University of Illinois at Urbana-Champaign
DIVISION OF ANIMAL RESOURCES and
AGRICULTURAL ANIMAL CARE AND USE PROGRAM


Section 9

Alternatives to Painful Procedures: Overview
The regulations of the Animal Welfare Act (AWA) require that the principal investigator consider alternatives to procedures that may cause more than momentary or slight pain or distress to animals. These may include, but are not limited to such procedures as surgery (even under anesthesia), prolonged restraint, food deprivation, and chemical immobilization of a conscious animal. If a protocol includes such activities, the investigator is required to demonstrate that no alternatives exist, or that existing alternatives are inadequate for that protocol. The meaning of alternatives, in this case, includes not only looking for a different, less stressful procedure (refinement), but also looking into using other, lower order species or non-animal models (replacement), and (not or!) using fewer animals (reduction).

PIs must provide a written narrative of the sources consulted to determine whether or not alternatives exist to procedures which cause pain or distress. The USDA, which is charged with enforcing the AWA, has promulgated two policies (Policy #11 and #12) that assist investigators in understanding how to comply with this regulation. Policy #11 provides the definition of what is considered a painful or distressful procedure, and provides examples of both. In general, any procedure that would be expected to cause more than slight or momentary and and/or distress in a human to which the procedure is applied is considered to be painful and/or distressful in animals. Policy #12 provides guidance in what the minimal written narrative should include. In general, this requires a narrative describing a specific literature search for alternatives, including databases searched, key words used, and the date of the search. If alternatives are described but will not be used, the principal investigator must describe why these are not adequate for the project described.

Guidelines for Searches to Alternatives for Animal Use
Introduction
The Animal Welfare Act Regulations, Section 2.31 and USDA (Policy #11 and #12 ) require that a written narrative be provided by the Principle Investigator (PI) to determine whether or not alternatives exist to procedures which may cause pain or distress in animals used for teaching or research. In addition, if alternatives exist but are not used, the PI must justify why this is the case. Although searching for animal alternatives may seem to be an overwhelming task, it is hoped that the information in this document will assist animal users with this federally mandated task.

Definition of Alternatives
Alternatives refer to methods or approaches which result in refinement of procedures which lessen pain and/or distress; reduction in numbers of animals required; or replacement of animals with non-whole-animal systems or replacement of one animal species with another, particularly if the substituted species is non-mammalian or invertebrate.

Animal Welfare Act Regulations
The AWA regulations require the Institutional Animal Care and Use Committee (IACUC) to determine that "the principle investigator has considered alternatives to procedures that may cause more than momentary or slight pain or distress to the animals and has provided a written narrative description of the methods and sources used to determine that alternatives were not available." The PI must provide scientific justification to the IACUC if alternatives are available but not used.

Types of Studies Requiring an Alternatives Search
Not all animal use protocols require an alternatives search. Only studies utilizing procedures which result in more than momentary or slight pain or distress require a search. Examples include: toxicity and infectious diseases research, tumor induction or transplantation studies, survival and non-survival surgical procedures, pain research, in vivo monoclonal or polyclonal antibody production procedures, fluid and/or food restriction, and prolonged restraint. This list is not exhaustive. If you are unsure whether a search is required, please consult the IACUC office or the Division of Animal Resources (DAR) veterinary staff.

Alternatives Narrative
The written narrative for the search for alternatives must include the following minimum: methods of searching, databases searched, the date of the search and years covered, and key words and/or search strategy used. If alternatives exist to the proposed animal procedures in the protocol, the investigator must scientifically justify why these alternatives are not used. This information must be updated with each three-year renewal of the animal use protocol. DO NOT simply provide a bibliography! It is the investigator’s responsibility to review the literature and summarize the findings. Examples of narratives are listed below.

Database and Web Site Searching
Computerized storage of scientific information makes database searching relatively easy. Databases frequently used, and available on-line at UIUC, for alternatives searches include TOXLINE, GRATEFUL MED, Cancerlit, Bioethics, and AIDSLINE (National Library of Medicine), and CAB Abstracts and AGRICOLA. Depending on the subject, searching several of these databases for alternatives is considered adequate by the IACUC.

Problems often arise in choosing keywords and search strategies that will yield the most pertinent information. Appropriate search terms or keywords include animal testing alternatives, alternatives, tissue culture, cell culture, simulation, in vitro, and model. Additional keywords can be found on the UC Center for Animal Alternatives web page (see below). These terms are useful, but are not the only terminology possible. The following websites provide additional information investigators may find helpful in completing an alternatives search:

The regulations of the Animal Welfare Act (AWA) require that the principal investigator consider alternatives to procedures that may cause more than momentary or slight pain or distress to animals. PI's must provide a written narrative of the sources consulted to determine whether or not alternatives exist to procedures which cause pain or distress. The USDA, which is charged with enforcing the AWA, has promulgated two policies (Policy #11 and #12) that assist investigators in understanding how to comply with this regulation. Policy #11 provides the definition of what is considered a painful or distressful procedure, and provides examples of both. In general, any procedure that would be expected to cause more than slight or momentary and and/or distress in a human to which the procedure is applied is considered to be painful and/or distressful in animals. Policy #12 provides guidance in what the minimal written narrative should include. In general, this requires a narrative describing a specific literature search for alternatives, including databases searched, key words used, and the date of the search. If alternatives are described but will not be used, the principal investigator must describe why these are not adequate for the project described.

Searchable Databases and Web Resources:



Examples

Below are several examples of alternatives searches.

Example #1: Intestinal Xenograft Model for Human Enterocytozoon bieneusi infection (infectious diseases study)

Example #2: Monoclonal Antibody Production (in vivo antibody production)

Example #3: Polyclonal Antibody Production (in vivo antibody production)
 

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last updated: February 16, 2006