Community attitudes towards bears, bear bile use, and bear conservation in Luang Prabang, Lao PDR

Chronic cholecystitis: Diagnostic and therapeutic insights from formerly bile-farmed Asiatic black bears (Ursus thibetanus)

Across Southeast Asia and China, more than 17000 Asian bears are kept under suboptimal conditions and farmed for their bile to meet the consumer demand for traditional medicine products. Years of unsterile and repetitive bile extraction contribute to the development of chronic sterile or bacterial cholecystitis, a pathology commonly diagnosed in formerly bile-farmed bears. In both human and veterinary medicine, the diagnostic value of the macroscopic bile examination for assessing gallbladder disease is unclear. The objective of this study is to identify the role of gallbladder bile color, viscosity, and turbidity, while comparing them with established markers of cholecystitis. Moreover, it aims to define the optimal duration of oral antibiotic treatment for chronic bacterial cholecystitis in bears associated with bile farming. Thirty-nine adult, formerly bile-farmed Asiatic black bears (Ursus thibetanus) were examined under anesthesia and underwent percutaneous ultrasound guided cholecystocentesis. A total of 59 bile samples were collected with 20 animals sampled twice to evaluate the therapeutic success. All bile aspirates were assessed macroscopically and microscopically followed by submission for bacterial culture and antimicrobial sensitivity. In the majority of bears, samples with cytological evidence of bactibilia lacked inflammatory cells and did not always correlate with positive bacterial cultures. The most common bacterial isolates were Enterococcus spp, Streptococcus spp and Escherichia coli. Based on our findings, the optimal duration of antibiotic treatment for chronic bacterial cholecystitis is 30 days. Moreover, unlike Gamma-glutamyl Transferase (GGT) and gallbladder wall thickness, the organoleptic properties of bile were found to be reliable markers of chronic gallbladder inflammation with color and turbidity indicating cholestasis. The current study highlights the importance of cholecystocentesis for the management of gallbladder disease and provides initial results on the possible diagnostic value of macroscopic bile examination.

An Assessment of Wildlife Use by Northern Laos Nationals

Unsustainable wildlife trade is a well-publicized area of international concern in Laos. Historically rich in both ethnic and biological diversity, Laos has emerged in recent years as a nexus for cross-border trade in floral and faunal wildlife, including endangered and threatened species. However, there has been little sustained research into the scale and scope of consumption of wildlife by Laos nationals themselves. Here, we conducted 100 semistructured interviews to gain a snapshot of consumption of wildlife in northern Laos, where international and in some cases illegal wildlife trade is known to occur. We found that although bear bile for medicine was the most common product consumed, individuals also used a variety of other products, including animals considered endangered by the International Union for Conservation of Nature IUCN. The majority of animals we found consumed are classified as "Vulnerable" or "Least Threatened" by the IUCN; however, sufficient demand for a species can cause increased, rapid decline in the species' population and significantly increase the challenge of conserving them. These results therefore illuminate where conservation priorities should shift towards, so that stable-yet-consumed species do not mirror the fate of highly trafficked animals.