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BMJ 2005;331:1408 (10 December), doi:10.1136/bmj.331.7529.1408
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EditorCoombes rightly considers the duties of doctors and vets in situations where their patients are in danger of mistreatment.1 There is increasing evidence to link animal and child abuse, and vice versa (www.americanhumane.org). DeViney et al showed that 88% of pets were abused where child abuse and neglect were present.2 Among women seeking refuge from domestic violence in a safe house, 71% of those with pets reported that their partners had been violent to their pet.3
Increasing collaboration between the NSPCA and the RSPCA is helping government policy to formulate improved links between the two reporting schemes. In several local authorities vets will contact the appropriate children and families social services department to notify it of animal abuse because of the strength of the link. Wider uptake would do much to protect both sets of innocents.
M E Jan Wise, consultant psychiatrist
Brent East Community Mental Health Trust, London NW6 6HX jan.wise@nhs.net