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CATS
DO NOT REPRESENT SERIOUS HEALTH RISK TO PREGNANT WOMEN
MANHATTAN
-- With a little caution, there's no reason for pregnant women to fear
contracting toxoplasmosis from their feline friends, according to Kathy
Gaughan, a doctor of veterinary medicine at Kansas State University.
Toxoplasmosis,
a parasitic disease that can be contracted from an infected cat's fecal
material, causes no lasting adverse effects in most people, Gaughan
said. It is often misdiagnosed as mononucleosis, fatigue or a bad cold
and the person recovers in one to 12 weeks with no future relapses,
she said.
However,
severe complications can result if a pregnant woman should become infected
with the disease. The parasite moves throughout the body in a way that
an infected woman may transfer it to the vulnerable fetus, which cannot
fight the disease like a fully developed human.
"The
parasite travels through the blood stream and becomes imbedded in muscle
tissues," Gaughan said. "When it's in the blood stream, it can cross
the placenta and affect the baby. Early in the pregnancy it can cause
the baby to be still-born or miscarried. Later in the pregnancy it may
damage the central nervous system or cause blindness."
The positive
side is that the transfer of the disease to humans can be avoided with
some understanding of the disease and a few simple precautions, Gaughan
said.
Cats
shed the oocysts, or immature organisms in their feces, Gaughan said.
It takes at least 24 hours for these oocysts to sporulate, or mature,
and become infective. Therefore, one of the primary prevention methods
is to clean the litter box daily.
"Within
that 24-hour window, the disease is not dangerous to humans," Gaughan
said. "So if people are faithful, they can remove the litter at least
once every 24 hours and eliminate risk of exposure. Of course, the owner
also needs to practice good hygiene after cleaning the litter box."
Another
precautionary measure is to keep children's sandboxes covered to prevent
cats from soiling in them. Cats can also soil in gardens, so wearing
gloves when working in the garden and washing items picked from the
garden are other ways to avoid contracting the disease.
In addition,
owners should not feed cats undercooked meat or allow the cats to hunt.
The cats can only acquire the disease by eating infected meats such
as rodents, Gaughan said.
If it
is discovered that a cat has become infected, there are antibiotics
that can be administered, but it doesn't necessarily kill the infection,
Gaughan said. Without any treatment, the cats will usually stop shedding
the oocysts after 14 days, she said.
If a
pregnant woman should contract the disease, she should seek an expert
in infectious diseases. There are antibiotics that can be administered,
but the case is very delicate because of the harm that could be done
to the fetus, Gaughan said.
"If a
woman becomes infected, there's only a 30 to 40 percent chance she will
have a damaged fetus," Gaughan said. "So it's not always passed on to
the baby."
Gaughan
said it is important to note the disease is always dangerous to immunosuppressed
persons. In most cases, however, the disease is only dangerous if the
person has never contracted toxoplasmosis before. Some figures estimate
more than one third of the United States population has been exposed
to the disease already.
"It's
better to be exposed a long time before you are pregnant," Gaughan said.
"A person who has already had the infection is unlikely to get sick
again or transmit the disease to a fetus."
Cats
are not the only way humans can acquire the disease. People can become
infected by the sporulated oocysts in cat feces, but more often, humans
can ingest the organism themselves when it's in the tissue stage. It
can be found in this intermediate form in the undercooked meat of food
animals like hogs and lamb, Gaughan said.
"Most
human infections result from eating undercooked meat, not from cats,"
Gaughan said. "I want to reassure owners that the cat doesn't have to
leave the household if they clean the litter box daily, wash really
well, avoid feeding cats undercooked meat and so on. Use some common
sense and they'll be fine."
-30-
February
1997