Public health administration cram Flashcards

1
Q

APHIS has five major program areas:

A
Plant Protection and Quarantine (PPQ), 
International Services (IS), 
Veterinary Services (VS), 
Animal Care (AC), and 
Wildlife Services (WS).
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2
Q

APHIS roles

A

Safeguarding Our Borders-
Combating Pests and Diseases-
Caring for Animals through enforcement of the Animal Welfare Act,
Protecting the Environment and Managing Wildlife Damage-

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3
Q

Safeguarding Our Borders-

A

Safeguarding Our Borders- APHIS safeguards U.S. borders against the entry of foreign agricultural pests and diseases. At airports, seaports, and border stations, PPQ officers inspect international conveyances and the baggage of passengers for plant and animal products that could harbor pests or disease organisms. At international airports, detector dogs in APHIS’ Beagle Brigade help find prohibited agricultural materials. PPQ officers also inspect ship and air cargoes, rail and truck freight, and package mail from foreign countries. At animal import centers, APHIS veterinarians check animals in quarantine to make sure they are not infected with any foreign pests or diseases before being allowed into the country. Overseas, APHIS operates pre-clearance programs to eliminate pests in some imported products right at the source. International Services officials stationed in foreign countries maintain a comprehensive information network on the status of animal and plant pests and diseases around the world.

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4
Q

Combating Pests and Diseases-

A

Combating Pests and Diseases- IS officials also conduct cooperative agricultural pest and disease control and eradication programs in foreign locations, such as the screwworm eradication program in Central America. In this country, APHIS searches for and monitors animal and plant pests and diseases. If foreign pests get past our border defenses, APHIS quickly takes emergency actions to eliminate the threat. In cooperation with State animal health agencies, VS combat certain domestic animal diseases, including cattle and swine brucellosis, bovine tuberculosis, pseudorabies in swine, and scrapie. WS employee’s work with their State counterparts to monitor certain wildlife diseases like rabies and Lyme disease. Through health certification of animals and plants and agricultural products for international shipments, we facilitate agricultural exports. APHIS helps negotiate other countries’ entry requirements for U.S. agricultural products and assists U.S. agricultural exporters by providing health certificates for their goods.

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5
Q

Caring for Animals

A

Caring for Animals through enforcement of the Animal Welfare Act, APHIS enhances the care of animals used in research and exhibition, sold in the wholesale pet trade, and transported commercially. APHIS also enforces the Horse Protection Act to prevent the use of cruel practices to accentuate the gait of show horses. When individuals violate APHIS’ standards and regulations or show little concern for the welfare of animals protected under these laws, APHIS makes certain that the individuals are prosecuted to the full extent of the law. APHIS ensures that veterinary biologics and animal vaccines and related products are safe, pure, potent, and effective.

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6
Q

Protecting the Environment and Managing Wildlife Damage-

A

Protecting the Environment and Managing Wildlife Damage- APHIS protects the environment by analyzing the potential effects of introducing genetically engineered organisms, such as a squash plant whose genetic characteristics have been modified to incorporate resistance to specific plant viruses. If, APHIS determines that such an introduction will not be harmful, they issue a permit for the organism’s release and interstate movement. In this area, APHIS works closely with its counterparts in the EPA and the U.S. Department of Health and Human Services’ FDA. The USDA WS program responds to requests by farmers, the public, private companies, airport managers, and other Federal and local government agencies that need help in dealing with wildlife damage on private or public property. WS has the authority to assist in solving problems that are created when wildlife causes damage to agricultural, urban, or natural resources. WS also assists with wildlife problems involving threats to human health and safety and the survival of threatened or endangered species. The National Veterinary Services Laboratories, and the high- security biocontainment FADD Lab on Plum Island. FADD’s. APHIS epidemiologists in the field find the cause of a disease outbreak as quickly as possible.

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7
Q

VMAT responsibilities

A

Tx/stabilize, assess medical needs of animals, including Secret
Service, Search/Rescue dogs
Provide surveillance; animal disease, zoonotic disease, bioterrorism
public health assessment
food/water safety
Mitigate hazards
Decontaminate animals

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8
Q

Who orders VMAT into action?

A

The Office of Emergency Response of the

United States Public Health Service (US PHS).

