Survey of<scp>A</scp>ustralian equine veterinarians evaluating their biosecurity training and perceptions and opinions about the management of the 2007 equine influenza outbreak

Schemann, Kathrin; Toribio, Jenny‐Ann L.M.L.; Taylor, Melanie; Ward, Michael P.; Dhand, Navneet K.

doi:10.1111/avj.12160

Cited by 7 publications

(4 citation statements)

References 22 publications

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“…The WHS legislation, for example, was viewed as open to interpretation and difficult to implement in unpredictable circumstances not easily controlled. The difficulties of using some standard biosecurity measures in the field in equine practice are common to the management of other equine infectious diseases [44]. Some participants were aware that they could legally refuse provision of services if they deemed a situation unsafe [45].…”

Section: Private Workforce Managing Biosecurity and Public Health Issuesmentioning

confidence: 99%

“…Participants' behaviours seemed to have also been influenced by: peer perceptions; beliefs about IC and zoonoses; and a strong professional identity based on the long standing belief that using PPE was a sign of weakness and that acquiring a zoonosis was an achievement not a reflection of malpractice [51]. These beliefs may have been stronger amongst older participants who had graduated longer ago as they are likely to have received less theoretical and practical biosecurity than those who graduate more recently [44]. Veterinarians and government actions and decisions relating to the management of HeV followed the typical stages of behaviour change: pre-contemplation (behavioural change seen as not needed); contemplation (behavioural change under consideration); preparation (for behavioural change); action (behavioural change implementation); maintenance (of behavioural change); transcendence (behavioural change becomes the new behavioural norm); and sometimes relapse (reverting to old behaviours) [52,53].…”

Section: Uncertainty About the Epidemiology Of An Emerging Diseasementioning

confidence: 99%

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Management of the slowly emerging zoonosis, Hendra virus, by private veterinarians in Queensland, Australia: a qualitative study

Méndez

Kelly

Büttner³

et al. 2014

BMC Vet Res

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BackgroundVeterinary infection control for the management of Hendra virus (HeV), an emerging zoonosis in Australia, remained suboptimal until 2010 despite 71.4% (5/7) of humans infected with HeV being veterinary personnel or assisting a veterinarian, three of whom died before 2009. The aim of this study was to identify the perceived barriers to veterinary infection control and HeV management in private veterinary practice in Queensland, where the majority of HeV outbreaks have occurred in Australia.ResultsMost participants agreed that a number of key factors had contributed to the slow uptake of adequate infection control measures for the management of HeV amongst private veterinarians: a work culture characterised by suboptimal infection control standards and misconceptions about zoonotic risks; a lack of leadership and support from government authorities; the difficulties of managing biosecurity and public health issues from a private workforce perspective; and the slow pattern of emergence of HeV. By 2010, some infection control and HeV management changes had been implemented. Participants interviewed agreed that further improvements remained necessary; but also cautioned that this was a complex process which would require time.ConclusionPrivate veterinarians and government authorities prior to 2009 were unprepared to handle new slowly emerging zoonoses, which may explain their mismanagement of HeV. Slowly emerging zoonoses may be of low public health significance but of high significance for specialised groups such as veterinarians. Private veterinarians, who are expected to fulfil an active biosecurity and public health role in the frontline management of such emerging zoonoses, need government agencies to better recognise their contribution, to consult with the veterinary profession when devising guidelines for the management of zoonoses and to provide them with greater leadership and support. We propose that specific infection control guidelines for the management of slowly emerging zoonoses in private veterinary settings need to be developed.

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Section: Private Workforce Managing Biosecurity and Public Health Issuesmentioning

confidence: 99%

Section: Uncertainty About the Epidemiology Of An Emerging Diseasementioning

confidence: 99%

Management of the slowly emerging zoonosis, Hendra virus, by private veterinarians in Queensland, Australia: a qualitative study

Méndez

Kelly

Büttner³

et al. 2014

BMC Vet Res

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“…Lack of trained personnel and lack of trainers of trainers in biosafety and biosecurity programs were also highlighted as major barriers. The need for biosafety and biosecurity training has been shown in various countries [ 13 , 25 ]. Skills imparted need to reach the frontline actors where the first contact with pathogens take place.…”

Section: Discussionmentioning

confidence: 99%

Reasons for and barriers to biosafety and biosecurity training in health-related organizations in Africa, Middle East and Central Asia: findings from GIBACHT training needs assessments 2018-2019

