Heartworm disease, transmitted by mosquitoes, causes severe heart and lung damage in dogs. Prevention is straightforward, safe, and far preferable to treating an established infection.
Heartworm disease causes progressive heart and lung damage, leading to exercise intolerance, coughing, respiratory distress, and eventually heart failure. Dogs with advanced infections suffer substantially before diagnosis is made. The welfare case for prevention is compelling: monthly chewable tablets or spot-on treatments are safe, affordable, and prevent immense suffering. Rescue and shelter dogs, especially those from endemic regions, should be tested before adoption and placed on prevention immediately. Access to affordable preventive care remains a barrier for many pet owners, and community programs that subsidize veterinary costs can dramatically improve coverage in underserved populations.