Lecture 11: State public health veterinarian

• What does a SPHV do?


  -address zoonosis-vector-borne diseases-antibiotic resistance-food and water safety-and of course rabies
• USAF: Herd Health Concepts


  -broad opportunities-education: MPH-epidemiology-colleagues/travel
• Private practice


  -small animals-equine-exotics-ER
• What is the role of the 10 Essential Public Health Services?


  -systemically identifies, investigates, and diagnosis health problems and hazards-designed to monitor progress in each area
• 4 important ones that stand out from the 10?


  -Assurance-Assessment-Policy development-Equity
• Epidemiology is mostly involved with?


  Assessment!!!!!-monitor health-investigate, diagnose, root causes
• Infectious disease surveillance at the State level:


  -state epidemiologist-medical consultants-public health veterinarian-infectious disease epidemiologists-nurse consultants-other DPH staff
• Infectious disease surveillance at the Local level?


  -regional epidemiologists-local epidemiologist-public health nurses-environment health specialists
• Surveillance


  -KNOW YOUR NORMAL!-Alerts to problems
• By understanding the disease process:


  -interventions to STOP disease-prevent future outbreaks
• State Public Health Veterinarian (SPHV)


  -management of veterinary public health issues-keep people healthy through healthy animals-zoonotic disease investigations-control measures, preventions, and education-strengthens Epi capacity-infectious disease emergency and response team-division of epidemiology and health planning
• Rabies program


  -maintain rabies data-animal bite consults and follow up: rabies post exposure prophylaxis and animal quarantine-qualifies persons for rabies vaccination: certification for vaccinating owned dogs-BATA: rabies tested bat identification program
• Zoonotic diseases


  -anthrax, brucellosis, hantavirus, leptospirosis, psittacosis, tularemia, Q fever
• What are the important parts of Rabies program


  -maintain data-consults-follow up with positive cases
• New pre vaccination schedule for rabies is what?

  2 vaccines: days 0 and 7
• Unvaccinated

  1. HRIG (Immediate, passive) around wound2. Rabies vaccine in deltoid
• Previously vaccinated

  1. NO HRIG2. 2 doses of rabies vaccine in deltoid
• Human PEP considerations


  -Exposure: broken skin to saliva and saliva on mucous membrane-animal test positive-unable to observe or test animal-wake up to a bat in the room-exceptions: small rodents, lagomorphs
• What are the most common source of rabies to humans?

  Bats
• What is the most common animal to obtain rabies?

  Cats
• What is the most common animal OUTSIDE of US for rabies?

  Dogs
• What is a state public health veterinarian?

  A veterinarian dedicated to address zoonotic public health issues
• T or F: some states have several SPHV

  True
• T or F: some states do not have any SHPV

  True
• What does the National Association of State Public Health Veterinarians (NASPHV) do?


  -communicate to share problems, ideas-collaborate on the compendiums and guidance documents