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January 5, 2011

Dr. Robert Gibbens, Regional Director


USDA-Western Region
2150 Centre Ave., Bldg. B
Mail Stop #3W11
Fort Collins, CO 80526

Via e-mail: Robert.M.Gibbens@aphis.usda.gov

Dear Dr. Gibbens,

On behalf of People for the Ethical Treatment of Animals (PETA) and our more
than 2 million members and supporters, I am submitting this complaint regarding
the treatment of animals at the University of Texas Medical Branch at Galveston
(UTMB), Certificate #74-R-0073, at 301 University Blvd in Galveston, Texas.
PETA’s office has recently received disturbing reports from an inside source at
UTMB alleging abuse and neglect of animals housed and used in experiments in
UTMB facilities. If true, we believe the alleged treatment of animals constitutes
violations of the Animal Welfare Act (AWA).

The allegations are that UTMB failed to do the following:

1. Maintain a program of adequate veterinary care [9 C.F.R. §2.33 (b)]


2. Ensure that personnel conducting procedures were qualified to perform their
duties [9 C.F.R. §2.32(a)]
3. Handle animals in a way that did not cause trauma, behavioral stress, physical
harm, or unnecessary discomfort [9 C.F.R. §§2.32(c)(1)(ii), 2.33(b)(4),
2.38(f)]
4. Provide adequate environment enhancement to promote the psychological
well-being of nonhuman primates [9 C.F.R. §3.81 (c)(2)]
5. Provide timely euthanasia to animals experiencing severe or chronic pain or
distress [9 C.F.R. §2.31(d)(v)]
6. Provide adequate space to sheep [9 C.F.R. §3.128]
7. Ensure that dogs were removed from cages before hoses were used to clean
the enclosures and that sheep and pigs were not wetted during cage cleaning
[9 C.F.R. §3.11(a), 9 C.F.R. §3.131(a)]

In addition, the allegations indicate that the UTMB Institutional Animal Care and
Use Committee (IACUC) failed to do the following:

1. Adequately inspect and review the laboratory’s animal facilities and the
facility's program for humane care and use of animals [9 C.F.R.
§§2.31(c)(1)-(2)]
2. Ensure that the "animals' living conditions [would] be appropriate for their species … and
contribute to their health and comfort" [9 C.F.R. §2.31 (d)(1)(vi)]
3. Ensure that principal investigators “considered alternatives to procedures that caused
more than momentary or slight pain or distress to the animals” [9 C.F.R. 2.31(d)(ii)]

I. Failure to maintain a program of adequate veterinary care

Section 2.33(b) of the Animal Welfare Regulations (AWRs) states: “Each research facility shall
establish and maintain programs of adequate veterinary care.”1 The regulation further specifies
that adequate care includes the “availability of appropriate facilities, personnel, equipment, and
services,”2 the “use of appropriate methods to prevent, control, diagnose, and treat diseases and
injuries,”3 “daily observation of all animals to assess their health and well-being [including] a
mechanism of direct and frequent communication … so that timely and accurate information on
problems of animal health, behavior, and well-being is conveyed to the attending veterinarian,”4
“guidance to principal investigators and other personnel involved in the care and use of animals
regarding handling, immobilization, anesthesia, analgesia, tranquilization, and euthanasia”5 and
“adequate pre-procedural and post-procedural care in accordance with current established
veterinary medical and nursing procedures.”6

The level of care stipulated by this regulation was reportedly not met by UTMB:

i. Several problems were noted in the use of dogs by principal investigators Jiande Chen
and Jieyun Yin to test an experimental product for irritable bowel syndrome (IBS):
a. Two dogs used in this protocol reportedly died following surgery to repair colonic
cannulas when veterinary staff did not have, and thus failed to provide,
anesthetics, and lacked familiarity with monitoring equipment. While the
facility’s failure to stock the necessary anesthetics constitutes a violation of 9
C.F.R. §2.33(b)(1), the episode also reflects the UTMB’s failure to ensure that
personnel are adequately qualified to perform their duties—as required by 9
C.F.R. §2.32(a).
b. Another dog on the same protocol experienced a serious negative reaction to the
experimental drug; her temperature rose to 103.2°F and her posture suggested that
she was in pain. The dog was euthanized at this point, but a necropsy was not
performed. A necropsy could have provided the experimenters with insights into
the systemic challenges posed by the experimental product. The experimenters’
failure to conduct a necropsy constitutes a failure of 9 C.F.R. §2.33(b)(2) and
§2.33(b)(5).
c. The experimenters followed the advice of a consulting surgeon who
recommended withholding food for approximately three days from three
additional dogs used in the same protocol. While the decision to withhold food

