International programs and veterinary public health in the Americas--success, challenges, and possibilities

The veterinary public health (VPH) program at the Pan American Health Organization (PAHO) began in 1949 when an arrangement with the newly founded World Health Organization made PAHO its Regional Office for the Americas to serve as the specialized health agency both for the Organization of American States and the United Nations. It started as a Section of Veterinary Medicine to help eradicate rabies on both sides of the US-Mexico border, and PAHO grew to be the biggest VPH program in the world. By providing a political and technical base, PAHO assisted its member states to organize and develop their national VPH programs and activities, and it provides technical cooperation and works with their national counterparts to solve national and local problems. In the 1980s and 1990s, PAHO concentrated that cooperation on several, specific needs: the elimination of dog-transmitted human rabies, hemispheric eradication of foot-and-mouth disease (FMD), regional action planning for food safety, control/eradication of bovine tuberculosis and brucellosis, and surveillance and prevention of emerging zoonoses and food-borne diseases. The Pan American centers developed a number of diagnostic antigens and a continental system for the surveillance of FMD and vesicular diseases, using geographic quadrant technology to augment sensitivity, analyze data, and make decisions. Another visible accomplishment is the elimination of hydatidosis in the endemic countries and regions of the southern cone. In addition, the VPH program of PAHO pioneered the mobilization of the private sector to participate in official programs. Nevertheless, privatization of animal and human health services has had a negative effect on human resources and infrastructure by weakening essential epidemiological functions in some countries. Today, there is a need for closer coordination between veterinary medicine and medical services. Practically all potential bioterrorism agents are zoonoses, and it is cost-effective to control them at the veterinary level, providing the first line of defense. The opportunities for VPH are boundless, but the challenge is to be able to apply the plethora of available research results and knowledge. What we will need is a new breed of veterinarians who will lead and provide us with a vision, like those we honored in 2005 at the Schwabe Symposium Honoring the Lifetime Achievements of Dr. James H. Steele: veterinarians in public health who will be in the forefront of policy setting, decision-making, and allocation of resources, and veterinarians who will articulate and provide a strategic direction to our unique professional skills.     

International programs and veterinary public health in the Americas—Success, challenges, and possibilities

The veterinary public health (VPH) program at the Pan American Health Organization (PAHO) began in 1949 when an arrangement with the newly founded World Health Organization made PAHO its Regional Office for the Americas to serve as the specialized health agency both for the Organization of American States and the United Nations. It started as a Section of Veterinary Medicine to help eradicate rabies on both sides of the US-Mexico border, and PAHO grew to be the biggest VPH program in the world. By providing a political and technical base, PAHO assisted its member states to organize and develop their national VPH programs and activities, and it provides technical cooperation and works with their national counterparts to solve national and local problems.In the 1980s and 1990s, PAHO concentrated that cooperation on several, specific needs: the elimination of dog-transmitted human rabies, hemispheric eradication of foot-and-mouth disease (FMD), regional action planning for food safety, control/eradication of bovine tuberculosis and brucellosis, and surveillance and prevention of emerging zoonoses and food-borne diseases. The Pan American centers developed a number of diagnostic antigens and a continental system for the surveillance of FMD and vesicular diseases, using geographic quadrant technology to augment sensitivity, analyze data, and make decisions. Another visible accomplishment is the elimination of hydatidosis in the endemic countries and regions of the southern cone.In addition, the VPH program of PAHO pioneered the mobilization of the private sector to participate in official programs. Nevertheless, privatization of animal and human health services has had a negative effect on human resources and infrastructure by weakening essential epidemiological functions in some countries.Today, there is a need for closer coordination between veterinary medicine and medical services. Practically all potential bioterrorism agents are zoonoses, and it is cost-effective to control them at the veterinary level, providing the first line of defense. The opportunities for VPH are boundless, but the challenge is to be able to apply the plethora of available research results and knowledge. What we will need is a new breed of veterinarians who will lead and provide us with a vision, like those we honored in 2005 at the Schwabe Symposium Honoring the Lifetime Achievements of Dr. James H. Steele: veterinarians in public health who will be in the forefront of policy setting, decision-making, and allocation of resources, and veterinarians who will articulate and provide a strategic direction to our unique professional skills.     

