COMMUNICABLE DISEASE CONTROL AND PREVENTION
VETERINARY PUBLIC HEALTH AND RABIES CONTROL
Overview of Zoonoses
Today, infectious animal diseases are a major cause of morbidity and mortality in Los Angeles County. These diseases will persist beyond our life-times, therefore prudent measures must be taken today to prevent and control disease tomorrow. Controlling disease now reduces our future health expenditures. Treatment of end stage disease can be very expensive and may not be effective.
Close agreement on the importance of surveillance and an active, trained work force to control disease exists among public health professionals. Disease surveillance/prevention/control requires a solid foundation in basic detection and control measures. Wishful thinking and expressions of concern have no impact on disease. Control of disease can be accomplished only through concrete, specific actions geared toward protecting the community as a whole.
There are more than 200 diseases of animals transmissible to people (zoonoses) currently causing a wide variety of human illness. In addition, as yet undefined zoonotic diseases probably exist that pose infectious risks for people. The Institute of Medicine reported on various factors implicated in the emergence of infectious diseases within the United States and insisted that, "The significance of zoonoses in the emergence of human infections cannot be overstated." Effective control of many human zoonoses first, or concomitantly, requires control in animals. The role of simian immunodeficiency virus, which is closely related to human immunodeficiency virus-2 presents fertile territory for speculation and investigation.
These emerging, infectious diseases illustrate why an effective surveillance system is vital to community disease control. An early warning mechanism gives local authorities time to put control measures into effect to reduce the community's health care costs. The development of a proactive approach to public health includes having trained staff who can quickly enact control measures.
The world is becoming smaller as we approach the twenty-first century. We increasingly find that our neighbor's disease problems become ours. This is particularly true in Los Angeles County with such cultural and animal diversity.
Over 100 years of experience has shown animal and human health are closely related.
Like people, domestic animals and wildlife are exposed to infectious diseases and environmental contaminants in the air, soil, water, and food and they can suffer from acute and chronic diseases from such exposure. Often animals serve as disease sentinels, or early warning systems, for the community.
Some advantages of using animals as sentinels include: lower cost, shorter latency of disease development and greater ease of obtaining tissue samples and autopsy data. Sentinel animals have shorter life spans than people and diseases with long latency periods will manifest themselves in sentinel animals before people. To understand what is happening in animals requires regular and systematic analysis of data to identify health hazards. Sick animals can alert people to environmental dangers just as a barking dog alerts its owner of an intruder.
Animal surveillance for such infectious diseases a: bubonic plague, equine viral encephalomyelitis, hantavirus, and rabies is done routinely by health departments. Animal outbreaks of these diseases typically precede human outbreaks, allowing time for preventive action to reduce or prevent human cases.
Animals can also reveal health hazards associated with environmental pollution. Environmental diseases are highly preventable causes of morbidity and mortality. The classic example was the use of canaries in mines. The simplicity of the system exemplifies the ease with which some animal sentinel systems can be used.
In the 1950s, Japanese veterinarians recognized "dancing cat fever" in local cats in the fishing village of Minimata, then a similar disease appeared in fishermen and their families. Investigation revealed the source of the outbreak to be mercury poisoning in locally caught fish. Fish off the coast of Los Angeles are contaminated with DDT. Since 1965, birds have been used for an indication of pesticide contamination in the United States.
In Chicago, a study during the 1970s revealed that children who lived in households with dogs that had high blood concentrations of lead were six times more likely to have high blood lead concentrations themselves.
The director of health services is accountable for all reportable human diseases in Los Angeles County. Since 1972, the director is also accountable for all reportable animal diseases. Medical practitioners are legally required to report such diseases to the local health authorities, who in turn are required to investigate the reports and take whatever action is necessary to control the disease. Generally, any person having knowledge of any disease outbreak, or the occurrence of a case of an unusual disease, shall promptly notify the health authorities. Such a reporting requirement of sentinel cases is crucial if we want to effectively control disease. Disease containment requires the ability to determine the cause of disease, or death, so a logical approach to control can be taken.
In California, over 45% of human diseases reportable to the California Department of Health Services are zoonoses (table 1). In 1997 it was confirmed that the prion causing bovine spongiform encephalopathy (mad cow disease) is also responsible for atypical Creutzfeldt-Jakob disease (CJD). This expands the list of zoonoses. In 1996, with the report of seventeen cases of atypical CJD, it was suspected the patients obtained the infectious prion from eating contaminated beef. Since first recognized in 1985, mad cow disease has caused the destruction of over a million cows in Britain The cows were exposed to the infectious agent in their food which had been contaminated with protein from sheep infected with scrapie (ovine spongiform encephalopathy). Twenty people in the United Kingdom have the new CJD variant and one person in France. All but one are dead. There is no known treatment for the disease in people or animals.
