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Volume 27, Number 2—February 2021
Research

Outbreak of Severe Vomiting in Dogs Associated with a Canine Enteric Coronavirus, United Kingdom

Alan D. RadfordComments to Author , David A. Singleton, Chris Jewell, Charlotte Appleton, Barry Rowlingson, Alison C. Hale, Carmen Tamayo Cuartero, Richard Newton, Fernando Sánchez-Vizcaíno, Danielle Greenberg, Beth Brant, Eleanor G. Bentley, James P. Stewart, Shirley Smith, Sam Haldenby, P.-J. M. Noble, and Gina L. Pinchbeck
Author affiliations: Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool Leahurst Campus, Neston, UK (A.D. Radford, D.A. Singleton, B. Brant, E.G. Bentley, J.P. Stewart, S. Smith, P.-J.M. Noble, G.L. Pinchbeck); Lancaster University Centre for Health Informatics, Lancaster, UK (C. Jewell, C. Appleton, B. Rowlingson, A.C. Hale); University of Bristol, UK (C.T. Cuartero, F. Sánchez-Vizcaíno); Animal Health Trust, Lanwades Park, Kentford, UK (R. Newton); The Liverpool Vets, Liverpool, UK (D. Greenberg); Centre for Genomic Research, University of Liverpool, Liverpool (S. Haldenby)

Main Article

Table 2

Veterinary- and owner-reported case questionnaire responses pertaining to signalment, health history, contacts, and feeding habits among dogs with vomiting, United Kingdom, January 2017–February 2020*

Question Veterinarian-reported cases, n = 165
Owner-reported cases, n = 1,034
% Responses (95% CI) No. unknown % Responses (95% CI) No. unknown
Veterinary practice location
England 80.6 (74.6–86.7) NA 89.8 (87.9–91.6) NA
Wales 12.1 (7.1–17.1) NA 4.5 (3.2–5.7) NA
Scotland 4.9 (1.6–8.1) NA 4.5 (3.2–5.7) NA
North Ireland 1.2 (0.0–2.9) NA 1.1 (0.4–1.7) NA
Republic of Ireland 1.2 (0.0–2.9) NA 0.1 (0.0–0.3) NA
Isle of Man
0
NA

0.2 (0.0–0.5)
NA
Sex
F 42.4 (34.9-50.0) NA 43.7 (40.7-46.7) NA
M 57.6 (50.0–65.1) NA 56.3 (53.3–59.3) NA
Neutered‡ 69.1 (62.0–76.2) NA 70.1 (67.3–72.9) NA
Intact‡
30.9 (23.8-37.9)
NA

29.9 (27.1-32.7)
NA
Vaccinated within past 3 y† 94.6 (91.1–98.0) NA 88.4 (86.5–90.4 13
Distemper 92.7 (88.8–96.7) NA 49.7 (46.7–52.8) NA
Infectious hepatitis 92.1 (88.0–96.2) NA 40.4 (37.4–43.4) NA
Parvo 92.1 (88.0–96.2) NA 55.4 (52.4–58.5) NA
Parainfluenza 53.9 (46.3–61.6) NA 37.4 (34.5–40.4) NA
Leptospirosis 92.7 (88.8–96.7) NA 49.2 (46.2–52.3) NA
Kennel cough 46.7 (39.0–54.3) NA 40.4 (37.4–43.4) NA
Rabies 2.4 (0.1–4.8) NA 1.3 (0.6–1.9) NA
Herpes
0.6 (0.0–1.8)
NA

NA
NA
Dewormed within past 3 mo
86.2 (80.5–92.0)
27

69.8 (67.0–72.7)
50
Lives in multidog household 34.6 (27.3–41.8) NA 47.4 (44.3–50.4) NA
>1 dogs in household vomited
54.4 (41.3–67.4)
NA

55.9 (51.5–60.3)
NA
Regular contact with other species† 54.9 (46.1–63.8) 43 44.1 (41.1–47.1) NA
Cats 64.2 (52.6–75.8) NA 62.3 (57.8–66.7) NA
Horses 20.9 (11.1–30.7) NA 28.3 (24.2–32.4) NA
Cattle or sheep or both 25.4 (14.9–35.9) NA 22.2 (18.3–26.0) NA
Pigs 3.0 (0.0–7.1) NA 1.5 (0.4–2.7) NA
Poultry 13.4 (5.2–21.7) NA 14.0 (10.8–17.2) NA
Rabbits 7.5 (1.1–13.8) NA 5.7 (3.6–7.8) NA
Other species
11.9 (4.1–19.8)
NA

20.6 (16.9–24.3)
NA
Contact with other vomiting species
13.5 (7.1–19.9)
54

17.4 (14.6–20.2)
320
Recent travel history† 31.4 (23.0–39.8) 47 26.7 (24.0–29.4) NA
Boarding kennel 8.1 (0.0–17.0) NA 9.1 (5.7–12.5) NA
Group training/behavior classes 24.3 (10.3–38.3) NA 35.5 (29.9–41.2) NA
Doggie day care facility 48.7 (32.3–65.0) NA 39.5 (33.7–45.3) NA
Overseas 2.7 (0.0–8.0) NA 0.7 (0.0–1.7) NA
Rescue kennel 0.0 (0.0–0.0) NA 0.4 (0.0–1.1) NA
Other
18.9 (6.1–31.7)
NA

20.3 (15.5–25.0)
NA
Provided known food type† 95.2 (91.9–98.4) 8 100.0 (100.0–100.0) NA
Proprietary dog food 95.5 (92.3–98.8) NA 85.9 (83.8–88.0) NA
Home-cooked diet 6.4 (2.5–10.2) NA 10.4 (8.6–12.3) NA
Raw meat 5.1 (1.6–8.6) NA 15.9 (13.6–18.1) NA
Table scraps 14.7 (9.1–20.2) NA 16.1 (13.8–18.3) NA
Scavenged food 36.6 (28.7–44.4) 20 19.9 (17.4–22.4) 24

*NA, not available.
‡Includes both female and male animals.
†Multiple responses for the same dog are possible.

Main Article

Page created: November 10, 2020
Page updated: January 23, 2021
Page reviewed: January 23, 2021
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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