#medically significant

What is a medically significant animal?

In order to properly regulate the hobby, we need to have some basis of definitions. Unfortunately, there is no clear consensus on what animals are or are not "medically significant". Medically significant is a hobby term, typically when this is discussed in scientific settings they refer to "medically important venomous animals". Usually, this term is reserved for animals that present some threat to human health and safety. Even this isn't clear cut though, for example I couldn't fine a clear cut answer on whether or not honeybees were considered medically important. They do sting people, and that sting could result in a life threatening situation if the person is allergic, but I'm not sure where the consensus is on if a secondary allergy reaction or bacterial infection from the initial sting makes the animal itself medically important. I'm also not sure what amount of risk is required for an animal to be considered medically important. There has been one reported death from a Javanimetrus cyaneus, presumably because someone had a novel severe reaction or some other health complication that reacted poorly with the venom, but in all other sting reports and investigations of this species that risk is extremely unlikely. They are not considered medically important.

The definition I like to use is a "medically significant" animal is an animal where a bite or sting has a reasonable risk of requiring medical attention from a hospital. Bees aren't medically significant, unless you are allergic to them in which case they would be medically significant to you. Javanimetrus cyaneus aren't medically significant because the risk of anything more than mild pain is exceedingly rare.

Venom is also usually placed on a scale in the hobby, to designate the level of risk. This is also up for a lot of debate, so this is the scale I use when talking about scorpions:

1 - Extremely low potency, pain clears up in less than an hour, no lasting effects.

2 - Low potency, pain may last longer than an hour but less than a day, may experience localized swelling or tingling, no lasting effects.

3 - Potent, pain may last longer than a day, systemic effects such as nausea, sweating, light-headedness may occur, a severe reaction may require a hospital visit but usually clears up with no lasting effects. The lowest level of medically significant.

4 - Very potent, systemic effects likely, may require a visit to the hospital, potentially life threatening if there is a severe reaction.

5 - Life threatening, has been known to kill adults, you should immediately go to the hospital.

This can be useful when discussing relative risk when keeping an animal, but all precautions and best practices should be used when dealing with any animal that is medically significant. Remember:

ANYONE can have a bad reaction to ANY VENOM, which could make a sting from ANY species turn into a LIFE THREATENING event!

Risk Mitigation

I often compare keeping medically significant animals to riding a motorcycle. Riding a motorcycle at all is inherently more dangerous than other forms of transport, no matter how safe you are, you are still taking that extra risk. Risk is unavoidable, there is some inherent risk in anything you do. The best thing to do when faced with this reality is to take steps to be as safe and informed as possible about the risks, and to have a plan for what to do if things go wrong.

For riding a motorcycle, this looks like wearing proper protective gear including a helmet, following posted traffic laws, taking a motorcycle riding course and getting a license, and having adequate health insurance to cover you in case of an accident. None of these things will ever completely eliminate the risk of an accident, but being informed and as safe as possible will still help protect you and others.

For medically significant animals, here are some ways to mitigate the risks:

Properly secured enclosure

This is an absolute must. A properly secure enclosure looks different depending on what animal you're talking about. For scorpions, they can't climb smooth surfaces, but are very diligent escape artists and can reach up rather far by balancing on their tails, and access much higher in the enclosure than you would initially think. They are also quite strong, and can open up lids that aren't properly secure. Having a locking mechanism or a double container (a larger container over the smaller one as an extra layer of protection) is also recommended. A secure enclosure can also apply to what's outside and around it. If you have pets, children, guests, or other considerations like that, a properly secure enclosure might also look like a locked room where the container is located, or a locked shelf that is well out of reach. Properly labeling the enclosure to ensure everyone in the house is aware of the potential dangers of the animal is also a good idea.

