the oral rabies vaccine program - tnpublichealth.org speakers/wehner... · the oral rabies vaccine...

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Animal and Plant Health Inspection Service WILDLIFE SERVICES WILDLIFE SERVICES WILDLIFE SERVICES The Oral Rabies Vaccine Program The Oral Rabies The Oral Rabies Vaccine Program Vaccine Program Keith Wehner Keith Wehner Rabies Field Coordinator Rabies Field Coordinator National Rabies Management Program National Rabies Management Program

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Page 1: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

Animal and Plant Health Inspection Service

WILDLIFE SERVICESWILDLIFE SERVICESWILDLIFE SERVICES

The Oral Rabies Vaccine ProgramThe Oral Rabies The Oral Rabies Vaccine ProgramVaccine Program

Keith WehnerKeith WehnerRabies Field CoordinatorRabies Field Coordinator

National Rabies Management ProgramNational Rabies Management Program

Page 2: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

What is Rabies?What is Rabies?

Page 3: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

Virus NOT found in blood, urine, feces, or skunk sprayVirus NOT found in blood, urine, feces, or skunk spray

Rabies Virus Facts…

How is Rabies TransmittedHow is Rabies Transmitted??

What is RabiesWhat is Rabies??Deadly virus that attacks the central nervous system and Deadly virus that attacks the central nervous system and

infects all mammalsinfects all mammals

Primary exposure = direct contact with a rabid animal via a Primary exposure = direct contact with a rabid animal via a bite or scratchbite or scratch

Secondary exposure = fresh infectious material contacts a Secondary exposure = fresh infectious material contacts a wound that has bled in the last 24 hourswound that has bled in the last 24 hours

Infectious material = saliva, brain matter, spinal cordInfectious material = saliva, brain matter, spinal cord

Page 4: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

Rabies is Fatal…Rabies is Fatal…

50,000 50,000 –– 100,000 people 100,000 people die annually worldwide, die annually worldwide, mostly in developing mostly in developing countriescountries

In the USA, only 27 In the USA, only 27 people died from rabies people died from rabies between 1990between 1990--20002000

Page 5: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

Common Rabies SymptomsCommon Rabies Symptomsin Animals:in Animals:

Change in behaviorChange in behavior--Become aggressive or docileBecome aggressive or docile

Paralysis of throatParalysis of throat

--Cannot eat or drinkCannot eat or drink--Drool and strange vocal soundsDrool and strange vocal sounds

Change in motionChange in motion--Paralysis of hind endParalysis of hind end

Incubation phase3-15 weeks.

Page 6: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

Rabies Symptoms Rabies Symptoms in Humansin Humans

3 different steps3 different stepsStep 1 Step 1 –– fever, headache, general fever, headache, general malaisemalaise

Step 2 Step 2 –– insomnia, anxiety, confusion, insomnia, anxiety, confusion, partial paralysis, excitation, partial paralysis, excitation, hallucinations, hallucinations, agitation, agitation, hypersalivation, difficulty hypersalivation, difficulty swallowing, hydrophobiaswallowing, hydrophobia

Step 3 Step 3 –– Death Death -- within 10 days of within 10 days of onset of symptomsonset of symptoms

Page 7: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

PrePre--exposure vaccinationexposure vaccinationPostPost--exposure prophylaxisexposure prophylaxis

Surveillance (mostly passive)Surveillance (mostly passive)Laboratory diagnosticsLaboratory diagnosticsCase investigationsCase investigationsPublic educationPublic educationDog, cat & livestock vaccinationsDog, cat & livestock vaccinationsAnimal and wildlife controlAnimal and wildlife control

Page 8: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

Raccoon Strain RabiesRaccoon Strain Rabies

Page 9: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

Distribution of Major Terrestrial Reservoirs Distribution of Major Terrestrial Reservoirs of Rabies in the United Statesof Rabies in the United States

Page 10: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program
Page 11: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program
Page 12: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

U.S. Animal Rabies Cases U.S. Animal Rabies Cases –– 20052005(6417 Reported Cases: (6417 Reported Cases: 92%92% in Wildlife)in Wildlife)

40% RaccoonsSkunksBatsFoxesAll Others

Data from CDCData from CDC

Page 13: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

Nettles, V.F., J.H. Shaddock, R.K. Sikes, andC.R. Reyes. 1979. Rabies in translocated raccoons.Am J. Public Health. 69(6):601-602.

Distribution of Raccoon Variant of Rabies

in the late 1970’s

CDC

Page 14: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

TX

MT

NM

COIL

WY

KS

IANE

SDMN

ND

OK

FL

WI

MO

AL GA

AR

MI

IN

LA

NY

NC

PA

TN

MS

VAKYOH

SC

ME

Spread RateSpread Rate----25 Miles Per Year25 Miles Per Year

50 yrs 40 yrs 30 yrs 20 yrs 10 yrs

Kemere et al. 2000

Page 15: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

Raccoon rabies has a much greater impact Raccoon rabies has a much greater impact than other terrestrial rabies variants in U.S.than other terrestrial rabies variants in U.S.

