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toxoplasmosis

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Rob - 03 Jun 2004 15:12 GMT
I'm just having a little argument with my wife about toxoplasmosis.  She
insists pregnant women should not clean a cat litter box because of
toxoplasmosis (note: this is just an academic debate, she is not pregnant).
I think that if the cats are house cats and are not allowed out of the
house, then there is no way they can carry the bacteria, thus pose zero
risk.

I've scoured the net and found sites that try to scare the crap out of
pregnant women, others that say even outdoor cats are a tiny risk, but
nothing that really discusses house cats.  I'd like to find a good
documented source to show that house cats pose no risk, or something proving
me wrong.  Thanks!
jacquel - 03 Jun 2004 15:32 GMT
The book Think Like a Cat by Pam Johnson-Bennett supports your argument.

Toxoplasmosis comes from the car's prey. If you have an indoor cat, then
presumably, they are not catching their own food and not consuming uncooked
meat. The parasite can also be caught from not preparing meat properly in
the kitchen, completely unrelated to the activity of a a cat.

The book suggests that if pregnant women wear gloves and/or wash their hands
while scooping they can remain safe.

jacquel

> I'm just having a little argument with my wife about toxoplasmosis.  She
> insists pregnant women should not clean a cat litter box because of
[quoted text clipped - 8 lines]
> documented source to show that house cats pose no risk, or something proving
> me wrong.  Thanks!
She's A Goddess - 03 Jun 2004 15:39 GMT
> I'm just having a little argument with my wife about toxoplasmosis.  She
> insists pregnant women should not clean a cat litter box because of
> toxoplasmosis (note: this is just an academic debate, she is not pregnant).
> I think that if the cats are house cats and are not allowed out of the
> house, then there is no way they can carry the bacteria, thus pose zero
> risk.

My recollection is that there is still a slight risk.  I recollect this
because I turned over all duties of litter box cleaning to my DH when we had
a 100% indoor cat.  Google "Hillary" and "toxoplasmosis".  You should find a
wonderful sheet that she has written up and posted here many times that is
more informative than any lay person ever really needs :)

Signature

Rhiannon
Mom to M. Girl (2 3/4 years) and O. Boy (11 months)

Laura R. - 03 Jun 2004 15:49 GMT
circa Thu, 03 Jun 2004 14:12:07 GMT, in rec.pets.cats.health+behav,
Rob (rob@nospam.com) said,
> I'm just having a little argument with my wife about toxoplasmosis.  She
> insists pregnant women should not clean a cat litter box because of
[quoted text clipped - 8 lines]
> documented source to show that house cats pose no risk, or something proving
> me wrong.  Thanks!

The risk of contracting toxoplasmosis is far higher for a pregnant
woman handling raw produce or meat than one cleaning the litterbox of
an indoor-only cat.

With that said, since toxoplasmosis can be brought into the household
via mechanisms other (and more likely) than an indoor-outdoor cat,
it's impossible to say that there would be *zero* risk from an
indoor-only cat. Ironically, however, the cat would likely have been
infected by his/her owners instead of the other way around. If an
indoor-only cat is ever given raw meat to eat, for example, the cat
could carry toxoplasmosis.

Sorry I can't provide you a link that will win your argument for you
or definitively prove you wrong, but these may help:

http://tinyurl.com/38auo
http://www.womens-health.co.uk/toxo.htm
http://familydoctor.org/180.xml

Laura
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I am Dyslexia of Borg,
Your a.s will be laminated.

Tori M. - 03 Jun 2004 16:13 GMT
Well, it depends, I HAVE to change my cats litter because my husband said
"It is your cat, not mine." and since I dont want to get rid of the cat I
asked thedr if changing the cat box really put me at a high risk considering
these things.

1.) Toxoplasmosis is a 1 time only thing.
2.) I have had cats since I was born so the odds of me not already coming in
contact with it are slim.
3.) You can wear gloves while changing litter cutting your contact down even
more.

My dr. just said to be sure that I was my hands after I handle the litter
and I should be fine.  And since really you should wash your hands ANYWAY I
guess that is good advice.

About the indoor/outdoor cat thing I would think that if the kittens mother
had the disease then the kittens would have it as well... so I dont think it
matters one way or the other.  I would not say that any cat has a zero risk
of having it since at one point all cats are in the company of anouther cat.