These neurodengerative diseases of people and animals have prolonged incubation periods, the appearance of widespread spongiform changes in the brain and production of an abnormal protein. These disorders were originally called subacute transmissible spongiform encephalopathies or slow virus diseases. There is no apparent antibody or cell-mediated immune response to the transmissible agent. The transmissible agents are resistant to commonly used physical and chemical inactivation methods or ultraviolet irradiation. In the United Kingdom, construction of massive incinerators were required to properly dispose of all the infected dairy cattle. Today, these diseases are called prion diseases and are seen in cattle, elk, mink, mule deer, people, and sheep.
In 1997, Lancet reported CJD, which was associated with consuming squirrel brains in people in Kentucky. In rural Kentucky, people scramble squirrel brains with eggs or put them in stews. This observation requires confirmation by studies of larger populations and a search for a prion agent in the brains of squirrels.
Acquired Immune Deficiency Syndrome (AIDS)
Botulism (Infant, Food borne, Wound)
*Ciguatera Fish Poisoning
*Colorado Tick Fever
Conjunctivitis, Acute Infectious of the
Newborn, Specify Etiology
Diarrhea of the Newborn, Outbreaks
*Domoic Acid Poisoning (Amnesic Shellfish
*Echinococcosis (Hydatid Disease)
*Encephalitis, Specify Etiology: Viral, Bacterial, Fungal, Parasitic
*Escherichia coli 0157:H7 Infection
*Food borne Disease
Haemophilus influenzae, Invasive Disease
Hemolytic Uremic Syndrome
Hepatitis B (specify acute case or chronic)
Hepatitis C (specify acute case or chronic)
Hepatitis D (Delta)
Hepatitis, other, acute
Kawasaki Syndrome (Mucocutaneous Lymph Node Syndrome)
Leprosy (Hansen Disease)
Meningitis, Specify Etiology: Viral, Bacterial,Fungal, Parasitic
Non-Gonococcal urethritis (ExcludingLaboratory Confirmed Chlamydial Infections)
*Paralytic Shellfish Poisoning
Pelvic Inflammatory Disease (PID)
Pertussis (Whooping Cough)
*Plague, Human or Animal
*Rabies, Human or Animal
Rheumatic Fever, Acute
*Rocky Mountain Spotted Fever
Rubella (German Measles)
Rubella Syndrome, Congenital
*Salmonellosis (Other than Typhoid Fever)
*Scombroid Fish Poisoning
Streptococcal Infections (Outbreaks of Any Type and Individual Cases in Food Handlers and Dairy Workers Only)
*Swimmer's Itch (Schistosomal Dermatitis)
Toxic Shock Syndrome
Typhoid Fever, Cases and Carriers
*Viral Hemorrhagic Fevers (e.g., Crimean-Congo, Ebola, Lassa and Marburg viruses)
In California, of animal diseases reportable to the California Department of Food and Agriculture (table 2) over 40% are zoonoses. Some zoonotic diseases on the two lists of reportable diseases over lap. Examples of such diseases include: anthrax, brucellosis, encephalomyelitis, erysipelas, listeriosis, rabies, and tuberculosis. There are other reportable animal diseases that occur in people and would be reportable to the health officer under Section 2503 - Occurrence of unusual diseases. Any person having knowledge of a case of an unusual disease not listed in Section 2500 shall promptly convey the facts to the local health officer.
Table 2. Animal diseases which all licensed veterinarians must report to the California Department of Food and Agriculture (Title 3, Division 2, Chapter 2, Article 9 - Reportable Animal and Poultry Disease).
A) Emergency Animal Diseases - report by telephone within 24 hours of discovery.
African horse sickness
African swine fever
*Ornithosis of poultry
*Rift Valley fever
*Viscerotropic velogenic newcastle disease
B) Domestic Diseases of Regulatory Importance - report by mail within 3 days of discovery.
Contagious agalactia of goats and sheep
Equine infectious anemia
Equine viral arteritis
Malignant catarrhal fever
*Rabies of livestock
There are also diseases of people which are transmissible to animals and such diseases are referred to as reverse zoonoses (table 3). Some of the more common reverse zoonoses are in table 3. Los Angeles County's most recent outbreak of reverse zoonoses started in 1996 with the death of two circus elephants with extensive tuberculosis (Mycobacteria tuberculosis) involving over 80% of their lungs. This year an elephant with tuberculosis (Mycobacteria tuberculosis) died at the Los Angeles Zoo and a second one with tuberculosis was transferred to the San Francisco Zoo. This month the Los Angeles County Public Health Laboratory confirmed Mycobacteria tuberculosis in eight different elephants. Regulations to control the spread of tuberculosis in elephants are under development.
