DEAR READERS: "The Centers for Disease Control and Prevention has recently identified toxoplasmosis as one of five neglected parasitic infections of people due to its high prevalence," per a report from the Cornell Feline Health Center. "More than 60 million people in the U.S. are thought to be infected."
The solution is for owned cats to be kept indoors -- or at least prevented from killing and consuming infected rodents -- and for communities to better address free-roaming and feral cats. This is because the domestic cat is the definitive host for this parasite, Toxoplasma gondii, and can pass it to other animals and humans via feces, contaminated soil, vegetation and food crops.
"When a cat ingests infected prey or raw meat, the parasite is released from cysts into the cat’s digestive tract, where it reproduces and produces oocysts," writes the CFHC. "Infected cats then excrete these oocysts in their feces by the millions" for about two weeks.
"Most cats infected with T. gondii show no signs of disease. Occasionally, however, a clinical disease called toxoplasmosis occurs, often when the cat’s immune response cannot stop the spread of tachyzoite forms," writes the CFHC. "The disease is more likely to occur in cats with suppressed immune systems, including young kittens and cats with feline leukemia virus or feline immunodeficiency virus."
Cats diagnosed with this parasite can be treated with a course of the antibiotic clindamycin, possibly paired with corticosteroids. Communities need to be more vigilant with regard to free-roaming and feral cats, and anyone adopting cats that have been outdoors should have them tested.
As the article states: “Indoor cats that do not hunt prey or consume raw meat are unlikely to be infected with T. gondii. In the U.S., people are much more likely to become infected by eating raw meat and unwashed fruits and vegetables than by handling cat feces. The possibility of infection after gardening in soil that has been contaminated with cat feces also exists, and this possibility can be mitigated by wearing gloves and by washing hands after gardening.”
Read the full report here: vet.cornell.edu/departments-centers-and-institutes/cornell-feline-health-center/health-information/feline-health-topics/toxoplasmosis-cats.
To break the cycle of infection from cats to farm animals, including cattle, sheep, goats, pigs, equines and poultry, cats should not be allowed around farms. This is a global problem affecting the health and productivity of farmed animals and putting consumers at risk. (See the study "Toxoplasma gondii infection and toxoplasmosis in farm animals: Risk factors and economic impact" by S. Stelzer et al., published in Food and Waterborne Parasitology in 2019.)
Dogs can become infected by ingesting contaminated material like cat feces, raw meat or soil. Most healthy adult dogs may not show symptoms, but puppies and dogs with weakened immune systems are more susceptible to developing illness. Infected cats can infect wild carnivores such as bobcats and coyotes, as well as most other wild species that ingest infected prey or contaminated soil.
Medical studies have established a relationship between infection with this parasite and aggressive behavior -- specifically, self-directed aggression. Latent infection has also been linked to behavioral changes, impulsivity and neuropsychosis. (See the study "Toxoplasma gondii Infection: Relationship With Aggression in Psychiatric Subjects" by Emil Coccaro et al., published in the Journal of Clinical Psychiatry in 2016.)
All owned cats should be kept indoors to avoid possible infection from another cat’s feces or from consuming an infected rodent. They can be walked on a leash in a harness, or allowed time in an outdoor “catio” enclosure. Their litter boxes should be cleaned with due caution, especially by pregnant women. Feeding cats any kind of raw meat is ill advised.
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