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Page 1: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council
Page 2: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council
Page 3: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Anatomy of aLand Grant Institution

Dorcas P. O’Rourke, D.V.M., M.S.Director, Office of Laboratory Animal Care

The University of Tennessee

AAALAC Council on Accreditation

Page 4: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council
Page 5: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council
Page 6: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

What is a land grant institution?

Colleges and universities designated by Congress and state legislatures to receive federal support as defined in the Morrill Acts of 1862 and 1890

Page 7: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Rationale for LGI Development

Need for broad-based educational systems

LGIs to offer curricula in military tactics, agriculture, and mechanic arts

Provide practical education to industrial classes

Page 8: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

First Morrill Act of 1862

Allowed public lands to be donated to states

Proceeds from sale of these public lands supported the LGIs

Page 9: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Hatch Act of 1887 Mandated creation of Agricultural Experiment

Stations

Stations affiliated with LGIs

Scientific research to be conducted at experiment stations

Federal and state funds appropriated annually to support research

Page 10: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Smith-Lever Act of 1914

Provided federal monies for support of cooperative extension efforts

Educational programs established to disseminate information obtained in experiment station research to local communities

Page 11: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Other Landmark Decisions

Six million dollar endowment to the University of Hawai’i in 1960 in lieu of federal land endowment

University of Guam, College of the Virgin Islands, Community Colleges of American Samoa and Micronesia, and Northern Marianas College achieved land grant status in 1972

Page 12: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Other Landmark Decisions (cont.)

Twenty-nine Native American colleges received land grant status and a 23 million dollar endowment in 1994

Page 13: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

LGIs Today

All states and territories have at least one LGI

Total of 105 LGIs which receive over $550 million annually in federal funding

Page 14: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Characteristics of Traditional LGIs

Complex, decentralized animal care programs

Varied, multiple funding sources, including Hatch and LGI appropriations

Unique programs, such as veterinary medicine and agricultural sciences

Separate programs with overlapping research focus

Multiple lines of authority

Page 15: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

LGIs and AAALAC Accreditation

Single vs. multiple accredited units

ILAR Guide for most species

Ag Guide and principles of the first three chapters of the ILAR Guide applicable to food and fiber animals

Page 16: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

The Ohio State University

Single office for animal management and veterinary care for the accredited program

Single IACUC (sub-IACUC for food and fiber animals)

Single AAALAC accreditation (excluding food and fiber animals)

Page 17: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

University of Wisconsin

Multiple animal care programs with multiple veterinarians, with compliance oversight in the institutional veterinarian’s office

Multiple IACUCs

Multiple AAALAC accredited programs (ag component not accredited)

Page 18: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

University of Missouri Multiple animal care programs, with many facility

managers hired by and reporting to the institutional veterinarian’s office, and all veterinarians reporting to the institutional veterinarian (including ag)

Single IACUC

Multiple AAALAC accredited programs (ag component not accredited; soon to apply for single accreditation, including ag)

Page 19: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

University of Illinois Decentralized management of animal facilities and

centralized oversight of all areas (including ag) through the institutional veterinarian’s office and IACUC

Centralized veterinary care for lab animals; decentralized veterinary care (with institutional oversight) for food and fiber animals.

Single IACUC

Single AAALAC accreditation, including ag food and fiber animals

Page 20: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Clemson University

All veterinary care and oversight provided by institutional veterinarian’s office

Single IACUC

Single AAALAC accreditation

Page 21: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Key to Successful AAALAC Accreditation in LGIs Ensure adequate veterinary care and

compliance oversight

Ensure clear lines of authority

Ensure strong institutional commitment to the animal care and use program

Page 22: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Accreditation for Agricultural Programs: Analysis of the Arguments For and Against

Neal R. Merchen, Ph.D.Professor and Interim HeadDepartment of Animal SciencesUniversity of Illinois

Page 23: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

General Challenges – Agricultural Animal Programs Complex lines of accountability/authority

Teaching activities - impact on H-H programs and biosecurity

Decentralized management Faculty involved in management/oversight “Cultural resistance” to centralized oversight

Disconnect between clinical veterinary service and oversight by IV

Page 24: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Why Be Accredited?

Arguments FOR

AAALAC website

Points from experience at U. of Illinois

Page 25: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council
Page 26: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Why Be Accredited?

