North Carolina Certified Rabies Vaccinator Training Program Module I. Introduction to the Certified Rabies Vaccinator (CRV) Program, the Law and Your. Module I Marilyn Goss Haskell, DVM MPH 1 2 Module I Objectives Review the history through the current state of the Certified Rabies Vaccinator Program and its implications for public health. Review results of the to local health directors and animal services staff. Identify key personnel responsible for implementing the program as outlined in the CRV law and Memorandum of Understanding. Discuss the certification process including minimal requirements, supervison, transfers and termination. Topics Part I Background and History of CRV training Current Training Status (May 1, 2014) CRV Law Local Health Director Appointment Training Requirements Certification Supervision Transfers, Termination 3 4 Background Lay Vaccinator Statute Established by law 1935 130A-185 Vaccination required. 130A-186 Appointment and certification of certified rabies vaccinator. No veterinarians in many counties Enhance public health rabies vaccination programs 130A-185. Vaccination required (a) Vaccination required. - The owner of an animal listed in this subsection over four months of age shall have the animal vaccinated against rabies. (1) Cat. (2) Dog. (3) Ferret. www.ncga.state.nc.us/enactedlegislation/statutes/html/ ByChapter/Chapter_130A.html 5 6 1
130A-185. Vaccination required (b) Vaccination only animal rabies vaccine licensed by the USDA and approved by the Commission; shall only be administered by (1) A licensed veterinarian (2) A registered veterinary technician under direct supervision of a licensed veterinarian. (3) A Status of the CRV Training Program 7 8 130A-186. Appointment and certification of The CRV Law 130A-186. Appointment and certification of Local Health Director shall appoint Participate in County Rabies Control Program Administer rabies vaccine only in appointed county Under direction of Local Health Director 9 10 130A-186. Appointment and certification of Training Requirements At least four hours of CRV training Demonstrate acceptable knowledge Administration of Rabies Vaccine to Animals Demonstrate acceptable procedures Certification CRV Examination I. Introduction to the CRV program, the Law and Your II. Epidemiology, Rabies Prevention and Control III. The Rabies Laws: the basics IV. Appropriate Vaccination Procedures 11 12 2
Vaccine Administration Training (VAT) CRV Checklist 130A-186. Appointment and certification of Supervision, Transfer and Termination Local Health Director Supervision of Performance Transfers: Letter of good standing Termination Letter; Reasons 13 14 Topics Part II Results of the Results of CRV MOU The of a CRV 15 16 Public Shelters for strays/adoptions Use of Public Shelters for 10 Day Confinements and Six Month Quarantines Figure 1. Does your county or city government maintain one or more public anmal shelters for the purpose of holding stray animals for reclaim or adoption? 1.8% 20.0% 78.2% a. Yes b. No c. Unknown Figure 2. Does your county or city government maintain one or more public animal shelters for the purpose of holding animals for rabies control measuressuch as a 10 day confinement (NCGS 130A-196) and/or a 6 month quarantine (NCGS130A-197)? 19.6% 19.6% 0.0% 58.9% a. Yes, 10 day confinement only b. Yes, 6 month quarantine only c. Yes, both 10 day confinement and 6 month quarantine d. No 1.8% e. Unknown 17 18 3
Figure 3. Number of Annual Rabies Clinics organized by the Local Health Director (n = 56) Certified Rabies Vaccinators 18 16 14 12 10 8 6 Figure 4. Do you allow Certified Rabies Vaccinators (NCGS 130A- 186) to perform rabies vaccinations in your county or city? 10.7% 0.0% 8.9% 3.6% 28.6% a. Yes, at county-held rabies clinics only b. Yes, at the county shelter only c. Yes, both at county-held rabies clinics and the county shelter 4 d. No, I am not interested in this 2 0 One Two Three More than three None 48.2% e. Other f. Unsure at this time 19 20 Collaborations with Veterinarians Figure 5. Do you have a relationship or agreement with one or more North Carolina licensed veterinarians to perform rabies prevention and control vaccinations in collaboration with your health department? 5.4% a. Yes, at county-held rabies clinics only 12.5% 19.6% 8.9% 53.6% b. Yes, at the county shelter only c. Yes, both at county-held rabies clinics and the county shelter d. No, I am not interested in this e. Unsure at this time % Dogs and Cats Vaccinated, 2013 Majority of LHDs estimated numbers of vaccinated animals; 39% provided Actual numbers Among Actual numbers of vaccinated animals: Range 0.7 -.23.5% Average 7.4% 21 22 Feral Cats Local Feral Cat Colony Ordinances All cats remain currently vaccinated against rabies (NCGS 130A-185) Neutered, Microchips Rabies Pre-EP for Caretakers Liability insurance Data on location and cat numbers over time Exotic and Dangerous Animals Possession of Exotic/Dangerous Animals NCGS do not address NC DPH recommends Adoption of a Local Ordinance Half of LHDs responding do have a Local Ordinance Non-human Primates; others Rabies; Herpes B virus; vicious attacks 23 24 4
Recommendations Develop a Plan to increase dog and cat vaccination rates and re-vaccination rates. Animal Control should require submission of Rabies Certificates; NCGS 130A-189 Recommendations Three Rabies Clinics per year, minimally; reminders, education.. Collaborations with Veterinarians at rabies vaccination clinics and shelters; consider vouchers. Request assistance from Veterinary Public Health for training and public education 25 26 Certified Rabies Vaccinator Memorandum of Understanding (MOU) CRV MOU 27 28 CRV MOU (1) I understand that I have been appointed by the local health director for the purpose of vaccinating dogs, cats and ferrets in his/her county and I will make myself available to participate in the county rabies control program. CRV MOU (2) I understand that I will not begin vaccinating dogs, cats or ferrets against rabies until I have received notification of successful completion of this class from either a state public health veterinarian or the local health director. 29 30 5
CRV MOU (3) I understand and agree that animals must be vaccinated against rabies in accordance with guidelines set forth by the vaccine manufacturer and the State of North Carolina. I understand and agree that any vaccination given to an animal outside the guidelines set forth by the vaccine manufacturer and/or the State of North Carolina is not a legal vaccination. CRV MOU (4) I have received and understand the information that demonstrates methods to determine the age of a dog or cat by dentition. 31 32 CRV MOU (5) I understand that vaccinating an animal outside of guidelines set forth by the vaccine manufacturer or any additional stipulations of my appointment set forth by the local health director or the state of North Carolina may result in the termination of my appointment as a CRV MOU (6) I understand that I alone am certified to vaccinate dogs, cats and ferrets against rabies and only in the county in which I am certified as directed by the local health director. I understand that it is not legal to allow other (non-certified) staff members to vaccinate dogs, cats or ferrets against rabies, even if they are under my supervision. 33 34 CRV MOU (7) I understand that I must provide a rabies vaccination certificate (such as NASPHV form 51) and a rabies vaccination tag for each dog, cat or ferret vaccinated against rabies. I understand that the vaccination certificate must be completed in its entirety and must be legible. General Considerations Vaccination of Animals Rabies 100% fatal zoonotic disease Eastern Raccoon Variant Rabies Epizootic; spillover Insufficient numbers of veterinarians in some areas of the state Support of LHD Rabies Prevention and Control Program Collaborate with Veterinarians 35 36 6
CRV Introduction Summary CRV program is unique, one of eight states CDC Guidance Veterinarian Capacity Take your responsibility seriously! Veterinary Public Health Contact Information 1902 Mail Service Center Raleigh NC 27699-1900 Phone: (919) 733-3419 FAX: (919) 733-9555 http://epi.publichealth.nc.gov/cd/diseases /vph.html 37 38 7