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Some sufferers have even chosen less challenging career paths because their migraine attacks are so unpredictable and severe, for instance, hilton paris valtrex. Isolation Standard precautions. No isolation required. Public Health Significance There is no evidence of person-to-person transmission. Educate public and livestock handlers in handling infected tissues of dogs or livestock and the importance of consuming only pasteurized dairy product. Contacts There is no evidence of person-to-person disease transmission. Travel companions or coworkers may have had the same exposure as an identified case and should be advised to seek medical attention if ill. Prevention and Control Advise travelers and educate the public to consume only pasteurized dairy products. Boiling milk is a safe alternative to pasteurization. Educate farmers, butchers, and others handling animals and carcasses about how to reduce their exposure. Exercise care in handling afterbirths and any aborted fetus of livestock, wildlife, and dogs. Consult the Ohio Department of Agriculture see below ; for advice on vaccinating and testing livestock in Ohio. Vaccination There are no effective vaccines for humans, but there is a vaccine for livestock. Brucella vaccine, RB51, can produce brucellosis if unintentionally injected into a human. Follow-up Specimens If Brucella canis is diagnosed, determine possible exposure of patient. Dogs are the primary reservoir. Brucellosis is more common in stray dogs, but pet dogs can also carry the disease. Routine testing can be performed by a veterinarian. Note that there is no antibiotic treatment regimen for dogs that guarantees elimination of the carrier state. Public health authorities should work with the owner and the owner's veterinarian. Measures taken will depend on the situation. Euthanasia might be best in households with children or immunocompromised individuals: neutering and regular veterinary monitoring and taking personal precautions may be reasonable in low risk situations. If the source of the organism is determined to be domestic livestock, contact the Ohio Department of Agriculture ODA ; , Division of Animal Industry, 8995 East Main Street, Reynoldsburg, Ohio 43068, 614 728-6220. ODA will assist with animal testing and removal of reactors. When dairy products are suspected, advise the ODA Dairy Division, 8995 East Main Street, Reynoldsburg, Ohio 43068, 614 466-5550, which can follow-up on the suspected dairy product source. If voluntary recall or embargo of suspected food product is necessary, the Dairy Division will alert the ODA Food Safety Division 614 728-6250 for the necessary action. The Food Safety Division notifies the FDA if the food product crosses state lines. Additional Information For fact sheet and additional information, go to : cdc.gov healthypets and select brucellosis under "search for disease.

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