The first wave of high-risk people received vaccinations a few weeks ago.  The high-risk category includes infants, pregnant women, the elderly and the immunocompromised. Tonight’s clinic offered the vaccine to people in the lower-risk category, including healthy people between the ages of 6 months and 24 years. I was excited to be able to receive a vaccine, but even better was that I didn’t pay anything – a college student’s dream.

As with most free things, the line was unbelievably long. Unfortunately I didn’t remember Doug’s advice to always carry my camera around, but the sight was pretty crazy with a long line snaking out of the building and police directing traffic. It made me wonder what the scene would look like if the virus being vaccinated against was more pathogenic or more virulent. Would the Riley County Police Department be able to handle the panicked Manhattan-ites? Would the health care staff manning the clinic be able to herd people through as efficiently?

After some Internet wandering I found the Kansas Department of Health’s Pandemic Flu Preparedness and Response Plan.  It looks like a decent plan, but I’m having a hard time imagining it working well after tonight’s mild chaos outside the clinic. Thankfully H1N1 is not as deadly as Ebola.  Perhaps the H1N1 scare is just a practice run for future bioterrorism?

For more information about where to get an H1N1 vaccination in Kansas you can visit the Kansas Department of Health and Environment H1N1 Flu Virus homepage.  For other locations throughout the US, or to learn more about the seasonal flu and H1N1, visit Flu.gov

I also got this awesome sticker to put on my computer at school:

There have been some arguments made for and against patrons bringing pets to stores. Some say their personal pets are like “children” to them, as if they are another family member, but bringing pets into stores is not a good idea for public safety in a microbiological sense and also a physical sense. I hate tripping over toddlers at Walmart, and I don’t want to add tripping on leashes or small dogs to this problem.

By law, grocery stores must allow service dogs into grocery stores.  According to the Americans with Disabilities Act, business owners may ask if an animal is for service, yet they cannot require a customer to show certification or other proof that an animal is certified. In fact, legitimate service animals aren't always certified. (For more information on the law, call 1-800-514-0301.) A quick search on Google brought up Service Animal IDs for $30, no verification paperwork needed. This ID doesn’t classify the animal as a service animal, but most people aren’t able to tell the difference between the real thing and phonies. IDs such as this one could allow anyone to bring a pet into a store selling food, and most likely store managers wouldn’t do a thing about it.

Separating the true service dogs from the personal pets makes it hard for those that rely on their service animals for help with a disability.  The ADA defines a service animal as any guide dog, signal dog, or other animal individually trained to provide assistance to an individual with a disability. If they meet this definition, animals are considered service animals under the ADA regardless of whether they have been licensed or certified by a state or local government.

Most people think of service dogs as performing functions such as leading the blind and opening doors, but they are also psychiatric service dogs that help people with psychological problems. Unfortunately there is where the lines become very grey. Assistance Dogs International has three categories: guide dogs for the blind and visually impaired, hearing dogs for the deaf and hard of hearing and service dogs for people with disabilities other than those related to vision or hearing. Service dogs may be needed by people with disabilities that are not visible and perform activities such as alerting of oncoming seizures or a variety of psychiatric disabilities. While grocery store owners are allowed to ask if an animal is a service animal or pet, they are not allowed to ask what their disability is (if not visible).

This issue spins round and round. Untrained animals shouldn’t be brought into areas of food. But disabled people need service animals present to help with disabilities. But pets may not be able to be distinguished from service animals, and patrons may abuse the fact that the store owner can’t ask what their disability is. But the store owner has a right to exclude pets from areas with food for sale.

The long and the short of it is, there isn’t a federal regulatory agency that dictates how these animals are certified as service dogs. Even if we did have the regulatory agency, would that ensure resolution of all the service animal disputes? Of course not, just as the existence of the FDA and USDA doesn’t ensure the 100% safety of our food supply.

Now to defend myself, when serving I wore my food-serving plastic gloves in aseptic fashion. I didn’t touch my face with my fingers or sneeze into my hands. I wish there would’ve been hand sanitizer available before I put my gloves on, because serving food hygienically involves a combination of good hand washing and regular glove changes.  We only had one server touching food directly (handing out burger buns) and everyone else used a utensil such as a spoon, knife or tongs to serve food along with gloves. During the slower parts of the afternoon, I would take breaks to chat with people and often drift over to see the birds, Monty and Apple (right). They are very charming little creatures, so I took full advantage of holding them and kissing them (glove-free).  