2. Safe interactions

After the animal has been properly secured, you now have to figure out how to do all the maintenance, feeding, and moving that goes into keeping a pet generally. The most dangerous time of interacting with a medically significant animal is during rehousing, the animal will be stressed from being moved and is likely to be agitated and bolty. If the scorpion has to be moved for rehousing or a related situation (such as placing them together for breeding), proper considerations should be made. I always use double containment, which is basically a larger tub or container that is escape proof that the container the animal is in, and the container it's being moved into both fit inside. One of my closest calls was with my Androctonus bicolor. I was moving him to a larger enclosure, so I had him tailed with a pair of forceps and was lifting him up. He was much stronger than I anticipated, and was able to hook his tail in the forceps and flick himself out of my grip. he landed on the edge of his old container and crawled out, but luckily I had a double container around his old container so instead of ending up on my floor, he ended up safely contained in a larger container. From there I was able to move him to his new container.

Safe interactions also involve awareness of where the scorpion is, and where your hands are at all times. I never let my hands break the plane of the enclosure, they always stay outside. For anything that requires me reaching into the enclosure, I always use forceps. Getting into this habit is imperative, for one if something goes wrong you already have forceps ready and are less likely to instinctively reach out with your hand, for two if you don't know where the scorpion is and you reach for something with your hands, you are much more likely to accidentally squish or spook it and receive a sting.

This should go without saying, but unfortunately there are still too many examples of this and it is the number one reason why people get bit and stung by their pets.

NEVER handle ANY medically significant animal with your bare hands!

There is no reason for it. None of the animals we've discussed for medical significance, including all snakes and arachnids, get any benefit from being handled. There is no benefit to the animal at all. Arachnids are naturally solitary, and being handled is at best just going to annoy them and at worse stress them out. No risk, no matter how small you think it is, is worth bothering your animals for.

I am also including people who intentionally free handle to "prove" how docile the animal is. I don't think this is the proper way to go about education about potentially dangerous species, and I don't think it accomplishes the intended goal. You can explain, for example, that spiders are very reluctant to bite, are skittish, and are not out to attack you. There are many ways to demonstrate a spiders docility, one of my favorite ways is using the "cheese test" from Travis McEnery's "The Spiders in your House" series on Youtube. This can be beneficial to ease people's fear about these animals, without putting yourself in undo danger. I've also demonstrated Brown Recluse reactions to a threat using a paintbrush, or use forceps to demonstrate scorpion defensive behavior.

What isn't safe is holding an animal with your bare hands, intentionally provoking it by pressing it to yourself or harassing it with your finger, or putting it on your face or in your mouth to "prove" that it's safe. For one, it's not safe, it's a medically significant animal and should be treated as such. I also don't think this is modeling safe behaviors with how to interact with these animals, especially when doing education for younger children. Just because an animal is unlikely to bite you, doesn't mean it can't or won't. It just takes them believing they are under threat, which depending on the animal or situation could change. An animal that is generally docile but for whatever reason that day is more on edge, or you pinched it accidentally, or you moved too fast and it got spooked, is liable to bite you. And when bites like this happen, the first thing everyone says is "what did you expect", which only confirms the public perception that these animals are inherently dangerous to be around.

3. Plan for the worst

Even with proper precautions, shit can happen and stuff occasionally goes wrong. It's always better to plan for the possibility there will be an accident than to think it wont happen and be taken by surprise. Have a plan for what you will do in the event of a bite or sting. This can look like having anti-venom on hand, informing your doctor ahead of time of medically significant animals you have in your house so they can give you recommendations, and having a first aid kit and an EpiPen in case of an allergic reaction. Anti-venom can be hard to find, or not available for personal use, and if your local hospital won't carry it for you that's another important thing to factor in when considering the risk of owning these animals.

NEVER think it won't happen to you, complacency leads to ACCIDENTS!

You should also have a plan in case of an escape, keeping your animals in a specific room will help with this, because you can preemptively block small cracks or exits to prevent them from getting into the rest of your house. Have a way to search for and recover the animal if possible, and know what to do in case the animal cannot be recovered. Depending on the animal and how severe the venom is, it may be necessary to call animal control to recover the animal if you cannot find it and it poses a significant danger to yourself or your neighbors.

You should also plan for other disasters. If you live in a place with earthquakes, are your enclosures secure enough to not be knocked off the shelves? If it's a severe earthquake, what will you do if they get knocked over anyway? In the event of a fire, how will you ensure the animal stays contained, and will it be necessary to inform the fire department of it's location? What about with flooding? Obviously it is difficult to imagine dealing with that added stress in the event of a severe disaster, but it is still important to think about.