••Larger number of rabid animalsLarger number of rabid animals••More spillover to other speciesMore spillover to other species••More impact on agricultureMore impact on agriculture••Greater risk of exposure to people/petsGreater risk of exposure to people/pets••More indirect ‘exposures’More indirect ‘exposures’——saliva on saliva on

surfaces, pet’s fur, etc. resulting surfaces, pet’s fur, etc. resulting in PEPin PEP

Page 16: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

2002 TENNESSEE RACCOON 2002 TENNESSEE RACCOON RABIES SITUATIONRABIES SITUATION

Page 17: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

2003 TENNESSEE RACCOON 2003 TENNESSEE RACCOON RABIES SITUATIONRABIES SITUATION

1st Tennessee case in Johnson County in April 2003. 5 total cases in Johnson and Carter Counties in 2003.

Page 18: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

2004 TENNESSEE RACCOON 2004 TENNESSEE RACCOON RABIES SITUATIONRABIES SITUATION

1st case in Chattanooga in January 2004. During 2004 there were 14 cases in TN, all in Hamilton County.

Page 19: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

2005 TENNESSEE RACCOON 2005 TENNESSEE RACCOON RABIES SITUATIONRABIES SITUATION

Unicoi County became positive in early May 2005 when a woman was attacked by a rabid gray fox near Erwin. In June 2005 a rabies positive raccoon attacked a dog in Washington County.

Page 20: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

2005 TENNESSEE RACCOON 2005 TENNESSEE RACCOON RABIES SITUATIONRABIES SITUATION

A sick-acting red fox picked up by Knox County Animal Control in October and tested by USDA’s Enhanced Surveillance system had raccoon strain rabies, representing a several county “jump” in the disease.

Page 21: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

2006 TENNESSEE RACCOON 2006 TENNESSEE RACCOON RABIES SITUATIONRABIES SITUATION

Bradley County became the 7th

Tennessee county positive for raccoon strain rabies in January 2006

Page 22: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

2007 TENNESSEE RACCOON 2007 TENNESSEE RACCOON RABIES DEVELOPMENTS…RABIES DEVELOPMENTS…

Sullivan and Greene Counties became the 8th and 9th

Tennessee counties positive for raccoon strain rabies in May and June 2007. Washington county records 19 positive animals.

Page 23: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

Oral Rabies VaccineOral Rabies Vaccine

Page 24: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

More than 50 Million DistributedMore than 50 Million Distributed

Page 25: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program
Page 26: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

Phase 1 Prevent spread of specific terrestrial Phase 1 Prevent spread of specific terrestrial wildlife rabies variantwildlife rabies variant

Phase 2 Eliminate specific terrestrial Phase 2 Eliminate specific terrestrial wildlife rabies variantwildlife rabies variant

G0ALSG0ALS

Page 27: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

2006 RABIES ORV BARRIERS2006 RABIES ORV BARRIERS

Page 28: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

ORV SuccessORV Success

Page 29: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

Extensive use in Europe against rabies in red Extensive use in Europe against rabies in red foxesfoxes

Switzerland received rabiesSwitzerland received rabies--free status in 1998 free status in 1998 after extensive oral baiting, as of 2004 Italy, after extensive oral baiting, as of 2004 Italy, Belgium, Sweden, and the Czech Republic have Belgium, Sweden, and the Czech Republic have been declared rabiesbeen declared rabies--freefree

Canada has restricted the spread of raccoon Canada has restricted the spread of raccoon rabies with oral baitingrabies with oral baiting

