1. Chlamydiosis - Psittacosis Using the Reportable Zoonoses Guidelines

2. Photo by Taste of Home

3. Under the new Animal Health Act certain zoonoses are reportable to the Chief Veterinary Officer (CVO), then shared with Public Health. Public Health assess human health risk and manage human follow up. BCCDC has developed “Reportable Zoonoses Guidelines” assist Public Health staff with these infrequently reported diseases.

4. Reportable Zoonoses Guidelines Reporting and timelines  Labs/vet notifies the CVO  The CVO notifies the PHO (BCCDC) and the  BCCDC notifies the MHO in the affected HA. Reporting of the animal case to the MHO should occur within 24h of diagnosis.

5. Public Health Response  Prevent transmission to humans  Mitigate an ongoing source of infection  Facilitate early diagnosis and treatment Outbreaks  Human outbreaks are rare  Ministry of Agriculture - lead in bird outbreaks

6. Risk Assessment Public health should:  Contact vet or lab  Contact the affected site  Assess for human exposure  Assess risk of ongoing transmission

7. Young birds are kept together until they find a partner at about 4 months old.

8. Chlamydiosis in birds  Nasal/ocular discharge  Ruffled feathers  Loss of appetite/weight loss  Green droppings/diarrhea

9. Psittacosis in humans  Fever/chills  Headache  Loss of appetite  Sore throat  May lead to serious atypical pneumonia  Rare cases lead to severe systemic illness

10. Exposure  Infected birds can appear healthy  Birds can shed the organism intermittently  Organism can remain infectious for over a month if protected by organic debris (e.g., litter and feces). Treatment  Birds and humans can be treated with antibiotics.

11. Nesting boxes can have 2 sides, one for the young birds, and another for the breeding pair to prepare a new nest.

12. Fraser Health  Contacted the vet  Contacted VCHA  Contacted WCB to make a referral for workers  Contacted the farm manager  Sent health information to be shared with anyone in contact with the birds

13. FV vet  Provided information on treatment of the birds, cleaning and disinfecting  Recommended farmer contact specialty bird vet in Vancouver Vancouver vet  Provided antibiotic treatment for canker Animal Health Centre  contacted CFIA.

14. WCB  Visited the farm on Sept 22 and 23.  Reviewed personal protective equipment  Provided work safety information Public Health  Visited farm  Advised by manager birds recovered  No staff illness

15. Review Good  Guidelines were easy to follow Future issues  Reduce reporting time  WCB not familiar with this illness  Follow up to ensure bird health  Follow to ensure birds ok at slaughter

16. New baby pigeons are born at the farm

17. Questions?