Assessment of Public Health Veterinarians Regarding the

Attachment B: Data collection instrument- Word version

Form Approved

OMB No. 0920-0879
Expiration Date: 03/31/2014

Welcome! Thank you for participating in this assessment of Public Health Officials regarding the sale/distribution/exhibition of certain animals.

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Please tell us about yourself:

1. State or jurisdiction in which you work

Drop down box of states

Option to write in if jurisdiction not listed

2. Please select your degree(s) (check all that apply):

Check box	Degrees
	DVM/VMD
	MD
	MS
	MPH/MSPH
	PhD
	DrPH
	BS/BA
	Other (please specify)_______________________________

Public reporting burden of this collection of information is estimated to average 17 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-0879).

The next set of questions assess the status of laws/regulations in your jurisdiction which are either: in effect, in development, or in revision

3. Please tell us about the status of any laws/regulations which put restrictions on the sale of each of the following animals in your state/jurisdiction:

	Laws/Regulations currently in place	Existing laws/regulations currently in revision	New Laws/regulations are currently in development	Don’t know (skip to 6)	Laws/Regulations do not exist and are not planned or in development	Law/Regulation does not fall under purview of public health
Reptiles (i.e., snakes, lizards) other than turtles with a shell length of <4	Go to 4/5, then 10a	skip to 6/7, then 10a	skip to 8/9, then 10a	skip to 12	skip to 12	skip to 11
Turtles <4” in carapace/shell length	Go to 4/5, then 10b	skip to 6/7, then 10b	skip to 8/9, then 10b	skip to 12	skip to 12	skip to 11
Amphibians (i.e., frogs, toads, salamanders)	Go to 4/5, then 10c	skip to 6/7, then 10c	skip to 8/9, then 10c	skip to 12	skip to 12	skip to 11
Live poultry (i.e., chicks, chickens, ducks, geese, turkeys, etc.)	Go to 4/5, then 10d	skip to 6/7, then 10d	skip to 8/9, then 10d	skip to 12	skip to 12	skip to 1
Dyed or artificially colored live poultry	Go to 4/5	skip to 6/7	skip to 8/9	skip to 12	skip to 12	skip to 11
Frozen rodents used as reptile feed	skip to 11	skip to 11	skip to 10	skip to 12	skip to 12	skip to 11
Live mice and rats	Go to 4/5, then 10e	skip to 6/7, then 10e	skip to 8/9, then 10e	skip to 12	skip to 12	skip to 11
Pocket pets (e.g., hamsters, gerbils, chinchillas)	Go to 4/5, then 10f	skip to 6/7, then 10f	skip to 8/9, then 10f	skip to 12	skip to 12	skip to 11

4. Do the laws/regulations currently in effect in your state/jurisdiction restrict sales by:

	Age of the animal	Size of the animal	Neither age nor size (skip to 5)	Other reason (e.g., invasive, injurious)
Reptiles (snakes, lizards) other than turtles with a shell length of less than 4 inches
Turtles with a shell length less than 4 inches
Amphibians (frogs, toads, salamanders)
Live poultry (chicks, chickens, ducks, geese, turkeys, etc.)
Dyed or artificially colored live poultry
Live mice or rats
Pocket pets (e.g., hamsters, gerbils, chinchillas)

5. Please describe the specifics of your jurisdiction’s laws/regulations for any of the animals in this question (include web links and the regulation/statue number if available):

6. Do the existing laws/regulations that are undergoing revision in your state or jurisdiction currently restrict sales by:

	Age of the animal	Size of the animal	Neither age nor size (skip to 5)	Other reason (e.g., invasive, injurious)
Reptiles (snakes, lizards) other than turtles with a shell length less than 4 inches
Turtles with a shell length less than 4 inches
Amphibians (frogs, toads, salamanders)
Live poultry (chicks, chickens, ducks, geese, turkeys, etc.)
Dyed or artificially colored live poultry
Live mice or rats
Pocket pets (e.g., hamsters, gerbils, chinchillas)

7. How will the revisions change the existing laws/regulations?

Don’t know

8. Will the laws/regulations currently being developed in your state/jurisdiction restrict sales by:

	Age of the animal	Size of the animal	Neither age nor size (skip to 5)	Other reason (e.g., invasive, injurious)
Reptiles (snakes, lizards) other than turtles with a shell length of less than 4 inches
Turtles with a shell length less than 4 inches
Amphibians (frogs, toads, salamanders)
Live poultry (chicks, chickens, ducks, geese, turkeys, etc.)
Dyed or artificially colored live poultry
Live mice or rats
Pocket pets (e.g., hamsters, gerbils, chinchillas)

