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Selected Zoonotic Diseases  Conference Call November 4, 2009
Carol Rubin, DVM, MPH ,  National Center for Zoonotic, Vector-borne, and Enteric Diseases, CDC 404-639-7378 [email_address] Selected Zoonotic Diseases  Conference Call November 4, 2009 Update on H1N1
 
Kendra E. Stauffer, DVM ;  Bacterial Zoonoses Branch, CDC 404-639-3435 kstauffer@cdc.gov Selected Zoonotic Diseases  Conference Call November 4, 2009 The Changing Face of Brucellosis in the  United States   http ://www.cdc.gov/Features/HuntingSafety/Brucellosis_and_HogHunters_508.pdf   Additional zoonotic resources for hunters from the AVMA include: http://www.avma.org/public_health/zoonotic_risks/hunters.asp   http://www.avma.org/public_health/zoonotic_risks/hunters_precautions.asp
Steven Baty, DVM, MPH,   Arizona Department of Health Services 602-364-3875 batys@azdhs.gov  Andrea McCollum, PhD,  Poxvirus and Rabies Branch, CDC 404-639-4164 amccollum@cdc.gov Selected Zoonotic Diseases  Conference Call November 4, 2009 Bat-associated Rabies Virus in Skunks and Foxes, Flagstaff, Arizona 2009
Bat-associated Rabies Virus Variant  Arizona, 2009 Steven Baty, DVM, MPH Arizona Department of Health Services EIS Field Assignments Branch, CDD, OWCD Andrea McCollum, PhD Division of Viral and Rickettsial  Diseases, CDC
Situation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Epi-Aid ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Big Brown Bat Variant Grey Fox Variant South-Central Skunk  Variant
Number of cases   Wildlife Rabies Cases Arizona  1999 – 2009 Year
Flagstaff
 
Wildlife Rabies Cases Coconino County 1999 – 2009 Number of cases   Year
Wildlife Rabies Cases  Coconino County November 2008 –October  2009 Oral Rabies Vaccine (ORV) Trap Vaccinate Release (TVR) Quarantine Number of cases   Month
Public Health Impact Coconino County 2009 ,[object Object],[object Object],[object Object]
Surveillance ,[object Object],[object Object],[object Object],[object Object],[object Object]
Coconino County ORV Bait Campaign ,[object Object],[object Object],[object Object]
 
Trap Vaccinate and Release ,[object Object],[object Object],[object Object]
 
 
Community Outreach ,[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object],[object Object],[object Object]
Acknowledgments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The findings and conclusions in this report are those of the author(s) and do not necessarily represent the official position of the  Centers for Disease Control and Prevention.
William H. Wunner, PhD,  Professor and Director of Outreach Education and Technology Training; The Wistar Institute;  215-898-3854 wunner@wistar.org Deborah J. Briggs, PhD,  Adjunct Professor, College of Veterinary Medicine,  Kansas State University briggs@vet.k-state.edu Selected Zoonotic Diseases  Conference Call November 4, 2009 Overview of special collections on papers on rabies appearing in the journals Vaccine and PLoS NTD
Richard B. Chipman,  National Rabies Management Program, USDA, APHIS,  Wildlife Services 518-477-5628 Richard.B.Chipman@ aphis.usda.gov  Selected Zoonotic Diseases  Conference Call November 4, 2009 Oral vaccination opportunities, complexities and challenges in North America
Rich Chipman Asst. Rabies Management Coordinator USDA, APHIS, WS-National Rabies Management Program
10 Minute Paper Summary   “ Oral Rabies Vaccination in North America:  Opportunities, Complexities and Challenges” (In Press) Public Library of Science Neglected Tropical Diseases   Dennis Slate, Timothy P. Algeo, Kathleen M. Nelson,  Richard B. Chipman, Dennis Donovan, Jesse D. Blanton,  Michael Niezgoda, and Charles E. Rupprecht
Background
Diverse meso-carnivore community…
U.S. Rabies Virus Variants 2008
North American borders and key meso-carnivore ranges Coyote Red fox Gray fox Raccoon Striped skunk Bobcat
In 1969, Dr. George Baer, then at CDC, and associates prove oral rabies vaccination feasible in foxes… Baer, G.M., M.K. Abelseth, and J.G. Debbie. (1971). Oral vaccination of foxes against rabies. Am. J. of Epidemiol. 93:487-490. Oral Rabies Vaccination from proof of concept To control reality
Oral Rabies Vaccination ,[object Object]
Wildlife Management Agencies Public Health Agencies Agriculture Agencies Universities Oral Rabies Vaccination Wildlife Health Agriculture
Collaboration &  Strategic Planning
Collaboration & Strategic Planning ,[object Object]
Cooperative Annual Planning Rabies Management Team   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],2009 11 th  Anniversary!
… areas for collaboration North American Rabies Management Plan Information transfer Research Surveillance and monitoring  Rabies prevention and control Wildlife Public Health Agriculture
[object Object],[object Object],[object Object],Goals of the U.S. National Plan for Wildlife Rabies Management
Enhanced  Surveillance
Enhanced Surveillance ,[object Object],RabID Mapping
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Enhanced Rabies Surveillance dRIT Analysis rabies negative rabies positive
Enhanced Surveillance WS Trap & Euthanize WS  Firearms WS  Road Kill Non-WS  Collection 2009 Source Types
Trap-Vaccinate-Release Raccoon Variant Rabies
Oral Rabies  Vaccination
ORV ,[object Object]
ORV Zones 2009 gray fox coyote raccoon
ORV in the U.S. (2009)
Oral Rabies Vaccination ,[object Object]
 
