1. BC reportable animal zoonoses program Eleni Galanis, MD MPH FRCPC BC Zoonoses Symposium Nov 10 2015

2. Rationale Increase knowledge and awareness of zoonotic diseases in animals to prevent and mitigate human illness

3. Background  2006: BCVMA asked PHO which animal zoonoses should be reported to PH  2007-8: WG determined reportable zoonoses  2009: list of 14 zoonoses approved by BC Communicable Disease Policy Adv Cmte  2010-14: WG developed PH guidelines  2015: launch of program

4. BC reportable zoonoses in animals  Anthrax (Bacillus anthracis)  Bovine Spongiform Encephalopathy  Brucellosis (Brucella abortus, melitensis, suis)  Chlamydiosis (Chlamydophila psittaci), psittacosis in humans  Influenza A in swine  Influenza H5 and H7  Plague (Yersinia pestis)  Q fever (Coxiella burnetii)  Rabies  Trichinosis (Trichinella spiralis)  Tuberculosis (Mycobacterium bovis, tuberculosis )  Tularemia (Francisella tularensis)  West Nile Virus  Zoonotic Viral Hemorrhagic Fevers

5. BC reportable zoonoses in animals New or unusual animal diseases or disease cluster with potential public health significance Zoonotic or potentially zoonotic diseases in animals that  have never or rarely been observed in BC (new or emerging) or  appear in a new species or show evidence of higher pathogenicity than expected (unusual) or  appear in a higher than expected number of animals clustered in time or space (cluster)

6. Guidelines www.bccdc.ca/dis- cond/comm- manual/CDManual Chap1.htm

7. Guidelines Disease chapters

8. Principles  Facilitate collaboration in reporting and responding to an animal zoonotic disease  Vets and PH to discuss cases  PH to inform CVO if media planned  Respect for authority and mandate of agencies involved  CFIA role in notifications and management  Animal diagnostic information and farm (business) information is confidential

9. Legal framework  Reporting of animal cases of zoonotic diseases governed by the Reportable and Notifiable Disease Regulation, pursuant to the BC Animal Health Act [2014]  Reports made to the CVO who shares the reports with the PHO or delegate under the Information Sharing Agreement for the Sharing of Zoonotic Communicable Disease Reports from the CVO to the PHO or Delegate [2015]

10. Reporting process

11. Reporting timelines  Immediately  Rabies  Influenza H5 and H7  VHF  Within 24h  All others

12. Reporting variables  Etiology or diagnosis  Animal species  Location of animal  Contact information of owner

13. 2015 cases 1.C. burnetti (Q fever) in cow in FHA in Jan 2.Blastomycosis in panda in FHA in Aug 3.Psittacosis in birds in FHA in Sep 4.10 bat cases of rabies

14. “The sharing of information about human zoonotic diseases by public health authorities with animal health authorities can also improve our understanding and control of these diseases in animals and should be endeavoured.”

15. Acknowledgments  Brian Radke  Robert Cooper  Jason Stone  Marcus Lem  William Osei  Helen Schwantje  Brian Emerson  John Brocklebank  Janice Bridgland  Lori McClenaghan  Jennifer Jeyes  Ken Cooper  Mira Leslie  Jane Pritchard  Greg Tone  Sue Pollock  Vicky Bowes  Muhammad Morshed  Larry Gustafson  Ron Lewis  Andrew Deonarine  Nataliya Skuridina

16. Method to determine reportability  National criteria for human disease reportability modified to suit zoonotic diseases in animals (Doherty CCDR 2006)  BC human reportable zoonoses included for review  Diseases scored according to each of modified criteria  Average scores were derived and added  Diseases ranked according to total score  Ranking reviewed for consistency  Threshold for reportability based on national threshold and on attaining practical number of reportable diseases