Table 3 Reverse Zoonoses
Examples of infectious diseases of people occasionally transferred to animals and transferred back to people. Recently termed reverse zoonoses.
|AGENT||HUMAN DISEASE||ANIMAL DISEASE||ANIMALS|
|Infectious hepatitis||Hepatitis||Hepatitis||Nonhuman primates|
|Corynebacterium diphtheriae||Diphtheria||Ulcers on teats, mastitis||Cattle|
|Staphylococcus aureus||Furunculosis||Furunculosis, mastitis||Cattle|
|Streptococcus pyogenes||Pharyngitis, scarlet fever||Mastitis||Cattle|
|Giardia lamblia||Nausea, flatulence, diarrhea||None known||Beavers|
|Mycobacteria tuberculosis||Tuberculosis||Tuberculosis||Deer, dogs, elephants|
People contact zoonoses from interaction with bats, birds, insects, opossums and rodents to name a few. Forty-two wildlife diseases that people can catch are listed in table 4 in the appendix. Malaria is a classic example. It halted the first attempt to construct the Panama canal. The canal is an engineering marvel and a triumph over wildlife disease.
Actual construction of the Panama Canal began in 1882 by a French company. During seven years of digging, 22,000 men died of tropical diseases. This was equivalent to wiping out the entire construction crew twice, for the total number of men employed at any one time did not average more than 10,000.
The French canal builders did not know deadly malaria and yellow fever were caused by bites of certain mosquitoes. Mosquitoes and people serve as reservoirs for human malaria. Malaria also infects birds and lizards and monkeys. Jungle yellow fever infects monkeys. Serious errors were made in sanitation. French physicians were said to have ordered the legs of hospital beds placed in water to keep ants and other crawling bugs from the patients. The water became an additional breeding place for mosquitoes, which already were swarming in from marshes, streams, and pools in the hot, rainy region. The French abandoned their efforts.
During the Spanish-American War in 1898, the U.S. Navy sent the battleship Oregon from San Francisco to Cuba to reinforce the Atlantic fleet. The 13,000 mile trip around the tip of South America would have only been 4,600 miles through a canal. This convinced Congress that a canal was essential for national defense.
In 1902 the United States agreed to buy the concession of the French company for 40 million dollars. The United States paid Panama 10 million dollars plus 250,000 dollars a year for the use, occupation, and administration of a 10-mile-wide strip along the canal, 5 miles on each side. The United States took possession of the canal property on May 4, 1904.
The greatest obstacle to building the canal were the tropical diseases jungle yellow fever and malaria, for which there were no cures. Malaria comes from two Italian words that mean bad air. People gave the disease this name because of its association with the musty, bad-smelling air of swamps. Deaths of howler and spider monkeys in the forest in Central and South America was common with yellow fever. Two medical discoveries allowed the project to succeed. It was determined that malaria is transmitted by the bite of the Anopheles mosquito.
In 1900, Dr. Walter Reed, of the U.S. Army headed a commission to investigate an epidemic of yellow fever among American troops in the Spanish-American War. He and other physicians conducted a series of daring experiments in which several physicians and solders volunteered to be infected with the disease. Two died as a result. The experiments proved yellow fever was transmitted by the bite of mosquitos.
The first 2 ½ years were devoted to the careful preparation that brought health and efficiency when actual construction started. Proper sanitation and mosquito control made the Canal Zone safe for men to live, raise their families and work.
Every lake, swamp, pond, and ditch that could be emptied was drained. Over those that could not be drained, a film of oil was spread to destroy mosquito eggs and larvae. All buildings above the ground were raised. Windows, doors, and porches were screened. People covered every vessel that held water. All railway cars were screened, and a hospital car was added to every train. Cities were given sewers and pure water. By 1906, yellow fever had been wiped out in the Canal Zone. By 1913, malaria was greatly reduced. In 1914 a ship made the first complete trip through the canal.
Historically it has been shown that as zoonoses increase in animals it spills over into the human population. Man working with domestic animals comes into contact with zoonoses routinely. For the prion and viral diseases there is no effective treatment. Several of the bacterial diseases may be resistant to antibiotics. Effective treatments exist for some of the protozoan and metazoan diseases.
A variety of domestic animals are capable of transmitting disease to people including: cats, cattle, dogs, horses, poultry, sheep and swine. Forty-two examples are listed in table 5 in the appendix. Cat-scratch fever, Malignant pustule, Milker's nodules, Wool sorters disease, Q fever, and ringworm are lay terms for some of the diseases. Three diseases - anthrax, psittacosis, and salmonellosis will be briefly discussed.
Anthrax has been recognized as an infectious disease of people and animals for centuries. It was common in Rome during the last five centuries BC. In nineteenth century Europe, 20% to 30% of sheep and cattle died of anthrax each year. Sudden death is common in domestic livestock. The organism is found in the soil. Today, in anthrax areas, livestock is vaccinated against the disease.
Today, aerolization of anthrax by terrorists is of major concern. The death rate for untreated anthrax is over 90%. Anthrax is one of the common biological agents thought to be favored for use by terrorists and disgruntled citizens. Anthrax threats have become rather common in the United States. For example, in December of 1998, four threats alleging use of anthrax were reported in the greater metropolitan Los Angeles area. All were hoaxes.
