宠物养护与美容 第十章宠物市场与宠物美容店、宠物诊所、宠物医院的经营管理b.ppt

The National Companion Animal Surveillance Program A Partnership of Banfield Pet Hospitals & Purdue University,Xianguo YI,Surveillance – CDC Definition,Ongoing systematic collection, analysis, and interpretation of health data Essential to the planning, implementation, and evaluation of public health practice Closely integrated with the timely dissemination of these data to those who need to know,Agent,,Signs & Symptoms (I & W),Diagnostic Tests,,Specific Diagnosis/Agent,,Outcome,,Recovery,,Death,Syndromic Surveillance,Traditional Surveillance,,,,,,Exposure Surveillance,Temporal Sequence of Surveillance,,I & W = Indications & Warnings,Biothreat A Agents in Dogs & Cats,,* - CDC 2003: http://www.bt.cdc.gov/agent/agentlist-category.asp ** - reported with species of greatest (or equal) susceptibility first,The National Companion Animal Surveillance Program (NCASP) Team,A joint effort of the Purdue University School of Veterinary Medicine with Banfield the Pet Hospital Other participants at Purdue: School Electrical & Computer Engineering Cyber Center Statistics Department COMSYS (SAS Affiliate) Antech Diagnostics,Objectives of NCASP,Provide surveillance for syndromic and disease events in pet animals in the United States Federal State Conduct statistical analyses to identify space-time clusters of events and risk factors (host, environment) for disease Alert to the occurrence of potential acts of bioterrorism and emerging zoonoses Characterize safety & efficacy of veterinary drugs and vaccines (pharmacoepidemiology) Serve as a sentinel for environmental hazards for human and animal health,Banfield The Pet Hospital,Currently 620+ full service hospitals 2 additional hospitals per week Located in 44 states, Mexico, UK 3.0 million patient visits yearly ~ 10,000 patient visits daily ~ 2-4% of U.S. pet population Addresses geocoded & records electronic,Data Warehouse,,Data Mining,,,,Purdue University,National Companion Animal Surveillance Program,,Number of Dogs & Cats Visiting Banfield The Pet Hospital in 2005,Number of Other Animal Species Visiting Banfield The Pet Hospital in 2005,Alert!!! Fayette County GA’s Own “Silent Summer”,Philips Services, Corp. emits noxious pesticide (Ethoprop) on May 29, 2006 600 residents affected with clinical illness and reports of an onion-like odor Dogs and cats are sick or dying with signs of vomiting, diarrhea, skin irritation, dyspnea Purdue contacted Sept. 2 for help regarding acute & long-term health Animals as sentinels for human health Animal health,Persons Reported with At Least 2 Specified Symptoms by Week of Onset, Fayette & Fulton Counties, GA, May 1 – Aug 31, 2006,Specified symptoms: headache, nausea/vomiting, nosebleed, difficulty breathing, cough/sore throat, burning eyes (N=233),Location of Fairburn, GA,Banfield Hospitals Near Fairburn, GA,Banfield Hospitals within 20-mile radius of Fairburn, GA,,Banfield Dogs and Cats within 15-mile Radius of Chemical Plant in Fairburn, GA,Includes Banfield dogs and cats successfully geocoded for year 2005,Banfield Dogs n = 15,753,Banfield Cats n = 3,065,Fairburn,Chemical Plant,1129,288,281,Dog Eye Inflammation Within 20 miles of Fairburn Normalized by total # of Dogs,,Eye Inflammation in Cats (top) and Dogs (bottom) Y Axis=Distance from Epicenter in Miles,,,,Syndromic Spatial -Temporal Clusters in Fairburn, GA in Week Following Mercaptan Release,,,Eye Inflammation - Dogs (p0.05),,Respiratory Syndrome - Dogs (p0.05),Other Published Studies Using NCASP,Pharmacoepidemiology Safety and efficacy of heartworm preventives Dog and cat vaccine adverse reactions Animal diseases & infections Parasitic infections of cats & risk factors Prevalence of canine tick infestation & risk factors Canine heartworm prevalence & risk factors Leptospirosis epidemiology Influenza illness in dogs and cats Comparative medicine Periodontal disease & chronic health conditions including renal and heart disease (in progress),,Medical Records,Vector ID Pathogen ID,Ticks: Anaplasma sp, Babesia sp, Bartonella sp, Borrelia lonestari, Erlichia sp, Francisella tularensis, Rickettsia sp Fleas: Bartonella sp, Dipylidium caninum, Mycoplasma sp, Rickettsia sp, Yersinia pestis,,Web Portal,,Proposed Flea/Tick Pathogen Surveillance,,,,Tick Infestation in Dogs,Lyme Disease in Dogs,Canine Tick Activity Precedes Human Lyme Disease,Banfield, The Pet Hospital Atlanta, GA Metropolitan Area,Canine Tick Rate by Month,Canine Tick by Residence,Respiratory Syndrome: Hurricane Katrina,,The New Yorker, June 16 & 23, 2003,,Epidemiology Using Large Data Bases Can Produce the Evidence Required to Address Important Veterinary Clinical and Public Health Issues,Leptospirosis,World-wide zoonotic disease Gram negative bacteria Spirochetes Genus Leptospira Over 250 serovars,Percent Positive* Leptospirosis (MAT Tests),2002,2003,2004,* Positive ≥ 1:400,Allergic events following administration of a 4-way leptospirosis vaccine (breeds 5000 dogs),JAVMA 2005;227:1102-1108.,,Moore GE, et al. J Am Vet Med A。