2010: Feral cats: A review of concerns and control measures Feral cats: A review of concerns and control measures Margaret V. Root Kustritz College of Veterinary Medicine, University of Minnesota, St Paul, MN Abstract Feral cat populations exist worldwide. Concerns include predation and spread of disease, both within and between species including humans. Control measures described in the literature include depopulation, trap-adoption, trap-neuter-return, and medical reproductive control. Keywords: Feline, feral, trap-neuter-return, megestrol acetate Introduction Cats (Felis catus) live outdoors on every continent except Antarctica and on islands of every size, either as natural or introduced species.1 Because cats are loosely domesticated, with freedom to roam considered acceptable by cat owners in many countries, it is difficult to classify cat populations as owned, stray, or feral. This classification becomes important when considering how best to control the various populations, as one must consider the welfare of the individual cats, public attitudes, and legal implications when designing control programs.2 A suggested scheme is the following: companion or owned cats are those who live the majority of the time with humans and are dependent on them for basic needs, stray cats are lost or abandoned companion cats that may live outside but do so near human habitation and rely on humans to some extent, and feral cats are those that live outside and are self- sustaining. Feral cats may have been companion cats once and may choose to live near human habitation but do not rely on humans for shelter, food, or water.2 Another definition for a feral cat would be one that cannot be handled by humans and would not be suitable for adoption into a home as a pet; this definition is complicated by lack of consistent guidelines within or between facilities regarding methods used to identify whether or not a given cat is adoptable.3,4 A colony of feral cats is defined as a group of three or more sexually intact cats living and feeding in close proximity.3 This paper is a review of concerns and reported control measures for feral cats living in colonies. Concerns Many papers cite the concerns associated with maintenance of large colonies of free-roaming cats. Some suggest benefits as well. These include the social aspects of providing support for these cats and potential building of networks between caregivers.5,6 Multiple stakeholders must be taken into consideration when evaluating control of feral cat colonies including humans who consider cats a nuisance, who are at risk of their own health from diseases carried or transmitted by cats, or who are concerned about welfare of wildlife or welfare of the cats, and the cats and other animal species themselves.7 Society at large also has a stake with growing societal opposition to euthanasia and differing understanding of the role of humans in exerting dominion over animals.6,8 Concerns about feral cat colonies include loss of wildlife from predation by feral cats, spread of disease from cats to other animals, and potential spread of disease from cats to humans. These concerns must be well understood before sound recommendations can be made regarding control measures. Predation It is estimated that there as many feral cats as there are owned cats in the United States, with an estimated population of 73 million in the year 2000.6 Cats hunt and kill small mammals, reptiles, amphibians, and birds, both adults and nestlings, with one estimate suggesting that over a billion small mammals and millions of birds are killed by cats each year.9,10 In Wisconsin alone, it is estimated that one to two million free-roaming cats kill about 40 million birds annually.9 The large number of animals killed is due in part to the density of cats tolerated in a feral colony. One study demonstrated 35 feral cats in the same territory that would have supported only one or two pairs of larger natural predators, such as fox or coyotes.11 There is collateral damage from cat predation of small animals to these larger predators, 437 as cats decrease availability of natural food sources.9 To be complete, one must also recognize that not all decline in prey availability is due to predation from cats and that cats may help support prey populations in some instances by controlling intermediary predators, such as rats.12,13 Intraspecific disease transfer There are no