Psittacosis was described 100 years ago and is caused by an intracellular bacterium Chlamydia psittaci. All birds may be infected. Psittacosis is a common occupational hazard to workers in the pet bird industry and turkey-processing plants. Sporadic cases are commonly associated with ownership of pet birds. As a public health measure, all imported psittacine birds are placed in quarantine and placed on chlortetracycline feed for 30 days. In California, all parakeets are required to undergo treatment and are leg banded. The leg band allows an infected bird to be traced back to its origin.
Salmonellosis is a bacterial infection in people often related directly or indirectly to infection in animals. In 1975, the small pet turtle was the most common source of salmonellosis in the United States. Today in California, it is illegal to sell turtles with shells of less than 4 inches. Pet iguanas have recently become a common source of salmonellosis of people. Salmonella is often found on the surface of freshly laid eggs. Pasteurization of bulk egg products has controlled this problem.
Between 1974-97, shifts have occurred in various animal populations in Los Angeles County (table 6). Livestock (cattle, sheep, poultry) once widespread, exist at very low numbers due to urbanization and the increase in land values. Traditional livestock (cattle, sheep, hogs, poultry) were replaced with "innovations" in agriculture (pot bellied pigs, ostriches, llamas, emus, miniature horses, etc.). In 1994 the horse population peaked at 150,000 and then began to decline as property values continued to rise.
Interestingly, attendance at the County fair, held in September in Pomona, has increased slightly from twenty years ago. It remains the largest fair in the nation, with livestock from all over the country entering the various shows. During this time, the human population has increased by over one million people and the companion animal population has increased proportionately to the human population.
Table 6. Changes in Los Angeles County's Animal Populations between 1974 - 1997
City of Los Angeles Zoo
Companion animals (birds, cats, dogs)
Exotic pets (reptiles and fish)
Wild animal compounds
Wildlife adapting to urban life and food supplies have increased their numbers. The opossum, a non-native species, has adapted to urban living and presents difficulties for animal control agencies. One of the major reservoirs of endemic typhus in Los Angeles County is the opossum. Several thousand coyotes are picked up by the Department of Animal Regulation in the City of Los Angeles annually. In the foothill regions, pet cats and small dogs may provide a food source for coyotes. Mountain lions have increased in the wild and now are viewed as a threat to people living in the foothills.
The County contains several wild animal compounds housing wildlife sometimes used in the movie and entertainment industry. Wild animal compounds may also house injured or abandoned wildlife, which may be rehabilitated and returned to the wild. Since 1974, the number and size of wild animal compounds holding native and foreign animals has increased. For example, the largest animal compound, Wildlife Waystation, was formed in 1976 and today houses more than 1,000 animals (local wildlife and wildlife foreign to the United States) on a 160-acre wild animal compound in the north end of the San Fernando Valley. Also about 2000 animals a year use the Waystation as a pit stop before being set free in the wild or being shipped to zoos. These compounds present a potential exotic animal disease threat to our domestic and wild animal populations.
The Los Angeles Zoo, the largest zoo on the west coast, has more than doubled its exotic animal population (lions, elephants, zebras, gorillas, giraffes, camels, etc.) during the past twenty years. In 1994, the Los Angeles City Zoo contained over 1,300 animals (350 different species) in 130 exhibits located on seventy-five acres. Twenty years earlier, the zoo's total population was 626 animals. The zoo continues to expand.
Los Angeles County has over 2.6 million privately owned cats and dogs. There are over 1,000 pet stores in Los Angeles County. Our population of companion animals continues to increase with approximately one person in five owning at least one animal. Many of these animals have intimate contact with their owners, increasing the possibility of transmission of animal diseases to people. Los Angeles has the largest human population of any County in the nation with close to nine million residents.
Animal Control agencies process over 5,000,000 animals yearly. Most of the animals processed by these agencies are homeless cats and dogs and about sixty-five percent are euthanized.
To care for this expanding animal population, the number of veterinarians in Los Angeles County has more than doubled in the past twenty years. Most of the veterinarians are in private, companion animal practice. Today, of the licensed California veterinarians residing in the State, one in five live in Los Angeles County.
In August of 1997, a West Hills woman's dog was devoured by a twenty-five pound, seven and a half foot Boa. The snake, which slithered into an enclosed patio, nabbing the Chihuahua, raised community concerns about the hazards of exotic pets. In Los Angeles, over ninety percent of the exotic pets are reptiles. In 1995, it was estimated that 7.3 million pet reptiles were owned by approximately 3% of households in the United States. Reptiles include snakes, lizards, turtles, crocodiles and alligators.
Between 1994 and 1995, health departments in 13 states, including California, reported human infections with unusual Salmonella serotypes to the Centers for Disease Control. Many of the individuals had contact with reptiles (lizards, snakes or turtles). Salmonella sp were isolated from 36% of the reptiles cultured during surveillance activities in pet stores in Los Angeles County in 1993.
As animal populations have shifted so have disease patterns. New diseases have been introduced into Los Angeles County. In 1992, the County experienced the worlds first epidemic of canine distemper virus in exotic cats with seventeen lions, tigers, leopards and jaguars dying. Half of the deaths occurred among African lions. Should the virus get into our domestic cat population, the direct cost of control for the first two years is estimated at over eighty-two million dollars.