Lo and behold, who shows up to Cat town but my food-safety boss Doug Powell. He eyes my classmate and I suspiciously as we hold the birds on our fingers and give them kisses on the beak, all while enjoying burgers and cake (pretty much doing everything the CDC recommends avoiding).  Amy and Sorenne got an especially close look at the birds. In the background Doug said, “Keep that Salmonella factory away from my baby.” There’s the Doug I know, always thinking about the potential pathogens.

Later in the afternoon I chatted with my classmate about her food safety practices with the birds. She goes on to tell me that she frequently consumes food around her birds, and has never had any sickness in the past that could be related to the birds. While feeding the birds potatoes salad from her own fork, she tells me that she may have gotten Salmonella from them in the past, but she’s been around them so much that her body may have developed a tolerance to the bacterium. She has never has them tested to see if they carry Salmonella in their feces, though most birds do.

I’m thankful that my classmate has never had any sickness related to her birds, but that may not be the case for the rest of the nation. The young, elderly and other immunocompromised individuals are most likely to contract a zoonotic disease when handling pets. Practicing good food safety habits such as washing your hands thoroughly and cooking your meat to the proper temperature can help reduce the risk of food borne disease. Also, don’t kiss animals to allow them to lick your face, especially not in front of your boss.

According to the news story, nine-year-old Elizabeth was hand feeding a zebra at a petting zoo when it took off nearly all of her right pinkie finger. "It actually grabbed onto my hand and took it back a little bit. My papa had to smack it a few times to get my hand back. I was really scared," she said. Elizabeth is recovering with her bandaged half-pinkie and she’s also receiving a series of seven rabies shots.

"I still couldn't believe it happened. It's not something you hear every day that your daughter's finger has gotten bitten off by a zebra," explained Elizabeth's mom, Kristy Ross (left). "I just assumed if they're giving me the food to feed them it will be OK. It's going to be safe."

Unfortunately those assumptions didn’t protect the little girl from the zebra. I can see the appeal of feeding goats and sheep, but zebras?! They’re unpredictable animals and have been known to rear up and kick or bite attackers when cornered. In the case of Elizabeth in NC, there’s not just one person to blame. The petting zoo owner admitted that two kids and one volunteer have been bitten in the last couple of years at his zoo, yet he didn’t remove the zebra from the exhibit. Maybe the owner should replace it with a Tijuana zebra.  And as Elizabeth’s mom incorrectly assumed, being given food to feed a zebra doesn’t automatically make the zebra safe.

Animal behavior problems aside, I wonder how many of the petting zoo animals are infected with E. coli?  Are there hand washing stations nearby? 

To the right is a picture I took at the state fair last year.  Luckily I wasn't bit.

Michelle Mazur and Stephan Gibson, both class of 2012, spent the summer working at Plum Island Animal Disease Center (PIADC). The opportunity was made available through a cooperative effort between the Oak Ridge Institute for Science and Education, United States Department of Agriculture and Department of Homeland Security. Each student spent 12 weeks working in the facility in Plum Island, N.Y., on an assigned project.

Michelle worked in veterinary pathology on a study investigating the pathogenesis of foot-and-mouth disease (FMD) in persistently infected animals, while Stephan assessed the usefulness of a lymphocyte blastogenesis assay for measuring the T-cell response of cattle to FMD vaccine trials.

Both students gained valuable laboratory experience as well as experience in working in a biocontainment laboratory. PIADC is classified as a biolevel 3 facility, and it is the only place in the U.S. where scientists can conduct research and diagnostic work on FMD.

In addition to working on their respective projects, Stephan and Michelle also had the opportunity to attend a two-week intensive Foreign Animal Disease Diagnostician course. They heard a series of lectures describing the pathogenesis and characteristics of 20 different foreign animal diseases, and observed clinical cases and necropsies of each disease.

The FMD project opened my eyes to all the possibilities for vets in foreign animal diseases.  Here's hoping the NBAF will break ground soon to open the job market a bit more.

VIN (Veterinary Information Network) reports:
There is no known cure for Hendra virus (genus Henipavirus, family Paramyxoviridae). The disease gets its name from the Brisbane suburb where it was first isolated in 1994, from specimens obtained during an outbreak of respiratory and neurologic disease in horses and humans, reports the Centers for Disease Control and Prevention (CDC). Humans become ill after exposure to the body fluids of horses infected with the virus. The natural reservoir for Hendra virus is suspected to be Australia’s flying foxes.

Veterinarians are more at risk to contract Hendra since they are the most likely to spend time with sick horses. A survey of 4,000 vets conducted by the CDC through the American Veterinary Medical Association found that even though vets were concerned about zoonotic disease, the concerns didn’t translate to better biosecurity practices. The results of this study highlight the need for veterinarians to put biosecurity practices into action and establish standard procedures to reduce infection of vets and their staff.