reports in the literature of feral cat colonies specifically spreading disease to owned cats. However, because feral cats do not receive regular veterinary care, including vaccinations, there is a greater risk of their contracting contagious diseases such as feline leukemia and rabies, and transmitting them if they interact with owned cats. There are documented reports of feral cats spreading disease to wild cat populations, including feline leukemia virus to mountain lions and panleukopenia to Florida panthers.14,15 Interspecific (zoonotic) disease transfer Public health concerns center around spread from feral cats to humans of viral diseases, including rabies;5,16-19 protozoal infections, such as Toxoplasma gondii;16,20-22 fungal infections, including dermatophytosis;5 and parasites.23-25 Some might argue that management of feral cat colonies increases public health risk by exposing caregivers to disease and to direct injury; others suggest that risk is decreased by vaccination of cats returned and removal of diseased cats from managed colonies.6,26 Rabies is a disease of great significance in all species, including humans. It is fatal to humans unless they are treated immediately after exposure. Rabies is maintained in wildlife and the variant of rabies contracted by domestic animals varies by region, with raccoon, skunk, fox, and bat variants those most commonly seen in the United States. In the most recently published survey of rabies surveillance in the United States, rabid animals were identified in 49 states and on Puerto Rico, with 93% of cases occurring in wildlife and 7% in domestic animals; cats represented 4.3% of the total cases seen, a number nearly four times that reported for dogs.18 In one survey of feral cats in Italy, two of eight rabid cats were from known feral cat colonies that were managed by human caregivers.5 Concern exists even if feral cats are vaccinated; in one survey of 840 rabid cats in the United States, 22 (2.6%) had been previously vaccinated at some point in their lives, with three of those animals described as being current on their vaccinations.17 Toxoplasmosis is caused by a protozoan organism carried asymptomatically by cats. In one survey of six feral cats trapped in Mexico City, all were seropositive for Toxoplasma gondii.16 In larger studies, prevalence of seropositive cats varied from 73.9 to 84.7%.21,22 Because of constant exposure to toxoplasma through ingestion of prey species, Toxoplasma gondii always is present in feral cat colonies, although prevalence may vary over time and may be higher in adults than in juveniles.20,22 Intestinal parasites most commonly identified in feral cat populations are roundworms (Toxocara cati), hookworms (Ancylostoma tubaeforme) and several species of tapeworm.23-25 Only a small percentage of cats were identified to be carrying those parasites most readily transmitted to people, including Toxocari cati (0.8% of 658 cats) and Ancylostoma tubaeforme (14.7% of 658 cats). Reported percentages were higher in cats living on islands than on the mainland.24 Passage of protozoa and parasites through feces is not the only public health concern. One investigator estimated that in a single community, the amount of feces deposited outdoors by the 2046 feral cats living there every year was about 29.5 tons.27 A study tracking sources of E. coli in storm sewers feeding rivers and streams demonstrated that the highest percentage from any one source came from cats.28 It may be that it is not exposure to the cats but rather exposure to their feces that is the greatest public health risk.26 Control measures Eradication Eradication of feral cat populations has been demonstrated successful only on small islands.29 Methods for eradication include trapping; hunting, with or without dogs; direct poisoning; indirect 438 poisoning by placement of poisoned rats or other food sources; and introduction of fatal viral disease, such as panleukopenia.29 Any eradication method must take into account safety of the environment, of humans and of non-target species, and also consider expense, sustainability of population control, and public support of the eradication and of the method chosen.30 Complete depopulation is not considered a viable option in most situations. Trap-placement An alternative to eradication is depopulation by trapping and placement of all trapped cats into homes or sanctuaries. There is recognition