Sunday, August 02, 2020

Buddy, The Dog With Covid 19

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Buddy liked dog stuff: running through the sprinklers, going on long car rides, swimming in the lake. He cuddled the Mahoneys—his owners and family—at the end of tough days. He humored them when they dressed him up as a bunny for Halloween. He was a protective big brother to 10-month-old Duke, the family’s other German shepherd. He loved everyone. He lived up to his name.
In mid-April, right before his seventh birthday, Buddy began struggling to breathe.
Six weeks later, he became the first dog in the United States to be confirmed positive for COVID-19. On July 11, Buddy died.

Upon announcement, Buddy’s milestone case appeared fairly open and shut, but the Mahoneys’ experience over the two and a half months between their dog’s first wheeze and his death was one of confusion and heartbreak. Their story puts a spotlight on the rare experience of being an owner of COVID-positive pet—a distinction shared by only a handful of individuals around the world. While more than five million people have been diagnosed with COVID-19 in the U.S., fewer than 25 pets have. There’s no rubric for how to navigate COVID-19 in your pet dog.
“You tell people that your dog was positive, and they look at you [as if you have] ten heads,” Allison Mahoney says. “[Buddy] was the love of our lives….He brought joy to everybody. I can’t wrap my head around it.” The Mahoneys say they are frustrated that health experts didn’t more closely probe possible connections between COVID and the cascading health problems. After Buddy’s diagnosis, Allison’s husband, Robert, asked New York City veterinary health officials, who were in charge of the case, whether they were interested in doing more testing on Buddy. Robert Mahoney says the officials never asked for further testing or exams.

The New York City Department of Health said he was probably no longer contagious—by May 20, when he was tested the second time. Buddy wasn’t tested after that date.
For humans, the signs and symptoms of infection vary widely. In some, its presence is barely a flicker. In others, it causes total organ failure. For many, it’s somewhere in between. Having an underlying medical condition increases susceptibility, doctors think. We’re learning more every day.
The narrative for the coronavirus in animals, however, has so far been consistent and narrow: They are rarely affected. When they do get the virus, it’s almost always from an owner. They generally have mild symptoms. They usually recover.

In reality, little is known about how the virus affects the typical pet dog. They can't tell us.
The Mahoneys’ detailed accounts and Buddy’s veterinary records now comprise some of the most comprehensive and granular information the public has on an infected animal. Their story also sheds light on the gaps in public knowledge regarding animals and the novel coronavirus, highlighting what may be a need for a more unified, consistent approach to monitoring and investigating positive cases, and bringing that information back to the research community.

Buddy’s decline

When Buddy, who’d never been sick, developed thick mucus in his nose and started breathing heavily in April, no one except Robert Mahoney believed the dog might have COVID-19. Mahoney himself had been suffering through the virus for three weeks—he was weak, had a scratchy throat, and had lost his sense of taste. “They called me on Easter and said, ‘By the way, Mr Mahoney, here’s your Easter gift: you’re positive,’ ” he recalls.

“Without a shadow of a doubt, I thought [Buddy] was positive” too, he says. At first, it was difficult to find someone to examine Buddy. His usual vet wasn’t seeing patients because of the pandemic. Another local clinic wouldn’t allow Robert Mahoney to come into the office because he had COVID-19, so they prescribed Buddy antibiotics over the phone. Mahoney says the vet was skeptical that Buddy might have the coronavirus, and the office didn’t have test kits anyway.
 
The next week, Buddy was still struggling to breathe and had lost his appetite, so the Mahoneys’ 13-year-old daughter, Julianna, who had tested negative, was permitted to bring the dog into the office.
From April 21 to May 15, Buddy continued to lose weight. He became increasingly lethargic. The Mahoneys took him to three different veterinarians on Staten Island, none of whom thought the coronavirus was likely and they had not yet identified lymphoma as a probable cause of his illness. ( It turned out that Buddy had underlying health problems: a form of cancer). It’s unclear whether the cancer made him more susceptible to contracting the coronavirus. It is, however, a logical assumption.
 
It was at the third veterinary clinic, Bay Street Animal Hospital, where Mahoney was finally able to have Buddy tested for COVID-19. That was on May 15, one month after Buddy’s breathing trouble began.
A few days later, the clinic called. Buddy’s test results were in: He was positive. As Buddy's health continued to decline, the Mahoneys decided to have him euthanized. Although his body was offered to health officials for study, no one seemed interested. He was cremated and is sadly mourned by his family, including Duke.



Knowledge gaps

Buddy’s case highlights an important question: Are animals with underlying conditions more likely to get sick from the coronavirus, just as humans are? It also highlights just how little information is available about infected pets. Cats have been known to contract Covid 19 also in the United States. A virus that can easily jump species is a frightening thing.

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