The Compendium of Veterinary Standard Precautions for Zoonotic Disease Prevention in Veterinary Personnel was published in the Aug. 1, 2008 Journal of the American Veterinary Medical Association. The 18-page document gives guidance on everything from isolating animals with infectious diseases to cleaning and decontamination. Its appendixes address zoonotic diseases of importance in the US as well as the characteristics of disinfectants.

The Australian Veterinary Association said:
Vets around Australia are mourning the death of Dr Rodgers.  It is absolutely devastating to lose another vet so soon, and we must do everything within our power to stop this from ever happening again. All indications are that Hendra is here to stay. It is probable that cases will emerge in states other than Queensland. Governments around Australia need to take this disease seriously right now and invest in measures to address the problem.

Learn more about Hendra through ABC’s Catalyst.

Drinking the communion wine always felt like a bit of Russian roulette for me. How healthy was the person who drank before me? During the winter when the whole church was coughing and hacking, I decided to skip it entirely. I had accepted the fact that this public health nightmare would continue indefinitely. St. Isidore’s new policy of discontinuing communion wine is definitely a smart move to join the “avoid H1N1” campaign.

The policy for distributing communion wafers has always been to wash your hands before the service starts, but now there is also a bottle of antibacterial available to use immediately before giving out communion. St. Isidore’s is just one of many churches around the country (and globally) implementing these anti-flu strategies. The virus once known as swine flu has affected the practices of Christians and Muslims, especially in Great Britain.

The archbishops of Canterbury and York said the church's worship needed to "take into account the interests of public health during the current phase of the swine flu pandemic."

The Muslim Council of Britain has released guidelines to Muslims urging imams and mosque committee members to increase the awareness among the Muslim community about the dangers of using communal towels during cleansing ceremonies before worship.

As far as working against H1N1, it’s a good step in the right direction. Even once the pandemic has blown over, shouldn’t these practices stay in place to prevent future diseases?

Stephan represents the other side of the spectrum, more of a “the more bugs I’m exposed to, the more my immunity builds.” This is definitely a valid viewpoint. Hand sanitizer opponents say that antibacterial soaps and gels may cause more harm than good. They remove bad bacteria, but can also remove the good bacteria, the bacteria that protect skin surfaces from the bad bacteria. Antibacterials may also help breed drug-resistant bacteria.

It’s a tricky tightrope to walk. Washing your hands before eating is a good way to reduce your risk of foodborne illness, but removing too much beneficial bacteria from skin surfaces or gut can leave the body more susceptible to harmful bacteria and may cause allergic or autoimmune reactions.

The bottom line is that regular soap works great in moderation, and it should always be used before consuming food or sticking your fingers in your mouth. What kind of soap is best? I tend to lean towards the foaming liquid soap, mostly because it comes in great scents, but basically soap is better than no soap. Follow Doug’s mantra to wash your hands and don’t eat poop.

Last weekend I went with a group of friends to see the new Transformers movie. First thing I did once I got my ticket was check out the concessions. I decided I wasn’t interested in popcorn at the time, but then I saw something that caught my eye. There was a quick flash and a squeak as a mouse scurried from one small hole to another within the baseboards of the concession stand. Then I REALLY didn’t want popcorn.

The sad part was, I had visited the same theater two weekends before to see Angels and Demons. While chatting in the lobby after the movie, my friends and I had seen a small mouse scurry across the floor between the two holes in the base of the concession stand. I considered reporting it to the management, but we had seen a 10pm showing, so the lobby was nearly deserted afterwards, with no management in sight. I brushed it off, but the second time I saw the mouse during my Transformers visit, that was the last straw for me. I reported the mouse to a senior manager, who didn’t seem too concerned, but assured me that he would look into the problem.

I guess all I can do is report the problem, but I can’t help but feel like the staff was already aware of the mouse problem and just chose not to worry about it. Surely one of the concession workers had found some mouse droppings somewhere. Two mouse sightings within two visits to the theatre seem a bit extreme. Yet most of the ratings I found for the facility didn’t voice any complaints about cleanliness of the concessions. The only red flags were that the bathrooms were dirty, but fortunately I didn’t visit the bathrooms there.

If the staff has begun steps to rid the building of mice, I wonder how long it will take. If they haven’t done anything yet, I wonder how long it will be before someone finds mouse droppings in their popcorn.

Unless Allen’s Canned Vegetables wants to start listing “dead rat” on it’s ingredient list, a thorough cleaning and inspection of the packing facility is in order.