Tori

--
Bonnie 3/20/02
Anna or Xavier due 10/17/04
> I'm just having a little argument with my wife about toxoplasmosis.  She
> insists pregnant women should not clean a cat litter box because of
[quoted text clipped - 8 lines]
> documented source to show that house cats pose no risk, or something proving
> me wrong.  Thanks!
Ericka Kammerer - 03 Jun 2004 16:17 GMT
> I'm just having a little argument with my wife about toxoplasmosis.  She
> insists pregnant women should not clean a cat litter box because of
[quoted text clipped - 8 lines]
> documented source to show that house cats pose no risk, or something proving
> me wrong.  Thanks!

    *If* the cat has been completely and totally indoors for
more than 35 days, has eating *nothing* but commercially
prepared food (no hunting), and uses only its own litter
box, then the odds of the cat having toxoplasmosis are
extremely small.  However, because the consequences to
the unborn child can be so devastating, it is recommended
that pregnant women err on the side of caution either by
not changing cat litter at all, or by wearing gloves and
cleaning the litter box twice a day and washing thoroughly
afterwards.  If the cat does not meet all the above
conditions, there is a chance that the cat could have
toxoplasmosis.  Roughly a third of all women have had
toxoplasmosis, and they mostly got it from their pet
cats, so it's hardly rare.
    Of course, in addition, pregnancy women should
take caution with outdoor gardening and raw or undercooked
meats as well.

Best wishes,
Ericka
Hillary Israeli - 03 Jun 2004 16:50 GMT
*I'm just having a little argument with my wife about toxoplasmosis.  She
*insists pregnant women should not clean a cat litter box because of
*toxoplasmosis (note: this is just an academic debate, she is not pregnant).
*I think that if the cats are house cats and are not allowed out of the
*house, then there is no way they can carry the bacteria, thus pose zero
*risk.

It's not a bacteria, it is a parasite. Housecats absolutely can shed
oocysts which become infectious - but the oocysts have to sporulate 24 hrs
to do so.

You are both wrong.

http://www.hillary.net/school/toxo.txt

Signature

    hillary israeli vmd  http://www.hillary.net  info@hillary.net
               "uber vaccae in quattuor partes divisum est."
                not-so-newly minted veterinarian-at-large :)

Rob - 03 Jun 2004 17:39 GMT
great article, thanks very much.

> *I'm just having a little argument with my wife about toxoplasmosis.  She
> *insists pregnant women should not clean a cat litter box because of
[quoted text clipped - 10 lines]
>
> http://www.hillary.net/school/toxo.txt
Jamie Clark - 03 Jun 2004 18:33 GMT
Just offer to change the cat litter for her once she is pregnant.  Don't
bother trying to WIN this argument.  Just go for the bonus points.  : )
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> I'm just having a little argument with my wife about toxoplasmosis.  She
> insists pregnant women should not clean a cat litter box because of
[quoted text clipped - 8 lines]
> documented source to show that house cats pose no risk, or something proving
> me wrong.  Thanks!
Rob - 03 Jun 2004 18:53 GMT
like i said, its an academic argument.  she works in the childcare field and
is often involved with expectant mothers.  she told me about her friend's
husband who has been changing the cat litter for 4 years now (her friend
told her husband that she's not supposed to change the litter while breast
feeding either, and has had three children right in a row).

> Just offer to change the cat litter for her once she is pregnant.  Don't
> bother trying to WIN this argument.  Just go for the bonus points.  : )
Hillary Israeli - 04 Jun 2004 17:26 GMT
*like i said, its an academic argument.  she works in the childcare field and
*is often involved with expectant mothers.  she told me about her friend's
*husband who has been changing the cat litter for 4 years now (her friend
*told her husband that she's not supposed to change the litter while breast
*feeding either, and has had three children right in a row).

Academics aside, my husband has been changing the cat litter for five
years in a row merely because he knows I HATE CHANGING CAT LITTER.
Sometimes a man's gotta do what a man's gotta do. :)

That being said, I'd like to point out that I've been working with cats
since I was in the sixth grade, including several years as a professional
veterinary technician and more as a student and then as a graduate
veterinarian. I have worked with many cats in intensive care settings with
documented, active cases of toxoplasmosis. My last toxo titers were drawn
when I got pregnant with my now-19 month old, and they were NEGATIVE for
exposure, recent or historical. I will be having titers drawn again next
week at my first prenatal visit for this pregnancy, and I have no reason
to believe they will not still be negative.

-h.

