Construction of a full mouth speculum facilitating oral examinations, bronchoscopy and gastric tubing in elephants.

OBJECTIVE: Here we tested the application of a full mouth speculum to sedated elephants in human care to gain access to the oral cavity, the trachea (bronchi) and esophagus (stomach) and therefore improve diagnostic and therapeutic options in elephant medicine. The construction of this oral speculum for elephants and the procedure are described. MATERIAL AND METHODS: The oral speculum is a steel construction consisting of 2 bite plates of 0.8 × 60.0 × 8.0 cm attached between 2 threaded guiding poles (40 cm). Through crank handles, the metal plates are dispersed once placed between the elephant's jaws in front of the molars. The oral speculum was applied in 26 elephants (6,16 Asian elephants, and 1,3 African elephants) during standing sedation. RESULTS: All sedated elephants tolerated the positioning of the mouth opener and subsequent manipulations well. The mouth opener was applied for the following procedures: inspection of the oral cavity (n = 2), placing a stomach tube (n = 16), and/or performing endoscopic examinations such as bronchoscopy (n = 20) and/or gastroscopy (n = 8). CONCLUSION: This method provides a new possibility to open the jaws to gain access to the molars, larynx and pharynx in captive elephants without full immobilization. Valuable samples for diagnostics may be obtained or animals medicated via stomach tube with this application. CLINICAL RELEVANCE: The mouth opener provides veterinarains with a new option to perform necessary diagnostic and therapeutic procedures around the oral cavity, airways and stomach in captive elephants during standing sedation with no need for a full anaesthesia.

IDENTIFICATION OF TWO LETHAL CASES OF ELEPHANT ENDOTHELIOTROPIC HERPESVIRUS HEMORRHAGIC DISEASE IN SUMATRAN ELEPHANT CALVES IN INDONESIA.

As many as a dozen cases of lethal acute hemorrhagic disease (HD) in young captive-born Sumatran sub-species Asian elephant (Elephas maximus sumatranus roman) calves raised naturally in camps in Sumatra have been observed in recent years. To address whether these deaths, like many others documented worldwide, might be associated with acute systemic infection by elephant endotheliotropic herpesvirus (EEHV), diagnostic polymerase chain reaction (PCR) tests followed by subtype deoxyribonucleic acid (DNA) sequencing analysis were carried out on pathologic tissue samples from two lethal HD cases that occurred within 6 days of one another in calves at the same camp. Viral DNA from five selected PCR loci was found to be present at high levels in both calves and proved to be the same EEHV1A virus species that has been described most commonly previously in numerous lethal or surviving symptomatic cases in North America, Europe, India, and Thailand. Furthermore, the two cases were identical at all five PCR loci tested (covering a total of 3,050 base pairs) and were therefore likely to have been infected from the same epidemiologic source herdmate. However, the strain involved (which was subtype-D2 in the vGPCR1 locus) differed from all previously characterized EEHV1A strains. In conclusion, these two calves are the first two confirmed HD cases in Sumatra alongside several other suspected HD cases in Sumatra that have succumbed to the same devastating EEHV1A-HD that has afflicted young Asian elephants worldwide over the past 25 yr. Because the progeny of some of the 1,500 remaining red-listed critically endangered Sumatra subspecies elephants are bred naturally in camps from wild parents it seems very likely that the EEHV1A herpesvirus identified here in these HD camp cases is also present in the free-ranging Sumatran elephant population, and this will have to be taken into account in future wildlife management policies and decisions.

Elephant (Elephas maximus) Health and Management in Asia: Variations in Veterinary Perspectives.

There is a need to identify strategic investments in Asian elephant (Elephas maximus) health that will yield maximal benefits for overall elephant health and conservation. As an exploratory first step, a survey was administered to veterinarians from Asian elephant range countries at a workshop and via email to help prioritize health-related concerns that will mostly benefit elephants. Responses were received from 45 veterinarians from eight countries that had a range of experience with captive and wild elephants. The occurrence of medical conditions and responses to treatment varied among responses. However, injuries, parasitism, and gastrointestinal disease were reported as the most common syndromes responsible for elephant morbidity, whereas injury and infectious disease not due to parasitism were the most commonly reported sources of elephant mortality. Substandard nutrition, water quality and quantity deficiencies, and inadequate or absent shelter were among the factors listed as barriers to optimal elephant health. While this survey's results do not support definitive conclusions, they can be used to identify where and how subsequent investigations should be directed. Rigorous assessment of the relative costs and benefits of available options is required to ensure that investments in individual and population health yield the maximal benefits for elephants.