Today, there are more than 100 cases of reptile-associated salmonellosis reported annually in Los Angeles County. Human salmonellosis associated with lizards was not seen ten years ago. This increase in salmonellosis is due to the massive influx of green iguanas being imported from Central America. Iguana farms and wholesalers often use antibiotics to prevent disease in the lizards, thus increasing antibiotic resistant strains of salmonella. Iguanas are flown to the southern United States and distributed to wholesalers. To prevent human outbreaks and associated health care costs, regulations regarding these reptiles may be warranted, similar to the current regulation of pet turtles. (Title 17, Section 2612.1).
A private/public partnership has existed for close to one hundred years in Los Angeles County, but in times of crisis or disease outbreak, only the government has the authority to act and regulate the movement of diseased individuals, impose quarantines and require testing to control and prevent disease spread.
In their role in the partnership, private practitioners have assisted with various vaccination programs. It was private veterinarians who donated their time to run the first Southern California Veterinary Medical Association public rabies vaccination clinics for dogs in 1956. Again, it was private veterinarians who came forward to assist in the massive emergency vaccination of horses in 1971 when Venezuelan sleeping sickness entered the United States from Mexico, killing thousands of horses and hundreds of people, creating a national disease emergency. Within five months, over ninety percent of the horses were vaccinated in Los Angeles County. A vaccination rate of seventy-five percent was needed to contain the epidemic.
More than 250 different diseases have been linked to contaminated food or drink in the United States. Tainted food causes an estimated 6.5 million to 33 million illnesses and 9,000 deaths annually in the United States. Many food borne illnesses are traced to poor animal husbandry and diseased animals. Veterinarians are the experts in animal health and it is logical they become involved with such outbreaks. The recent record-setting recall of twenty-five million pounds of Hudson Foods Inc.'s hamburger due to the deadly 0157 strain of E. coli illustrates the impact of food-borne zoonoses.
Food borne disease in the United States may increase with the expansion of free-trade agreements. In the past five years, food imports into the United States have doubled to 30 billion tons and are expected to keep rising. Mexico ships 90% of its $4.5 billion in annual food exports to the United States. Argentine beef, banned for seventy years, is now entering the United States.
The 1992, the California Department of Health Services evaluation of Los Angeles County Department of Health Service's use of veterinarians advised that veterinarians should be utilized in the investigation and control of food borne illness traced to animals and animal products. This includes dairy and poultry products.
Los Angeles County is the nation's largest port. Over 99 percent of the live animals imported into Los Angeles County come through the Los Angeles International Airport. Los Angeles imports more exotic animals for the pet and zoological trade than any other port in the United States. Foreign animal importation presents the County with potential disease problems. If diseased animals entering Los Angeles County present a threat to the animal population, the Department of Health Services is to make recommendations to the Board of Supervisors regarding control of the situation.
Importation of animals led to the massive foot and mouth disease outbreak in 1924 and the second outbreak in 1929. A Newcastle disease epidemic was imported into Los Angeles County during 1972 in which over four million animals died. Los Angeles's last rabid cat was imported through Los Angeles International Airport.
Types of exotic animals imported vary depending on popularity and fads. For example, reptiles are now the most popular exotic pet in Los Angeles. Since most fashionable species will not breed in close confinement, they are captured in the wild and imported. In the United States, poachers steal reptiles from protected areas such as National parks. The number of reptiles imported into the United States has increased dramatically in the past ten years, due mainly to a 100 fold increase in the number of iguanas imported into the United States. Over 200,000 iguanas, generally the green iguana, were imported into Los Angeles County from 1990 to 1993.
People smuggle animals into Los Angeles County. It is highly profitable and there is little risk of being caught. If you are caught, the fines are small. Smuggled animals present disease problems to our human and animal populations. About 500 parrots are smuggled into Los Angeles yearly. This August, authorities in Lima, Peru, alerted by barking police dogs, found 1,000 reptiles packed in crates marked "ornamental fish" which were to be smuggled into Los Angeles. The reptiles were valued at $500,000.
Animal control agencies in Los Angeles County process over 500,000 animals every year. Most of these animals are stray or abandoned pet animals found in the community or turned in to shelters by citizens. Roughly nine out of ten of the stray animals processed by the three largest animal control agencies were cats and dogs. About one animal out of four was placed or purchased. Puppies and kittens were the easiest animals to place. The top three agencies process over 300,000 animals (dogs, cats, livestock, birds, exotics) yearly and have a total of 15 animal shelters (Table 7).
Table 7. 12 Animal agencies handling the most
animals in Los Angeles County.