that not all feral cats are adoptable; that is, in fact, one definition of feral.4 At present, millions of cats are euthanized in shelters in the United States each year because there are not enough homes for them all. Addition of feral cats to this population would lead to euthanasia of even more cats, many of whom might have been adopted in the current system.30 Creation of cat sanctuaries has not been demonstrated to be economically viable long-term and may actually be associated with increased abandonment of companion cats in the vicinity of the sanctuary.30 Trap-neuter-return Trap-neuter-return (TNR) programs are those best described in the veterinary literature. The reader should be aware that TNR may refer to any number of steps in the system including trapping; health evaluation with or without testing for feline leukemia and feline immunodeficiency virus and fecal flotation examination; vaccination; gonadectomy; decisions regarding adoptability and euthanasia, based on behavior evaluation and health status; and eventual return to the colony. In some countries, management of feral cat colonies is required because eradication by means of euthanasia is illegal.31 In other countries, the goal of management is to create a stable neutered population with the eventual goal of decreasing colony size, ideally to zero. Some studies find that TNR programs are associated with a decrease in colony size, and a decrease in complaints about the feral cats as a public nuisance compared to eradication programs.32-36 How humane are TNR programs? It has been demonstrated that feral cats respond to vaccination as intended, becoming seropositive and maintaining detectable titers.37 Feral cats that have been neutered undergo a decrease in metabolic rate and subsequent increase in body weight as do all neutered cats, but do not become obese, with a mean body condition score one year after neuter and return to the colony of 5 ± 1 on a 9–point scale, where 1 is emaciated and 9 is grossly obese.38-40 Surgery does not appear to be a greater risk for these cats than for owned cats; one study revealed a surgical mortality rate of 0.4% in a large TNR program.41 Kitten mortality rate in outdoor colonies is reported to be greater than 50%, suggesting that TNR, and subsequent decrease in kitten numbers, is humane because it prevents birth of kittens that would have died in the colony environment.42 The primary concerns about TNR programs are their cost and lack of sustainability. In order to maintain a stable population, models suggest that trapping and neutering must be performed on a large scale, sterilizing over 51% of all female cats in the colony that are over one year of age annually such that at least 71% of the queens in the colony are sterilized at any given time.7,43 In a survey of large managed colonies in Italy, despite large scale trapping and neutering, about 21% of the population consisted of new cats every year.31 As long as humans continue to abandon cats as strays that can repopulate hospitable locations, the problem of feral cats cannot be completely controlled and it is wisest to assume that complete eradication of colonies will not occur and to understand that due to environmental variations, colony size may even increase with TNR management.30,44,45 Trapping is labor intensive; one study documented that 8.9 ± 3.9 nights of trapping per cat were required to capture at least 90% of the cats in one colony.46 There also is the consideration of who bears the cost for the surgeries, which must be performed by veterinarians. It has been suggested that veterinary practitioners should subsidize these programs but that it is inappropriate to suggest that any single aspect of any profession bear the burden of a societal problem.47 439 Medical control of reproduction Megestrol acetate Megestrol acetate (MA) is a synthetic progestogen approved for estrus suppression in bitches. No product containing this chemical ever has been approved by the Food and Drug Administration (FDA) for use in cats. Extralabel use is described by the FDA in the following way: extra-label use of drugs in treating animals is allowable only by licensed veterinarians within the context of a valid veterinarian- client-patient relationship, and does not include drug use in treating animals by the layman (except under the supervision of a licensed veterinarian).48 Unapproved products containing very low doses