Global & Disaster Medicine

Archive for October, 2019

CDC: Pet Safety in Emergencies

CDC

Before an Emergency

To get started, familiarize yourself with the types of disasters that could affect your area and consider your options for providing care for your pet(s).

Disasters can happen without warning, so be prepared:

  • Make sure your pet(s) wear collars and tags with up-to-date contact information and other identification.
  • Microchip your pet(s) – this is one of the best ways to ensure that you and your pet are reunited if you are separated. Always be sure to register the microchip with the manufacturer and keep your contact information up to date with the microchip company.
  • Keep a leash and/or carrier near the exit.
  • Make sure you have proper equipment for pets to ride in the car (carriers, harnesses, pet seatbelts).
  • Prepare a Pet Disaster Kitso evacuation will go smoothly for your entire family. Ask your veterinarian for help in putting together your pet’s veterinary records.

Make a Plan

  • Plan where you and your pet will stay in case you need to evacuate your home. Pets may not be allowed in local shelters, unless they are service animals. Many disaster evacuation centers (such as Red Cross evacuation centers) do not accept pets and other animals.
    • Identify shelters or out-of-town friends or relatives where your pets and other animals can stay.
    • Locate boarding facilities or animal hospitals near your evacuation shelter and in the case you are unable to return home right away.
  • Create a buddy system in case you’re not home during an emergency. Ask a trusted neighbor who can check on your animals and can evacuate your animals if necessary.
  • Locate a veterinarian or animal hospital in the area where you may be seeking temporary shelter and add the veterinarian’s contact information to your emergency kit.

Create an emergency kit for your pet

Prepare an emergency kit for your pet ahead of time.

  • Purchase a pet carrier for each of your pets (write your pet’s name, your name, and contact information on each carrier).
  • Food and water for at least 2 weeks for each pet
  • For cats: litter box and litter
  • For dogs: plastic bags for poop
  • Medications for at least 2 weeks
  • Medical records, including record of vaccination for rabies and other diseases, prescription medications, and medical history.
  • Sturdy leashes or harnesses
  • Microchip number
  • Contact information (cell phone, work phone, home phone) of owner and close relative or friends

Practice evacuating your pet

  • Train your pets to be in their carriers by making it a comfortable place.
  • Practice transporting your pet by taking them for rides in a vehicle similar to one you would be evacuating in. If you do not have a car, make arrangements with neighbors, family, and friends. You can also contact your local government to learn about transportation options during a disaster.
  • Know where your pet might hide when stressed or scared. Practice catching your pet, if needed.
  • For cats, you can practice removing your cat from his/her hiding spot and using your cat’s carrier, a pillowcase, a sturdy box — anything to get your cat quickly out of harm’s way.
  • Have your entire family practice evacuating with your pets so everyone knows what to take, where to find the pets, and where to meet.

During an Emergency

If you don’t have a plan and need information quickly in an emergency, contact:

Local Animal Shelters
Search for local shelters and rescue groups on Petfinder’s Shelter Centerexternal icon. Local animal shelters may be able to offer advice on what to do with your pets if you are asked to evacuate your home.

Local Government
Local government animal control or service agencies can provide guidance on how to protect your pets in an emergency.

Relief Organizations

RedRover shelters and cares for animals displaced by natural disasters and other crises in the United States and Canada. If you need sheltering assistance, please call RedRover at (800) 440-3277 or visit RedRover.orgexternal icon.

Sheltering during an evacuation

  • Remember, during a disaster, what is good for you is good for your pet. If you leave your pets behind, they may be lost, injured – or worse. Never leave a pet chained outdoors.
  • Contact your local emergency management office and ask if they offer accommodations for owners and their pets. If accommodations are needed for your pet(s):
    • Contact local veterinary clinics, boarding facilities, local animal shelters, family or friends outside the evacuation area, or a pet-friendly hotel, particularly along evacuation routes.
    • Visit the Humane Society websiteexternal iconexternal iconto find a shelter in your area.
  • Remember to take your pet’s emergency kit with you.
  • Learn what to expect if you take your pet to an evacuation center.

Sheltering in place

When sheltering at home with your pet, make sure the room chosen is pet-friendly in the following ways:

  • Select a safe room, preferably an interior room with no (or few) windows.
  • Remove any toxic chemicals or plants.
  • Close off small areas where frightened cats could get stuck in (such as vents or beneath heavy furniture).

Diseases that can spread between pets and people during a natural disaster

Natural disasters can contribute to the transmission of some diseases. Exposure to inclement weather conditions, stagnant water, wildlife or unfamiliar animals, and overcrowding can put your pet at risk for getting sick. Some of these illnesses can be transmitted between pets and people (also known as zoonotic diseases or zoonoses). Some common disaster-related diseases that pets can pass to people are the following: rabies, leptospirosis, and diseases spread by mosquitoes, fleas, and ticks.