9. Please describe the specifics of the laws/regulations under development (include web links if available):

10. What is the intent of your jurisdiction’s laws/regulations (current, in revision, or under development) restricting the sale of the following animals? (please select one choice per row)

10a. Reptiles (snakes, lizards and turtles with a shell length >4”)

	Not an intent	Somewhat an intent	Important or main intent	Unsure/do not know intent
Prevent human injury
Prevent human illness
Control pet population
Protect native wildlife
Other (please specify)

10b. Turtles with a shell length less than 4 inches

	Not an intent	Somewhat an intent	Important or main intent	Unsure/do not know intent
Prevent human injury
Prevent human illness
Control pet population
Protect native wildlife
Other (please specify)

10c. Amphibians (e.g., frogs, toads, salamanders)

	Not an intent	Somewhat an intent	Important or main intent	Unsure/do not know intent
Prevent human injury
Prevent human illness
Control pet population
Protect native wildlife
Other (please specify)

10d. Any live poultry (e.g.,chicks, chickens, ducks, geese, turkeys)

	Not an intent	Somewhat an intent	Important or main intent	Unsure/do not know intent
Prevent human injury
Prevent human illness
Control pet population
Protect native wildlife
Other (please specify)

10e. Live mice and rats

	Not an intent	Somewhat an intent	Important or main intent	Unsure/do not know intent
Prevent human injury
Prevent human illness
Control pet population
Protect native wildlife
Other (please specify)

10f. Pocket pets (e.g., hamsters, gerbils, chinchillas)

	Not an intent	Somewhat an intent	Important or main intent	Unsure/do not know intent
Prevent human injury
Prevent human illness
Control pet population
Protect native wildlife
Other (please specify)

11. Since Public Health does not hold primary responsibility for regulating the sale/distribution/exhibition of live animals, which agency does hold this responsibility for:

Reptiles (snakes ,lizards and turtles with a shell length >4”)

	Department of Agriculture (e.g., state veterinarian)
	Fish and Wildlife (see 2a)
	Other (please specify)

Turtles with a shell length less than 4 inches

	Department of Agriculture (e.g., state veterinarian)
	Fish and Wildlife (see 2a)
	Other (please specify)

Amphibians (e.g., frogs, toads, salamanders)

	Department of Agriculture (e.g., state veterinarian)
	Fish and Wildlife (see 2a)
	Other (please specify)

Live poultry (i.e., chicks, chickens, ducks, geese, turkeys, etc.)

	Department of Agriculture (e.g., state veterinarian)
	Fish and Wildlife (see 2a)
	Other (please specify)

Dyed or artificially colored live poultry

	Department of Agriculture (e.g., state veterinarian)
	Fish and Wildlife (see 2a)
	Other (please specify)

Frozen rodents used as reptile feed

	Department of Agriculture (e.g., state veterinarian)
	Fish and Wildlife (see 2a)
	Other (please specify)

Live mice and rats

	Department of Agriculture (e.g., state veterinarian)
	Fish and Wildlife (see 2a)
	Other (please specify)

Pocket pets (e.g., hamsters, gerbils, chinchillas)

	Department of Agriculture (e.g., state veterinarian)
	Fish and Wildlife (see 2a)
	Other (please specify)

The next set of questions assess regulations at the point of sale (e.g., pet stores, educational requirements)

12. Do the laws in your jurisdiction require that educational materials regarding the risk of zoonotic disease be provided to the consumer at the point of sale?

Yes, public health holds this responsibility (skip to 12a)

Yes, but another agency holds responsibility for educational materials (skip to 12e)

No such laws exist (skip to 13)

Don’t know (skip to 13)

12a. Is the requirement to provide educational materials at the point of sale restricted to specific animals?

Yes (skip to 12b)

No (skip to 13)

12b. Please select the animals for which educational materials must be provided at the point of sale

	Reptiles (i.e., snakes, lizards, turtles with a shell length >4”)
	Turtles <4” in carapace/shell length
	Amphibians (e.g., frogs, toads, salamanders)
	Live poultry (e.g.,chicks, chickens, ducks, geese, turkeys)
	Dyed or artificially colored live poultry
	Ferrets
	Pocket pets (e.g., hamsters, gerbils, chinchillas)
	Live rodents used as reptile feed
	Live rodents sold as pets (i.e., mice and rats)
	Frozen rodents used as reptile feed
	Other (specify)

12c. Please provide links if any of your educational materials are available online

None Available

12d. Please provide any additional information that you feel would be helpful to CDC in developing educational materials, to include animal species or pathogens for which educational materials would be useful in your work.

12e. Which agency holds responsibility for requiring that educational materials regarding the risk of zoonotic disease be provided to the consumer at the point of sale?