of MA for oral distribution in feral cat colonies are commercially available. Megestrol acetate has no anabolic or estrogenic properties and is reported to have no masculinizing effect if ingested by queens early in pregnancy.49,50 All studies reporting use of MA for reproduction control in feral cat colonies describe weekly oral doses of 2.5–5.0 mg. Reported success rates in preventing conception vary from 57.1 to 100.0%; in at least one of these studies, cats were fed the drug by hand to ensure consistent dosing.51-53 Male cats given 5 mg MA weekly showed a decline in sex-related behaviors; this effect was not seen at a dose of 2.5 mg weekly.52 In all reports, inconsistent dosing was associated with quick return to normal fertility in queens.51,52 Side-effects of MA can be severe. Reproductive tract abnormalities in treated females include cystic endometrial hyperplasia and pyometra.51,54 Mammary hypertrophy has been reported as a side- effect in treated male and female cats.53,55,56 Mammary neoplasia (carcinoma or adenoma) also has been reported.53,56 Endocrine abnormalities associated with treatment include adrenocortical suppression and diabetes mellitus.53,57-63 Less severe side-effects include increased appetite, increased thirst and urination, lethargy, and aggression; the latter may be particularly concerning to caretakers of feral cat colonies.53,64 Cabergoline Cabergoline is a prolactin inhibitor that has been demonstrated to effect pregnancy termination in cats after mid-gestation.65 There is one report of successful termination of pregnancy and control of reproduction in a feral cat colony by hand-feeding of cabergoline to visibly pregnant queens.66 There are no reports documenting possible side-effects of cabergoline available in food and accidentally ingested by prepuberal cats, adult male cats, or queens early in pregnancy. Conclusion At present, the preferred method for management of feral cat colonies is TNR. These programs require consistent funding and commitment and cannot be expected to lead to eradication as long as the environment is hospitable to cats and cats are available for immigration into the area. To address public health concerns, it must be remembered that exposure to feral cat feces may well be a greater risk than exposure to the cats themselves. Medical therapy would be preferred to TNR programs if it could be shown to be effective and safe, and less labor-intensive. Commercially available products containing MA at very low doses have not been shown to be either effective or safe and cannot be recommended. In the absence of a medical alternative, it is recommended that society invest in education of the public regarding responsible cat ownership, creation of appropriate public policy regarding maintenance of feral cat colonies and funding for TNR programs with the goal of decreasing feral cat populations, and support of research to identify safe and effective contraceptives and sterilants for cats.6 References 1. Owen P: Felis silvestris catus, digital morphology. http://digimorph.org/specimens/Felis_sylvestris_catus/, accessed August 24, 2010. 2. Farnworth MJ, Dye NG, Keown N: The legal status of cats in New Zealand: a perspective on the welfare of companion, stray, and feral domestic cats (Felis catus). J Appl Anim Welf Sci 2010;13:180–188. 3. Slater MR: The welfare of feral cats. In: Rochlitz I, editor. The welfare of cats. Dordrecht: Springer, 2005. p.141–176. 440 4. Slater MR, Miller KA, Weiss E, et al: A survey of the methods used in shelter and rescue programs to identify feral and frightened pet cats. J Feline Med Surg 2010;12:592–600. 5. Mutinelli F: Rabies and feral cat colonies in Italy. Vet Rec 2010;166:537–538. 6. Richards JR: The 2004 American Association of Feline Practitioners position statement on free-roaming, abandoned and feral cats. J Feline Med Surg 2004;6:vii–ix. 7. Robertson SA: A review of feral cat control. J Feline Med Surg 2008;10:366–375. 8. Hyland JR: The slaughter of terrified beasts: a biblical basis for the humane treatment of animals. Sarasota: Viatoris Ministries; 1998. 9. Edwards J: Minnesota’s killer kitties should be kept indoors. Minnesota Department of Natural Resources, St Paul, Minnesota. http://news.dnr.state.mn.us/index.php/wp-admin/enforcement/ranges?paged=84, accessed August 17, 2010. 