u202fProQuest Ebook Central, https:\/\/ebookcentral.proquest.com\/lib\/upei\/detail.action?docID=988804.<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>&nbsp;<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Keulartz, J., Bovenkerk, B. (2021). Animals in Our Midst: An Introduction. In: Bovenkerk, B., Keulartz, J. (eds) Animals in Our Midst: The Challenges of Co-existing with Animals in the Anthropocene. The International Library of Environmental, Agricultural and Food Ethics, vol 33. Springer, Cham. https:\/\/doi-org.proxy.library.upei.ca\/10.1007\/978-3-030-63523-7_1<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>&nbsp;<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Fine, A. H., Beck A. M., (2019) Understanding Our Kinship With Animals: Input for Health Care Professionals Interested in the Human\u2013Animal Bond. Handbook on animal assisted therapy. Academic Press. 3-12<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>\u00a0DOI: 10.1016\/B978-0-12-815395-6.00001-8<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>&nbsp;<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>The Canadian Animal Health Institute (CAHI) 2020 Pet Population Survey<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>February 15, 2021<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>&nbsp;<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Suzuki: (<a href=\"https:\/\/davidsuzuki.org\/living-green\/is-your-pet-care-planet-friendly\/#:~:text=The%20scoop%20on%20poop,steps%20or%20rolls%20over%20it\" target=\"_blank\" rel=\"noopener\">https:\/\/davidsuzuki.org\/living-green\/is-your-pet-care-planet-friendly\/#:~:text=The%20scoop%20on%20poop,steps%20or%20rolls%20over%20it<\/a>.)<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>&nbsp;<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Carr, E. C. J., Norris, J.M., Hayden K. A., Pater, R., Wallace, J. E., (2020) A Scoping Review of the Health and Social Benefits\u202fof Dog Ownership for People Who Have\u202fChronic<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Pain\u202f, Anthrozoos, 33:2, 207-224, DOI: 10.1080\/08927936.2020.1719761<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>&nbsp;<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Tarazona\u202f et al: Ariel, M., Tarazona ,*, Maria C Ceballos 2,3 and Donald M Broom Human Relationships with Domestic and Other<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Animals: One Health, OneWelfare, One Biology Animals 2020, 10, 43; doi:10.3390\/ani10010043<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Use the zoonosis table only<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>&nbsp;<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Trouwborst, A., (2020) Domestic cats and their impacts on biodiversity: A blind spot in<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>the application of nature conservation law<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>People and Nature. 2:235\u2013250. \u2000\u2000DOI: 10.1002\/pan3.10073<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Silcox, D., Castillo, Y. A., Reed, B. J., (2014) The Human Animal Bond: Applications for Rehabilitation Professionals. 45, 27-37.<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Wood, L., Martina, K., Christiana, H., Houghton, S., Kawachi, I., Vallesi, S., McCune, S., (2017) Social capital and pet ownership \u2013 A tale of four cities. SSM Population Health. 3, 442-447.<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Antonacopoulos, N., &amp; Pychyl, T. A., (2010). An examination of the potential role of pet ownership, human social support and pet attachment in the psychological health of individuals living alone. Anthrozo\u00f6s, 23(1), 37-54. doi: 10.2752\/175303710X12627079939143<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>?Friedmann, E., Thomas, S. A., Son, H., Chapa, D., &amp; McCune, S. (2013). Pet\u2019s presence and owner\u2019s\u00a0 blood pressures during the daily lives of pet owners with pre- to mild hypertension. Anthrozo\u00f6s, 26(4), 535-550. doi:10.2752\/175303713X13795775536138<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Heady, B., Na, F., &amp; Zheng, R. (2008). Pet dogs benefit owners\u2019 health: A \u201cnatural\u201d experiment in China. Social Indicators Research, 87(3), 481-493. doi:10.1007\/s11205-007-9142-2<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Lewis, A., Kr\u00e4geloh, C. U., &amp; Shepherd, D. (2009). Pet ownership, attachment, and health-related quality of life in New Zealand. E-Journal of Applied Psychology, 5(1), 96-101.<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>McConnell, A. R., Brown, C. M., Shoda, T. M., Stayton, L. E., &amp; Martin, C. E. (2011). Friends with benefits: On the positive consequences of pet ownership. Journal of Personality and Social Psychology, 101(6), 1239-1252. doi:10.1037\/a0024506<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Owen, C. G., Nightingale, C. M., Rudnicka, A., Ekelund, U., McMinn, A, van Sluijs, E, et al. (2010). Family dog ownership and levels of physical activity in childhood: Findings from the Child Heart and Health Study in England. American Journal of Public Health, 100(9), 1669-1671. doi: 10.2105\/AJPH.2009.188193<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Patronek, G.J., &amp; Glickman, L. T. (1993). Pet ownership protects against the risks and consequences of coronary heart disease. Medical Hypotheses, 40(4), 245-249. doi:10.1016\/0306-9877(93)90049-V<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Utz, R. (2014). Walking the dog: The effect of pet ownership on human health and health\u00a0 behaviors. Social Indicators Research, 116(2), 327-339. doi:10.1007\/s11205-013-0299-6]<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Friedmann, E., Katcher, A. H., (1980). Animal Companions and One-Year Survival<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>of Patients After Discharge From a Coronary Care Unit. Public Health Reports. 