Don't be a Fomite! Principles of Disease Transmission in Shelters Erin Henry, VMD Swanson Intern in Shelter Medicine Cornell University College of Veterinary Medicine Outline • Why is disease transmission important for • • you to know about in a shelter environment? Principles of disease transmission. How some of the most common shelter diseases are transmitted Why do I need to know about disease transmission in shelters?! • Because YOU can help! • Prevention and control of disease outbreaks. • Because it will help keep your pets at home safe too! What determines whether or not a disease is “successfully” transmitted? • Many factors o “Susceptibility” of the potential host o Infectivity of the infectious agent o Route of exposure Modes of Disease Transmission Horizontal Transmission Vertical Transmission Transmission In Utero Transmammary Transmission Indirect Transmission Transmission During Delivery Direct Transmission Droplet Transmission Airborne Transmission Vector Transmission Fomite/ Environmental Transmission Direct Contact Transmission Direct Transmission: Direct contact transmission Transmission via body surface to body surface contact. Direct Transmission: Droplet transmission When small infectious droplets travel a short distance from the infectious animal and come into contact with a susceptible animal's mucous membranes. Droplet Transmission (cont.) “Dude! Cover your mouth!” “Grosssss! You spit on us!” “ACHOO!” Indirect Transmission: Airborne transmission Infectious disease particles that remain suspended in the air for prolonged periods of time, and are capable of traveling long distances. Indirect transmission: Vector transmission When a disease passes through another species before infecting another animal (of the same or different species. Indirect transmission Environmental/fomite transmission When a susceptible animal comes into contact with a contaminated environment or a FOMITE! “AHHHHHHHH, FOMITES!!!” “What’s a fomite???” The shelter world is full of fomites... A fomite is any object capable of carrying infectious organisms from one individual and transferring it to another. ...and YOU can be one too! But how does this apply? Canine Kennel Cough Complex What do you think is the most common mode of transmission? a) direct contact b) indirect-airborne c) indirect- fomites d) indirect- vectors e) vertical transmission Canine Parvovirus What do you think is the most common mode of transmission? a) direct contact b) indirect-airborne c) indirect- fomites d) indirect- vectors e) vertical transmission Feline Panleukopenia What do you think is the most common mode of transmission? a) direct contact b) indirect-airborne c) indirect- fomites d) indirect- vectors e) vertical transmission Feline upper respiratory tract diseases What do you think is the most common mode of transmission? a) direct contact b) indirect-airborne c) indirect- fomites d) indirect- vectors e) vertical transmission Dermatophytosis What do you think is the most common mode of transmission? a) direct contact b) indirect-airborne c) indirect- fomites d) indirect- vectors e) vertical transmission Take-Home Messages • • • Factors influencing transmission o Animals’ statuses, infectivity of the agent! Shelter set-up will often determine the most likely mode of transmission for diseases in your shelter! Modes of transmission o Fomites, fomites, FOMITES! Any questions? References: Appel LD and Barr SC. 2009. “Canine Parvovirus and Coronavirus.” in Infectious Disease Management in Shelters. eds. L Miller and K Hurley, 197-208. Ames, IA: Wiley-Blackwell. Baldwin CJ. 2009. “Canine Kennel Cough Complex.” in Infectious Disease Management in Shelters. eds. L Miller and K Hurley, 147-160. Ames, IA: Wiley-Blackwell. Foley J and Bannasch M. 2004. “Infectious Diseases of Dogs and Cats.” in Shelter Medicine for Veterinarians and Staff. eds L Miller and S Zawistowski, 235-284. Ames, IA: Blackwell Publishing. Hurley KF and Miller L. 2009. “Introduction to Disease Management in Animal Shelters.” in Infectious Disease Management in Animal Shelters. eds L Miller and K Hurley, 5-16. Ames, IA: Wiley-Blackwell Moriello KA and Newbury S. 2009. “Dermatophytosis”. in Infectious Disease Management in Shelters. eds. L Miller and K Hurley, 243-273. Ames, IA: Wiley-Blackwell. Scarlett JM. 2009. “Feline Upper Respiratory Disease.” in Infectious Disease Management in Shelters. eds. L Miller and K Hurley, 125-146. Ames, IA: Wiley-Blackwell. Spindel M. “Infection Control for Home Based Foster Care.” ASPCAPro. www.ASPCAPro.org Tuzio H. 2009. “Feline Panleukopenia.” in Infectious Disease Management in Shelters. eds. L Miller and K Hurley, 183-195. Ames, IA: Wiley-Blackwell.