10. Coleman JS, Temple SA, Craven SR: Facts on cats and wildlife: a conservation dilemma. USDA Cooperative Extension, University of Wisconsin, Madison, Wisconsin. http://wildlife.wisc.edu/extension/catfly3.htm, accessed August 25, 2010. 11. Crooks KR, Soule ME: Mesopredator release and avifaunal extinctions in a fragmented system. Nature 1999;400:563– 566. 12. Clark Brittingham M, Temple SA: Have cowbirds caused forest songbirds to decline? Bioscience 1983;33:31–35. 13. Fan M, Kuang Y, Feng Z: Cats protecting birds revisited. Bull Math Biol 2005;67:1081–1106. 14. Jessup DA, Pettan KC, Lowenstine LJ, et al: Feline leukemia virus infection and renal spirotrichetosis in free-ranging cougar (Felis concolor). J Zoo Wildl Med 1993;24:73–79. 15. Roelke ME, Forester DJ, Jacobson ER, et al: Seroprevalence of infectious disease agents in free-ranging Florida panthers (Felis concolor coryi). J Wildl Dis 1993;29:36–49. 16. Suzan G, Ceballos G: The role of feral mammals on wildlife infectious disease prevalence in two nature reserves within Mexico City limits. J Zoo Wildl Med 2005;36:479–484. 17. Murray KO, Holmes KC, Hanlon CA: Rabies in vaccinated dogs and cats in the United States, 1997-2001. J Am Vet Med Assoc 2009;235:691–695. 18. Blanton JD, Robertson K, Palmer D, et al: Rabies surveillance in the United States during 2008. J Am Vet Med Assoc 2009;235:677–689. 19. Epstein JH, Rahman SA, Zambriski JA, et al: Feral cats and risk for Nipah virus transmission. Emerg Infect Dis 2006;12:1178–1179. 20. Mendes-de-Almeida F, Labarthe N, Guerrero J, et al: Follow-up of the health conditions of an urban colony of free- roaming cats (Felis catus Linnaeus, 1758) in the city of Rio de Janeiro, Brazil. Vet Parasitol 2007;147:9–15. 21. Dubey JP, Moura L, Majumdar D, et al: Isolation and characterization of viable Toxoplasma gondii isolates revealed possible high frequency of mixed infection in feral cats (Felis domesticus) from St. Kitts, West Indies. Parasitology 2009;136:589–594. 22. Millan J, Cabezon O, Pabon M, et al: Seroprevalence of Toxoplasma gondii and Neospora caninum in feral cats (Felis silvestris catus) in Majorca, Balearic Islands, Spain. Vet Parasitol 2009;165:323–326. 23. Abu-Madi MA, Behnke JM, Prabhaker KS, et al: Intestinal helminthes of feral cat populations from urban and suburban districts of Qatar. Vet Parasitol 2010;168:284–292. 24. Millan J, Casanova JC: High prevalence of helminth parasites in feral cats in Majorca Island (Spain). Parasitol Res 2009;106:183–188. 25. Schuster RK, Thomas K, Sivakumar S, et al: The parasite fauna of stray domestic cats (Felis catus) in Dubai, United Arab Emirates. Parasitol Res 2009;105:124–134. 26. Ackerman DL: Thoughts on feral cat control [letter]. J Am Vet Med Assoc 2010;237:26–27. 27. Dabritz HA, Atwill ER, Gardner IA, et al: Outdoor fecal deposition by free-roaming cats and attitudes of cat owners and non-owners toward stray pets, wildlife, and water pollution. J Am Vet Med Assoc 2006;229:74–81. 28. Ram JL, Thompson B, Turner C, et al: Identification of pets and raccoons as sources of bacterial contamination of urban storm sewers using a sequence-based bacterial source tracking method. Water Res 2007;41:3605–3614. 29. Nogales M, Martin A, Tershy B, et al: A review of feral cat eradication on islands. Conserv Biol 2004;18:310–319. 30. Levy JK, Crawford PC: Humane strategies for controlling feral cat populations. J Am Vet Med Assoc 2004;225:1354– 1360. 31. Natoli E, Maragliano L, Cariola G, et al: Management of feral domestic cats in the urban environment of Rome (Italy). Prev Vet Med 2006;77:180–185. 32. Hughes KL, Slater MR: Implementation of a feral cat management program on a university campus. J Appl Anim Welf Sci 2002;5:15–28. 33. Hughes KL, Slater MR, Haller L: The effects of implementing a feral cat spay/neuter program in a Florida county animal control service. J Appl Anim Welf Sci 2002;5:285–298. 34. Neville PF, Remfry J: Effect of neutering on two groups of feral cats. Vet Rec 1984;114:447–450. 35. Levy JK, Gale DW, Gale LA: Evaluation of the effect of a long-term trap-neuter-return and adoption program on a free-roaming cat population. J Am Vet Med Assoc 2003;222:42–46. 36. Stoskopf MK, Nutter FB: Analyzing approaches to feral cat management–one size does not fit all. J Am Vet Med Assoc 2004;225:1361–1364. 441 37. Fischer SM, Quest CM, Dubovi EJ, et al: Response of feral cats to vaccination at the time of neutering. J Am Vet Med Assoc 2007;230:52–58. 