  • Rabies is a virus that affects the nervous system in both animals and people. Rabies is transmitted through bites from rabid animals or through contact with their saliva. To protect you and your pet: Report any bite wounds to medical personnel immediately. Practice safe handling of pets in a stressful situation. Keep your pet in a carrier or on a leash. Do not allow your pet to interact with other animals
  • Leptospirosis is a bacterial disease found in the urine of infected animals that can cause kidney damage and affect other organs. It is transmitted through contact with infected urine or contaminated water, soil, and food. Wash your hands after coming in contact with urine. Avoid stagnant water, especially after flooding occurring after natural disasters. Don’t allow pets to play in or drink contaminated water.
  • Diseases spread by mosquitoes, fleas, and ticks: Mosquitoes, fleas, and ticks are common pests of stray animals and can be a problem immediately following a disaster situation. Their bites irritate the skin and may also spread a variety of diseases (Lyme disease, West Nile virus) harmful to both people and animals. To help prevent illnesses associated with mosquitoes, fleas, and ticks: Keep your pet away from wildlife and stray animals. Talk to your veterinarian about the use of a regular preventative treatment for fleas, ticks, and parasites for your pet.
Cat lying down inside a crate with the door open.

How to Keep Yourself and Your Pets Healthy During a Disaster

  • Wash your hands after handling your pet, its food, or its waste.
  • Do not let your pet lick your face or hands.
  • Keep your pet up-to-date on all vaccinations and heartworm, flea, and tick preventatives.
  • Practice safe handling of your pet, because your pet may behave differently during a stressful situation.
  • Keep your pet in a carrier or on a leash.
  • Do not allow your pet to interact with other animals, especially wildlife and stray animals.
  • Report any bite wounds to medical personnel immediately.
  • Properly clean and disinfect cages and litterboxes. Wash your pet’s bedding regularly.
  • Avoid stagnant water, especially after flooding occurring after natural disasters.
  • Don’t allow pets to play in or drink contaminated water.

After an Emergency

After an emergency, familiar scents and landmarks may have changed. Pets can become confused and lost, so it’s important to keep pets on leash or in a carrier when they’re being transported or when you go outside. Some hazards to be aware of for pets and people include snakes and other wildlife, especially after flooding, and downed power lines.

Returning home

  • Check your home for sharp objects, spilled chemicals, and exposed wiring to protect your family and your pets from injury.
  • The behavior of animals may change dramatically after a flood, flash flood, thunderstorm, or hurricane. Normally quiet and friendly animals may become irritable.
  • Monitor animals closely and only release them in a safe and secure environment.
  • Contact a veterinarian if you notice any signs of stress, discomfort, or illness in your pets.

Finding a lost pet

  • Make sure that your family is in a safe location before you begin your search.
  • If you are in a shelter that houses pets, inform one of the pet caretakers. Give the pet caretaker a missing pet flyer.
  • Many shelters and organizations will house pets lost during disasters. Contact your local humane society, animal welfare organization, or county or state animal response team to find the shelters or organizations near you. . The National Animal Rescue and Sheltering Coalitionexternal icon may also be able to help find the right local response organization.
  • In addition to shelters and rescue organizations, you can contact local animal control about your lost pet and post missing pet flyers in the area once conditions are safe.
  • If your pet has a microchip, call the microchip company to let them know your pet is missing and make sure all the information about your pet including your current contact information is updated and current.

Pet first aid

  • Emergency treatment and first aid for pets should never be used as a substitute for veterinary care. But, it may save your pet’s life before you can get your pet to a veterinarian.
  • The American Veterinary Medical Associationexternal icon offers specific advice for basic first aid in the case of poisoning, seizures, fractures, external and internal bleeding, burns, choking, heatstroke, and what to do if your pet has no heartbeat or is not breathing.
Parrot in a cage

Tips for handling injured pets

  • Never assume that even the gentlest pet will not bite or scratch if injured.
  • Pain and fear can make animals unpredictable or even dangerous.
  • Don’t attempt to hug an injured pet, and always keep your face away from its mouth, which might scare the animal more or cause them pain.
  • Perform any contact with your pet slowly and gently.
  • Stop if your animal becomes more agitated or stressed.
  • Try to get your pet to a veterinarian as quickly as possible without risking injury or illness to yourself or your family.
Resources

In Venezuela, a crumbling economy and the collapse of even basic state infrastructure means drinking water is risky

NYT

  • “….Venezuela’s current rate of infant mortality from diarrhea, which is closely related to water quality, is six times higher than 15 years ago, according to the World Health Organization…..”
  • “…..In the latest study, 40 samples were taken from the capital’s main water systems and tested for bacteria and for chlorine, which keeps water safe. The study also tested alternative water sources used by city residents during supply outages.  One third of the samples did not meet national norms……”
  • “….Now, the Inter-American Development Bank estimates only 30 percent of Venezuelans have regular access to safe drinking water, compared to 60 percent in 2000. …..”


J-IDEA, the Abdul Latif Jameel Institute for Disease and Emergency Analytics will rapidly respond to emergencies such as epidemics, extreme climate events, and natural and humanitarian disasters.

Imperial College

“…..J-IDEA will tackle crises, such as Ebola and MERS, alongside longer-term global priorities, including the impact of climate change on health, using cutting-edge data science and public health research to deliver policy insights.