1
9 C.F.R. §2.33(b)
2
9 C.F.R. §2.33(b)(1)
3
9 C.F.R. §2.33 (b)(2)
4
9 C.F.R. §2.33(b)(3)
5
9 C.F.R. §2.33 (b)(4)
6
9 C.F.R. §2.33 (b)(5)
from dogs for three days constitutes an extreme measure and a significant change
to the protocol, it is not known whether the IACUC reviewed this significant
change to the protocol, as is required by C.F.R. §2.31(c)(7). Certainly, 9 C.F.R.
§2.31(d)(xi)(3) is very clear in stipulating that consultants “may not approve or
withhold approval of an activity.”7

ii. Principal investigator Daniel Traber uses sheep, pigs, and mice in experiments aimed at
studying burn and smoke inhalation injury. Several sheep and a pig in Traber’s laboratory
in Building 21 apparently suffered serious injuries—including a broken leg and an
unknown trauma that caused a sheep’s intestines to penetrate her chest cavity and
required euthanasia—because husbandry staff forced the animals to jump over gates
instead of using ramps to remove them from enclosures. The failure to use appropriate
methods to prevent injury in these animals is a transparent violation of 9 C.F.R.
§2.33(b)(2). The fact that several animals were seriously injured in this manner calls into
question whether the employees responsible for moving the animals were given adequate
guidance in the handling of animals, as required by 9 C.F.R. §2.33(b)(4). Standard
operating procedures at UTMB require that ramps be used when moving pigs and sheep
out of enclosures; however, workers ignored this protocol, potentially exposing animals
to injury. While the IACUC should have been notified of the injuries, and certainly of the
incident in which the sheep had to be euthanized, it is unclear what steps—if any—the
IACUC took to ensure that SOPs were being followed.

iii. Contrary to “current established veterinary medical and nursing procedures,” principal
investigators and their staff failed to enter critically-important medical information, such
as treatments, into animals’ medical records, in violation of 9 C.F.R. §2.33(b)(5).
a. Medical records for dogs used in Jiande Chen’s irritable bowel syndrome (IBS)
experiments are incomplete, as only the animal health staff had been entering
information in the medical records, but no information had been written in the
records by the experimenters and their staff. Noting this deficiency, on June 11,
2010, Dr. Karen Vargas, one of the attending veterinarians at UTMB, instructed
Hanaa Sallam, who we believe is a post-doctoral fellow working with Jiande
Chen, to record all of the procedures she performs on the dogs used in the IBS
study in the medical records. Sallam told Dr. Vargas that she had been working
with the dogs for seven years and never entered information in the medical
records. The dismissive attitude exhibited by Sallam in this conversation exhibits
an apparent failure on the part of UTMB to ensure that “the attending veterinarian
has appropriate authority to ensure the provision of adequate veterinary care and
to oversee the adequacy of other aspects of animal care and use,”8 as required by
9 C.F.R. §2.33(a)(2).
b. Medical records for sheep used in principal investigator Daniel Traber’s burn and
smoke inhalation injury experiments appear to be similarly deficient. On August
24, 2010, Cheryl Bobbitt, Veterinary Technician Supervisor of UTMB’s Animal
Resource Center (ARC)—responsible for observing animals for health problems,
examining sick or injured animals reported by animal attendants, and treating

