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It is not uncommon at all for these kittens, if weaned, to be found thin, hungry, dehydrated, flea-ridden, with ear mites, worms, and infected eyes. After being treated for these all too common signs of the typically desperate feral existence, some also come down with "upper respiratory", the equivalent of the common cold in humans. This malady must be treated with antibiotics for a minimum of ten days. Some kittens also have any of a number of debilitating parasites (which can cause life-threatening diarrhea and dehydration) which first must be diagnosed, then treated.
If the kittens are orphans, they must be hand-raised which means formula, lots of not inexpensive formula.
If the kittens are rescued with the mother as newborns or close to it, then there are still weeks of care before they are old enough to be weaned, become accustomed to eating soft cat food, then kitten kibble, given the first of a series of vaccinations, wormed, tested, and neutered or spayed. Only then, having been judged in perfect health, are they ready for adoption.
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