The new institute brings together the world’s foremost epidemiologists, biostatisticians, medics and data scientists as they break down barriers between academic expertise and on-the-ground impact. ….”

J-IDEA

“……J-IDEA brings together over 200 researchers working on global health within Imperial College’s School of Public Health. Partnering with governments and international institutions, J-IDEA advances methods and real-world application of data analytics to identify and support effective actions and high priority investments into population health globally – both in responding to crises but also in identifying the cross-cutting investments which will build strong and resilient health systems better able to meet future health challenges and threats…..”


Tornado in Dallas: “Considering the path the storm took — it went across a pretty densely populated part of our city — we should consider ourselves very fortunate we didn’t lose any lives; [there were] no fatalities and no serious injuries,” Dallas Mayor Eric Johnson said at a news conference Monday.

NPR


Pacific Palisades Fire: The evacuations encompassed about eight residential blocks and roughly 200 homes


Typhoon Bualoi (22W) – Western Pacific

Situation: (Advisory #10 as of 5:00 a.m. EDT) • 100 miles E of Saipan, moving NW at 10 mph

• Maximum sustained winds 110 mph (CAT 2)

• Expected to intensify further over the next few days

• Typhoon-force winds extend 45 miles; tropical-storm-force winds extend 150 miles

• Typhoon Warning & Flash Flood Watch in effect for Tinian & Saipan; Tropical Storm Warning in for Agrihan, Pagan, and Alamagan

 

Lifeline Impacts: All lifelines remain Green (Region IX SLB as of 11:00 p.m. EDT)

Food, Water, Sheltering:

• Shelters: Saipan: 8 open with 312 occupants; Tinian: 1 open with 16 occupants; Rota: all closed (Region IX Incident Report Update #7)

Health & Medical: Saipan: Hospital has two weeks supply of water and generator fuel; medical supplies for two months

Communications:

• Tinian: 1 cell tower on generator power (due to Hagibis)

• Saipan: 2 cell towers taken offline as a precaution

Transportation:

• Port condition Zulu (closed) for Tinian, Saipan and Rota;X-Ray (open with restrictions) for Guam

• Airports: Saipan is closed; all other airports remain open
State / Local Response:

• Emergency Declaration FEMA-3425-EM-CNMI approved on October 20, 2019 • CNMI EOC at Full Activation (day shift) o Typhoon Condition I for Saipan and Tinian o Typhoon Condition III for Agrihan, Alamagan and Pagan

 

FEMA / Federal Response:

• FEMA Region IX at Steady State

o Region IX IMAT-2 staged in Guam pending deployment to CNMI

o 2 LNOs deployed to Guam; 2 deployed to CNMI

o MCC and select ESFs activated

• NWC at Steady State

• 1 ISB/SMT team deployed to Guam

• MERS staged in Guam pending deployment to CNMI

 

 

 

 

 


The Early Years of the Strategic National Stockpile (SNS)

Domestic Preparedness

“……..In just 20 years, the SNS – now managed by the U.S. Department of Health and Human Services’ (HHS) Assistant Secretary for Preparedness and Response (ASPR) – has grown to a $7 billion enterprise poised to respond to a variety of public health threats. These threats include anthrax, botulism, smallpox, plague, tularemia and viral hemorrhagic fevers, as well as emerging infectious diseases, pandemic influenza, natural disasters, and other chemical, biological, radiological, and nuclear incidents……..”


Cyanide Soup: A Gentlewoman’s Guide to Murder

NYT

“…….The police now say she is one of India’s most cunning serial killers, with cyanide her weapon of choice, served up in soups, snacks and ayurvedic beverages.

Her name is Jolly Joseph, and the authorities say she has confessed to killing six family members over the span of 14 years, including her husband, his parents and a 2-year-old niece. Officials, who say she will be charged with six counts of premeditated murder, accuse her of trying to inherit valuable property and other assets held by the family she married into……”


Two potential drugs have shown a survival rate of as much as 90% in a clinical trial in the Democratic Republic of Congo (DRC).

The Sun

“…..The experimental treatments – REGN-EB3 and a monoclonal antibody called mAb114 – were both developed using antibodies from Ebola survivors.

They are now going to be offered to all patients in the DRC, according to US National Institute of Allergy and Infectious Diseases…..”

Medscape

“……The European Medicines Agency (EMA) Committee for Medicinal Products for Human Use (CHMP) has recommended approval of the V920 Ebola Zaire vaccine (Ervebo, Merck ), the first vaccine to protect against the Ebola virus disease caused by Zaire Ebola virus in at-risk adults aged 18 years or older…..”


WHO: Disease outbreak news Ebola virus disease – Democratic Republic of the Congo Disease outbreak news: Update 17 October 2019 The number of confirmed cases of Ebola virus disease (EVD) has been relatively low in recent weeks, with 15 new confirmed cases

WHO

“……As of Tuesday, there have been 3,227 confirmed or probable cases and 2,154 deaths since the outbreak began in August 2018, so the fatality rate is still high at 67 percent, despite the rollout of two highly effective treatments.

The treatments — infusions of antibodies — work only if they are given soon after a patient is infected…….”


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