38. Scott KC, Levy JK, Gorman SP, et al: Body condition of feral cats and the effect of neutering. J Appl Anim Welf Sci 2002;5:203–213. 39. Root MV, Johnston SD, Olson PN: Effect of prepuberal and postpuberal gonadectomy on heat production measured by indirect calorimetry in male and female domestic cats. Am J Vet Res 1996;57:371–374. 40. Fettman MJ, Stanton CA, Banks LL, et al: Effects of neutering on body weight, metabolic rate and glucose tolerance of domestic cats. Res Vet Sci 1997;62:131–136. 41. Wallace JL, Levy JK: Population characteristics of feral cats admitted to seven trap-neuter-return programs in the United States. J Feline Med Surg 2006;8:279–284. 42. Nutter FB, Levine JF, Stoskopf MK: Reproductive capacity of free-roaming domestic cats and kitten survival rate. J Am Vet Med Assoc 2004;225:1399–402. 43. Budke CM, Slater MR: Utilization of matrix population models to assess a 3-year single treatment nonsurgical contraception program versus surgical sterilization in feral cat populations. J Appl Anim Welf Sci 2009;12:277–292. 44. Longcore T, Rich C, Sullivan LM: Critical assessment of claims regarding management of feral cats by trap-neuter- return. Conserv Biol 2009;23:887–894. 45. Foley P, Foley JE, Levy JK, et al: Analysis of the impact of trap-neuter-return programs on populations of feral cats. J Am Vet Med Assoc 2005;227:1775–1781. 46. Nutter FB, Stoskopf MK, Levine JF: Time and financial costs of programs for live trapping feral cats. J Am Vet Med Assoc 2004;225:1403–1405. 47. Keyes M: Additional views on the costs of feral cat control [letter]. J Am Vet Med Assoc 2010;237:257. 48. Food and Drug Administration: Extra-label use of FDA approved drugs in animals. http://www.fda.gov/AnimalVeterinary/ResourcesforYou/FDAandtheVeterinarian/ucm077390.htm, accessed August 26, 2010. 49. Gupta C, Bullock LP, Bardin CW: Further studies on the androgenic, anti-androgenic, and synandrogenic actions of progestins. Endocrinology 1978;102:736–744. 50. David A, Edwards K: Anti-ovulatory and other biological properties of megestrol acetate. J Reprod Fertil 1963;5:331– 346. 51. Remfry J: Control of feral cat populations by long-term administration of megestrol acetate. Vet Rec 1978;103:403– 404. 52. Jochle W, Jochle M: Reproductive and behavioral control in the male and female cat with progestins: long-term field observations in individual animals. Theriogenology 1975;3:179–185. 53. Romatowski J: Use of megestrol acetate in cats. J Am Vet Med Assoc 1989;194:700–702. 54. Bellenger CR, Chen JC: Effect of megestrol acetate on the endometrium of the prepubertally ovariectomised kitten. Res Vet Sci 1990;48:112–118. 55. Hayden DW, Barnes DM, Johnson KH: Morphologic changes in the mammary gland of megestrol acetate-treated and untreated cats: a retrospective study. Vet Pathol 1989;26:104–113. 56. MacDougal LD: Mammary fibroadenomatous hyperplasia in a young cat attributed to treatment with megestrol acetate. Can Vet J 2003;44:227–229. 57. Pukay BP: A hyperglycemia-glucosuria syndrome in cats following megestrol acetate therapy. Can Vet J 1979;20:117. 58. McCann TM, Simpson KE, Shaw DJ, et al: Feline diabetes mellitus in the UK: The prevalence within an insured cat population and a questionnaire-based putative risk factor analysis. J Feline Med Surg 2007;9:289–299. 59. Church DB, Watson ADJ, Emslie DR, et al: Effects of proligestone and megestrol on plasma adrenocorticotrophic hormone, insulin and insulin-like growth factor-1 concentration in cats. Res Vet Sci 1994;56:175–178. 60. Middleton DJ, Watson ADJ: Glucose intolerance in cats given short-term therapies of prednisolone and megestrol acetate. Am J Vet Res 1985;46:2623–2625. 61. Weikel JH, Nelson LW, Reno FE: A four-year evaluation of the chronic toxicity of megestrol acetate in dogs. Toxicol Appl Pharmacol 1975;33:414–426. 62. Chastain CB, Graham CL, Nichols CE. Adrenocortical suppression in cats given megestrol acetate. Am J Vet Res 1981;42:2029–2035. 63. Peterson ME: Effects of megestrol acetate on glucose tolerance and growth hormone secretion in the cat. Res Vet Sci 1987;42:354–357. 64. Henik RA, Olson PN, Rosychuk RA: Progestogen therapy in cats. Compend Contin Educ Pract Vet 1985;7:132–140. 65. Root Kustritz MV, Johnston SD, Olson PN: Canine and feline theriogenology. Philadelphia: WB Saunders Co; 2001. p. 450–451. 66. Jochle W, Jochle M: Reproduction in a feral cat population and its control with a prolactin inhibitor, cabergoline. J Reprod Fertil 1993;suppl 47:419–424. 442