These three things should be at the forefront of every keepers mind if they are considering keeping medically significant animals. These are general points of consideration, and what the specifics look like heavily depend on what animals you are keeping, but your goal should always be to make keeping as safe as possible for you, your neighbors, and the animal itself.

The Golden Rule

Always show these animals respect. Whenever you're thinking about their care, housing, making a disaster plan, or interacting with them, remember that these animals can potentially kill you. People who don't take the risks seriously or rely too much on their experience get complacent, and that leads to poor husbandry practices and mistakes.

Myths and Misconceptions

"I've been keeping this species for years, I can read it's behavior."

While experience will give you a much better understanding of the animal and will help you anticipate how it will react to different things, that's not a good substitute for proper handling techniques. Every individual is different, and every individual can have days where they're more or less reactive to stimuli. For example, scorpions that are gravid and close to giving birth are considerably more reactive and aggressive than they would be normally. A lot of communal tanks end because one of the scorpions ended up gravid and suddenly killed her tank mates. Animals can also be more easily stressed right before a molt, or if they already are in an agitated state from excess stimuli. Sometimes the animal makes a mistake, if you are hand feeding them they could miss the intended prey item and hit you instead. Experience also doesn't mean you can't make a mistake, and accidentally pinch or scare the animal. This kind of thinking is born of hubris, and it not properly taking into account the actual risks involved.

"This is a docile species."

Similar to the above, just because a species is generally docile doesn't mean they can't or won't bite. Every animal has it's own range of tolerances, or they could be more stressed from other stimuli, or they could mistakenly get you because they missed the intended prey item, or you could pinch them and they believe they are under threat. I don't think every animal needs to be treated like it could go wild at any second and just suddenly attack you, but you should still have a realistic understanding of the risks and realize that even docile species can bite or sting.

"No one should keep these anyway."

A lot of people think the only reason anyone would keep a medically significant animal is because of some masculine driven death wish. We do things that are risky all the time, you're way more likely to get sent to the hospital from a car accident or your neighbor's dog than you are for any of the pets you keep if you practice proper risk mitigation. Venom is not the only draw of these animals, and the goal of keeping them isn't just to prove how much of a badass you are. The hobby tries really hard to self regulate and provide proper education and understanding for animals that have really bad reputations, I personally do a lot of education and outreach on recluse spiders, which are medically significant. Please believe that the people who are showing off their dangerous animals just to get internet attention are a very small minority of us who keep significant animals, and that there are ways to keep them at a reasonable level of safety, and that everyone can make their own decisions on what risks they are or are not willing to accept. I personally will not keep any Ctenidae, because the combination of being medically significant and the ability to climb plastic is not a level of risk I'm willing to accept.

"Doesn't showing a bite provide useful information?"

Potentially it can, but I have a strong dislike of the Youtubers who are taking bites and stings for views. We have bite/sting reports for medically significant species, and you can use multiple testimonies to give a more realistic impression of how the venom would affect you. Everyone reacts differently to pain and venom, so any one bite or demonstration is not that helpful in determining how dangerous an animal actually is. I also think they tend to either over or underexaggerate their reactions, one of the Youtubers I particularly have an issue with is Jack's World of Wildlife. He has taken Loxosceles reclusa bites and continually downplays their significance. He has said he "doesn't consider them to be medically significant at all" even though the video shows he experienced systemic effects. Loxosceles reclusa is also a good example of why these videos don't work for general education, Loxosceles venom is particularly active against fat cells, so bites on the thighs are more severe than bites on the extremities. Jack is a fit, skinny guy taking a bite on his forearm, an area without a lot of fat cells. He is demonstrating what is essentially the best case scenario for a bite (and still experienced systemic effects), how your body will react to a bite will be different. A more reasonable discussion taking into account the range of reported case studies would be more useful for education. I also think these kinds of videos encourage people to try it for themselves to see if it's "really that bad".

Conclusion