April 25, 2018 Duke Global Health Institute One Health: An Introduction to Entomology, Zoonotic Diseases, and Food Safety GLHLTH 735 Summer 2018, 3 Credit Hours Date Time Room / field activity site 5/26/2018 Sat 10:00am-2:00pm (room 112) Environment Hall 5/28/2018 Mon 8:00am-5:00pm Wet laboratory room Environment Hall 1105 /Duke 5/29/2018 Tue 8:00am-5:00pm Duke / Wet laboratory room Environment Hall 1105 5/30/2018 Wed 8:00am-2:15pm (room 112) /403 W.Balfour Ave Asheboro NC /Beef processing plant visit 2:30pm-5:00pm (room 112) Environment Hall 5/31/2018 Thu 8:00am-4:00pm (room 112) Environment Hall 6/1/2018 Fri 8:00am-12:00pm Modern dairy production visit 1:00pm-5:00pm (room 112) Environment Hall Instructor Information Course director: Gregory C. Gray, MD, MPH Infectious Diseases Division Hanes House, Rm 254 Durham, North Carolina 27710 (919) 684-1032 gregory.gray@duke.edu Office hours arranged Other instructors: Various Course Description This course will introduce public health students to entomology, zoonotic diseases, and principals of modern food safety. Students will learn methods for conducting studies of mosquitoes and ticks, controlling zoonotic diseases, and protecting the food supply. A special focus will be upon modern food safety techniques in meat, dairy and produce production. Lectures will be complemented with considerable laboratory or field work. Course Pre-requisites One of the following courses (or equivalent): General Microbiology Principles of Infectious Diseases Epidemiology of Infectious Diseases Course Objectives and/or Goals After completing this course, the student should be able to: 1
Have a fundamental understanding of methods for mosquito collection, identification, and control; Be familiar with methods for tick collection, identification, and control; Have an appreciation for zoonotic disease prevention and control in the agricultural industry; Be familiar with modern methods for monitoring food-borne pathogens. Course Materials Required textbooks: David L. Heymann, MD, ed., Control of Communicable Diseases Manual (CCDM), 19 th edition, 2008, ISBN 087553189X Course Requirements/Evaluation/Grading Students will be evaluated by their class participation (33%) and a 90-minute, open book, open notes, examination (33%), and a 7-10 page term paper on a single zoonotic disease problems the student s home country (33%) due by mid July. To earn a B for class participation, students should fully participate and attend every session. To earn an A in classroom participation, students must attend each session and demonstrate that they prepared for lectures/fieldtrips beforehand (through reading assigned text and interacting with the lecturers). Percentage or points earned in class Letter Grade equivalent 93%- 100% 90%- 92% 87%- 89% 83%- 86% 80%- 82% 77%- 79% 73%- 76% 70%- 72% A A- B+ B B- C+ C C- F Below 70% Letter Grade A A- B+ B B- C+ C C- F NC Grade Points 4.0 3.7 3.3 3.0 2.7 2.3 2.0 1.7 0.0 0.0 For greater detail on the meaning of letter grades and university policies related to them, see https://registrar.duke.edu/student-records/how-calculate-gpa 2
Topical Outline 1 Day/Lecture Title Lecturer Readings (pages) Saturday 10-10:45am 2 11-11:45am 3 12-12:45pm 12:45-1:15pm 4 1:15-2pm 5 6 7 8a 8b 9 10 11 Monday Wet laboratory room Environ Hall 2102 8-8:10am 8:10 8:50am 9:00-9:45am 9:45-10:30am 10:30-11:00am 11:00-11:45pm 12:00-12:30pm 12:30-1:20pm 1:30-2:00pm 2:00-2:45pm 3:00pm Duke 3:10pm-4:30pm 5:00pm Tuesday 7:15am Welcome, disease threats and population densities Zoonotic influenza and occupational risk part I Zoonotic influenza and occupational risk part II Lunch Zoonotic infections associated with domestic pets (hookworm, toxoplasmosis, salmonellosis) Introduction to vector biology training Vector biology: understanding and interruption Mosquito biology Major mosquito borne diseases Filth flies and their role in human health Mosquito morphology and dissection Lunch break Tick biology and life cycles Tick-borne diseases IVM: Control of mosquitoes and ticks overview of approaches Ride bus from lab room to Duke session: Mosquito surveillance methods; Adult mosquito trapping techniques, mosquito trap set up Duke Ride bus to hotel Ride bus from hotel to Duke Bauerfeind 127-133 Jane house Bauerfeind 110-17, 159-60, 199-201, 242-44, 25-61, 293-6, 339-41, 365-62, 395-9, 428-9, 432-34 None Service 1-82 Service 139-173 Service 226-250 Tuesday Duke 8:00am-8:30am 8:30am-9:30am session: Collection of adult mosquito traps Duke session: Dipping and collection techniques for 3