Signature

    hillary israeli vmd  http://www.hillary.net  info@hillary.net
               "uber vaccae in quattuor partes divisum est."
                not-so-newly minted veterinarian-at-large :)

zolw - 03 Jun 2004 19:06 GMT
Hi Rob;

I am not 100% sure of the info I am about to give you, but this is how I
understand this whole toxoplasmosis isssue.

An animal (not just cats) can be a carrier of toxoplasmosis, even if it
stays at home (it could have caught it from the mother)

Most (if not all) pregnant women have a blood test at the beginning of
their pregnancy to check for toxoplasmosis (cause it can cause defects).
What many women don't realize is that it is safer to test even before
conception. Also, when I had my dog, I had him checked for toxoplasmosis
at the vet. (it is somewhat expensive, but better safe than sorry)

A pregnant woman can clean whatever she wants to, but most pregnant
women opt not to (just precautions). Besides, usually you wash your
hands with soap after cleaning litter etc. The one thing that pregnant
women are advised to avoid is contact with rodents (such as mice,
hamsters etc) because they may carry a virus (don't remember the name of
it though) that is even transferred via the air. BUT I read that it is a
minute percentage of rodents (especially pet rodents) that carry that virus.

Just remember that this is Info that I gathered & unfortunately, I do
not have anything to support it at the time being. I found it all online
though.

Mona
due 07-31-04

> I'm just having a little argument with my wife about toxoplasmosis.  She
> insists pregnant women should not clean a cat litter box because of
[quoted text clipped - 8 lines]
> documented source to show that house cats pose no risk, or something proving
> me wrong.  Thanks!
Hillary Israeli - 04 Jun 2004 17:37 GMT
*Most (if not all) pregnant women have a blood test at the beginning of
*their pregnancy to check for toxoplasmosis (cause it can cause defects).

Of course, a positive IgG is comforting in early pregnancy, whereas a
positive IgM is greatly concerning, and believe it or not, there are
obstetricians who do not understand that.

*What many women don't realize is that it is safer to test even before
*conception. Also, when I had my dog, I had him checked for toxoplasmosis
*at the vet. (it is somewhat expensive, but better safe than sorry)

Why on earth would you do that? Dogs do not shed toxoplasma oocysts.  
Unless you were planning on EATING your dog (and eating him undercooked at
that), I do not understand how you would contract toxoplasma from your
dog. The cat is the definitive host for toxoplasma, and the parasite can
not form the oocyst stage outside of the definitive host. Can you
elaborate on why exactly you spent money on a toxo test for your dog? I
hope your vet didn't recommend you do this...

Signature

    hillary israeli vmd  http://www.hillary.net  info@hillary.net
               "uber vaccae in quattuor partes divisum est."
                not-so-newly minted veterinarian-at-large :)

zolw - 05 Jun 2004 04:17 GMT
http://www.avma.org/careforanimals/animatedjourneys/pethealth/pethealth.asp

"Since its discovery, toxoplasmosis has been found in virtually all
warm-blooded animals including most pets, livestock, and human beings."

read the article in full

> *Most (if not all) pregnant women have a blood test at the beginning of
> *their pregnancy to check for toxoplasmosis (cause it can cause defects).
[quoted text clipped - 14 lines]
> elaborate on why exactly you spent money on a toxo test for your dog? I
> hope your vet didn't recommend you do this...
zolw - 05 Jun 2004 04:19 GMT
http://www.avma.org/careforanimals/animatedjourneys/pethealth/pethealth.asp

"Since its discovery, toxoplasmosis has been found in virtually all
warm-blooded animals including most pets, livestock, and human beings."

read the article in full

> *Most (if not all) pregnant women have a blood test at the beginning of
> *their pregnancy to check for toxoplasmosis (cause it can cause defects).
[quoted text clipped - 14 lines]
> elaborate on why exactly you spent money on a toxo test for your dog? I
> hope your vet didn't recommend you do this...
Amy Todhunter - 06 Jun 2004 21:59 GMT
Toxoplasma gondii is a protozoan parasite so it doesn't act in the same way
as worms or bacteria might.  From my understanding, nearly any animal can
act as an intermediate host for the parasite, but only cats are the
definitive host, and therefore only cats shed oocysts.  The parasite forms
bradyzoites and tachyzoites in the tissues, and oocysts are shed.
Bradyzoites remain in the tissues for the entire life of the cat, but they
are usually held in check by the animal's immune system, and remain
inactive.  In the intermediate host there is brady/tachyzoite formation but
there is no oocyst production.