All conduct animal control activities except the Los Angeles SPCA.
|Animal Control Agencies||No. of
|Los Angeles County Department of Animal Care and
City of Los Angeles Department of Animal Regulation
Los Angeles Society for the Prevention of Cruelty to Animals
Burbank Animal Shelter
Southeast Area Animal Control Authority
Santa Monica Shelter
Long Beach Animal Shelter
Glendale Humane Society
Pasadena Humane Society
Pomona Humane Society
San Gabriel Humane Society
Golden State Humane Society
The City and the County of Los Angeles, along with Humane Societies and other animal control agencies, competitively bid for contracts from incorporated cities to handle their animal control problems. The County of Los Angeles presently contracts with over 35 cites. Contracts generally cover five years and may include full or partial services.
Animal control agencies also deal with wildlife. During 1996, in the San Fernando Valley alone, Los Angeles City Animal Regulation officers trapped 2,076 opossums, 192 raccoons, 103 coyotes, 85 skunks, 3 bobcats, and 3 foxes. Mountain lions have been sighted in the northern foothills of the San Fernando Valley.
Rabies was first confirmed in the City of Los Angeles in 1898 when an English gentleman living close to the intersection of Third and Flower Streets informed the health officer that his dog, who seemed unexplainably nervous and uncontrollable, might have rabies. The next year, a Pasadena man was bitten on the nose by his cocker spaniel and became the City's first resident to die of rabies. Prior to 1900, the western states were practically free of rabies. Coyotes frequented the local dumps and were thought to be responsible for the rabid dogs. In 1995, Texas declared a state wide quarantine in response to an uncontrolled outbreak of rabies in coyotes which spread to dogs.
Eight hundred and forty-seven rabid animals, mainly dogs, were detected in Los Angeles County in 1937. This prompted the formation of the County Pound Department. In 1955, seventy rabid dogs were diagnosed in the County and fifty-two people were bitten by known rabid dogs. That year, rabid dogs accounted for one out of every three hundred dog bites. The following year, Los Angeles County required all dogs within the County be vaccinated against rabies as a prerequisite for licensing.
California followed the County's lead the next year and required that all dogs be vaccinated to protect community citizens from the fatal disease. Today, the State of California requires all Counties which have rabies to maintain an active rabies surveillance system. Animal bite reporting by physicians and other health professionals is mandatory. Animal shelters contribute to the enforcement of California rabies control requirements by providing animal pounds, stray animal control, and rabies vaccination of animals at their facilities. Rabies investigations and rabies surveillance is done by the health officer.
California averages over one rabid animal a day, with the vast majority of cases occurring in wildlife. In 1995, Los Angeles County drastically reduced it's rabies surveillance and animal bite reporting, but still detects rabid animals (bats) during the year.
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|INFECTIOUS AGENT||PRIMARY HOST(S)||DISEASES IN ANIMALS||DISEASES IN PEOPLE|
|Eastern encephalitis||Small birds, ducks, horses (mosquitoes)||No apparent disease; encephalitis||Encephalomyelitis|
|Western encephalitis||Birds, squirrels, snakes, horses (mosquitoes)||No apparent disease; horses die||Encephalomyelitis|
|Venezuelan encephalitis||Rodents, horses (mosquitoes)||No apparent disease; horses die||Encephalitis|
|St. Louis encephalitis||Birds (mosquitoes)||No apparent disease||Encephalomyelitis|
|Japanese B encephalitis||Birds, pigs, horses, cattle (mosquitoes)||No apparent disease; domestic animals may die||Encephalitis|
|Murray Valley encephalitis||Birds (mosquitoes)||No apparent disease||Encephalomyelitis|
|Tick-born encephalitis||Rodents, birds, goats, cattle (ticks)||No known apparent disease||Encephalitis|
|Yellow fever virus||Nonhuman primates (mosquitoes)||No apparent disease; death||Yellow fever|
|Dengue viruses||Nonhuman primates (mosquitoes)||No apparent disease||Dengue fever|
Rabbits, hares, squirrels, deer, horses, cows (mosquitoes)
No apparent disease
|Arenaviruses||Rodents, nonhuman primates||No apparent disease; death||No clinical disease; malaise, fever, shock, meningitis, encephalitis|