Arguments FOR

Symbol of quality Value in external validation of quality

Demonstrates accountability Validates commitment to humane and ethical

animal care and use

Page 27: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Why Be Accredited?

Arguments FOR

(?) Enhances quality of agricultural research

(?) Recruiting tool for faculty, students, researchers No discernable impact

(?) Enhances funding opportunities. Limited impact for funding of ag production

research

Page 28: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Why Be Accredited?

Arguments FOR

Exercise in self-assessment Engage all participants Re-evaluation of practices

Improves sensitivity to concerns of public

Encourages standardization of practices

Improves record-keeping

Page 29: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Why Be Accredited?

Arguments AGAINST

Costs

Funding, human resources

Transaction costs for preparation

Repair, renovation of facilities

Ongoing costs

Page 30: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

University of Illinois – College of ACES Agricultural Animal Program Infrastructure

Daily census 12 to 14,000 animals

10 livestock units at 3 locations

50 academic staff and animal caretakers

150 animal buildings

Extensive documentation

Page 31: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Why Be Accredited?

Arguments AGAINST Difficulties in collaboration among principals

IACUC Institutional veterinarian Clinical veterinarians Faculty Animal care staff

“Complex lines of accountability and authority”

- Build consensus opinions/agendas

Page 32: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Why Be Accredited?

Arguments AGAINST

Poor relationship between ag animal care program to local oversight of animal care program

Biggest reason for disinterest by ag animal units

Lack of communication/mutual understanding

Page 33: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Why Be Accredited?

Arguments AGAINST (cont.)

Poor relationship between ag animal care program to local oversight of animal care program

Imbalance in institutional authority among IACUC, IV, IO

Poor representation of ag animal programs on IACUC

AAALAC used as a “club”

Page 34: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Greatest Opportunities – AAALAC Accreditation of Ag Animal Programs

Establishes independent seal of quality assurance

Demonstrates accountability

Self-assessment may improve practices

Professionalism/pride/esprit de corps of animal caretakers

Page 35: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Greatest Challenges - Institutions/AAALAC

Resources

Develop effective working groups among IV, IACUC, IO, ag animal programs

Improve communication between AAALAC and ag animal professionals

Clarify role of AAALAC to ag animal professionals

Page 36: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council
Page 37: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Trends in Deficiencies

Kathryn Bayne, M.S., Ph.D., D.V.M.Associate Director, AAALAC International

Page 38: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Standards Used

Page 39: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Farm Animal Position StatementAAALAC International uses the current edition of the Guide for the Care and Use of LaboratoryAnimals (NRC 1996) as its primary standard for evaluating animal care facilities and programs. The full range of programmatic criteria outlined in Sections I-III of the Guide are entirelyapplicable to farm animals, and in accredited facilities, the use of farm animals in research shouldbe subject to the same general ethical considerations as the use of other animals in research. However, uses of farm animals are often separated into biomedical uses and agricultural uses,and different criteria for evaluating standards of housing and care for animals of the same speciesmay be appropriate. Decisions on categorizing research uses of farm animals and definingstandards for their care and use should be based on user goals, protocols, and concern for animalwell-being and should be made by the Institutional Animal Care and Use Committee. Foranimals in an agricultural setting, AAALAC International takes the position that, in accreditedfacilities, the housing and care for farm animals should meet the standards that prevail on a highquality, well managed farm. The Guide for the Care and Use of Agricultural Animals inAgricultural Research and Teaching (FASS 1999) is recognized by AAALAC International as areference resource for individual farm animal species. Regardless of an investigator’s researchobjectives or funding source, institutions are expected to provide oversight of all researchanimals and ensure that their pain and distress is minimized.

Page 40: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

AAALAC International & Land Grant Institutions

Approximately 28% are accredited

Page 41: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Of those LGIs/State Universities that are accredited….

38% have Campus-wide accreditation

Page 42: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

The Animal Care and Use Program

Page 43: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Institutional Policies

OHSP

IACUC

Adequate Veterinary Care

Administrative Organization

Page 44: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Animal Management Animal Space Provisions

Support Service

Sanitation Practices

Caging/Housing System

Aseptic surgery

Husbandry Practices

Identification/Record Keeping

Vermin Control

Page 45: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Veterinary Care

Preventive Medicine

Disease Diagnosis, Control, Treatment

Surgical & Postsurgical Care

Anesthesia/Analgesia

Euthanasia

Page 46: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Physical Plant

HVAC

Survival Surgery Support

Facility Maintenance

Personnel Safety Concerns

General Storage Conditions

Sanitation of Facilities

Page 47: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Physical Plant (cont.)

