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Author: Joann Lindenmayer, DVM,MPH

1. Introduction

ESSENTIAL PUBLIC HEALTH SERVICE #7: Link people to needed personal health services and assure the provision of health care when otherwise unavailable.

This service (often referred to as ‘outreach’ or ‘enabling’ services) includes assuring effective entry for socially disadvantaged people into a coordinated system of clinical care; culturally and linguistically appropriate materials and staff to assure linkage to services for special population groups; ongoing ‘care management’; transportation services; targeted health information to high risk population groups; and technical assistance for effective worksite health promotion/disease prevention programs.

ACVPM MODEL CURRICULUM AREAS:

Food Safety: control of food pathogens during food preparation, serving and storage

Zoonoses: rabies, zoonoses and immune-compromised populations (pet selection, veterinary care and husbandry for pets of immune compromised clients – toxoplasmosis, M. avium and M. marinum, cryptosporidiosis, cryptococcosis, Listeriosis, salmonellosis, cat scratch disease, giardiasis, campylobacteriosis, microsporidiosis, and Rhodococcus equi)

Community Health: community public health education (veterinarian’s roles and responsibilities in educating individual clients and the public concerning animal/animal product related public health issues and concerns)

PRIMARY EXAMPLE: Rabies

SECONDARY EXAMPLE: HIV, vaccine-preventable diseases

2. Learning Objectives

At end of class, students should be able to:

  • Define what is meant by veterinary preventive/public health services (VPHS)

  • Discuss how VPHS are financed and contrast this with financing of preventive health services in public health and medicine

  • List two alternatives to private financing of VPHS

  • Describe the effect that vaccination programs for animals has on human rabies cases

  • Discuss the impact of HIV/AIDS on the livestock sector in Africa, and discuss how better treatment for HIV/AIDS might affect animal production

3. Required Reading

Schelling E, Bechir, M, Ahmed MA, Wyss K, Randolph TF, Zinsstag J. Human and Animal Vaccination Delivery to Remote Nomadic Families , Chad. Emerg Infect Dis [serial on the Internet]. March 2007

Humane Society of the United States. Rural Area Veterinary Services Web Page .

Rural Area Veterinary Services FAQ Sheet

Goe MR and S Mack. Linkages between HIV/AIDS and the Livestock Sector in East and Southern Africa . Food and Agriculture Organization of the United Nations. FAO Animal Production and Health Proceedings. Technical Workshop, Addis Ababa, Ethiopia, 8-10 March, 2005, pages 1-26.

Hatch C, Sneddon J and G Jalloh. A descriptive study of urban rabies during the civil war in Sierra Leone: 1995-2001. Trop Anim Hlth and Production 2004; 36:321-34.

National Association of State and Territorial Public Health Veterinarians. Compendium of Rabies Prevention and Control , 2006

Leonard DK. Tools from the new institutional economics for reforming the delivery of veterinary services. Veterinary Institutions in the Developing World: Current Status and Future Needs. Rev. sci. tech. Off. Int. Epiz . 2004; 23:47-57.