|Rabies virus||Weasel-skunk, civet-ferret, families with bats, foxes, skunks most important; also dogs, cats, cattle||No apparent disease; death with paralysis||Excitation, paralysis, death|
|Colorado tick fever virus||Squirrels, chipmunks, mice, porcupines (ticks)||No apparent disease||Fever, malaise, leukopenia, rash|
|Chlamydia psittaci||Psittacine birds, pigeons, poultry||No apparent disease; death||Fever, cough, pneumonia|
|Rickettsia typhi||Rats (fleas)||No apparent disease||Murine typhus|
|Rickettsia rickettsii||Rabbits, squirrels, rats, mice, groundhogs, dogs (ticks)||No apparent disease; dogs may die||Rocky Mountain spotted fever|
|Rickettsia akari||Mice (mites)||No apparent disease||Rickettsialpox|
|Coxiella burnetii||Wild ungulates||No apparent disease||Q fever|
|Brucella spp||Wild ungulates, dogs||No apparent disease; abortion||Brucellosis|
|Francisella tularensis||Rabbits, squirrels, rats, skunks, bears, muskrats, coyotes, cats, dogs, swine, sheep, cattle (ticks, deerflies, mosquitoes)||No apparent disease; lymphadenitis, septicemia||Tularemia|
|Yersinia pestis||Rats, mice, prairie dogs, squirrels, marmots, rabbits, gerbils, chipmunks (fleas)||No apparent disease; death||Bubonic, pneumonic, septicemic plague|
|Yersinia enterocolitica||Rodents, rabbits, pigs, sheep, cattle, horses||No apparent disease||Enterocolitis, reactive polyarthritis|
|Campylobacter jejuni||Birds, cattle, sheep, pigs, goats||No apparent disease, death||Gastroenteritis|
|Pseudomonas pseudomallei||Rats, mice, rabbits, ruminants, dogs, cats, nonhuman primates||No apparent disease; death||Pulmonary abscesses, septicemia|
|Streptobacillus moniliformis||Rats, squirrels, weasels, turkeys||No apparent disease||Fever, rash|
|Listeria monocytogenes||Wild mammals, birds||No apparent disease; death||Meningitis, abortion, septicemia|
|Borrelia burgdorferi||Deer, mice, raccoons (ticks)||No known apparent disease||Lyme disease|
|Spirillum minor||Rats, mice, cats||No apparent disease||Fever, rash|
|Cryptosporidium spp||Rodents, snakes, birds||No apparent disease; enteritis, respiratory disease||Enteritis, dysentery|
|Blastocystis hominis||Pigs, guinea pigs, fowl, nonhuman primates||No apparent disease; diarrhea||Diarrhea|
|Leishmania spp||Rodents, canines, rodents, other carnivores (sandflies)||No apparent disease; skin ulcers||Chronic skin ulcerations, mucocutaneous lesions, kalaazar syndrome|
|Trypanosoma cruzi||Armadillos, bats, rodents, opossums, nonhuman primates, dogs, cats (triatomes)||No known apparent disease; neurologic dysfunctions||Skin rash, myocarditis, conjunctivitis, myositis (Chagas disease)|
|Trypanosoma brucei var.
gambiense and var.
|Wild ungulates (tsetse flies)||No apparent disease; death in coma||Meningoencephalitis|
|Pneumocystis carinii||Rodents, foxes, nonhuman primates, sheep, goats, dogs, cats||No known apparent disease||Pneumonitis|
|Diphyllobothrium latum||Fresh-water fish, bears, dogs, cats||No known apparent disease||Tapeworm infection, megaloblastic anemia|
|Hymenolepis nana and diminuta||Mice, rats||Tapeworm infection||Tapeworm infection|
|Trichinella spiralis||Wild carnivores, wild pigs||No known apparent disease||No apparent disease; muscle invasion death|
|Fasciola hepatica||Snails, fish, cattle, sheep, goats, camel, deer, rabbits||No apparent disease; death||Acute hepatitis, cholecystitis, cirrhosis|
|Schistosoma spp||Snails, rodents, baboons||No apparent disease; death||Colitis, hepatitis, cystitis|
|Dracunculus medinensis||Wild carnivores, nonhuman primates (water fleas)||No known apparent disease||Skin ulcers|
|Brugia spp||Nonhuman primates, wild carnivores, rodents (mosquitoes)||No known apparent disease||Lymphadenopathy, lymphedema|
|INFECTIOUS AGENT||PRIMARY HOST(S)||DISEASES IN ANIMALS||DISEASES IN PEOPLE|
Bovine spongiform encephalopathy
|Cattle||Fatal degeneration of CNS||Atypical Creutzfeldt-Jakob disease|
|Vaccinia virus (cowpox)||Cattle, horses||Papulovesiculopustular lesions of skin of udder and teats||Papulovesiculopustular skin lesions|
|Newcastle disease||Poultry||Respiratory, GI, CNS||Conjunctivitis|
|Paravaccinia virus (milker's modules)||Cattle||Vesicles, ulcers, and granulomas of udder||Papulovesiculogranulomatous skin lesions|
|Bovine pustular stomatitis virus
(orf, contagious ecthyma)
|Sheep, goats||Pustular lesions of mouth, vulva, eye||Papulovesiculogranulomatous skin lesions|
|Vesicular stomatitis virus||Cattle, swine, horses||Ulceration of oral mucosa, feet, and teats||Fever, chills, headache, myalgia|
|Rabies virus||Dogs, cats, cattle, horses, sheep||No apparent disease; death with paralysis||Excitation, paralysis, death|