	Department of Agriculture (e.g., state veterinarian)
	Fish and Wildlife (see 2a)
	Other (please specify)

13. Does your jurisdiction inspect and license facilities where animals are sold?

Yes (skip to 13a)

No (skip to 14)

Don’t know (skip to 14)

13a. Which facilities are subject to inspection and licensure?

Type of Facility	Responsible Agency
	Public Health	Other Agency
Brick and Mortar Pet Stores		Skip to 13b
Veterinary clinics which adopt homeless animals		Skip to 13b
Animal shelters		Skip to 13b
Facilities which ship animals following internet sales		Skip to 13b
Swap meets/Shows/other informal gatherings (not in “brick and mortar” pet stores)		Skip to 13b
Agricultural Feed Stores that sell live animals such as baby poultry		Skip to 13b
Rodent breeding facilities		Skip to 13b
Other (please specify)		Skip to 13b

13b. Which agency holds responsibility for inspection and licensure of these facilities

Brick and Mortar Pet Stores

	Fish and Wildlife
	Agriculture
	Other (specify)
	Don’t know/Not sure

Veterinary Clinics which adopt homeless animals

	Fish and Wildlife
	Agriculture
	Other (specify)
	Don’t know/Not sure

Animal Shelters

	Fish and Wildlife
	Agriculture
	Other (specify)
	Don’t know/Not sure

Facilities which ship animals following internet sales

	Fish and Wildlife
	Agriculture
	Other (specify)
	Don’t know/Not sure

Swap Meets/Animal Shows

	Fish and Wildlife
	Agriculture
	Other (specify)
	Don’t know/Not sure

Agricultural Feed Stores

	Fish and Wildlife
	Agriculture
	Other (specify)
	Don’t know/Not sure

Rodent Breeding Facilities

	Fish and Wildlife
	Agriculture
	Other (specify)
	Don’t know/Not sure

Other

	Fish and Wildlife
	Agriculture
	Other (specify)
	Don’t know/Not sure

The next set of questions assesses the permanent or temporary exhibition of animals.

14. Are there currently laws/regulations addressing the following in regard to the permanent or temporary exhibition (i.e., petting zoos, animal shows) of live animals in your jurisdiction?

	Law/Regulation does exist	Law/Regulation does not exist	Don’t know	Law/Regulation does not fall under purview of public health
Animal exhibitors must post signs regarding risks of zoonotic disease(s)	skip to 15	Skip to 22	skip to 24	skip to 23
Animal exhibitors must post signs regarding handwashing	skip to 15	Skip to 22	skip to 24	skip to 23
Exhibitors must distribute educational materials to attendees at event(s)	skip to 15	Skip to 22	skip to 24	skip to 23
Regulate animal entrance to settings with children (e.g., daycares, schools)	Skip to #16/17	Skip to 22	skip to 24	skip to 23
Regulate animal entrance to nursing homes, assisted living facilities, or similar long term care facilities	Skip to #18/19	Skip to 22	skip to 24	skip to 23
Regulate animal entrance to other settings with immunocompromised persons (e.g., hospitals)	Skip to #20/21	Skip to 22	skip to 24	skip to 23

If there are additional laws/regulations addressing the permanent or temporary exhibition (i.e., petting zoos, animal shows) of live animals in your jurisdiction which are not addressed here, but which you would like to tell us about, please describe below:

No additional laws/regulations

15. The following regulations do exist in your state/jurisdiction. Do you think that having the following regulations in place has reduced human illness in your jurisdiction? (a check is an affirmative response)

	Have reduced human illness	May have reduced human illness	Don’t know/no opinion	Have not reduced human illness
Animal exhibitors must post signs regarding risks of zoonotic disease(s)
Animal exhibitors must post signs regarding hand washing
Exhibitors must distribute educational materials to attendees at event(s)

16. What effect has regulating animal entrance to schools, daycare centers, and/or other facilities where young children are present had in your jurisdiction?

	Has reduced human illness
	May have reduced human illness
	Has not reduced human illness
	Don’t know/no opinion

17. For the following animals please check whether their entrance to schools, daycare centers, and/or other facilities where young children are present is banned (not allowed under any circumstances) or is allowed with certain restrictions)?

	Banned	Allowed with restrictions	Not applicable	Do not know
Any reptile other than turtles <4”
Turtles <4”
Amphibians
Live poultry
Pocket pets (e.g., hamsters, mice, rats, hedgehogs, guinea pigs, ferrets)
Cats/dogs
Livestock (e.g., cows, goats) including temporary or traveling animal exhibits such as petting zoos
Other animal not listed

Please describe the previously selected "Other" animals whose entrance to schools, daycare centers, and/or other facilities where young children are present is regulated.

18. What effect has regulating animal entrance to nursing homes, assisted living facilities, or similar long term care facilities had in your jurisdiction?

