1. Diseases in Nature Conference John Herbold DVM, MPH, PhD, DACVPM, FACE Center for Biosecurity & Public Health Preparedness University of Texas School of Public Health Austin, Texas, June 13 th 2007 Preparedness It’s All One Medicine [from Agro-Security to BT to Disaster Response to Zoonoses

2. One World One Medicine One Ecology

3. Biological Agents of Interest many are common in the Southwest RabiesRabies Soil FungiSoil Fungi Bacillus anthracis (anthrax)Bacillus anthracis (anthrax) Yersinia pestis (plague)Yersinia pestis (plague) Coxiella burnetii (Q fever)Coxiella burnetii (Q fever) Francisella tularensis (tularemia)Francisella tularensis (tularemia) Vibrio cholerae (cholera)Vibrio cholerae (cholera) WEEWEE WNVWNV SLESLE Venezuelan equine encephalitisVenezuelan equine encephalitis Viral Hemorrhagic FeversViral Hemorrhagic Fevers DengueDengue Ebola AliceEbola Alice Influenza AInfluenza A E coli 0157E coli 0157 Botulism (toxins)Botulism (toxins) Vesicular DiseasesVesicular Diseases XXXXXXXX

4. Anthrax Sutton County July 2005

5. Plague New Mexico

8. EVENTS UNINTENTIONAL INTENTIONAL NATURALUN-NATURAL

10. It’s Not Just Medicine & Public Health...

11. Texas Animal Health Commission Serving Texas Animal Agriculture Since 1893

12. “Orderly World” View- Industry Biosecurity, Laboratory Surveillance & Quality Assurance

13. Zoonotic Disease Risk Assessment- Integrating Agriculture, Disaster Preparedness and Public Health

14. Transmission Modalities  Animal to human  Animal to human to human  Animal to vector to human  Animal products to human Stakeholders  Human health sector  Animal health sector  Cross sector entities Risk ID & Reduction  Risk assessment  Awareness & education  Prevention  Surveillance  Response  Policy & legislation  Resources & infrastructure REDUCING & MANAGING ZOONOTIC DISEASE RISK Challenges in Assessing Zoonotic Diseases 3X4X7= 84 silos

15. Who?What?Where?When?How? Time to get to work !!!

16. Community Preparedness… the real common denominator