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Targeting Information Dissemination to Improve
Neighborhood Protection During a Wildlife Rabies Outbreak
Monterey County Health1 & IT2 DepartmentsKristy Meyer, MS1 Darryl Tyler2
Patricia Zerounian, MPP1 Krista Hanni, PhD1
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Rabies
CDC 2007
• Passed in saliva of infected animals• 100% fatal without PEP• 100% preventable• 6,940 animal cases in 2006 (US)
– 92% of cases in wildlife• Raccoons, bats, skunks, & foxes
– 8% in domestic animals• 3 human cases in 2006 (US)
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Monterey County Animal Rabies Cases
Last 10 years: skunks (34), bats (24), foxes (2)
0
5
10
15
1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
An
imal
Cas
es
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2006 Animal Rabies Outbreak
• May-July 2006• Concentrated in North Monterey County• Limited penetration of conventional media
alerts into community
Needed to identify a specific at-risk population and quickly convey targeted information
Identify At-Risk Population
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Targeted Dissemination
• Parcel owner address ≠ residential address• Mailing house option• Balanced costs with speed and accuracy• Completed some work in-house• Cost: $920 for printing & mailing 3,900
postcards
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Monterey Co Animal Services160 Hitchcock RoadSalinas, CA 93908
Resident99 Pasteur AveSalinas, CA 93908
PLEASE SHARE THIS POSTCARD WITH ALL PROPERTY RESIDENTS!
Favor de mostrar esta postal con todos los residentes e la vivienda.
Rabies AlertReport any of the following IMMEDIATELY to
Monterey County Animal Services 831-769-8850
• Skunks, foxes or bats out during a sunny day or acting strangely (unusually aggressive or tame, drooling, staggering or not able to easily move or spray).
• Any time a person or pet has contact with a wild animal.• Human contact with a pet after pet/wildlife fight.
• Bat in the living space of your home.
¡Alerta contra la Rabia!Reporte IMEDIATAMENTE lo siguiente a:
Monterey County Animal Services831-769-8850/769-8845 (español)
• Zorrillos, zorros o murciélagos que anden afuera durante el día o que estén actuando raro (mas agresivo o mansito de lo normal, babeando, desorientados, con dificultades para
moverse o para mear).• Cundo una persona o mascota tiene contacto con animales
salvajes, especialmente si hubo pelea entre ambos.• Si un murciélago se encuentra dentro de su casa.
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Results• Targeted residents received mailer
within 2 weeks• County-sponsored vaccine clinic in
North County• 200% increase in licensing revenues• Reflective of greater public awareness
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Subsequent Events
• July 2007: in-house mailing to rural route addresses in “hot spot” area
• September 2007: delineated specific area of concern for individual incident– Media alert– Response time < 2 hours
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Project Evolution
Single Rabies Event
Workflow Process
Multiple Communicable Disease
and Preparedness Applications
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Potential Applications
Contact Information
Kristy Meyer, Research AnalystMonterey County Health Department
1270 Natividad RoadSalinas, CA 93906