To be infected (as an intermediate host) you must either ingest an oocyst
(from the environment, eg. by not washing veg or hands) or ingest
bradyzoites or tachyzoites, (from eating meat from intermediate host that
isn't cooked thoroughly).  In humans infection usually results in a flu-like
illness which resolves quickly and is only dangerous if the person is
immunocompromised, however bradyzoites remain in body tissues for the rest
of a person's life.  Infection *during* pregnancy can result in tachyzoites
crossing the placenta resulting in congenital toxoplasmosis.

I wouldn't rely on a cat not carrying the disease because of it being a
house cat.  It can be exposed to oocysts in the environment in the same way
a person can, and is less likely to wash its hands!  Oocysts can be spread
by flies, carried in on shoes, food etc.   Another possible route of
infection that is probably irrelevant to most people is transmission from
sheep during assisted lambings.

An important thing to remember is that it takes 24 hours for oocysts to
become sporolated, ie. to be activated and capable of causing an infection
if ingested, so ideally if you have to clean the litter tray, you should be
doing it thoroughly *at least* once a day.

Hope that helps clear things up a bit
Sorry its a bit long!

Amy

http://www.avma.org/careforanimals/animatedjourneys/pethealth/pethealth.asp

> "Since its discovery, toxoplasmosis has been found in virtually all
> warm-blooded animals including most pets, livestock, and human beings."
[quoted text clipped - 19 lines]
> > elaborate on why exactly you spent money on a toxo test for your dog? I
> > hope your vet didn't recommend you do this...
Hillary Israeli - 07 Jun 2004 12:59 GMT
*"zolw" <zolwica@hotmail.com> wrote in message
*news:mZawc.45380$3x.8731@attbi_s54...
*>
*http://www.avma.org/careforanimals/animatedjourneys/pethealth/pethealth.asp
*>
*> "Since its discovery, toxoplasmosis has been found in virtually all
*> warm-blooded animals including most pets, livestock, and human beings."

Yes, I know that. However, just because toxoplasma has been found in most
mammals, there is no reason to believe most mammals can PASS ON
toxoplasma. Did you read what I wrote?? Here, I will quote myself again:

*> Hillary Israeli wrote:
*> >
*> > *What many women don't realize is that it is safer to test even before
*> > *conception. Also, when I had my dog, I had him checked for
*> >
*> > Why on earth would you do that? Dogs do not shed toxoplasma oocysts.
*> > Unless you were planning on EATING your dog (and eating him undercooked
*at
*> > that), I do not understand how you would contract toxoplasma from your
*> > dog. The cat is the definitive host for toxoplasma, and the parasite can
*> > not form the oocyst stage outside of the definitive host. Can you
*> > elaborate on why exactly you spent money on a toxo test for your dog? I
*> > hope your vet didn't recommend you do this...

ONLY CATS are the definitive host. ONLY CATS can shed the infectious part
of the life cycle. This is not in dispute by the AVMA. The article you
suggest I read confirms this when it says "Of all the infected animals
tested, only cats are the perfect hosts for the production of the
infectious and resistant Toxoplasma oocysts. The oocyst, released from the
intestine of cats in their feces, is very hardy and can survive sleet,
freezing, and even several months of extreme heat and dehydration."

Note there is nothing about the oocyst being released from anyone else's
intestine. ONLY CATS. What exactly was it you thought I would get from
this article that would support testing of a dog owned by a pregnant
woman?? Believe me, if I thought there were ANY chance a woman could get
toxo from her dog without eating the dog, I'd be telling my pregnant
clients about it.

So, why again did you waste your money testing your dog? Was it your OB or
your vet who suggested it? I would ask for my money back if it was one of
them. If it was you, well, live and learn and now you know :)

-h.
--
    hillary israeli vmd  http://www.hillary.net  info@hillary.net
               "uber vaccae in quattuor partes divisum est."
                not-so-newly minted veterinarian-at-large :)
Laura R. - 07 Jun 2004 17:25 GMT
circa Mon, 7 Jun 2004 11:59:23 +0000 (UTC), in
rec.pets.cats.health+behav, Hillary Israeli (hillary@hillary.net)
said,
> *> "Since its discovery, toxoplasmosis has been found in virtually all
> *> warm-blooded animals including most pets, livestock, and human beings."
>
> Yes, I know that. However, just because toxoplasma has been found in most
> mammals, there is no reason to believe most mammals can PASS ON
> toxoplasma. Did you read what I wrote?? Here, I will quote myself again:

Did you read what *Amy* wrote? She wasn't disagreeing with you.
Perhaps you should chill out and apologize for jumping down the
throat of somebody who was _supporting_ your statements.

