Indoor-Outdoor Cats and the "One Health" Perspective: Veterinarian Insight and Influence.

Veterinarian and client discussions about indoor-outdoor cats, although challenging, can impact decisions made regarding cat care and outdoor access. An online survey, exploring topics discussed with clients regarding indoor-outdoor cats and One Health, was made available to veterinarians practicing in the U.S. in 2022. The importance of topics by practice location and to the veterinarian versus what the veterinarian perceived as important to the client were analyzed. Of 280 responding veterinarians, 95% discussed indoor-outdoor cat activities with clients. Cat-associated disease (81%), cat population control (64%), and cat-associated trauma (53%) were discussed most often. With the exception of population control, rural, suburban, and urban veterinarians did not significantly differ in the frequency of topics discussed. Danger to the cat (e.g., trauma and diseases) was the most important topic when addressing indoor-outdoor cats with clients; 57% of veterinarians considered it important to themselves and 61% considered it important to the client. Only 13% of the veterinarians were extremely comfortable discussing One Health with clients and several One Health-related topics (zoonoses and wildlife impacts) were discussed least often. Less focus on One Health topics is potentially a missed opportunity to educate clients, enable more informed client decisions, and improve overall the care of cats.