Oral Rabies Vaccination ,[object Object],[object Object]
Year Rabies Cases ORV zone 1995 2000- 2007 Rabies case in 2001 and 2004 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 166 58 21 6 5 10 0 1 0 0 1 0 0 0 0 0   Canine Rabies in Coyote, South Texas W e b b D u v a l F r i o S t a r r B e e U v a l d e B e x a r H i d a l g o K i n n e y Z a v a l a D i m m i t M e d i n a L a S a l l e K e n e d y Z a p a t a M a v e r i c k B r o o k s G o l i a d L a v a c a A t a s c o s a D e W i t t V i c t o r i a W i l s o n L i v e O a k M c M u l l e n J i m H o g g G o n z a l e s N u e c e s K a r n e s K l e b e r g J a c k s o n R e f u g i o C a m e r o n J i m W e l l s W i l l a c y G u a d a l u p e S a n P a t r i c i o C a l h o u n A r a n s a s W e b b D u v a l F r i o S t a r r B e e U v a l d e B e x a r H i d a l g o K i n n e y Z a v a l a D i m m i t M e d i n a L a S a l l e K e n e d y Z a p a t a M a v e r i c k B r o o k s G o l i a d L a v a c a A t a s c o s a D e W i t t V i c t o r i a W i l s o n L i v e O a k M c M u l l e n J i m H o g g G o n z a l e s N u e c e s K a r n e s K l e b e r g J a c k s o n R e f u g i o C a m e r o n J i m W e l l s W i l l a c y G u a d a l u p e S a n P a t r i c i o C a l h o u n A r a n s a s ORV begins W e b b D u v a l F r i o S t a r r B e e U v a l d e B e x a r H i d a l g o K i n n e y Z a v a l a D i m m i t M e d i n a L a S a l l e K e n e d y Z a p a t a M a v e r i c k B r o o k s G o l i a d L a v a c a A t a s c o s a D e W i t t V i c t o r i a W i l s o n L i v e O a k M c M u l l e n J i m H o g g G o n z a l e s N u e c e s K a r n e s K l e b e r g J a c k s o n R e f u g i o C a m e r o n J i m W e l l s W i l l a c y G u a d a l u p e S a n P a t r i c i o C a l h o u n A r a n s a s
Oral Rabies Vaccination ,[object Object]
??Gray fox var. TX
125,278 by baits air 4,322 by baits ground ORV targeting gray fox TVR targeting skunks Big brown bat clades
Complexities,  and other  Considerations
Complexities ,[object Object],[object Object]
Seroconversion Post-ORV
Skunks infected with raccoon rabies Skunks
Raccoon Rabies Contingency Actions in FY 2009
[object Object],[object Object],[object Object],Contingency Action Strategy
WS ORV (75 baits/km 2 ) WS ORV (150 baits/km 2 ) NYSDOH ORV (75 baits/km 2 ) TVR area Border Contingency Action areas 2009
[object Object],New York OHIO 2007 -2009 Contingency Action
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Raccoon Densities in  Contingency Zones
Trap-Vaccinate-Release Raccoon Variant Rabies in ORV Zone
Final Thoughts ,[object Object],[object Object],[object Object]
Final Thoughts ,[object Object],[object Object],[object Object]
Susan Moore,  Rabies Laboratory Manager,  K-State Rabies Laboratory 785-532-4472 smoore@vet.ksu.edu Selected Zoonotic Diseases  Conference Call November 4, 2009 Rabies specific antibodies: measuring surrogates of protection against a fatal disease
Rabies Specific Antibodies: Measuring Surrogates of Protection Against a  Fatal Disease Susan M. Moore and Cathleen A. Hanlon
Learning Points ,[object Object],[object Object],[object Object],[object Object],[object Object]
Serum Neutralization test ELISA test
Adequate response to rabies vaccination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complete neutralization at 1:5 may or may not equal 0.5 IU/mL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Method standardization and validation Why? ,[object Object],[object Object],[object Object]
Selected Zoonotic Diseases  Conference Call November 4, 2009

