Public Health Flashcards
What does it mean to be a category A bioterrorism agent?
Easy to transmit, increased mortality, major public impact, public panic and requires special action
What are the 6 components of the National Preparedness System?
1) Identify and assessing risk
2) Estimating Compatibility Requirements
3) Building and Sustaining Capabilities
4) Planning to deliver capabilities
5) Validating Capabilities
6) Reviewing and Updating Capabilities (resources and plans)
What are the APHIS operational program units?
- Animal Core
- Biotechnology & Regulatory Services
- International Services & Trade Support Team
- Plant Protection & Quarantine
- Veterinary Services
- Wildlife Services
What are the APHIS management support services?
- Emergency & Regulatory Support Services
- Legislative & Public Affairs
- Marketing & Regulatory Programs (Business Services)
- Native American Working Group
- Policy and Program Development
What are the APHIS Offices?
- Civil Rights
- Diversity & Inclusion
List the Category A Bioterrorism Agents?
- Anthrax (Bacillus anthracis)
- Botulism (Clostridium Botulinum Toxin)
- Plaque (Yersinia pestis)
- Small Pox (Variola major)
- Tularemia (Francisella tularensis)
- Viral Hemorrhagic Fevers (Filovirus - Ebola, Marburg & Arenaviruses - Lassa, Machupo)
What does it mean to be a Category B Bioterrorism Agents (Enhanced Surveillance Required)?
Moderate ability to transmit, moderate morbidity and mortality
What are the Category B Bioterrorism Agents (Enhanced Surveillance Required)?
- Brucellosis species
- Epsilon toxin of C. perfringens
- Food Safety Threats (Salmonella, Shigella, E.coli O157:H7
- Glanders (Burkholderia mallei)
- Melioidosis (Burkholderia pseudo mallei)
- Psittacosis (Clamydia Psittaci)
- Q Fever (Coxiella burnetii)
- Ricin Toxin (Castor Beans)
- Staphylococcal Enterotoxin B
- Typhus Fever (Rickettsia prowazekii)
- Viral Encephalitis (Alphaviruses - EEE, VEE, WEE)
- Water Safety Threats (Vibrio cholera, Cryptosporidium parvum)
What is the definition of a Bioterrorism Agent Category C?
Emerging pathogens that could be engineered for mass dissemination. Potential for increased morbidity and mortality and major health impact (Examples: Nipah Virus - Paramyxoviridae, Henipavirus or Hantavirus - Hantaviridae - Bunyavirales)
What does the animal welfare act regulate?
The treatment of animals in research (teaching and testing), exhibition, transport and dealers (pet stores)
What species does the animal welfare act include?
Dog, Cat, Primate, Guinea Pig, Hamster, Rabbit, Warm blooded Animals
What species does the animal welfare act exclude?
Birds, Rats, Mice (research), Horses (not used for research), Livestock
What agency regulates Meat Products (Meat, Poultry and Egg Products)?
USDA - FSIS
What agency regulates all Seafood Products?
FDA - Federal Food, Drug and Cosmetic Act
Who regulates insect repellents?
EPA
Who regulates Oven Cleaners?
Consumer Product & Safety Commission (CPSC)
Who regulates smoke detectors?
CPSC
Who regulates X-Ray Generators, Laser, MRI, Microwaves?
FDA
Who regulates TV sets, over the counter antacids, human vaccines and plasma?
FDA
Who regulates TV advertising for over the counter drugs?
FTC
Who regulates RX drug advertising?
FDA
Who regulates all drugs and human vaccines?
FDA
Who regulates baby pacifiers?
CPSC (unless health claims)
Who regulates foot contact articles and diagnostic tools (I.e. eye charts)?
FDA
Who regulates illegal drugs?
DEA (unless used investigational)
Who regulates hair dryers?
CPSC
Who regulates labels on alcohol?
ATF
Who regulates meat products (swine, cattle, sheep, goats and horses)?
USDA
Who regulates meat products other that swine, cattle, sheep, goats and horses?