95, 307.<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Hill, L., Winefield, H., Bennett, P., (2020) Are stronger bonds better?<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Examining the relationship between the human\u2013animal bond and human social support, and its<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>impact on resilience, Australian Psychologist. 55, 729-738, DOI: 10.1111\/ap.12466<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Scoresby, K.J., Strand, E.B., Ng, Z., Brown, K.C., Stilz, C.R., Strobel, K., Barroso, C.S., Souza, M. (2021) Pet Ownership and Quality of Life: A Systematic Review of the Literature. Vet. Sci. 8, 332. https:\/\/doi.org\/ 10.3390\/vetsci8120332<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Bradley, L., Bennett, P., C., (2015) Companion-Animals\u2019 Effectiveness in Managing Chronic Pain in Adult Community Members Anthozoos. 28<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Beck, A. M., Katcher, A. H., (2003) Future Directions in Human-Animal Bond Research. American Behavioral Scientist. 47, 79-93. DOI: 10.1177\/0002764203255214<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>American Veterinary Medical Association <a href=\"https:\/\/www.avma.org\/one-health\/human-animal-bond\" target=\"_blank\" rel=\"noopener\">Human-animal bond | <\/a>(avma.org)<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Wells, D. L., (2009) The Effects of Animals on Human Health and Well-Being. Journal of Social Issues, 65, 523\u2014543.<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>McNicholas, J., Gilbey, A., Rennie, A., Ahmedzai, S., Dono, J., Ormerod, E., (2005) Pet ownership and human health: a brief review of evidence and issues. BMJ 331:1252\u20135<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Exploring the differences between pet and non-pet owners: Implications for humananimal interaction research and policy Jessica Saunders1 , Layla Parast1 *, Susan H. Babey2 , Jeremy V. Miles<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Saunders, J., Parast, L., Babey, S.H., Miles, J.V., (2017) Exploring the differences between pet and non-pet owners: Implications for human-animal interaction research and policy. PLoS ONE 12:\u00a0 <a href=\"https:\/\/doi.org\/10.1371\/journal.%20pone.0179494\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1371\/journal. pone.0179494<\/a><\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Brooks, H. L., Rushton, K., Lovell, K., Bee, P., Walker, L., Grant, L., Rogers, A., (2018) The power of support from companion animals for people living with mental health problems: a systematic review and narrative synthesis of the evidence. BMC Psychiatry. 18:31 DOI 10.1186\/s12888-018-1613-2<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>Voith, V., L., (2009) The Impact of Companion Animal Problems on Society and the Role of Veterinarians. Vet Clin Small Anim. 39: 327\u2013345 <a href=\"https:\/\/doi.org\/10.1016\/j.cvsm.2008.10.014\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1016\/j.cvsm.2008.10.014<\/a><\/p>\n<\/div>\n","protected":false},"author":56,"menu_order":5,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-641","chapter","type-chapter","status-publish","hentry"],"part":607,"_links":{"self":[{"href":"https:\/\/pressbooks.library.upei.ca\/planetaryhealth\/wp-json\/pressbooks\/v2\/chapters\/641","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.library.upei.ca\/planetaryhealth\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.library.upei.ca\/planetaryhealth\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.library.upei.ca\/planetaryhealth\/wp-json\/wp\/v2\/users\/56"}],"version-history":[{"count":2,"href":"https:\/\/pressbooks.library.upei.ca\/planetaryhealth\/wp-json\/pressbooks\/v2\/chapters\/641\/revisions"}],"predecessor-version":[{"id":643,"href":"https:\/\/pressbooks.library.upei.ca\/planetaryhealth\/wp-json\/pressbooks\/v2\/chapters\/641\/revisions\/643"}],"part":[{"href":"https:\/\/pressbooks.library.upei.ca\/planetaryhealth\/wp-json\/pressbooks\/v2\/parts\/607"}],"metadata":[{"href":"https:\/\/pressbooks.library.upei.ca\/planetaryhealth\/wp-json\/pressbooks\/v2\/chapters\/641\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.library.upei.ca\/planetaryhealth\/wp-json\/wp\/v2\/media?parent=641"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.library.upei.ca\/planetaryhealth\/wp-json\/pressbooks\/v2\/chapter-type?post=641"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.library.upei.ca\/planetaryhealth\/wp-json\/wp\/v2\/contributor?post=641"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.library.upei.ca\/planetaryhealth\/wp-json\/wp\/v2\/license?post=641"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}