Tuesday, May 27, 2014

Stepped away, but not forgotten...


I’m looking at this blog and feeling a little embarrassed as I have totally neglected it.  I want to change that….I started writing this when I was doing a capstone project for my BAS on the communication between human medicine and veterinary medicine, especially when relating to zoonotic disease.  The emphasis being the importance of public health.  I’m posting my PowerPoint presentation so that you can get an idea of my conclusion of my project.

My project strengthened within me the importance of a working relationship within the medical professions.  I knew changes were needed to some degree, but let me highlight areas that still stick with me years later…

·       When I go to a doctor’s visit, whether routine or because I’m not quite up-to-par, I’m never asked if I have pets and I can count on one hand the physicians that have asked me my profession.  The importance?  Not only can allergies affect various parts of the body and lower immune system responses, but I am also exposed to potential diseases/illnesses I would not other be exposed to if I did not have pets or did not work in an animal field.

·       I called the American Medical Association (AMA) to inquire about their partnership with the American Veterinary Medical Association (AMVA) on the “One Health Initiative.”  It seemed like the best way to get in touch with a professional (I.e. doctor) through the AMA would be to go through the members direct line, thinking it would be staffed with trained professionals (I.e. nurses that would be able to direct physicians to resources for questions they might have).  Instead, I found out the call center is staffed with on-the-job trained individuals that did not know what “zoonotic” meant, what “One Health” meant (even though it was on the AMA’s website) and they had no clue what to do with me (this included a supervisor as well).  I ended up getting in touch with an AMA board member by looking up the current board members and going down the list and calling their private practices.  One board member called me and his responses are in the PowerPoint presentation I posted.

·       The Infectious Disease Society of America (IDSA) seemed like a good place to turn for questions on how much they encouraged medical professionals to communicate to each other in regards to emerging zoonotic diseases.  After a few transfers, I was sent to the Vice President of Communications, who just as with the AMA call center, was unsure what to do with me or who to send me to and her response?   “Have you tried the American Society for Tropical Medicine and Hygiene?”    Surprising since this is not a tropical medicine issue.  Anyone who has pets, works around livestock, owns a horse, or really, who gardens without wearing gloves when playing in the dirt, is susceptible to zoonotic disease yet the Infectious Disease Society of America isn’t aware?

·       I called the Center for Disease Control and Prevention (CDC), really not sure how willing they will be to talk with a student.  I found out, not very willing.  I was never able to make it past the News Media Department.

·       A call to the Department for Environment, Food and Rural Affairs of the United Kingdom (DEFRA) was pleasantly surprising.  For starters, I had an easier time getting connected with the right individual than through organizations or the government within my own country.  And the communication you might ask?  Well, they encourage and regularly collaborate with veterinarians and human medicine physicians.

So, what does all this mean?  Well, we do not quite acknowledge the link between animals (pets) and disease transmission.  The American medical professionals, whether or not they believe it to be necessary, do not take the initiative to communicate with each other.  And the unexpected, the professional organizations, such as the American Medical Association and Infectious Disease Society of American, do not encourage or recommend the professional to intermingle or exchange ideas.  The World Health Organization (WHO) back in 2005 acknowledged the need for collaboration “By their very nature, the fields of human medicine and veterinary medicine are complementary and synergistic in confronting, controlling and preventing zoonotic diseases from infecting across species.”

So, what’s is my meager little recommendation?  Although it seems daunting, we as professionals need to start pushing the professional organizations to provide materials and the means to get in touch with both medical sides.  Although it would typically be the other way around, it’s not worth waiting and have a negative impact on our patients and clients.  We are in a time when, more than ever, people are traveling to other countries and coming into contact with diseases they otherwise would not be exposes to, pets are being brought into this country and are living in our homes (and sometimes sleeping in our beds) and livestock and other food sources are being imported into the United States.  We have all these additional risks, yet we are not adapting to the additional risks and those that are supposed to keep up informed are dropping the ball.  At this point, we need to take the initiative and make sure the resources are available for those newly graduating or entering the veterinary or medical fields.  Not only do we need to pull our heads out of the sand and protect the public health as physicians, veterinarians, nurses and credential veterinary technicians, but we need to avoid reserving spaces in the sand for newer professionals to implant their heads.

 

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