12 13 14 Day/Lecture Title Lecturer Readings (pages) 9:30am- 12:00pm 12:00 pm- 1:00pm Lab session Wet laboratory room Environ Hall 2102 1:00pm-2:15pm 2:30pm-4:00pm 4:00-4:30 mosquito immatures Duke session: Tick sampling methods: tick drag, CO2 bait Duke Ride bus to wet lab lunch break Preliminary identification of wild caught mosquitoes (larvae, adults) Lab session: Preliminary ID of ticks Summary of vector-borne diseases and their control 15 16 9am Wednesday auditorium 8am 10:30-12:00 12:00-12:30 17 12:30-2:30 18 19 2:30-3:30pm 3:30-4:30pm FSIS, HACCP, & Beef production Bus departure at 9AM from Environmental Hall An introduction to meat science with intro to HACCP (lecture on the bus with video) Beef production site visit Randolph Co. Packing in Asheboro, NC 403 W Balfour Ave, Asheboro, NC 27203, Tel (336) 672-1470. Bring lunch and water. Wear closed toe shoes and long pants. No jewelry of any kind can be worn in plant. Leave phones on Bus. Lunch on the bus ride back to Duke Review tour and discuss beef zoonoses (lecture on bus) Commercial fishing industry and aquaculture Seafood associated pathogens Jay Levine Jay Levine Read McDaniel CJ, et al. Humans and Cattle: A Review of Bovine Zoonoses, Vector-Borne and Zoonotic Diseases, 2014;14:1-19 Waltzek TB et al. Marine Mammal Zoonoses: A Review of Disease Manifestations. Zoonoses and Public Health, 2012:59:521-35 20 21 9-10 Thursday 8-9am US poultry industry overview with emphasis on disease prevention I US poultry industry overview with emphasis on disease prevention II Martin Martin 195-8, 206-11,219-23, 230-31 4
Day/Lecture Title Lecturer Readings (pages) 22 10-11 Select zoonotic diseases of poultry and OIE reportable diseases 23 11-12 Zoonotic diseases and wildlife 12-1pm 24 1-2pm Lunch 25 2-3pm Swine zoonoses 26 3-4pm 27-28 29-30 Friday 8am 8:30-11:30am 11:30 12-1pm 1-3pm Friday 3-5pm Other recently emerged zoonoses; explain term paper Bus departs Environment Hall bus stop at 8AM Milk production and food safety lecture in classroom. Tour of NCSU Dairy Education Unit at 3437 Lake Wheeler Rd, Raleigh. Outbrief after tour in classroom. Bring lunch and water. Wear closed toe shoes. Leave jewelry on bus. Depart farm and return to Environment Hall Lunch Small group zoonotic disease exercise Final exam (90 minutes, multiple choice, open notes) bring calculator Martin Suzanne Kennedy Stoskopf Laura Borkenhagen 315-17 Khan SU, Atanasova KR, Krueger WS, Ramierez A, Gray GC. Epidemiology, Geographical Distribution, and Consequences of Swine Zoonoses: A Narrative Review Emerging Microbes and Infection, 2014; May;52(5):1762-5. doi: 10.1128/JCM.03522-13. Epub 2014 Mar 5. Bauerfeind 141-7 Derek Foster Bauerfeind 191-5, 276-9 Duke Honor Code Duke University is a community dedicated to scholarship, leadership, and service and to the principles of honesty, fairness, respect, and accountability. Citizens of this community commit to reflect upon and uphold these principles in all academic and nonacademic endeavors, and to protect and promote a culture of integrity. To uphold the Duke Community Standard: I will not lie, cheat, or steal in my academic endeavors; I will conduct myself honorably in all my endeavors; and I will not act if the Standard is compromised. Students are encouraged to review the Duke Honor Code: (http://www.integrity.duke.edu/new.html) 5
Plagiarism Plagiarism, of any kind, is not be acceptable and will result in an automatic failure and possible additional disciplinary action. See Duke Guidelines for plagiarism: http://library.duke.edu/research/plagiarism Attendance Policy Attendance is mandatory. Policy Related to Make-up Exams or Other Work Attendance and Make-up Work I expect you to attend and be prepared to participate in all class sessions. Personal issues with respect to class attendance or fulfillment of course requirements will be handled on an individual basis. 6