Studies have shown that therapy animals improve the emotional well-being and health for patients of all shapes and sizes. However, a new survey from the Tufts Institute for Human-Animal Interaction at Tufts University has shown that there are no standardized health and safety policies for hospitals, eldercare facilities or therapy animal organizations. Many do not follow recommended guidelines for animal visitations either, and this can potentially put not only people at risk, but also animals too.
According to a Tufts University press release:
"In addition to concerns about human allergies to animals, animal behavior, stress on the animal and appropriate animal immunizations, [animal-assisted intervention (AAI)] programs have a potential risk of transmission of zoonotic disease—diseases spread between animals and people. This risk is especially high when health, grooming and hand-washing protocols are not carefully used. Another potential risk could come from therapy animals eating raw meat-based diets or treats, which are at high risk of being contaminated with bacteria such as Campylobacter, Salmonella and Cryptosporidium. These pathogens may pose risks to both humans and animals, and especially immunocompromised patients."
"The findings should serve as a call to action for hospitals, eldercare facilities and therapy animal organizations to strengthen the safety measures of their AAI programs and for those hosting visits to ask the right questions when arranging animal visitation on their sites," said the study's corresponding author, Deborah Linder, D.V.M., research assistant professor at Cummings School of Veterinary Medicine at Tufts University and associate director of Tufts Institute for Human-Animal Interaction in the same press release. "Education is key in ensuring that health and safety are the top priority for both humans and animals so the benefits of animal-assisted intervention may continue to outweigh the risks."
Guidelines for safety, health and monitoring do exist, with one set from the AVMA and another from the Society for Healthcare Epidemiology of America. Tufts University has also produced a manual of their own.
The lack of enforcement for policies or guidelines is the real issue, however.
"While these recommended guidelines exist, no human or animal health regulatory agencies are currently responsible for monitoring AAI programs or enforcing guidelines," said the study's senior author Lisa Freeman, D.V.M, Ph.D., professor at Cummings School of Veterinary Medicine and director of Tufts Institute for Human-Animal Interaction. "Given the lack of studies documenting national trends in health and safety policies for AAI, we wanted to understand how hospitals, eldercare facilities and therapy animal organizations are incorporating the guidelines into their policies."
The results of the survey are available at the Tufts University website and have also been published in the American Journal of Infection Control.
I think many facilities are open to having therapy pets visit, but don't always have set protocols in place. I enjoy making therapy visits with my highly affectionate, and very patient bunny that has been certified with Bunnies in Baskets. She has spent time in Assisted Living facilities, home visits, The Boston Children's Museum, and most recently I have taken her to my local library for a Reading with Rabbits program. This has been highly successful! I take with me hand wipes or Purell for anyone to use prior to petting my bunny. As someone who volunteers with a therapy rabbit, I don't have specific guidelines for keeping everyone healthy other than trying to use common sense, and hand cleaning prior to the visit. Bunnies in Baskets offers liability coverage for two years. Rabbits make wonderful therapy animals, and unlike dogs you don't have to worry about raw meat consumption and contamination toward those with compromised immune systems. I do have to consider hay/grass allergies, as I travel with a bit of it. More research/guidelines to share with rabbit groups would be appreciated. The rabbit community is active with rescue, education, therapy visits and house rabbit care. My New England Group has about 600 members, and we are constantly looking for Vet advice, care and essentials updates. We hope more Vets take time to research bunny ailments and diseases and know that they are companion animals and not livestock. Our bunnies are living past 10 years and we need as much support as those with cats and dogs. I enjoyed your article. Thank you. Nancy