Illumination

Emergency Power

Physical Plant Design

Security

Page 48: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Trend Data

Data extracted from January 1993 through January 2002 meetings of the Council on Accreditation, equating to the three most recent site visits for each institution (or less if they were new to the AAALAC program)

Page 49: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Mandatory Deficiencies Identified

Range of zero to nine mandatory items in a letter

59% of letters reviewed had no mandatory items for correction, i.e., institution granted Full Accreditation after site visit

No significant correlation between number of mandatory items identified and whether program was Campus-wide or University-limited

No correlation between number of mandatory items and whether institution had a medical school or health science center

Page 50: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Suggestions for Improvement Identified Range of zero to 20 SFIs in a letter

24% of letters reviewed had no SFIs

No significant correlation between number of SFIs identified and whether program was Campus-wide or University-limited

No correlation between number of SFIs and whether institution had a medical school or health science center

Page 51: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Mandatory Item vs. Suggestion For Improvement

Mandatory Item = a deficiency which must be corrected for Full Accreditation to be awarded or continued

Suggestion for Improvement (SFI) = items which the Council feels are desirable to upgrade an already acceptable or even commendable program

Page 52: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Land Grant Institution Program Deficiencies

8%

7%

20%

65%

Institutional Policies Animal ManagementVeterinary CarePhysical Plant

Page 53: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Comparison Of LGIs with all Accredited Institutions

GeneralAnimal Care and Use

Programs

Land Grant Colleges&

State UniversitiesInstitutional Policies 70% 65%Animal Management 13% 8%Veterinary Care 12% 7%Physical Plant 5% 20%

Page 54: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Land Grant InstitutionSuggestions for Improvement

37%

13%

20%

30%

Institutional Policies Animal ManagementVeterinary CarePhysical Plant

Page 55: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Common Deficiencies

28.6

19.8

13.5

9.5

0

5

1015

20

25

3035

40

45

50

IACUCOHSPHVACProgram of Vet Care

Page 56: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Comparison Of LGIs with all Accredited Institutions

GeneralAnimal Care and Use

Programs

Land Grant Colleges&

State UniversitiesIACUC 25% 28.6%OHSP 15% 19.8%HVAC 9% 13.5%Veterinary Care 4% 9.5%

Page 57: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Identified Concerns

0102030405060708090

100

MandatorySFI's

Page 58: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Accreditation Challenges

IACUC Issues

Christine M. Parks, D.V.M., Ph.D.Director, RARCUniversity of Wisconsin-Madison

AAALAC Council on Accreditation Emeriti

Page 59: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Institutional Policies

Lack of institutional commitment

Institutional official not empowered to commit necessary resources

Need to establish clear lines of authority and oversight of the program

Inconsistencies in procedures and practices between centralized and satellite areas

Page 60: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

IACUC Participation

Inadequate oversight of animals in satellite or study areas

Inadequate program oversight

Lack of participation of nonaffiliated member

Organizational structure presented potential conflict of interest

Page 61: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Policies, Training and Documentation

Inadequate personnel training and documentation

No policies for rodent surgery, analgesia/anesthesia, environmental enrichment, dog exercise

No or inadequate IACUC training

Page 62: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

IACUC Semiannual Review

Review did not include evaluation and inspection of all housing and laboratory areas

Review did not include evaluation of programmatic issues

No plan and schedule for correcting deficiencies

Page 63: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

IACUC Semiannual Review

Inadequate oversight of farm units

Inadequate evaluation of remote sites, and other sites such as slaughter house or feed mill

Page 64: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Protocol Review Issues

Inadequate intensity of protocol review including: pain and distress; exceptions from the Guide; euthanasia techniques; use of analgesia; justification of animal numbers; endpoints

Need to ensure all animals covered by a protocol (holding, breeding, sentinels)

Page 65: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Protocol Review Issues (cont.)

Process errors, such as: protocol approval outside committee procedures; chair acting outside of authority; definition of major changes; documentation lapses

Inadequate annual review

Safety issues not addressed

Failure to match numbers of animals approved with number used

Page 66: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Occupational Health and Safety at Land Grant Institutions:

An AAALAC Perspective

Wendy J. Underwood, D.V.M., M.S.Attending VeterinarianEli Lilly and Company

AAALAC Council on Accreditation

Page 67: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

What mandates the creationof an OHS program?