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9
Q

Who do VMAT fall under once they are activated?

A

Who do VMAT fall under once they are activated? The same as above, and
the US PHS is part of the National Disaster Medical System (NDMS), so
either answer would be correct - US PHS or NDMS.

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10
Q

What agency do VMATwork for?

A

What agency do VMATwork for? AVMA has control over the VMATs prior to
all activations, but upon federal deployment the VMATs work for the US
PHS as part of the NDMS, so this is a confusing question in my opinion.

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11
Q

Under what organization are VMATs formed, and for how long are
Veterinarians activated?

A

Under what organization are VMATs formed, and for how long are
Veterinarians activated? There is not a good clear-cut answer to this
question. Under our current Memorandum of Understanding with the US PHS,
it states that AVMA will form all VMATs, however that is not how the
system is currently working. The US PHS has asked that they be allowed
to form new VMATs while taking input from AVMA and the VMATs themselves
prior to forming new teams. I think this question should be removed
since this is an evolving process.
As for deployment length our MOU states 14 days as special needs federal
employees, however this is also an unclear question because when VMATs
are deployed to help USDA in a foreign animal disease outbreak the
members are usually deployed for multiple 30-day deployments. Again this
is also evolving and not set in stone at the current time.

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12
Q

NDMS

A

NDMS responds only when invited by the Governor of the state when, in his opinion, all local and state capabilities have been exhausted. NDMS is made up of four agencies or departments:

1) US PHS
2) Federal Emergency Management Agency (FEMA)
3) Department of Defense (DOD
4) Director of Veterinary Services (DVS)

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13
Q

Who regulates importation of cats and dogs and birds into the US?

A

Who regulates importation of cats and dogs into the US? The CDC regulates importation of cats and dogs.

Who regulates importation of birds? USDA APHIS. US Customs do surveillance for them at Air and Seaports.

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14
Q

Who publishes RV and Chlamydia compendium?

A

Who publishes RV and Chlamydia compendium? National Association of Public Health State Vets

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15
Q

ACIP- human rabies protection- who develops standards for human rabies vaccine protocol?

A

ACIP- human rabies protection- who develops standards for human rabies vaccine protocol? (HHS);CDC- Advisory Committee on Immunization Practices.

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16
Q

who inspects what foods

A

USDA Food Safety and Inspection Service (FSIS) deals with the inspection of meat, poultry and liquid eggs. FDA has jurisdiction over all other food products.

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17
Q

Which meats is USDA responsible for?

A

Red Meats, Poultry. The Meat Inspection Act specifies the species of animal and includes carcasses or parts of cattle, sheep, swine, goats, horses, mules or other equines.

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18
Q

FDA does what?

A

Ensures foods are safe, wholesome and truthfully labeled.
Drugs for both humans and animals, and vaccines for humans (whereas USDA CVB handles animals vaccines only) are safe and effective.
Medical devices, from scalpels to CT scanners, are safe and effective.
Transplanted tissues are safe and effective.
Equipment that uses radiant energy, such as X-ray machines and microwave ovens, is safe.
Cosmetics are safe and properly labeled.

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19
Q

Which foods is FDA responsible for?

A

FDA is responsible for shell eggs and non-specified red meats (bison, rabbits, game animals, zoo animals and all members of the deer family) and Seafood. FDA monitors food import entries into the US.

20
Q

What pesticide guidelines is EPA responsible for?

A

Topical- EPA; Internal- FDA

21
Q

EPA does what?

A

The mission of the U.S. Environmental Protection Agency is to protect human health and to safeguard the natural environment-air, water, and land. EPA’s purpose is to ensure that:
Federal laws protecting human health and the environment are enforced fairly and effectively.
Safety of tap water regulated through: Clean Water Act and Safe Drinking Water Act.
EPA sets tolerances for pesticides in food- Federal Insecticide, Fungicide, and Rodenticide Act, which was amended by the Food Quality Protection Act.
FQPA replaced the Delaney provision of zero tolerance for known carcinogens, with risk based tolerance setting.

22
Q

FDA- The Center for Veterinary Medicine does what.