Laura
Signature

Experience is the name every one gives to their mistakes.
-Oscar Wilde

Hillary Israeli - 07 Jun 2004 20:44 GMT
*circa Mon, 7 Jun 2004 11:59:23 +0000 (UTC), in
*rec.pets.cats.health+behav, Hillary Israeli (hillary@hillary.net)
*said,
*> *> "Since its discovery, toxoplasmosis has been found in virtually all
*> *> warm-blooded animals including most pets, livestock, and human beings."
*>
*> Yes, I know that. However, just because toxoplasma has been found in most
*> mammals, there is no reason to believe most mammals can PASS ON
*> toxoplasma. Did you read what I wrote?? Here, I will quote myself again:
*>
*Did you read what *Amy* wrote? She wasn't disagreeing with you.
*Perhaps you should chill out and apologize for jumping down the
*throat of somebody who was _supporting_ your statements.

Amy doesn't have anything to do with it. I did not quote amy. I quoted the
person who said she tested her dog. You are now quoting me quoting that
person. Clearly my response was directed toward the person who tested her
dog, because I specifically asked again "why did you test your dog" and
suggested that if it were upon the suggestion of the OB or the vet, she
request a refund. Perhaps YOU should chill out and apologize for assuming
I was even talking to Amy, I don't know. I don't think it's necessary, but
some might. I would just chalk it up to poor news threading and move on.

Signature

    hillary israeli vmd  http://www.hillary.net  info@hillary.net
               "uber vaccae in quattuor partes divisum est."
                not-so-newly minted veterinarian-at-large :)

zolw - 03 Jun 2004 19:09 GMT
Hey Rob,

me again, I found this article about toxoplasmosis & cats

http://www.womens-health.co.uk/toxo.htm

> I'm just having a little argument with my wife about toxoplasmosis.  She
> insists pregnant women should not clean a cat litter box because of
[quoted text clipped - 8 lines]
> documented source to show that house cats pose no risk, or something proving
> me wrong.  Thanks!
Joe Canuck - 03 Jun 2004 19:42 GMT
> I'm just having a little argument with my wife about toxoplasmosis.  She
> insists pregnant women should not clean a cat litter box because of
[quoted text clipped - 8 lines]
> documented source to show that house cats pose no risk, or something proving
> me wrong.  Thanks!

Cleaning the litter box is a man's job.

Get busy and do it!  ;)

Signature

"Its the bugs that keep it running."
                                     -Joe Canuck

Cathy Weeks - 03 Jun 2004 20:06 GMT
> I'm just having a little argument with my wife about toxoplasmosis.  She
> insists pregnant women should not clean a cat litter box because of
[quoted text clipped - 8 lines]
> documented source to show that house cats pose no risk, or something proving
> me wrong.  Thanks!

There is always some risk, but it's low.  If mice ever come into your
house, then your house cat can contract the virus by eating the mice.
However, the cat is only contagious during the active infection, which
lasts around 2 weeks.  After that, they are immune from the disease,
and don't shed the stuff in their poop.  If a human is exposed to
Toxo, they too will become immune, and immunity can be measured with a
blood test.  When I had my pre-pregnancy physical, I had the blood
titre, where it was discovered that I was not immune from Toxo.  When
I was pregnant, I took two precautions - I wore rubber gloves when
scooping, and I made sure the boxes were scooped, either by me or my
husband EVERY day. Evidently, the eggs or whatever it is, hatches
after a few days and gets more contagious.  After scooping, I washed
my hands while wearing the gloves, then I took the gloves off and hung
them up to dry. I then washed my hands again without the gloves.

My midwives told me to wear gloves and to wash up carefully, but told
me that the risk of toxo was very, very low.  Evidently you are more
likely to get toxo from raw meat than from cats, but YMMV.

Search for posts by Mary S. that contain the word toxoplasmosis.  Her
husband got it while she was pregnant. Their cat contracted it from
eating raw chicken that had been left on the counter.

Cathy Weeks
Mommy to Kivi Alexis 12/01
 
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