7
9 C.F.R. §2.31(d)(xi)(3)
8
9 C.F.R. §2.33(a)(2)
animals as the veterinarians and principal investigators recommend, and Maylinn
Tarbutton, UTMB’s Good Laboratory Practices Coordinator, met with one of
Daniel Traber’s assistants to discuss properly completing the animal medical
records (AMRs) for sheep in Traber’s experiments. In the meeting, it was noted
that for several months, the only entry in the AMRs for the sheep was
“euthanized: end of study.” Absent from these records were notes on medical
procedures and manipulations performed on the animals. Bobbitt said that at some
point, Traber’s staff stopped writing anything besides the animals’ euthanasia in
their medical records. Even then, the method of euthanasia used was not recorded.

iv. Members of Daniel Traber’s staff reportedly failed to report health problems in
animals—and allowed their suffering to continue unabated—because they feared being
disciplined. In the aforementioned August 24, 2010, meeting, Traber’s assistant told
Cheryl Bobbitt and Maylinn Tarbutton that Traber’s staff does not report problems or
come to the veterinarians when an animal needs care for fear that they will be ridiculed.
The assistant told Bobbitt that they hide as much as they can from the ARC staff and deal
with the ARC staff only when absolutely necessary. The assistant told Bobbitt that many
departments view the veterinary staff and the entire ARC department as “the animal
police” and avoid ARC rather than utilize the veterinary staff and ARC. This
dysfunctional culture undermines both the spirit and letter of 9 C.F.R. §2.33(b)(3), which
stipulates “daily observation of all animals to assess their health and well-being
[including] a mechanism of direct and frequent communication … so that timely and
accurate information on problems of animal health, behavior, and well-being is conveyed
to the attending veterinarian.”

v. UTMB principal investigator Nigel Bourne uses ferrets to study infectious diseases. In
Bourne’s laboratory, ferrets were deeply anesthetized, but would frequently die within
one to two days. Dr. Karen Vargas, one of the attending veterinarians, and Dr. William
Masters, the Animal Resources Center director, suggested a protocol amendment to
attempt to address the animal deaths, but Dr. Donald Deyo, a veterinarian who assists
Bourne, reportedly ignored the suggestions. Dr. Deyo’s alleged indifference to the
suggested amendment undermines the intention of 9 C.F.R. §2.33(b)(4). The failure to
take seriously the guidance of the attending veterinarian gives further support to the
notion that UTMB fails to ensure that the attending veterinarian has appropriate authority
to make decisions regarding animal care, as required by 9 C.F.R. §2.33(a)(2). It is not
known whether the matter was brought to the attention of the IACUC.

vi. The UTMB source reports that on September 20, 2010, Dr. Deyo and Robert
Washington, one of the laboratory technicians, prepared two goats for a laboratory
training session for emergency physician residents in the second floor surgery suites of
Building 21. Washington held a goat while Dr. Deyo gave an IV injection of
pentobarbital in the jugular vein. No pre-anesthetic injections were given. Dr. Deyo
placed an endotracheal tube and jugular catheter, while Washington shaved the goats’
chests and areas near their abdomens. The goats were placed on an IV drip which
contained additional pentobarbital. In deviation from the IACUC-approved protocol, the
goats were not placed on isoflurane gas anesthesia at any point. Within five minutes of
being on the surgical table, one of the goats was not breathing and a heartbeat could not
be detected. The goat died on the table. Washington dismissed the incident, saying that
the goats usually died early in the procedure and it wasn’t a “big deal.” More than half
the IV fluids were gone at this point; PETA’s source at UTMB speculated that Dr. Deyo
had set the drip’s discharge rate too fast and that the goat died of anesthetic overdose.
The IACUC-approved protocol also stated that Dr. Deyo was supposed to be present for
the entire experiment; however, he left the room after he induced anesthesia and did not
return. The failure to use gas anesthesia, as required by the IACUC-approved protocol,
and Dr. Deyo’s failure to remain present in the room through the procedure constitute a
failure to ensure “availability of appropriate facilities, personnel, equipment, and
services” as required by 9 C.F.R. §2.33(b)(1), while also undermining the system of
oversight that the IACUC is intended to provide. Washington’s comment that goats
usually died early in the procedure seems to indicate that Dr. Deyo frequently deviated
from the IACUC-approved protocol. It is not clear whether the manner in which the goat
died was reported in this incident, or whether the earlier incidents to which Washington
referred were ever reported.