A

Center for Veterinary Medicine is a consumer protection organization. We foster public and animal health by approving safe and effective products for animals and by enforcing other applicable provisions of the Federal Food, Drug, and Cosmetic Act: prevents delivery or receipt of any food, drug, cosmetic into interstate commerce that is adulterated or is mislabeled. Before a new animal drug can be marketed, it must be approved based on quality, safety and efficacy. CVM regulates the manufacture and distribution of food additives and drugs that will be given to animals. These include animals from which human foods are derived, as well as food additives and drugs for pets. CVM is responsible for regulating drugs, devices, and food additives given to, or used on, companion animals, plus poultry, cattle, swine, and minor animal species. Minor animal species include animals other than cattle, swine, chickens, turkeys, horses, dogs, and cats. Once approved, CVM monitors the use of products through surveillance and compliance programs. Surveillance includes utilizing National Antimicrobial Resistance Monitoring system (NARMS).

23
Q

FDA -Center for Food Safety and Applied Nutrition- (CFSAN)

A

FDA -Center for Food Safety and Applied Nutrition- (CFSAN) assures safe, nutritious foods (plant, dairy, milk and other beverages, eggs, food, color additives, seafood, infant formula, dietary supplements, cosmetics are wholesome and safe.

24
Q

USDA- APHIS-VS-Center for Veterinary Biologics Program

A

USDA- APHIS-VS-Center for Veterinary Biologics Program implements the provisions of the Virus-Serum-Toxin Act (VST) to assure that pure, safe, potent and effective veterinary biologics, are available for the diagnosis, prevention, and treatment of animal diseases.
Ensure that biologics are free of disease producing agents, especially foreign animal diseases
Develop appropriate standards and procedures for product release
Issue licenses and permits
Monitor and inspect products and facilities
Control field tests and release of veterinary biologics

25
Q

NARMS National Antimicrobial Resistance Monitoring system-collaboration among CDC, FDA-CVM, USADA-FSIS

A

NARMS National Antimicrobial Resistance Monitoring system- taken from http://www.fda.gov./cvm/fda/mappings/narms.html collaboration among CDC, FDA-CVM, USADA-FSIS. Main activity is to monitor antimicrobial resistance of human enteric bacteria like Salmonella, E Coli, shigella, campy, enterococci, listeria, vibrio. The NARMS program is designed as two nearly identical parts: an animal arm and a human arm. 17 state and local Departments of Health for testing that is conducted at the National Center for Infectious Disease (NCID), CDC, submit human-origin isolates. Animal-origin enteric isolate susceptibility testing is conducted at the USDA, Agricultural Research Service. Initiated in response to public health issues w/ approval of Fluoroquinolones in poultry and other concerns w/ antimicrobials in food animals. NARMS primary role is to provide descriptive data on the extent and temporal trends in antimicrobial susceptibility in Salmonella and other enteric organisms from human and animal populations.

26
Q

FARAD- Food Animal Residue Avoidance Database

A

FARAD- Food Animal Residue Avoidance Database is a computer-based decision support system designed to provide livestock producers, Extension specialists, and veterinarians with practical information on how to avoid drug, pesticide and environmental contaminant residue problems. Practitioners can call in and ask if they can give certain drug to an animal and what is the withdrawal time. A National Food Safety Project of USDA Cooperative State Research, Education, and Extension Service.

27
Q

National Poultry Improvement program (NPIP)

A

National Poultry Improvement program (NPIP)- USDA APHIS has statutory control of communicable diseases of livestock and poultry. Over 90% of egg-type chicken flocks participate in NPIP. In US sanitation monitored flocks only. Feed has no animal protein or is under Salmonella Reduction Program. Environmental sampling at 30 days. Flock sanitation and biosecurity is emphasized. The program is monitored by State agency.

28
Q

FDA Center for Food Safety and Nutrition (CFSAN) developed the HACCP program involves seven principles:

A

Analyze hazards. Potential hazards associated with a food and measures to control those hazards are identified. The hazard could be biological, such as a microbe; chemical, such as a toxin; or physical, such as ground glass.
Identify critical control points. These are points in a food’s production–from its raw state through processing and shipping to consumption by the consumer–at which the potential hazard can be controlled or eliminated. Examples are cooking, cooling, packaging, and metal detection.
Establish preventive measures with critical limits for each control point. For a cooked food, for example, this might include setting the minimum cooking temperature and time required to ensure the elimination of any harmful microbes.
Establish procedures to monitor the critical control points. Such procedures might include determining how and by whom cooking time and temperature should be monitored.
Establish corrective actions to be taken when monitoring shows that a critical limit has not been met–for example, reprocessing or disposing of food if the minimum cooking temperature is not met.
Establish procedures to verify that the system is working properly–for example, testing time-and-temperature recording devices to verify that a cooking unit is working properly.
Establish effective record keeping to document the HACCP system

29
Q

Who enforces food safety standards set by WHO/FAO?