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November 2009 Selected Zoonotic Diseases Conference Call

  • 1. Selected Zoonotic Diseases Conference Call November 4, 2009
  • 2. Carol Rubin, DVM, MPH , National Center for Zoonotic, Vector-borne, and Enteric Diseases, CDC 404-639-7378 [email_address] Selected Zoonotic Diseases Conference Call November 4, 2009 Update on H1N1
  • 3.  
  • 4. Kendra E. Stauffer, DVM ; Bacterial Zoonoses Branch, CDC 404-639-3435 kstauffer@cdc.gov Selected Zoonotic Diseases Conference Call November 4, 2009 The Changing Face of Brucellosis in the United States  http ://www.cdc.gov/Features/HuntingSafety/Brucellosis_and_HogHunters_508.pdf   Additional zoonotic resources for hunters from the AVMA include: http://www.avma.org/public_health/zoonotic_risks/hunters.asp http://www.avma.org/public_health/zoonotic_risks/hunters_precautions.asp
  • 5. Steven Baty, DVM, MPH,  Arizona Department of Health Services 602-364-3875 batys@azdhs.gov Andrea McCollum, PhD, Poxvirus and Rabies Branch, CDC 404-639-4164 amccollum@cdc.gov Selected Zoonotic Diseases Conference Call November 4, 2009 Bat-associated Rabies Virus in Skunks and Foxes, Flagstaff, Arizona 2009
  • 6. Bat-associated Rabies Virus Variant Arizona, 2009 Steven Baty, DVM, MPH Arizona Department of Health Services EIS Field Assignments Branch, CDD, OWCD Andrea McCollum, PhD Division of Viral and Rickettsial Diseases, CDC
  • 7.
  • 8.
  • 9.  
  • 10. Big Brown Bat Variant Grey Fox Variant South-Central Skunk Variant
  • 11. Number of cases Wildlife Rabies Cases Arizona 1999 – 2009 Year
  • 13.  
  • 14. Wildlife Rabies Cases Coconino County 1999 – 2009 Number of cases Year
  • 15. Wildlife Rabies Cases Coconino County November 2008 –October 2009 Oral Rabies Vaccine (ORV) Trap Vaccinate Release (TVR) Quarantine Number of cases Month
  • 16.
  • 17.
  • 18.
  • 19.  
  • 20.
  • 21.  
  • 22.  
  • 23.
  • 24.
  • 25.
  • 26. William H. Wunner, PhD, Professor and Director of Outreach Education and Technology Training; The Wistar Institute; 215-898-3854 wunner@wistar.org Deborah J. Briggs, PhD, Adjunct Professor, College of Veterinary Medicine, Kansas State University briggs@vet.k-state.edu Selected Zoonotic Diseases Conference Call November 4, 2009 Overview of special collections on papers on rabies appearing in the journals Vaccine and PLoS NTD
  • 27. Richard B. Chipman, National Rabies Management Program, USDA, APHIS, Wildlife Services 518-477-5628 Richard.B.Chipman@ aphis.usda.gov Selected Zoonotic Diseases Conference Call November 4, 2009 Oral vaccination opportunities, complexities and challenges in North America
  • 28. Rich Chipman Asst. Rabies Management Coordinator USDA, APHIS, WS-National Rabies Management Program
  • 29. 10 Minute Paper Summary “ Oral Rabies Vaccination in North America: Opportunities, Complexities and Challenges” (In Press) Public Library of Science Neglected Tropical Diseases Dennis Slate, Timothy P. Algeo, Kathleen M. Nelson, Richard B. Chipman, Dennis Donovan, Jesse D. Blanton, Michael Niezgoda, and Charles E. Rupprecht
  • 32. U.S. Rabies Virus Variants 2008
  • 33. North American borders and key meso-carnivore ranges Coyote Red fox Gray fox Raccoon Striped skunk Bobcat
  • 34. In 1969, Dr. George Baer, then at CDC, and associates prove oral rabies vaccination feasible in foxes… Baer, G.M., M.K. Abelseth, and J.G. Debbie. (1971). Oral vaccination of foxes against rabies. Am. J. of Epidemiol. 93:487-490. Oral Rabies Vaccination from proof of concept To control reality
