Zoonotic Diseases and Animal Hoarding Presentation

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					Zoonotic & Vector-borne Disease Workshop 2010




                             ZOONOTIC DISEASES &
                              ANIMAL HOARDING
                                  Diana T. Yu, MD, MSPH
                            Health Offi    Mason and Th
                            H l h Officer, M                  County
                                                   d Thurston C
                                        March 19, 2010

                                    Public Health and Social Services Department
                                        http://www.co.thurston.wa.us/health




                                       OBJECTIVES
                           Increase awareness about animal
                           hoarding issues
                           Provide practical approach to
                           hoarding cases, using ICS
                           Improve understanding to better
                                    t ff to deal ith hoarding
                           prepare staff t d l with h di
                           cases.

                                    Public Health and Social Services Department
                                       http://www.co.thurston.wa.us/health




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Zoonotic & Vector-borne Disease Workshop 2010




                                    Public Health and Social Services Department
                                       http://www.co.thurston.wa.us/health




                                       DEFINITION
                           Mental illness
                           More than typical number of companion
                           animal
                           Inability to provide even minimal
                           nutrition, sanitation, shelter or veterinary
                           care
                           Denial of impact on household and human
                           occupants of home.

                                    Public Health and Social Services Department
                                       http://www.co.thurston.wa.us/health




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Zoonotic & Vector-borne Disease Workshop 2010




                                    Public Health and Social Services Department
                                       http://www.co.thurston.wa.us/health




                        ZOONOTIC DISEASES - DOGS
                                ailments
                           Skin ailments, Ringworm
                           Salmonellosis
                           Campylobacter
                           Crptosporidium
                           Leptospirosis
                           Giardia
                           Brucellosis

                                    Public Health and Social Services Department
                                       http://www.co.thurston.wa.us/health




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Zoonotic & Vector-borne Disease Workshop 2010




                          ZOONITIC DISEASES - CATS
                           Cat scratch Disease
                           Toxoplasmosis
                           Cryptosporidium
                           Leptospirosis
                           Salmonellosis
                           Campylobacteriosis
                           Ringworm
                                    Public Health and Social Services Department
                                       http://www.co.thurston.wa.us/health




                                    Public Health and Social Services Department
                                       http://www.co.thurston.wa.us/health




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Zoonotic & Vector-borne Disease Workshop 2010




                       ZOONOTIC DISEASES - OTHER
                           Rare diseases
                              Rat bite fever
                              Tularemia
                              Psittacosis
                           EXOTIC ANIMALS
                              Monkeypox
                              Herpesvirus simiae or B virus (monkey bite)



                                     Public Health and Social Services Department
                                        http://www.co.thurston.wa.us/health




                      ANIMAL HEALTH RISK FACTORS
                           Overcrowding
                           Malnutrition
                           Poor health
                           Hygiene
                           Aggression
                           No veterinary care or vaccinations

                                     Public Health and Social Services Department
                                        http://www.co.thurston.wa.us/health




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Zoonotic & Vector-borne Disease Workshop 2010




                                ANIMAL HOARDING
                                   LEWIS COUNTY 2007




                          INCIDENT COMMAND SYSTEM
                        ICS uses a “modular” organization concept
                        Recognizes that someone h to b i charge
                        R     i     h           has  be in h
                        Purpose of ICS
                           Provides a standardized management system to be
                           utilized in handling all types of emergencies.
                           Applicable to both small day–to–day operations as
                           well as very large and complex incidents.
                           The key objective is all agencies working with the
                           same plan.




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                                                                    COMMANDER



                                             SAFETY OFFICER                           PIO/LIASON



                        OPERATIONS                                              LOGISTICS                            FINANCE



                                          Security                                                      PPE



                                      Animal Handling                                              Decontamination



                                                              Catching                             Waste Handling



                                                          Tagging & Testing



                                                                      g
                                                              Recording



                                     Counseling/Support



                                                              For Mother



                                                              For Child




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Zoonotic & Vector-borne Disease Workshop 2010




                                        LOGISTICS
                      Staging site – County Road shop
                      Communications – hand held radios
                      Microchips and supplies
                               p        pp
                      Blood testing tubes and supplies
                      Animal Handling supplies – catch poles, crates, doggie treats
                      Portable toilets and handwashing station
                      Camera, video, paper, pen, markers
                      PPE, water, decon equipment and supplies
                      Tent,
                      Tent shelter in case of rain
                      Trash collection
                      Food and water for operation




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Zoonotic & Vector-borne Disease Workshop 2010




                             LEGAL PREPARATIONS
                       Health Officer affidavit stating facts
                       WSDA Vet affidavit stating facts
                       Health Officer MOU
                       Quarantine order from WSDA
                       Health Officer Order similar to
                       quarantine




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Zoonotic & Vector-borne Disease Workshop 2010




                                   WHAT WE FIND
                                   Child neglect issues
                                   Property neglect – sewage
                                   disposal, solid waste
                                   Animal welfare issues
                                   Insects and vectors infestation
                                       Neighbors affected
                                    Animal bites
                                    Noxious odors
                                    Public Health and Social Services Department
                                       http://www.co.thurston.wa.us/health




                                    Public Health and Social Services Department
                                       http://www.co.thurston.wa.us/health




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Zoonotic & Vector-borne Disease Workshop 2010




                      Bottom line:

                                   UNFIT FOR HUMAN
                                      HABITATION



                                    Public Health and Social Services Department
                                       http://www.co.thurston.wa.us/health




                                       RESOURCES
                                          General
                        Castrodale et al “General Public Health
                        Considerations for Responding to Animal
                        Hoarding Cases.” Feature article is scheduled to
                        appear in the March 2010 issue of the Journal of
                        Environmental Health.

                        http://www.tufts.edu/vet/cfa/hoarding/abthoard.htm




                                    Public Health and Social Services Department
                                       http://www.co.thurston.wa.us/health




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