Evaluation of veterinary public practice education programs

OBJECTIVE: To describe the number and types of veterinary professional degree and certificate programs providing education in the area of public practice to veterinarians and determine the availability of these programs via distance learning. PROCEDURES: Web-based internet searches were performed for programs for veterinary public practice or public health, population medicine, or Master's degree in Epidemiology. The information reviewed was derived from individual school and program Web sites and from personal e-mail correspondence with school administrators. RESULTS: 17 professional degree and 4 certificate programs were available to provide education and training in the areas of public practice and population medicine to veterinarians. Twelve of these programs have begun since 1998. Of the 17 professional degree programs, 7 are located in the United States and 10 are located in other countries. Nine of the professional degree programs provide education through traditional teaching methods, and 8 provide education and training through distance learning. CONCLUSIONS: During the preceding 5 years, the number of programs available to educate and train veterinarians in the areas of public practice and population medicine has increased. Distance learning is being used to increase capacity and reach a broader audience of veterinarians. With the increase in programs has come an increase in capacity to educate and train veterinarians in the fields of population medicine and public practice. The impact and sustainability of this increased capacity have not been evaluated.     

Veterinary medicine and public health or better: veterinary public health

The development of veterinary medicine and its impact on public health are outlined in this overview. In relation to this, we speak of Veterinary Public Health. In 1865, the liberal J.R. Thorbecke initiated the institution of the later independent 'State Supervisory Public Health Inspectorate' was set up in 1920, as a consequence of the Meat Inspection Act of 1919, and became part of the State Supervisory Service. In 1925 the 'Veterinary Public Health Inspectorate', which was part of the Ministry of Public Health, and the 'Veterinary Service', which was part of the Ministry of Agriculture, formed together a so-called 'Personal Union'. This Union came to an end in 1984. During the nearly 60 years of its existence, and especially after the Second World War, the Union has contributed enormously to public health by controlling zoonoses and decreasing chemical contaminants in foodstuffs. In these achievements it has worked in collaboration with veterinary surgeons, meat inspection services, and research institutes such as the National Institute of Public Health and Environment (RIVM), the Institute for Animal Science and Health (ID-Lelystad), and the Faculty of Veterinary Medicine.     

Global public health issues

The context of the conference presentation that gave rise to this article was the importance of veterinarians becoming more engaged in the public-health challenges of today. During the presentation, I sought to point out some of the pressing reasons why. Of particular concern to me are the missed opportunities to help influence human health and well-being as private veterinary practitioners in addition to public-practice veterinarians. Key elements: Public health, the protection and improvement of community health by organized community effort; the global community, the entire world; social responsibility, being, as members of society, morally and legally responsible for the welfare of human beings; terrorism, the systematic use of terror (fear), especially as a means of coercion (it is always local!); system integration, the interaction of interdependent groups to form a unified whole.     

Toxocara and public health

Extract

In recent months, the public health risks of keeping dogs and, to a lesser extent, cats have been the subject of considerable publicity. Much of this has concerned the ascaridoid nematodes of these pets and their potential for causing visceral larva migrans in man. The “information” and comment that has appeared in newspapers and on television has contributed little to public understanding of the situation; indeed, much of it has been so highly emotive and frankly incorrect, that nothing but confusion could possibly result.     

Modern trends in veterinary public health

The veterinary profession and its contribution to public health should expand in breadth, depth and flexibility to respond to the changing needs of community and society. This longstanding issue is still the subject of controversy between on the one hand those whose scientific activities contribute to our knowledge of food and environmental hygiene, enteric infections, food-borne diseases and zoonoses in general, and on the other the all too numerous traditionalists (even within the profession) who resist the venture of veterinarians into new territories and resent involvement in public health. Veterinarians are ideally suited to function in public health because of their orientation to populations, disease prevention, and the economic implications of disease.     

Animal disease and public health

Extract

It has been recognized for many centuries that human and animal health are closely related. One of the earliest examples of such recognition which is easily available is from the book of Judges in the Old Testament, where it is reported that the Philistines, after capturing the Ark of the Covenant in a battle with the Israelites, suffered a plague associated with large numbers of rodents and with “emerods”, which we might well believe to be bubos. It seems reasonable to explain this severe epidemic, which apparently killed 50,000 Bethsemites apart from other people, as an example of bubonic plague. Several of the other early accounts of epidemics in which there was an association of large numbers of rats with the occurrence of the disease would appear to be accounts of bubonic plague.     

Veterinary medicine is public health

The symposium Partnerships for Preparedness: Future Directions of Schools of Public Health and Colleges of Veterinary Medicine documents the importance of further integration between the fields of veterinary medicine and public health to protect our nation from public-health emergencies. Current areas targeted for improved collaboration include academic programs, public policy, workforce training, and research.