Gout is at least 3 times more prevalent in men than in women. However, concurrent with rising total gout prevalence, complex factors, including comorbidities, diet and lifestyle, and aging, have promoted higher gout prevalence in females. This narrative review focuses on summarizing recent developments in the landscape of gout in women, and mechanisms involved. New knowledge on sex hormone effects on both urate-excreting and urate-reabsorbing transporters, and higher hypertension and chronic kidney disease prevalence in women compared to men, may help explain why gout incidence rises robustly after menopause in women to approach that in men. Racial and ethnic factors, risk profiles based on heritable genetic polymorphisms of urate transporters, and diet, body mass index, and lifestyle factors differ according to sex. In addition, sex differences in clinical phenotypes and outcomes of gout and non-gout illnesses include more frequent comorbidities, more pain and disability during gout flare, different perceptions of disease burden, and more frequent severe cutaneous hypersensitivity reaction to allopurinol in women. Significantly, women with gout also have poorer COVID-19 outcomes than do men. Collectively, such findings support the potential clinical benefits of tailoring gout and hyperuricemia treatment according to sex.

In Australia, traditional methods of cat management by local government (councils) animal management officers (AMO) have been ineffective, with cat-related calls and cat impoundments continuing to increase, resulting in many healthy cats being euthanized. This has detrimental effects on the mental health of AMOs, pound and shelter staff and veterinarians. The City of Banyule, Victoria implemented a free cat sterilization, microchipping and registration (licensing) program in 2013-14. Initially targeted to three low socioeconomic suburbs with the highest cat-related calls and intake, where enforcement action had little effect. An average of 4.1 cats/1000 residents per year were sterilized over eight years. The program was available to all cats in the area, including stray cats being fed by caregivers, provided they took ownership of the cats. There were no limitations on the number of cats enrolled per household and free transport was provided if required. The program was later expanded city-wide. Over eight years, city-wide cat intake decreased by 66%, euthanasia by 82%, with an increase in proportion of cats reclaimed by owners from a baseline of 6% of intake (2012-13) to 16% (2020-21). Cat-related calls decreased in the target area by 51% and city-wide by 36%. The council’s financial outlay was $84,000, which resulted in decreased costs as-sociated with cat-related calls of $266,225.00. Instead of traditional trap-adopt- kill, proactive management of urban cats based on targeted sterilization should be utilized by government and animal welfare agencies in Australia and internationally. These types of programs are effective at reducing intake and euthanasia and are cost-effective.