PHS Policy: The ILAR Guide

The AG Guide

OHSA: CFR 29

ILAR: “Occupation Health and Safety in the Care and Use of Research Animals”.

Page 68: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

What do the ‘Guides’ say?

The ILAR Guide: “An occupational health and safety program must be part of an overall animal care and use program

The Ag Guide: “An occupational health and safety program must be established for individuals who work with agricultural animals.”

Page 69: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

What are the required components of an OHSP? Risk Assessment and hazard identification

Medical surveillance

Training

Personnel hygiene

PPE

Facilities

Procedures and monitoring

Page 70: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

What are the ‘hallmarks’ of a good OHSP?

Strong administrative support

Sound implementation strategies

Effective coordination of components

Page 71: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

OHS Findings at Land Grant Institutions

Study

Hazards

20%

Training

6%

Risk

Assessment

35%

Programatic

20%

Medical

Surveillance

3%PPE

16%

Programatic

RiskAssessmentTraining

Study Hazards

PPE

MedicalSurveillance

Page 72: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Programmatic Issues 20%

Inadequate:

Oversight Implementation

Notification Not offered to all

Intensity Involvement by health

specialists

Need to ensure that the program conforms to the guide.

Program does not reflect actual practices.

Not applied to field study areas.

Page 73: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Risk Assessment and Hazard Identification 35%

Lack of risk assessment first aid kits identification of

hazardous materials proper signage

Potential health risks not identified (Q fever)

Lack of confined space policy lone operator policy lock Out/Tag Out documentation of all

personnel involved in program

Allergen exposure

Page 74: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Personnel Training 6%

Inadequate training

Need to provide training on

Zoonoses Allergens Sharps disposal Heavy equipment Ergonomics

Page 75: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Experimentation involving hazards 20% Lack of or inappropriate

biohazard signs

Exhaust air not filtered

Non filtered vacuums

Lack of respirator use

Inappropriate storage of volatile gases

No mechanism to ensure people following policy

Protocols not reviewed by safety committee

Inappropriate handling of medicated feeds

Page 76: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Personnel Hygiene 16%

Lack of water, sinks, towels, etc. to wash

Uncertified safety showers, eye stations, or chemical hoods

Washer and dryer for cleaning work clothing installed in soiled area

No provision for cleaning work clothes

Page 77: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

PPE

Not available

Not offered

Not used

Inappropriate

Lack of

hearing protection respiratory protection

Lack of monitoring mechanism for PPE use

Policy not enforced

Lack of policy

Page 78: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Medical Surveillance 3%

Tetanus immunization not offered

No program to evaluate Q fever

Page 79: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Broad OHSP Issuesat Land Grant Institutions

Lack of an OHS program for Ag facilities

Lack of opportunity for inclusion

Absence of safety professionals

Industrial Hygienists

Biosafety Officers

Safety Officers

Page 80: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

More Common OHSP Issues at Land Grant Institutions PPE: No boots, safety

glasses or work clothes in barn areas

Zoonoses: ringworm, crypto, erysipelas, flue

No tetanus immunization

Storage issues: gas, diesel, formalin, kerosene

Poor or no biohazard signage

Confined Space Entry

Lone Operator

Heavy equipment training

First aid kits

Physical injury and ergonomics

Page 81: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

OHS Findings:Mandatory or Suggestions?

0

5

10

15

20

25

Mandatory SFI's

Page 82: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Accreditation Challenges Animal Management

Joy A. Mench, Ph.D.Professor of Animal ScienceUniversity of California – Davis

AAALAC Council on Accreditation

Page 83: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

The GuideA good management program provides the environment, housing and care that permit animals to grow, mature, reproduce and maintain good health; provides for their well-being; and minimizes variations that can affect research results”

Page 84: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

The Guide “Many factors should be considered in planning for

adequate and appropriate physical and social environment, housing, space and management”

Species, strain, breed and individual characteristics of animal; ability of animals to form social groups; availability and suitability of enrichments; design and construction of housing; project goals and experimental design

Goal of housing to maximize species-typical behavior and minimize stress-induced ones

Page 85: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Husbandry & Management

Behavioral Management

Husbandry

Population management

IACUC oversight of husbandry

Role of IACUC in husbandry program

Page 86: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Husbandry & Management

