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Background: Hendra virus (HeV) is endemic in Australian flying foxes, posing a threat to equine and human health. Equine vaccination remains the most effective risk mitigation strategy. Many horses remain unvaccinated - even in higher-risk regions. Debate surrounding the vaccine's use is characterised by conflicting perspectives, misunderstanding and mistrust. Private veterinary practitioners are critical to early identification of public health risk through recognition, sampling and management of suspect-equine-HeV-cases. However, managing such cases can be burdensome, with some veterinarians opting not to attend unvaccinated horses or to abandon equine practice because of risk posed by HeV disease and liability.

Objective: Ascertain the perspectives of informed citizens on what obligations (if any) private veterinarians have to attend unvaccinated horses with HeV or HeV-like disease.

Methods: Three citizens' juries were tasked with considering approaches to managing HeV risk in Australia, including (reported here) roles and obligations of private veterinarians in responding to HeV-suspect-cases.

Results: Jurors acknowledged that HeV management posed an important challenge for private veterinarians. A clear majority (27 of 31 jurors) voted that veterinarians should not be obliged to attend unvaccinated horses. All recognised that greater support for veterinarians should be a priority.

Conclusions: When informed of HeV risks and strategies for control and management, citizens appreciated the need to support veterinarians performing this critical 'One Health' role for public benefit. The current governance framework within which zoonotic disease recognition and response operates limits the contingency and scope for increasing support and efficacy of these important veterinary public health practices.

Titel:	Citizens' juries give verdict on whether private practice veterinarians should attend unvaccinated Hendra virus suspect horses.
Autor/in / Beteiligte Person:	Annand, EJ ; Reid, PA ; Johnson, J ; Gilbert, GL ; Taylor, M ; Walsh, M ; Ward, MP ; Wilson, A ; Degeling, C
Link:	Zum Volltext
Zeitschrift:	Australian veterinary journal, Jg. 98 (2020-07-01), Heft 7, S. 273-279
Veröffentlichung:	Oxford : Wiley-Blackwell Pub. ; <i>Original Publication</i>: New South Wales : Australian Veterinary Association, 2020
Medientyp:	academicJournal
ISSN:	1751-0813 (electronic)
DOI:	10.1111/avj.12957
Schlagwort:	Animals Australia Horses Humans Private Practice Zoonoses Hendra Virus Henipavirus Infections veterinary Horse Diseases Veterinarians
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Aust Vet J] 2020 Jul; Vol. 98 (7), pp. 273-279. <i>Date of Electronic Publication: </i>2020 Jun 11. MeSH Terms: Hendra Virus* ; Horse Diseases* ; Veterinarians* ; Henipavirus Infections / *veterinary ; Animals ; Australia ; Horses ; Humans ; Private Practice ; Zoonoses References: Kung N, McLaughlin A, Taylor M et al. Hendra virus and horse owners - Risk perception and management. PLOS One 2013;8:e80897. ; Manyweathers J, Field H, Jordan D et al. Risk mitigation of emerging Zoonoses: Hendra virus and non-vaccinating horse owners. Transbound Emerg Dis 2017;64:1898-1911. ; Schemann K, Annand EJ, Reid PA et al. Investigation of the effect of Equivac® HeV Hendra virus vaccination on thoroughbred racing performance. Aust Vet J 2018;96:132-141. ; Goyen KA, Wright JD, Cunneen A et al. 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Citizens' juries give verdict on whether private practice veterinarians should attend unvaccinated Hendra virus suspect horses.