Research Article

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

Table 7

Syndromes and treatments that are available or are needed and currently unavailable, as well as outcomes with and without treatment.

InjuryGastrointestinal diseaseMalnutritionLamenessFoot diseasesInfectious diseaseParasitic diseaseOcular disease

Standard treatmentAbscesses and myiasis, general and wounds: flush with saline, H2O2, iodine, chlorhexidine; surgical drainage; topical and systemic antibiotics 7–15 d (oxytetracycline and penicillin); local betamethasone and unspecified anti-inflammatories; conservative compress; vitamins; analgesics; tetanus toxoid; fly repellants; fluid therapy; rest.
Gunshot: anesthesia; wound dressing; broad spectrum antibiotic
General: antibiotics; fluids; oral electrolytes; antibiotics (ampicillin, gentamycin); ranitidine; tolterodine; budesonide; metaclopromide; nonsteroidal anti-inflammatories; antispasmotics; vitamins; minerals
Colic: enema; fluids and electrolytes; exercise; nonsteroidal agents; bath in pool; antibiotics; anthelmintics; liver extract
Constipation/impaction: fluids; rectal palpation; supportive therapy; enemas; purgatives; rest; parasympathomimetics; spasmolytics
Bloat: supportive therapy; per rectum neurostimulation; antibloat agents; rectal enemas; exercise; flunixin meglumine.
Diarrhea: antibiotics; fluids; diet correction; astringents; antiparasitics; fecal culture.
Malabsorption: vitamin and mineral levels in blood; nutritional supplements
Improved food quality; vitamins, minerals, and other food supplements; antiparasitic agents; regular monitoring of serum levelsNonsteroidal anti-inflammatories; steroids; herbal drugs; hot massage; cool compresses; antibiotics; supportive treatment; rest
Fractures: bandage; rest/restriction of movement; plaster cast
Routine foot care; dry location tethering; isolation.
Cleaning or bath with H2O2, iodine or formalin.
Local, topical, or systemic antibiotics (tetracycline, broad-spectrum, or based on culture and sensitivity.)
Local steroids; supportive therapy
General: antibiotics
Tuberculosis: antibiotics (rifampin, ethambutol, or isoniazide) or no treatment
EEHV: famcyclovir, acyclovir
Tetanus: antispasmodic drugs; antibiotics; hydration; tetanus toxoid
Elephant pox: antibiotics; fluids; vitamins; local therapy
General: topical and systemic antiparasitic agents (fenbendazol, albendazol, mebendazol, ivermectin, oxyclozanide); supportive therapy; routine fecal examination
Balantidia: no response
Trypanosomiasis: Berenil
Cobboldia spp. and filarial: ivermectin
Ophthalmic topicals: gentamycin, chloramphenicol, nonsteroidal anti-inflammatories, doxycycline, and tetracycline
Systemic drugs: nonsteroidal anti-inflammatories
Not specified: antibiotics, herbal medications, antifungals, analgesics, glaucoma drugs
Surgery

Percentage resolved without treatment (range/number of respondents)General: 0–80%
Gunshot: 50%
General: 1–60%
Colic: 0–10%
Constipation/impaction: 0–30%
Bloat: 0–100%
Diarrhea: 0–30%
Malabsorption: 0%
0–20%General: 0–20% (70% for arthritis)
Fractures: 0–20%
0–70%Tuberculosis: 0–30%
EEHV: 0–20%
Tetanus: no responses
Elephant pox: 1%
General: 0–30%
Balantidia: 0%
Trypanosomiasis: 20%
Cobboldia spp. and filarial: 10–20%
Conjunctivitis/keratitis: 0–50%
Nonspecific ocular disease: 1–40%

Percentage that die without treatmentGeneral: 0–70%
Gunshot: 50%
General: 0–70%
Colic: 0–80%
Constipation/impaction: 0–50%
Bloat: 1–1005
Diarrhea: 0-100%
Malabsorption: 100%
0–20%General: 0–5% (40% degenerative joint disease)
Fractures: 20–100%
0–50%Tuberculosis: 0–60%
EEHV: 0–80%
Tetanus: 100%
Elephant pox: 90%
General: 0–50%
Balantidia: 0%
Trypanosomiasis: 80%
Cobboldia spp. and filarial: 50–60%
Conjunctivitis/keratitis:
Conjunctivitis/keratitis: 0–10%
Nonspecific ocular disease: 0–5%

Percentage cured with standard treatmentGeneral: 25–100%
Gunshot: 90%
General: 90–100%
Colic: 70–100%
Constipation/impaction: 60–100%
Bloat: 80–100%
Diarrhea: 60–90%
Malabsorption: no response
100%General: 70–80% (40% degenerative joint disease)
Fractures: 15–60%
30–90%Tuberculosis: 20–80%
EEHV: 25–40%
Tetanus: 30%
Elephant pox: 100%
General: 80–100%
Balantidia: 1000%
Trypanosomiasis: 50%
Cobboldia spp. and filarial: 90–100%
Conjunctivitis/keratitis: 50–100%
Nonspecific ocular disease: 40–100%

Percentage mortality with standard treatmentGeneral: 0–10%
Gunshot: 10%
General: 0–5%
Colic 0–20%:
Constipation/impaction: 0–20%
Bloat: 0–1%
Diarrhea: 0–40%
Malabsorption: no response
0%General: 0% (50% degenerative joint disease)
Fractures: 10–85%
0–40%Tuberculosis: 0–20%
EEHV: 25–60%
Tetanus: 70%
Elephant pox: 10%
General: 0–10%
Balantidia: 0%
Trypanosomiasis: 50%
Cobboldia spp. and filarial: 5–10%
Conjunctivitis/keratitis: 0–10%
Nonspecific ocular disease: 0%

Treatments that are wished forGeneral: Suture; minor surgical instruments; antibiotics; drugs that enhance granulation or destroy pyogenic membranes; hoisting facility; topical cream; radiology accessGeneral: routine anthelmintics; probiotics
Colic: improved diagnostics, drug efficacy, husbandry records, trochars, diet, and routine anthelmintics;
Constipation/impaction: endoscopic surgery
Bloat: no responses
Diarrhea: improved diagnostics; uncertain
Malabsorption: no response
Improved food and supplement resources; reduced corruption of government funds; standardized nutritional guidelinesImproved drugs; improved diagnostic tools; acupuncture; hoisting facilityElephant training for routine, hygienic foot care and foot care tools; improved staff training; increased enclosure size; cryosurgery; radiology capacity; shoes to prevent wound contaminationGeneral: emphasis on prevention; medications specific for organism
Tuberculosis: cheaper drugs with less toxicity and shorter treatment protocols; testing options;
EEHV: early diagnostic tools; famcyclovir
Tetanus: uncertain
Elephant pox: clinical laboratory facility
General: preventive therapy; improved diagnostics and drug efficacy; therapeutic baths
Balantidia: no response
Trypanosomiasis: less toxic drug
Cobboldia spp. and filarial: improved laboratory diagnostics and improved mobility to improve response time
Increased variety of drugs available (concerns for antibiotic resistance and efficacy); improved housing (preventive); clinic for morbid animals; ophthalmoscopes and improved diagnostics; improved drug application methods; improved surgical options

Miscellaneous conditions included urinary tract infections, heat stroke, snake bite, photosensitivity, poisoning, ventral edema, septicemia, and pneumonia.
Inconsistencies in numbers (percentages that exceed or are less than 100%) are due to subjectivity and recall bias or language barriers.