Rutebemberwa¹,

Aku²,

Zein³

et al. 2020

Pan Afr Med J

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Introduction the Global-Partnership-Initiated-Biosecurity-Academia for Controlling Health Threats (GIBACHT) consortium conducts a biosafety and biosecurity training for fellows from Africa, the Middle East and Asia. To achieve a multiplier effect, fellows conduct trainings in their own organizations. It was during such trainings that training needs assessments were done assessing reasons for and barriers to biosafety and biosecurity training. Methods this was a cross sectional assessment. Trainings were conducted from April to July 2018 and April to June 2019. In 2018, training needs were explored using a structured tool. Responses were coded using manifest content analysis and key issues identified. In 2019, respondents quantified the identified key issues using a Likert scale. Proportions of those who strongly agreed, agreed, neither agreed nor disagreed, disagreed or strongly disagreed were calculated and results presented in tables and charts. Results in 2018 and 2019, there were 183 and 191 respondents respectively. About 96% of respondents in 2018 supported training in biosafety and biosecurity citing individual, community and global benefits. Barriers highlighted included governance, financial, human resource, information and infrastructure challenges. In 2019, majority of respondents indicated inadequate guidelines dissemination, lack of financial resources, inadequate personnel, lack of equipped laboratories and lack of instructional materials among major barriers. Conclusion support for biosafety and biosecurity training was high though systemic barriers exist. Improving human resource capacity and provision of instructional materials can be achieved through training programs. However, systemic assessments need to be done before each training as different organizations have different barriers.

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“…Not all participating veterinarians reported using the full panoply of recommended PPE systematically with all horses. The unpracticality of PPE in the field was also found to be an issue common to the management of other non-zoonotic infectious diseases such as equine influenza (Schemann et al, 2014). Furthermore, any additional PPErelated costs had to be justifiable to clients as it affected consultation fees.…”

Section: Use Of Ppementioning

confidence: 99%

Hendra virus in Queensland, Australia, during the winter of 2011: Veterinarians on the path to better management strategies

Méndez

Büttner²,

Speare

2014

Preventive Veterinary Medicine

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Following the emergence of Hendra virus (HeV), private veterinarians have had to adopt additional infection control strategies to manage this zoonosis. Between 1994 and 2010, seven people became infected with HeV, four fatally. All infected people were at a higher risk of exposure from contact with horses as they were either veterinary personnel, assisting veterinarians, or working in the horse industry. The management of emerging zoonoses is best approached from a One Health perspective as it benefits biosecurity as well as a public health, including the health of those most at risk, in this case private veterinarians. In 2011 we conducted a cross-sectional study of private veterinarians registered in Queensland and providing veterinary services to horses. The aim of this study was to gauge if participants had adopted recommendations for improved infection control, including the use of personal protective equipment (PPE), and the development of HeV specific management strategies during the winter of 2011. A majority of participants worked in practices that had a formal HeV management plan, mostly based on the perusal of official guidelines and an HeV field kit. The use of PPE increased as the health status of an equine patient decreased, demonstrating that many participants evaluated the risk of exposure to HeV appropriately; while others remained at risk of HeV infection by not using the appropriate PPE even when attending a sick horse. This study took place after Biosecurity Queensland had sent a comprehensive package about HeV management to all private veterinarians working in Queensland. However, those who had previous HeV experience through the management of suspected cases or had attended a HeV specific professional education programme in the previous 12 months were more likely to use PPE than those who had not. This may indicate that for private veterinarians in Queensland personal experience and face-to-face professional education sessions may be more effective in the improvement of HeV management than passive education via information packages. The role of different education pathways in the sustainable adoption of veterinary infection control measures should be further investigated.

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Survey ofAustralian equine veterinarians evaluating their biosecurity training and perceptions and opinions about the management of the 2007 equine influenza outbreak

Cited by 7 publications

References 22 publications

Management of the slowly emerging zoonosis, Hendra virus, by private veterinarians in Queensland, Australia: a qualitative study

Management of the slowly emerging zoonosis, Hendra virus, by private veterinarians in Queensland, Australia: a qualitative study

Reasons for and barriers to biosafety and biosecurity training in health-related organizations in Africa, Middle East and Central Asia: findings from GIBACHT training needs assessments 2018-2019

Hendra virus in Queensland, Australia, during the winter of 2011: Veterinarians on the path to better management strategies

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