Routine husbandry and management issues do not generally appear to pose significant challenges at Land-Grant Institutions

Relatively rare as mandatory issues, but there are several common areas of suggested improvements

Page 87: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Behavioral Management

Provide opportunity for animal to express species-typical postures, behaviors, and activity

Lack of social enrichment for social species

Pair or group-housing; visual, olfactory, auditory contact

Page 88: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Feed and Water

Food quality

Feed grade Feed storage times Feed storage conditions (vermin/contamination) Feed provision conditions (floor feeding)

Water Automatic water lines

Page 89: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Sanitation

Cage sanitation schedules not in conformance with Guide

No (or too infrequent) mechanism for ensuring effectiveness of sanitation (e.g., microbiological monitoring, other appropriate methods)

Cluttered and dirty rooms

Rusted equipment

Page 90: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Other Husbandry Issues Lack of effective vermin control program

A particular problem at farm locations, with bulk feed storage areas, open feed troughs

No formal (or inadequate) Disaster Plan—most cited deficiency!

Appropriate emergency contacts Posting of procedures Takes account of people and animals “Official responder” (vet or colony manager)

Page 91: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

IACUC Husbandry Issues

Special Agricultural Practices

Castration, dehorning, molting, etc

If likely to cause pain or distress must be reviewed and approved by the IACUC, as per the Guide for the Care and Use of Agricultural Animals

Page 92: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Accreditation Challenges

Veterinary Care Issues

Joseph D. Thulin, D.V.M., M.S.Institutional Veterinarian and DirectorDivision of Animal ResourcesUniversity of Illinois Urbana-ChampaignAAALAC Council on Accreditation

Page 93: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Categorizing Veterinary Concerns

Program Organization

Corresponds to Chapter 1 of NRC Guide

Issues of institutional arrangements for veterinary care, responsibilities and authority of attending/institutional veterinarian, etc.

Program Design and Implementation

Corresponds to Chapter 3 of NRC Guide

Preventive medicine (quarantine, surveillance, treatment, control, etc.), surgery, pain management, euthanasia

Page 94: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Veterinary Care Concerns Summarized Major Category

16

53

1

91

0102030405060708090

100

Mandatory SFI

Design &ImplementationOrganization

Page 95: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Summary of Mandatory Items

23%

61%

13%

0% 3%Organization

PreventiveMedicineSurgical Care

Pain Management

Euthanasia

Page 96: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Summary of Suggestions for Improvement

1%

47%

32%

9%

11%

OrganizationPreventive MedicineSurgical CarePain ManagementEuthanasia

Page 97: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Challenges in Organizationof Veterinary Care

Page 98: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Examples of Deficiencies Identified by Council

Inadequate oversight to ensure adequate veterinary care.

Institution needs to establish suitable arrangements for provision of vet care consistent with Guide, Ag Guide and institutional policy.

Inadequate involvement of Attending Veterinarian in ag animal program.

Page 99: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Examples of Deficiencies Identified by Council (cont.)

Institution needs to implement an ag animal health program that delineates the lines of authority and responsibilities of veterinary care.

No formal communication between PI-veterinarians and Attending Veterinarian.

PI-veterinarian not providing adequate vet care.

Dairy manager initiating treatment w/o input from veterinarian.

Page 100: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Who is the Attending Veterinarian?

The veterinarian “…who has direct or delegated authority for activities involving animals at [the registered] facility…” (Animal Welfare Regs)

The veterinarian “…who has direct or delegated program authority and responsibility for activities involving animals at the institution…” (PHS Policy)

The veterinarian who is responsible for the program of adequate veterinary care. (AWR, NRC Guide, Ag Guide)

Page 101: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Attending Veterinarian (cont.)

The Attending (Institutional) Veterinarian ideally should report to the Institutional Official.

An institution might have more than one AV; however, the lines of accountability and responsibilities among the veterinarians need to be clearly delineated.

PI-veterinarians pose special considerations such as conflict of interest and relationship to the AV.

Page 102: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Challenges in Design and Implementation of the

Veterinary Care Program

Page 103: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Examples of Deficiencies Identified by Council

Inadequate notification of the veterinary staff about ill animals. (Most frequent deficiency.)

Daily observation of animals not conducted.

Inadequate treatment of health problems (e.g., feather picking in poultry).

Page 104: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Examples of Deficiencies Identified by Council (cont.)