|Chlamydia psittaci||Pigeons, poultry||No apparent disease; death||Fever, cough, pneumonia|
|Coxiella burnetii||Sheep, cattle, goats (?ticks)||No disease; rickettsemia||Q fever|
|Ehrlichia canis||Dogs (ticks)||Hemorrhagic disease, death||Ehrlichiosis|
|Afipia felis||Cats, dogs||No known disease||Cat-scratch disease|
|Rochalimea henselae||Cats, dogs||No known disease||Cat-scratch disease, peliosis hepatis, bacillary angiomatosis|
|Bacillus anthracis||Cattle, horses, sheep, goats, swine, dogs, cats||Sudden death, systemic disease, GI affliction||Malignant pustule, gastroenteritis, pneumonitis|
|Erysipelothrix rhusiopathiae||Swine, fowl, sheep, fish||Porcine erysipelas, polyarthritis, septicemia, endocarditis||Erysipeloid|
|Listeria monocytogenes||Sheep, cattle, rabbits, goats, guinea pigs, chickens, horses, rodents, birds||Meningoencephalitis, abortion, myocarditis, septicemia, ophthalmitis||Leptomeningitis, fetal listeriosis, septicemia, oculoglandular infection|
|Mycobacterium bovis||Cattle, horses, swine, cats, dogs||Pulmonary, lymph nodes, udder, GI tuberculosis, spondylitis||Primarily GI, lymph node, bone, pulmonary tuberculosis|
|Streptobacillus moniliformis||Fowl||No apparent disease||Fever, rash|
|Pseudomonas mallei||Horses, mules, asses, cats, dogs, sheep, goats||Nodular pneumonia, farcy, lymphadenopathy||Granulomatous to pustular lesions, skin and subcutaneous; septicemia|
|Pasteurella multocida||Fowl, cattle, sheep, swine, goats, horses, mice, rats, rabbits||Hemorrhagic septicemia, pneumonia||Skin ulcer, osteomyelitis, sinusitis, pleuritis, leptomeningitis|
|Brucella spp||Cattle, goats, swine, sheep, horses, mules, dogs, cats, fowl, deer, buffalo, rabbits||Abortion, lameness, mastitis, granulomas, abscesses||Fever, malaise, lymphadenopathy, bacteremia, splenomegaly, osteomyelitis|
|Capnocytophagia canimorsus||Dogs||No apparent disease||Fever, gangrene, meningitis, septicemia|
|Salmonella spp (nontyphoidal)||Fowl, swine, cattle, sheep, horses, dogs, cats, rodents, reptiles, birds, cattle||No apparent disease; enteritis, septicemia, puerperal fever||Gastroenteritis, focal infection, septicemia|
|Yersinia enterocolitica||Dogs, cats||No known disease||Diarrhea, reactive arthritis|
|Campylobacter fetus||Sheep, cattle||Metritis, infertility, placentitis, abortion||Placentitis with abortion, endocarditis, bacteremia, meningitis|
|Sporothrix schenckii||Horses, mules, dogs, cats, mice, rats||Granulomas of extremities||Ulcerative, lymph-vascular, skin, subcutaneous lesions, pneumonia|
|Microsporum spp||Dogs, cats, horses, cattle||Alopecia, dermatitis||Alopecia, dermatitis|
|Cryptosporidium spp||Farm animals, cats, dogs||No apparent disease; enteritis, respiratory disease||Enteritis, dysentery|
|Trypanosoma cruzi||Dogs, cats (triatomes)||No known apparent disease||Skin rash, myocarditis, conjunctivitis, myositis, neurologic dysfunctions (Chagas disease)|
|Balantidium coli||Pigs, monkeys||No apparent disease in swine; colitis in monkeys||Colitis|
|Toxoplasma gondii||Cats, dogs, sheep, cattle, swine||Stillbirth, congenital defects, CNS lesions||Stillbirth, congenital defects, retinochoroiditis, encephalitis|
|Dogs, cats||Anemia, dysentery, hypoproteinemia, edema, stunted growth, death of pups||Itching, erythema of skin, Loeffler syndrome|
|Toxocara canis and cati||Dogs, cats||Diarrhea, granulomas in kidneys and other viscera, weight loss and stunted growth of young||Granulomas in liver, skeletal muscle, lungs, brain, and eye|
|Dipylidium caninum||Dogs, cats||No apparent or known disease; chronic enteritis||Abdominal discomfort, diarrhea, anal pruritus|
|Trichinella spiralis||Swine, cattle, horses, dogs, cats, rabbits, rats, mice||No apparent or known disease||Chemosis, conjunctivitis, myositis, skin rash|
|Taenia saginata||Cattle||No apparent or known disease||Abdominal pain, diarrhea, weight loss|
|Taenia solium||Swine||No apparent or known disease||Abdominal pain, diarrhea, weight loss, cysticercosis|
|Diphyllobothrium latum||Dogs, cats||No apparent or known disease||Tapeworm infection, megaloblastic anemia|
|Dirofilaria immitis, D tenuis||Dogs, raccoons, cats (mosquitoes)||Cardiopulmonary granulomata, subcutaneous nodules||Pulmonary nodules, subcutaneous granulomata of face, trunk, or arms|
|Echinococcus granulosus||Dogs||No apparent or known disease||Space-occupying cysts in liver, lungs; anaphylaxis|
|Echinococus multilocularis and vogeli||Dogs, wild canines||No apparent disease||Noncapsulated, extensive cysts, of liver, lungs|