II. Failure to ensure that personnel conducting procedures are qualified to perform their
duties

Section 2.32 (a) of the AWRs states that: “It shall be the responsibility of the research facility to
ensure that all scientists, research technicians, animal technicians, and other personnel involved
in animal care, treatment, and use are qualified to perform their duties.”9 And §2.32(c) specifies
that “[t]raining and instruction of personnel must include guidance in … [h]umane methods of
animal maintenance and experimentation including: … (i) The basic needs of each species of
animal10 [and] (ii) proper handling and care for the various species of animals used by the
facility.”11

Several of the episodes described in Section I also point to UTMB’s failure to ensure that
personnel are qualified to perform their duties.

i. The difficulties experienced by the veterinary staff in working with the monitoring
equipment, described in Section I.i.a, indicate a failure on the part of UTMB to ensure
employees were qualified to perform their duties—in violation of 9 C.F.R. §2.32(a)—and
suggest that perhaps sufficient training was not provided to employees, in violation of 9
C.F.R. §2.32(b).
ii. The widespread failure on the part of experimenters and their staff to record vital data in
animal medical records suggests a failure on the part of UTMB to train staff on the
humane methods of animal maintenance, of which adequate medical record keeping is
certainly a part, in violation of 9 C.F.R. §2.32(c)(1).

III. Failure to handle animals in a way that does not cause trauma, behavioral stress,
physical harm, or unnecessary discomfort

9
9 C.F.R. §2.32 (a)
10
9 C.F.R. §2.32 (c)(1)(i)
11
9 C.F.R. §2.32 (c)(1)(ii)
Section 2.32(c)(1)(ii) of the AWRs states: “Training and instruction of personnel must include
guidance in … [h]umane methods of animal maintenance and experimentation, including …
[p]roper handling and care for the various species of animals used by the facility.”12
Additionally, Section 2.33(b)(4) of the AWRs requires animal experimentation facilities to
“establish and maintain programs of adequate veterinary care that include … [g]uidance to
principal investigators and other personnel involved in the care and use of animals regarding
handling, immobilization, anesthesia, analgesia, tranquilization, and euthanasia.”13 As well,
Section 2.38(f)(1) specifies that “[h]andling of all animals shall be done as expeditiously and
carefully as possible in a manner that does not cause trauma, overheating, excessive cooling,
behavioral stress, physical harm, or unnecessary discomfort.”14

The repeated injuries caused to animals as a result of husbandry staff forcing the animals to jump
over gates instead of using ramps to remove them from enclosures, as described in Section I.i,
suggests a failure on the part of UTMB to provide adequate guidance to personnel on proper
handling of animals—in violation of 9 C.F.R. §2.32(c)(1)(ii), §2.33(b)(4), and §2.38(f)(1).

IV. Failure to provide adequate environment enhancement to promote psychological well-


being of nonhuman primates

Section 3.81 of the AWRs mandates that: “research facilities must develop, document, and
follow an appropriate plan for environment enhancement adequate to promote the psychological
well-being of nonhuman primates.”15 Title 9 C.F.R. §3.81(a) specifically stipulates that the
“environment enhancement plan must include specific provisions to address the social needs of
nonhuman primates of species known to exist in social groups in nature.”16

The UTMB insider reports that a macaque monkey, who was not part of a protocol, was housed
by herself in a stainless steel cage in the Medical Research Building, where she has no contact
with or opportunity to see or hear other non-human primates. It is not known how long this
macaque was housed in the room by herself.

V. Failure to provide timely euthanasia to animals experiencing severe or chronic pain or


distress

Section 2.31(d)(v) of the AWRs stipulates that: “Animals that would otherwise experience
severe or chronic pain or distress that cannot be relieved will be painlessly euthanized at the end
of the procedure or, if appropriate, during the procedure.”17

This regulation was allegedly violated at UTMB:

12
9 C.F.R. §2.32(c)(1)(ii)
13
9 C.F.R. §2.33(b)(4)
14
9 C.F.R. §2.38(f)(1)
15
9 C.F.R. §3.81
16
9 C.F.R. §3.81 (a)
17
9 C.F.R. §2.31(d)(v)
i. In June 2010, it was observed that a ferret in the Galveston National Laboratory (GNL)
was not eating and was lethargic for a full week. The GNL staff had observed the ferret’s
declining health, but waited for attending veterinarian, Dr. Monica Fann, to examine him
or her. The ferret was not euthanized until July 2, 2010—more than one week after the
ferret’s deteriorating health was first observed.
ii. On September 3, 2010, a sheep was used in a back surgery experiment under the
direction of principal investigator Debbie Wilkes. Following the surgery, a husbandry
technician named Willie transported the sheep to the cage in which the sheep was held—
cage 1.408-01 in Building 21. On September 4, Willie noticed that the sheep was having
trouble standing. On September 5 and 6, Willie observed that the sheep wouldn’t stand
up. It is unclear whether Willie reported the sheep’s condition to either his supervisor or
one of the attending veterinarians at the facility. On September 7—four days after the
surgery—Allan Silva from UTMB’s IACUC observed that the sheep was unable to stand
up. Dr. Fann observed the sheep and determined from the sheep’s medical record that the
sheep hadn’t received any pain relief since September 3. Dr. Fann spoke with Wilkes, but
learned that Wilkes wouldn’t be able to check on the sheep until the following day,
September 8. In fact, it was not until late in the afternoon September 8 that Wilkes
examined the sheep, and it was not until this point, four days after the sheep was first
observed having difficulty standing, that the animal was finally euthanized.

VI. Failure to provide adequate space to sheep

Section 3.128 of the AWRs mandates that for warmblooded animals other than dogs, cats,
rabbits, hamsters, guinea pigs, nonhuman primates, and marine mammals, “[e]nclosures shall be
constructed and maintained so as to provide sufficient space to allow each animal to make
normal postural and social adjustments with adequate freedom of movement.”18

For approximately 10 days before they are burned and for up to three weeks afterwards, sheep
used in Daniel Traber’s experiments aimed at studying burn and smoke inhalation injury were
chained in crates —so narrow and small that they could not even turn around.

VII. Failure to remove dogs from cages before using hoses to clean the enclosures; failure
to implement measures to prevent wetting of sheep and pigs during cage cleaning

In describing the cleaning of primary enclosures for cats and dogs, §3.11(a) of the AWRs
stipulates that: “Excreta and food waste must be removed from primary enclosures daily, and
from under primary enclosures as often as necessary to prevent an excessive accumulation of
feces and food waste, to prevent soiling of the dogs or cats contained in the primary enclosures,
and to reduce disease hazards, insects, pests and odors. When steam or water is used to clean the
primary enclosure, whether by hosing, flushing, or other methods, dogs and cats must be
removed, unless the enclosure is large enough to ensure the animals would not be harmed,
wetted, or distressed in the process. Standing water must be removed from the primary enclosure
and animals in other primary enclosures must be protected from being contaminated with water
and other wastes during the cleaning.”19 Section 3.131(a) of the AWRs requires that for animal

18
9 C.F.R. §3.128
19
9 C.F.R. §3.11(a)
species for whom standards of care are specified in Subpart F (pertaining to warmblooded
animals other than dogs, cats, rabbits, hamsters, guinea pigs, nonhuman primates, and marine
mammals): “When enclosures are cleaned by hosing or flushing, adequate measures shall be
taken to protect the animals confined in such enclosures from being directly sprayed with the
stream of water or wetted involuntarily.”20

Workers at UTMB reportedly used high-pressure hoses to spray runs housing dogs, sheep, and
pigs—while the animals were still in them.

i. On September 15, 2010, Chris Kite, a husbandry technician in the Animal Resource
Center who used to work in Building 21, mentioned to a colleague that the husbandry
technicians hose out the runs with the sheep and pigs in the runs. Chris said that Karolyn
Nivens, the Building 21 animal husbandry supervisor, knows that the husbandry staff
hoses the enclosures while animals are still in them. They hose the cages to wash the
fecal matter into the drains, but the sheep and pigs are soaked and stressed in the process.
ii. Dogs would become wet and were forced to stand in bleach-water-soaked runs. The
floors were not dried with a squeegee. Several employees commented on how the dogs
smelled like bleach.
iii. Apart from the 10 days prior to being burned and three weeks following, sheep used in
Daniel Traber’s burn experiments were housed in groups of three to four in runs fitted
with plastic grid flooring to allow the urine and fecal material to fall through. Employees
observed that after the runs were hosed down, the sheep, walls, floors, and doors would
be soaking wet.