Inadequate routine health care (e.g., dental work, physical exams, hoof trimming, etc.).

Medical records at farm units did not conform with Ag Guide.

Inadequate documentation of health problems and treatments.

Indiscriminate use of antibiotics.

Page 105: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Examples of Deficiencies Identified by Council (cont.)

15% death rate of cows in a barn due to mastitis which had not been aggressively investigated.

Records of veterinary care provided by PI-veterinarians inadequate.

Malnourished/moribund piglet observed; had intended to leave with sow for next day or two.

Page 106: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Examples of Deficiencies Identified by Council (cont.)

Diagnostics services not used to ensure adequate veterinary care.

Inadequate aseptic techniques (sterilized instruments, hair removal, disinfection of site, sterile gloves, survival surgeries).

Inadequate documentation of surgical and postoperative care.

Page 107: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Adequate Veterinary Care NRC Guide requires effective programs for:

Preventive medicine. Surveillance, diagnosis, treatment, and control of

disease, including zoonosis control. Management of protocol-associated disease, disability,

or other sequelae. Anesthesia and analgesia. Surgery and postsurgical care. Assessment of animal well-being. Euthanasia.

Page 108: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Adequate Veterinary Care (cont.)

Under AWR also includes availability of appropriate facilities, personnel, equipment, and services.

Ag Guide requires a written and implemented program for disease prevention (including biosecurity), surveillance, diagnosis, treatment, and end point resolution, and has stringent requirements for health and production record keeping.

Page 109: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Challenges in Implementationof Veterinary Care

Poorly organized programs typically have problems with implementation.

All personnel involved in veterinary care must be knowledgeable of institutional responsibilities.

Be cognizant of the relationships among the various standards/regulations, i.e., NRC Guide, Ag Guide, AWR, PHS Policy.

Page 110: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

The Physical Plant in an AAALAC International Accredited Agricultural Facility

John J. McGlone, Ph.D.Professor, Department of Animal Science

Texas Tech University

AAALAC Council on Accreditation Emeriti

Page 111: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Outline

Physical Plant Considerations (Sections of the Guide):

The physical environment

Physical Plant considerations

Problem areas

Opportunities

Page 112: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

The Physical Environment Microenvironment &

Macroenvironment Housing

Primary enclosures Sheltered or outdoor housing Naturalistic environment

Space Temperature & Humidity Ventilation Illumination Noise

Page 113: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Physical Plant Considerations

In general, the building, room and pens or cages

The Physical Environment

p. 22-36 of the Guide

The Physical Plant

Ch 4, pp 71-80 of the Guide

Page 114: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Physical Plant (Ch 4) Functional areas Construction guidelines

Corridors Animal room doors Exterior windows Floors, drainage, walls, ceilings HVAC Power and lighting, storage

areas, noise control, facilities for sanitizing materials

Facilities for aseptic surgery

Page 115: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Physical Plant Problem Areas

Physical plant issues represented

10% of all mandatory items (32/320)

15% of all suggestions for improvements (112/759)

Page 116: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Physical Plant Problem Areas

All other issues were 3 or less and they were scattered over nearly every category and sub-category

Page 117: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Physical Plant Problem Areas – The big 4 Issues Flooring should be refurbished, resealed, or

replaced to provide smooth, impervious sanitizable surfaces (n=17)

Unsealed animal room surfaces (n=4)

Fencing in need of repair (n=4)

Temperatures not monitored/recorded regularly (n=4)

Page 118: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Physical Plant Problem Areas – Summary Problem Areas

Flooring Walls Fencing Temperature

& humidity monitoring

Page 119: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Physical Plant Problem Areas – What is not a major concern

A farm setting

Outdated facilities

Natural ventilation

Non-controlled photoperiod (as in open barns)

Lack of temperature control

Page 120: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Physical Plant Problem Areas – Opportunities

Agricultural facilities can be accredited for what they are A farm setting, as in

a modern, well-managed farm

A hybrid between a farm and a laboratory

A biomedical facility that uses farm animals

Page 121: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

Ag facilities can be

accredited, too!

The End

Page 122: Anatomy of a Land Grant Institution Dorcas P. ORourke, D.V.M., M.S. Director, Office of Laboratory Animal Care The University of Tennessee AAALAC Council

For more information:

AAALAC InternationalBooth # 607

[email protected]

[email protected]

www.aaalac.org