Transcript Healthy Fair Slideshow

Healthy fairs
Gail R. Hansen, DVM, MPH
Kansas Department of Health and Environment
[email protected]
Short version
(If you have to leave now)
 Website:
KDHE

http://www.cdc.gov/mmwr/preview/mmwrhtml
/rr5404a1.htm
Zoonoses and fairs
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Historical perspective
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Compendium
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KDHE
Why you are glad you aren’t in FL,NC, AZ
Prevent disease from animals in public settings
Specific diseases
 What does this mean for you
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Practical tips
Q&A and Discussion
Definition
Zoonosis
KDHE
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Disease of animals transmissible to
humans
Basic tenet
 Animals
at fairs are a GOOD idea
Entertainment
 Education
KDHE
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KDHE
When bad things happen to
good exhibits
25+ outbreaks from 1990-2000
 E. coli 2000
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PA
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WA
KDHE
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51 ill
5 ill
Salmonella 1996
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Denver zoo “Dragon days”
>75 ill
 Many never touched the reptile
directly
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E. coli, NC
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Oct. 2004
KDHE
 State
fair
 108 ill
 13 hospitalized
 E. coli found months later
 Parent awareness of potential more likely to
help than using a hand sanitizer
Credit: John R. Dunn, DVM, PhD
Systematic sample of
Petting Zoo B
•Soil / shavings
sampled 16 days
after fair
Sheep and goats
Results: sheep / goat
area uniformly
contaminated with E.
coli O157
E. coli O157 positive
Credit: John R. Dunn, DVM, PhD
E. coli O157 negative
Systematically resampled Petting Zoo
B: 100 days after fair
•Results:
Sheep and goats
Credit: John R. Dunn, DVM, PhD
Sheep and goat area
remained uniformly
contaminated
E. coli O157 positive
E. coli O157 negative
E. coli, FL
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Local fairs, petting zoos
confirmed, 68 total
 22 hospitalized
KDHE
 26
E. coli, AZ
 July 2005
 Petting zoo (in a zoo)
 2 children hospitalized
 Only
KDHE
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1 with direct contact
E. coli found in petting zoo area and play
area downhill from petting zoo
 Petting
zoo and play area closed
Increased chance of illness
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Populations at higher risk
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KDHE
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Infants
Children <5
Pregnant women
People undergoing chemotherapy
People with organ transplants
People with HIV/AIDS
Elderly
Increased chance of disease
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Riskier animals
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KDHE
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Reptiles
Chicks/ducklings
Puppies, kittens < 6 months
Animals with diarrhea
Exotic and wild animals
Compendium
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Measures to Prevent Disease Associated
with Animals in Public Settings 2005
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KDHE
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Not eliminate
Minimize risks
NASPHV/CDC
 Document on CD-ROM

Specific diseases
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Enteric diseases
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KDHE
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Salmonella
E. coli O157:H7
Campylobacter
Rabies
 Other pathogens
 Bites/injuries
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Salmonella
 Bacteria
Contamination of bedding, fur, skin,
saliva
 Fecal/oral transmission
 Diarrhea/vomiting
KDHE
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May be bloody diarrhea
Illness 6-72 hours after exposure
Salmonella
All are animal origin
 Reptiles
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Poultry
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Intermittent shedding
No treatment
Eggs
Chicks, ducklings
Swine, cattle, sheep, goats
E. coli O157:H7
Bacteria
 Diarrhea/vomiting
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KDHE
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Bloody diarrhea
Kidney failure (HUS)
Illness 3-8 days after exposure
 Unpasteurized juice, undercooked
hamburger
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E. coli O157:H7
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Animals
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Cattle
Deer
Infected animals rarely look ill
 Shed when stressed
 Summer and fall
KDHE
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Peak shedding
Campylobacter
Bacteria
 Diarrhea/vomiting
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KDHE
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GBS can occur later
Illness 1-10 days after exposure
Campylobacter
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Raw milk
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Kittens, puppies
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KDHE
2 outbreaks in KS in past 3 years
Usually with diarrhea
Poultry
 Horses
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Rabies
Virus
 Fatal
 All mammals potential
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KDHE
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Carnivores most likely
Calf at local KS fair
Discovered before fair opened
 “ADR”, sent home
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Parasites and more
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Ringworm
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Cryptosporidiosis
 Orf
 Leptospirosis
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KDHE
GA, show lambs
KDHE
Bites/injuries
Dis-ease
Avoidable
 Bites, scratches
 Kicks
 Falls from animals, crushing
Laws and Regulations
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Regulations in KS
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KAHD regs on inspection
No federal laws
 Guidelines
KDHE
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Federal
State

This meeting
Recommendations
 Education
 Handwashing
KDHE
 Food
away from animals
 Signs
 Cleaning/disinfection
 Environment
Education
Operator
 Staff
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KDHE
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Able to explain to visitors
Authority to enforce
Encourage animal/human interaction
Available fo injury/bite reports
Education
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Exhibitor
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KDHE
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Specifics on their animal(s)
Instructions if animal gets sick
Visitor
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Field trips/group trips
Individuals/families
Handwashing
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THE most effective prevention
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Thorough and often
 Plain soap and water best
 Waterless gels ok
 Stations available
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KDHE
Most zoonoses transmitted fecal-oral
Handwashing
Have stations available outside animal
areas
 Keep clean and supplied
 Shoe scrapers?
KDHE
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Food away from animals
KDHE
No food or beverages allowed in
animal areas
 Discourage:
Smoking
 Pacifiers
 Bottles/”sippy cups”
 Carrying toys
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More on Food
 If
visitors allowed to feed
animals
Only “approved” foods
 Not in containers that can be eaten by
people (e.g., ice cream cones)
KDHE
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Signs
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Different formats
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KDHE
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Know your audience
Literacy
Poster contests?
Post at entrance and exits
 Handwashing signs near food concession
areas
 Included in CD-ROM
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Wash Hands
After Leaving
Animal
Exhibit Area
Please supervise children in
animal areas
Please leave toys and
pacifiers outside
This way
to
Handwashing area
No Food or Drink in Animal
Exhibit Area
Available in English and Spanish
www.kdhe.state.ks.us/fofs/handouts/did_you_wash_em_color_sign.pdf
Cleaning
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Manure and soiled bedding removed as
needed
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KDHE
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Scheduled
“Unscheduled”
Avoid trucking through food areas
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At least avoid spillage
Cleaning
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Disinfect after after removing bedding,
other organic matter
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1-5% Bleach solution works well
KDHE
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Make fresh daily
Other disinfectants—see CD-ROM
Environment
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Flow through
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Animal and non-animal areas
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KDHE
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Food prepared/served in non-animal areas only
Restrict uncontrolled access to animals
Barriers
Environment
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Drinking water separate from waste
water
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Don’t duct tape together
KDHE
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If both leak….
Back flow prevention devices
“Not for human consumption” on hoses
Keep fairs fun for everyone
KDHE
No unwelcome souvenirs!
Questions?
Insert picture here
KDHE hotline: 877-427-7317
www.kdhe.state.ks.us