  • 35.
  • 36. Wildlife Management Agencies Public Health Agencies Agriculture Agencies Universities Oral Rabies Vaccination Wildlife Health Agriculture
  • 37. Collaboration & Strategic Planning
  • 38.
  • 39.
  • 40. … areas for collaboration North American Rabies Management Plan Information transfer Research Surveillance and monitoring Rabies prevention and control Wildlife Public Health Agriculture
  • 41.
  • 43.
  • 44.
  • 45. Enhanced Surveillance WS Trap & Euthanize WS Firearms WS Road Kill Non-WS Collection 2009 Source Types
  • 47. Oral Rabies Vaccination
  • 48.
  • 49. ORV Zones 2009 gray fox coyote raccoon
  • 50. ORV in the U.S. (2009)
  • 51.
  • 52.  
  • 53.
  • 54. Year Rabies Cases ORV zone 1995 2000- 2007 Rabies case in 2001 and 2004 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 166 58 21 6 5 10 0 1 0 0 1 0 0 0 0 0 Canine Rabies in Coyote, South Texas W e b b D u v a l F r i o S t a r r B e e U v a l d e B e x a r H i d a l g o K i n n e y Z a v a l a D i m m i t M e d i n a L a S a l l e K e n e d y Z a p a t a M a v e r i c k B r o o k s G o l i a d L a v a c a A t a s c o s a D e W i t t V i c t o r i a W i l s o n L i v e O a k M c M u l l e n J i m H o g g G o n z a l e s N u e c e s K a r n e s K l e b e r g J a c k s o n R e f u g i o C a m e r o n J i m W e l l s W i l l a c y G u a d a l u p e S a n P a t r i c i o C a l h o u n A r a n s a s W e b b D u v a l F r i o S t a r r B e e U v a l d e B e x a r H i d a l g o K i n n e y Z a v a l a D i m m i t M e d i n a L a S a l l e K e n e d y Z a p a t a M a v e r i c k B r o o k s G o l i a d L a v a c a A t a s c o s a D e W i t t V i c t o r i a W i l s o n L i v e O a k M c M u l l e n J i m H o g g G o n z a l e s N u e c e s K a r n e s K l e b e r g J a c k s o n R e f u g i o C a m e r o n J i m W e l l s W i l l a c y G u a d a l u p e S a n P a t r i c i o C a l h o u n A r a n s a s ORV begins W e b b D u v a l F r i o S t a r r B e e U v a l d e B e x a r H i d a l g o K i n n e y Z a v a l a D i m m i t M e d i n a L a S a l l e K e n e d y Z a p a t a M a v e r i c k B r o o k s G o l i a d L a v a c a A t a s c o s a D e W i t t V i c t o r i a W i l s o n L i v e O a k M c M u l l e n J i m H o g g G o n z a l e s N u e c e s K a r n e s K l e b e r g J a c k s o n R e f u g i o C a m e r o n J i m W e l l s W i l l a c y G u a d a l u p e S a n P a t r i c i o C a l h o u n A r a n s a s
  • 55.
  • 57. 125,278 by baits air 4,322 by baits ground ORV targeting gray fox TVR targeting skunks Big brown bat clades
  • 58. Complexities, and other Considerations
  • 59.
  • 61. Skunks infected with raccoon rabies Skunks
  • 62. Raccoon Rabies Contingency Actions in FY 2009
  • 63.
  • 64. WS ORV (75 baits/km 2 ) WS ORV (150 baits/km 2 ) NYSDOH ORV (75 baits/km 2 ) TVR area Border Contingency Action areas 2009
  • 65.
  • 66.
  • 68.
  • 69.
  • 70. Susan Moore, Rabies Laboratory Manager, K-State Rabies Laboratory 785-532-4472 smoore@vet.ksu.edu Selected Zoonotic Diseases Conference Call November 4, 2009 Rabies specific antibodies: measuring surrogates of protection against a fatal disease
  • 71. Rabies Specific Antibodies: Measuring Surrogates of Protection Against a Fatal Disease Susan M. Moore and Cathleen A. Hanlon
  • 72.
  • 74.
  • 75.
  • 76.
  • 77. Selected Zoonotic Diseases Conference Call November 4, 2009