VIII. IACUC Failures

Section 2.31 of the AWRs specifies numerous responsibilities for IACUCs, highlighting the
IACUCs’ intended role as the animals’ last line of defense. Section 2.31(c)(1) of the AWRs
stipulates that the IACUC must “[r]eview, at least once every six months, the research facility's
program for humane care and use of animals,”21 while Section 2.31(c)(2) further requires that the
IACUC must “[i]nspect, at least once every six months, all of the research facility's animal
facilities, including animal study areas.”22 Section 2.31(d)(1)(ii) of the AWRs requires IACUCs
to ensure that principal investigators “considered alternatives to procedures that may cause more
than momentary or slight pain or distress to the animals.”23 And, Section 2.31(d)(1)(vi) of the
AWRs requires IACUCs to ensure that the “animals’ living conditions will be appropriate for
their species … and contribute to their health and comfort.”24

Several scenarios have been described to PETA, which appear to indicate either failure on the
part of the UTMB IACUC to adequately review protocols and implement adequate animal care
policies—or failure on the part of experimenters to conform with approved protocols and on the
part of personnel to implement policies.

20
9 C.F.R. §3.131(a)
21
9 C.F.R. §2.31(c)(1)
22
9 C.F.R. §2.31(c)(2)
23
9 C.F.R. §2.31(d)(1)(ii)
24
9 C.F.R. §2.31 (d)(1)(vi)
i. Our source alleges that during a recent visit to the ARC building, IACUC members
ignored animals’ conditions, the filth in which they are housed and internal records
showing that staff was neglecting the animals’ well-being—in violation of 9 C.F.R.
§§2.31(c)(1)-(2).
ii. The alleged widespread failure on the part of experimenters and their staff members to
record medical procedures and manipulations performed on the animals in the animals’
medical records, and the appearance that this contravention of current established
veterinary medical practice has been going on for years, calls into question why this
serious deficiency was not identified earlier. The situation at UTMB with its apparent
culture of disregard for maintenance of detailed animal care records supports the
allegation that UTMB’s IACUC was failing to conduct thorough inspections of the
facility, including animal care records.
iii. The housing of sheep used in Daniel Traber’s burn and smoke inhalation injury
experiments—for ten days prior to the infliction of the injury and three weeks following
the injury—prohibits the sheep from making “normal postural … adjustments with
adequate freedom of movement,” as required by the Animal Welfare Regulations. It is
unclear whether the IACUC permitted an exemption to Traber for the inhumane method
of housing sheep prior to and following the painful experiments, but certainly, in the
absence of an exemption, it is clear that the IACUC has, in this case, failed to ensure that
the animals’ living conditions contribute to their health and comfort, as required by 9
C.F.R. 2.31(d)(1)(vi).
iv. Following the incident described in Section I.vi, attending veterinarian, Dr. Fann, stated
that to achieve the goals of the surgical training—to give the residents experience placing
arterial catheters, checking for intraperitoneal bleeding via a small incision and a scope,
placing a tracheotomy tube, and placing a tube in the chest for collapsed lungs—it was
not necessary for the goats to be alive and explicitly stated that cadavers could have been
used in place of live goats. As Dr. Fann serves on the UTMB IACUC, it is very
concerning that the UTMB IACUC approved the use of live goats for training, the goals
of which could have been achieved using cadavers.

The very serious nature of these allegations warrants immediate investigation by the USDA. The
actions of UTMB staff show a flagrant disregard for the law and for the animals for whom they
are responsible.

We urge your office to treat this matter with gravity and respond swiftly to investigate and take
appropriate disciplinary action.

I look forward to hearing from you and am available to assist you in your investigation. I can be
reached at 410-889-1035 or alkac@peta.org.

Sincerely,

Alka Chandna, Ph.D.


Laboratory Oversight Specialist
Laboratory Investigations Department

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