A

FDA enforces them in the US. Codex Alimentaris- The Codex Alimentarius Commission was created by FAO and WHO to develop food standards, guidelines under the Joint FAO/WHO Food Standards Program.

30
Q

Federal Food, Drug and Cosmetic Act 1938

A

Authority vested in the DHHS and regulated by the FDA
Basic food and drug law of the United States
Covers foods for human and animals
Covers human and veterinary drugs
Forbade marketing of food containing any added poisonous or deleterious substances, or any foods containing any naturally occurring toxins

31
Q

Federal Food, Drug and Cosmetic Act 1938

Amendments

A

Amendments
Food Additives Amendment 1958-required food additives to be “reasonably certain to be safe”; there was an exemption for “generally recognized as safe” (GRAS)
Delaney Clause 1958-“no additive shall be deemed safe if it is found to induce cancer when ingested by man or animal”. A known carcinogen cannot be added to food at any concentration. This act is based on the presumption that there is no threshold for a carcinogen below which ingestion is safe. However, the Amendment does not restrict the sale of food that contains naturally occurring substances or pesticide residues that may be carcinogens.
Food Quality Protection Act 1996- changed the Delaney Clause, permits refuses of carcinogenic pesticides in foods as long as there is “de minimus risk” the risk of a substance is soooo low, that it is considered trivial or insigificant or non-existent.

32
Q

Animal Medicinal Drug Use Clarification Act of 1994

A

Prior to AMDUCA, the extra label use of animal drugs, was illegal under the Food, Drug and Cosmetic Act.
Regulated by the FDA

33
Q

AMDUCA Tenets

A

AMDUCA Tenets
1.) Permits extra label use only when an animal’s health is threatened or the animal is suffering.
2.) Reserves extra label use for therapeutic purposes or preventive medicine
Applies only to approved animal or human drugs
Disallows extra label use that will result in a residue
Requires a valid vet/client/patient relationship
Restricts extra label use by laypersons to veterinary supervision
Permits administration of drugs via water
Disallows extra label use of drugs in or on feed

34
Q

Extra label use in food animals

A

Extra label use in food animals
Determine if approved animal drug with the active ingredient needed is labeled for your required use
If not, use an approved animal drug in an extra label manner by making a diagnosis establishing a substantially extended withdrawal period; confirm the identity of the patient, informing the client of withdrawal time.
A vet who judges an approved drug clinically ineffective for its intended use is allowed to use that drug or another approved animal drug in an extra label manner.
If no animal drug approved for food animals can be used in an extra label manner for the intended purpose a human drug or an animal drug approved for use in nonfood animals may be used. The vet must have scientific information on the human food safety aspect of the drug use in food animals. If not, the vet must ensure that the animal and its food products will not enter the human food supply.

35
Q

Extra label use in nonfood animals

A

Extra label use in nonfood animals
Veterinarians may use human drugs in non-food animals in an extra label manner - Unless the public health is threatened.
An animal drug may be used in an extra label manner only if no approved animal drug containing the active ingredient needed is available in the required dosage, form and concentration.
If the approved animal drug is judged clinically ineffective for that use, the vet may use that drug or another animal drug in an extra label manner.

36
Q

Animal Drug Availability Act 1996

A

Animal Drug Availability Act 1996
Lends new flexibility to the FDA and its regulations of animal drugs and medicated feeds.
Designed to increase the number of animal drugs on the market by streamlining the processes required, thus providing incentives to potential veterinary drug sponsor.
Changes the definition of “substantial evidence” allowing more flexible studies and eliminating the requirement for field studies.
Providing greater interaction between the FDA and animal drug sponsors.
Creates a new category of drugs “Veterinary Feed Directive Drugs”
Requires a producer to contact a vet to diagnose and treat a health problem.
If medicated feed is necessary, the vet must fill out a preprinted form that has gone through an FDA-CVM approval process similar to that for a label.
By law, the VFD feed can be fed only to animals in a manner consistent with the FDA conditions of approval. Extra label use is prohibited.
Encourages the submission of new animal drug applications (NADA) for single ingredient and combination ingredient new animal drugs.