Page 30: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

Webb Duval

Frio

Starr

Bee

Uvalde Bexar

Hidalgo

Kinney

Zavala

Dimmit

Medina

LaSalle

KenedyZapata

Maverick

Brooks

Goliad

Lavaca

AtascosaDeWitt

VictoriaWilson

LiveOakMcMullen

JimHogg

Gonzales

Nueces

Karnes

Kleberg

Jackson

Refugio

Cameron

JimWells

Willacy

Guadalupe

SanPatricio

CalhounAransas

Webb Duval

Frio

Starr

Bee

Uvalde Bexar

Hidalgo

Kinney

Zavala

Dimmit

Medina

LaSalle

KenedyZapata

Maverick

Brooks

Goliad

Lavaca

AtascosaDeWitt

VictoriaWilson

LiveOakMcMullen

JimHogg

Gonzales

Nueces

Karnes

Kleberg

Jackson

Refugio

Cameron

JimWells

Willacy

Guadalupe

SanPatricio

CalhounAransas

Webb Duval

Frio

Starr

Bee

Uvalde Bexar

Hidalgo

Kinney

Zavala

Dimmit

Medina

LaSalle

KenedyZapata

Maverick

Brooks

Goliad

Lavaca

AtascosaDeWitt

VictoriaWilson

LiveOakMcMullen

JimHogg

Gonzales

Nueces

Karnes

Kleberg

Jackson

Refugio

Cameron

JimWells

Willacy

Guadalupe

SanPatricio

CalhounAransas

Webb Duval

Frio

Starr

Bee

Uvalde Bexar

Hidalgo

Kinney

Zavala

Dimmit

Medina

LaSalle

KenedyZapata

Maverick

Brooks

Goliad

Lavaca

AtascosaDeWitt

VictoriaWilson

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JimHogg

Gonzales

Nueces

Karnes

Kleberg

Jackson

Refugio

Cameron

JimWells

Willacy

Guadalupe

SanPatricio

CalhounAransas

Webb Duval

Frio

Starr

Bee

Uvalde Bexar

Hidalgo

Kinney

Zavala

Dimmit

Medina

LaSalle

KenedyZapata

Maverick

Brooks

Goliad

Lavaca

AtascosaDeWitt

VictoriaWilson

LiveOakMcMullen

JimHogg

Gonzales

Nueces

Karnes

Kleberg

Jackson

Refugio

Cameron

JimWells

Willacy

Guadalupe

SanPatricio

CalhounAransas

South Texas Coyote ORV 1995 – 2003

ORV zoneORV zone

19951995 19961996 1997

19991999 2000-20032000-2003

Webb Duval

Frio

Starr

Bee

Uvalde Bexar

Hidalgo

Kinney

Zavala

Dimmit

Medina

LaSalle

KenedyZapata

Maverick

Brooks

Goliad

Lavaca

AtascosaDeWitt

Victoria

Wilson

LiveOakMcMullen

JimHogg

Gonzales

Nueces

Karnes

Kleberg

Jackson

Refugio

Cameron

JimWells

Willacy

Guadalupe

SanPatricio

CalhounAransas

19981998

Page 31: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

Coyote Success Story in SW TexasCoyote Success Story in SW Texas

0 cases0 cases200220021 case1 case200120010 cases0 cases20002000

10 cases10 cases199919995 cases5 cases199819986 cases6 cases19971997

21 cases21 cases1996199658 cases58 cases19951995

166 cases166 cases19941994

Page 32: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

ORV Program in ORV Program in TennesseeTennessee

Page 33: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

ORV Cooperators ORV Cooperators -- TennesseeTennessee

Centers for Disease Control and Prevention (CDC)Centers for Disease Control and Prevention (CDC)State and Local Health DepartmentsState and Local Health DepartmentsTennessee Department of AgricultureTennessee Department of AgricultureTennessee Wildlife Resources AgencyTennessee Wildlife Resources AgencyUSFS, TVA, and NPS Involved USFS, TVA, and NPS Involved –– EA AdoptedEA AdoptedMany Others: Local Animal Control Agencies, Federal, Many Others: Local Animal Control Agencies, Federal, State, and Private Landowners, Hunters, Nuisance State, and Private Landowners, Hunters, Nuisance Wildlife Trappers, Rehabbers, TDOTWildlife Trappers, Rehabbers, TDOT

Page 34: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

Bait DistributionBait Distribution

OMNR OMNR –– Twin OtterTwin Otter

Page 35: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

Dynamic Aviation Dynamic Aviation –– King AirKing Air

Page 36: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program
Page 37: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program
Page 38: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program
Page 39: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program
Page 40: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program
Page 41: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program
Page 42: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

ORV Bait Zone ORV Bait Zone –– 20022002

Page 43: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

ORV Bait Zones ORV Bait Zones –– 20032003

Page 44: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

ORV Bait Zones ORV Bait Zones –– 20042004

Page 45: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

ORV Bait Zones ORV Bait Zones –– 20052005

Page 46: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

ORV Bait Zones ORV Bait Zones –– 20062006

Page 47: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

ORV Bait Zones ORV Bait Zones –– 20072007

Page 48: The Oral Rabies Vaccine Program - tnpublichealth.org Speakers/Wehner... · The Oral Rabies Vaccine Program Keith Wehner Rabies Field Coordinator National Rabies Management Program

TENNESSEE BAITING SUMMARYTENNESSEE BAITING SUMMARY

3,098,839 3,098,839 baits across baits across 4,444 square miles in 4,444 square miles in 22 Counties22 Counties

TOTALTOTAL

901,253901,253GroundGround

2,197,5862,197,586AerialAerialTOTAL BAITSTOTAL BAITSBAITING TYPEBAITING TYPE