Hookworms

The same medication used to treat roundworms is also very effective against hookworms. It is uncommon for a pup to be born with hookworms, but these parasites can be acquired through the mother's milk during the first two or three weeks of life. Left unchecked, an affected puppy can quickly die.

• Give a subsequent booster shot every three years, unless there are risk factors that make it necessary to vaccinate more or less often.

Noncore vaccines should only be considered for those dogs who risk exposure to a particular disease because of geographic area, lifestyle, frequency of travel, or other issues. They include vaccines against distemper-measles virus, canine parainfluenza virus, leptospirosis, Bordetella bronchiseptica, and Borrelia burgdorferi (Lyme disease).

Vaccines that are not generally recommended because the disease poses little risk to dogs or is easily treatable, or the vaccine has not been proven to be effective, are those against Giardia, canine coronavirus, and canine adenovirus-1.

Often, combination injections are given to puppies, with one shot containing several core and noncore vaccines. Your veterinarian may be reluctant to use separate shots that do not include the noncore vaccines, because they must be specially ordered. If you are concerned about these noncore vaccines, talk to your vet.

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