09/01/2026
I’m so blessed not only to work with animals, but also in an operating room where I get to see these techniques and most up-to-date sciences in real time. The treatment for burns is so fascinating.
In December 2017, California veterinarians sewed sterilized tilapia skins onto the burned paws of two black bears rescued after the Thomas Fire.
Both adult females had suffered severe burns in the fire that swept Ventura and Santa Barbara counties. The younger bear arrived at the California Department of Fish and Wildlife laboratory in Rancho Cordova on December 9 with third-degree burns across all four paws. Another of the bears had been found sitting with her feet in a stream, apparently unable to move comfortably because of the pain.
CDFW veterinarian Deana Clifford brought in Jamie Peyton, a UC Davis specialist in pain management. Peyton initially thought injuries this serious could take four to six months to heal. That created a problem almost immediately. Treating burns normally means repeated cleaning and bandage changes, each one requiring close handling or sedation of an animal they eventually intended to release. The bears were also reluctant to eat medication hidden in food. Keeping them captive for months carried its own risk of habituating them to people.
Then veterinarians discovered that the older bear was pregnant.
CDFW did not want her giving birth inside its holding facility. The lab was not designed for a bear to den and deliver a cub, and Clifford was concerned that the stress of confinement could cause the mother to reject it. The treatment schedule suddenly had a deadline set by the bear herself.
Peyton remembered reports from Brazil describing sterilized tilapia skin used as a temporary biological covering for human burns. Tilapia skin contains large amounts of collagen and can protect damaged tissue while new skin forms underneath. The technique had not previously been used this way on animals in the United States. Peyton's team obtained the fish, removed and sterilized the skins, and sutured pieces directly over the bears' damaged paw pads.
The response was visible almost immediately. Before treatment, the bears had been sitting with their injured feet held off the ground. After the fish skin was applied, one of the first things the younger bear did was stand.
For Peyton, that was evidence that the animal was finally comfortable enough to put weight on her paws again. The bears also received other pain and wound treatments, including cold laser therapy, electrical nerve stimulation, acupuncture and a specially prepared burn salve. Peyton later emphasized that the whole treatment program contributed to recovery, although the largest improvement followed the application of the tilapia skins. Within weeks, new tissue had grown across the paw pads.
Tilapia are warm-water freshwater fish native to Africa and parts of the Middle East, although today they are farmed for food around the world. The species used for burn treatment was Nile tilapia, Oreochromis niloticus, one of the most widely raised farm fish on the planet. Its skin is normally discarded during processing, but researchers in Brazil found that it contains large amounts of well-organized collagen, holds moisture well and adheres closely to a burn wound. Once cleaned and sterilized, the otherwise unwanted fish skin could be turned into a temporary biological covering while damaged tissue healed underneath
The bears were not completely healed when the time came to leave.
On January 18, 2018, both animals were placed into separate artificial dens in Los Padres National Forest wearing satellite collars. Their paws were not completely healed when they left captivity, so the collars became the next part of the experiment.
The answer came over the following months. Both bears recovered well. GPS data eventually showed them walking hundreds of miles on the paws that had been badly burned only months earlier. The younger female was photographed in an avocado orchard in May looking healthy and immediately ran from the person who spotted her. The older bear was found in good condition after wandering into Montecito in April and was returned to the hills above Ojai. Eight months after their release, both were still alive and moving normally.
The pregnancy had a less certain ending. Wildlife officials never found evidence of a cub with the older female. They could not tell whether she had lost the pregnancy or given birth to a cub that later died.
The same idea was already being tested on people in Brazil. Clinical trials later found that sterilized Nile tilapia skin worked as a temporary biological dressing for second-degree burns, adhering closely to wounds and reducing the number of dressing changes. In one randomized trial, patients treated with tilapia skin also healed slightly faster and required less pain medication than those receiving conventional silver-sulfadiazine treatment.
Image is for illustration purposes only
Source: UC Davis School of Veterinary Medicine / California Department of Fish and Wildlife / Jamie Peyton / Deana Clifford / Amy Quinton, UC Davis News.