FDA (example Rabbit)
Who regulates home canning equipment?
CPSC
Who regulates FDA product storage and FDA products produces on export?
FDA
Who regulates soap?
CPSC
Who regulates the transport of psittacine birds?
FDA
Who regulates pet foods?
FDA
Who regulates public drinking water safety?
EPA (Bottled FDA)
Who regulates childproofing products?
CPSC
Who regulates tamper-resistant objects?
FDA
Who regulates containers around FDA products?
FDA
Who regulates animal grooming products?
Not FDA
Who regulates animal tests/diagnostics?
USDA/CVB
What government departments did the Occupational Safety and Health Act of 1970 Create?
NIOSH and OSHA
Occupational Safety and Health Act of 1970 originates in what department?
Labor
What does the Occupational Safety and Health Act of 1970 do?
Requires Employers to provide workers a place of employment free from recognized hazards to safety and health. These include:
1) Exposure to toxic chemicals
2) Excessive noise levels
3) Mechanical dangers
4) Heat or cold stress
5) Unsanitary conditions
When does FEMA respond?
1) Situations that overcome capacity of states or tribes
2) Governer’s request to President
3) Joint Federal/State damage assessments (determine the extent of need)
4) Presidental declaration
What are the components of a VCPR?
1) Vet assumes responsibility for patient health
2) Owner/client agrees to comply
3) Vet has sufficient knowledge of animal to make a general diagnosis
4) Vet assumes responsibility for follow-up care, including adverse reactions or treatment failures
5) Vet maintains patient records
What is the Food Animal Residue Avoidance Databank (FARAD)?
FARAD is a university-based national program that serves as the primary source for scientifically-based recommendations regarding safe withdrawal intervals of drugs and chemicals in food-producing animals.
What are the WHO criteria for characterization and prioritization of antimicrobials important to human health?
1) Critically Important Antibiotic (sole or only therapy available)
2) Highly Important Antibiotic (treatment of infections caused by bacteria that may be transmitted to humans from non-human sources or may acquire resistance from non-human sources
3) Important Antibiotics (Evidence of transmission of resistant bacteria or resistance genes from non-humans)
What are the National Response Framework (NRF) lead agencies?
FEMA, DHS, HHS, EPA, USDA
What is emergency support function 6 and what agency is in charge of them?
Mass care, emergency assistance, housing and human services (DHS-FEMA) - Pet evacuation and sheltering
What is emergency support function 8 and what agency is in charge of them?
Public Health and Medical Services (HHS) - National veterinary response teams, zoonosis, food safety (DOD-FDA-MOU)
What is emergency support function 9 and what agency is in charge of them?
Urban search and rescue (DHS-FEMA) - Veterinary care of working dogs
What is emergency support function 10 and what agency is in charge of them?
Oil and Hazard Materials response (EPA) - vet care of contaminated animals, contaminated food (inspection and lab support)
What is emergency support function 11 and what agency is in charge of them?
Agriculture and Natural resources (USDA) - domestic animals & poultry (DOD - USDA APHIS MOU), food safety for meat, poultry and eggs (USDA - FSIS)
What are the steps of the Highly Pathogenic Avian Influenza Response Process (USDA-FSIS)?
1) Detect (Report to Vet or USDA)
2) Quarantine (Case manager and contact neighboring farms)
3) Appraise (Flock inventory - act compensation)
4) Depopulate (24 hours of first HPAI detection)
5) Compensate (must certify biosecurity plan and then compensation for birds and clean up)
6) Manage Disposal (USDA help dispose of safely, compensating, burial, landfill, rendering, incineration)
7) Eliminate Virus (clean, disinfect)
8) Test (Keep site empty for 21 days while USDA tests environment)
9) Restock (release from quarantine)
10) Maintain biosecurity (highest standards)
What does the acronym ESF stand for?
Emergency Support Function
What does the acronym NRF stand for?
National Response Framework
What does the acronym ICS stand for?
Incident Command System
What does the acronym NIMS stand for?
National Incident Management System