37
Q

Clean Air Act Amendments 1990

A

Clean Air Act Amendments 1990
Regulated by the EPA
Hospital/Medical Infectious Waste Incinerators
Establishes emission limits for the following toxic air pollutants: particulate matter, sulfur dioxide, hydrogen chloride, nitrogen oxide, carbon monoxide, lead, cadmium, mercury, dioxins and fugitive ash emissions.
Definition of hospital waste: discard generated at a hospital, which does not include human corpses, remains and anatomic parts that are for cremation.
Definition of infectious agent: any organism that is capable of invasion and multiplication in body tissues and capable of causing diseases or adverse health impacts on humans.
Medical/infectious waste: any waste generated in the diagnosis, treatment or immunization of humans or animals. This includes sharps that are used and unused, bags of fluids or IV medicine.
Pathological waste: human or animal remains, anatomic tissue, collection bags and transport bags and some animal bedding.
Incinerators that burn 10 percent or less hospital waste medical/infectious waste are excluded from incinerator regulations.

38
Q

Medical Waste Tracking Act 1988

A

Medical Waste Tracking Act 1988
Promulgated by the EPA
Veterinary medical practices
Regulated medical waste includes discarded needles, syringes and other sharps; vaccines and vials that contained live or attenuated vaccines; cultures and stocks of infectious agents and culture plates; research animals that were exposed to infectious agents and other animal waste known to be harmful to human beings.
Regulated medical waste should be decontaminated prior to disposal. Effective methods include:
-Steam sterilization
-Incineration
Regulated medical waste that has not been decontaminated should be marked by the universal biohazard symbol.
Generators retain liability for waste throughout the entire disposal process. The federal solid waste disposal law, the Resource Conservation and Recovery Act requires that all solid waste be disposed of in a manner that protects human health and the environment.

39
Q

Resource Conservation and Recovery Act

A

Resource Conservation and Recovery Act
Authority vested in the EPA
Cradle to grave management of hazardous waste
Sets criteria for identifying hazardous waste, standards for generators of such waste and performance standards for waste management facilities.

40
Q

Federal Insecticide, Fungicide and Rodenticide Act

A

Federal Insecticide, Fungicide and Rodenticide Act
Enacted in 1947, authority vested in the EPA
Regulatory authority to control pesticide use

41
Q

The Food Safety Enforcement Enhancement Act of 1997

A

The Food Safety Enforcement Enhancement Act of 1997
Promulgated by the USDA
Can stop the distribution and order the recall of adulterated or misbranded meat and poultry in situations that pose a reasonable threat to public health
Refuse or withdraw inspection, based on any willful or repeated violation of federal meat or poultry laws
Impose civil monetary penalties for violations of the meat and poultry laws

42
Q

Migratory Bird treaty act

A

Migratory Bird treaty act- prohibits possession, importing, exporting, sale, purchase w/ out permit. Largely prohibits possession of birds and their parts indigenous to the US.

43
Q

Endangered Species Act-

A

Endangered Species Act- restricts activities with endangered/threatened species unless authorized by permit. Threatened is likely to become endangered within foreseeable future.

44
Q

Lacey Act

A

Lacey Act- prohibits importing, exporting, transporting, possessing, sale or purchase in violation of state, Federal, or Foreign laws or regulations. Covers mammals and birds, prohibits import, acquisition or transport of injurious wildlife except for zoological, educational, and scientific purposes.

45
Q

US Forestry and Wildlife Service

U.S. Endangered Species Act

A

Restricts the activities w/ endangered species unless authorized permits. Endangered- in danger of extinction or Threatened- likely to become endangered in the future. Permits for endangered species must enhance animals in the wild.
Criteria- Threatened destruction of habitat, Over utilization, Disease or Predation

46
Q

US Forestry and Wildlife Service

Wild Bird Conservation Act 1992

A

Applies to all CITES listed species; wild, caught, bred.-import to US requires permit