	Has reduced human illness
	May have reduced human illness
	Has not reduced human illness
	Don’t know/no opinion

19. For the following animals please check whether their entrance to nursing homes, assisted living facilities, or similar long term care facilities is banned (not allowed under any circumstances) or is allowed with certain restrictions?

	Banned	Allowed with restrictions	Not Applicable	Do not know
Any reptile other than turtles <4”
Turtles <4”
Amphibians
Live poultry
Pocket pets (e.g., hamsters, mice, rats, hedgehogs, guinea pigs, ferrets)
Cats/dogs
Livestock (e.g., cows, goats) including temporary or traveling animal exhibits such as petting zoos
Other animal not listed

Please describe the previously selected "Other" animals whose entrance to nursing homes, assisted living facilities, or similar long term care facilities is regulated.

20. What effect has regulating animal entrance to other settings with immunocompromised persons (e.g., hospitals) had in your jurisdiction?

	Has reduced human illness
	May have reduced human illness
	Has not reduced human illness
	Don’t know/no opinion

21. For the following animals please check whether their entrance to other settings with immunocompromised persons (e.g., hospitals) is banned (not allowed under any circumstances) or is allowed with certain restrictions?

	Banned	Allowed with restrictions	Not Applicable	Do not know
Any reptile other than turtles <4”
Turtles <4”
Amphibians
Live poultry
Pocket pets (e.g., hamsters, mice, rats, hedgehogs, guinea pigs, ferrets)
Cats/dogs
Livestock (e.g., cows, goats) including temporary or traveling animal exhibits such as petting zoos
Other animal not listed

Please describe the previously selected "Other" animals whose entrance to other settings with immunocompromised persons is regulated.

22. The following regulations do not currently exist in your state/jurisdiction. Do you think that having them in place would reduce human illness in your state/jurisdiction?

	Would reduce human illness	Might reduce human illness	Don’t know/no opinion	Would not reduce human illness
Animal exhibitors must post signs regarding risks of zoonotic disease(s)
Animal exhibitors must post signs regarding hand washing
Exhibitors must distribute educational materials to attendees at event(s)
Regulate entrance to settings with children (e.g., daycares, schools)
Regulate animal entrance to nursing homes, assisted living facilities, or similar long term care facilities
Regulate animal entrance to other settings with immunocompromised persons (e.g., hospitals)
Other (please specify)

23. Since Public Health does not hold primary responsibility for regulating the permanent or temporary exhibition (i.e., petting zoos, animal shows) of live animals in your jurisdiction, which agency does hold this responsibility for:

Requiring animal exhibitors to post signs regarding risks of zoonotic disease(s)

	Department of Agriculture (e.g., state veterinarian)
	Fish and Wildlife (see 2a)
	Other (please specify)
	Don’t know

Requiring animal exhibitors to post signs regarding hand washing

	Department of Agriculture (e.g., state veterinarian)
	Fish and Wildlife (see 2a)
	Other (please specify)
	Don’t know

Requiring animal exhibitors to distribute educational materials to attendees at event(s)

	Department of Agriculture (e.g., state veterinarian)
	Fish and Wildlife (see 2a)
	Other (please specify)
	Don’t know

Regulating entrance to settings with children (e.g., daycares, schools)

	Department of Agriculture (e.g., state veterinarian)
	Fish and Wildlife (see 2a)
	Other (please specify)
	Don’t know

Regulating animal entrance to nursing homes, assisted living facilities, or similar long term care facilities

	Department of Agriculture (e.g., state veterinarian)
	Fish and Wildlife (see 2a)
	Other (please specify)
	Don’t know

Regulating animal entrance to other settings with immunocompromised persons (e.g., hospitals)

	Department of Agriculture (e.g., state veterinarian)
	Fish and Wildlife (see 2a)
	Other (please specify)
	Don’t know

The next set of questions assess the removal of animals from sale during an public health threat.

24. Do public health officials have the authority to remove animals from public sale when the animals are clearly linked to an ongoing outbreak or public health threat?

Yes (skip to 24b-c)

Another agency holds this responsibility (skip to 24a)

Don’t know (go to 25)

24a.Which agency holds the authority to remove animals linked to outbreaks or public health threats from public sale?

	Fish and Wildlife
	Agriculture
	Other (specify)
	Don’t know/unsure

24b. Please provide the statue/regulation number that provides public health with the authority to remove such animals from public sale

24c. How many times has public health removed animals from sale in the past 5 years due to a public health threat? Please provide details regarding what type of animal and pathogen caused the removal.

Don’t know

The next set of questions assess the FDA ban on the sale of turtles with a shell length of <4” inches

25. Please tell us how much you agree or disagree with the following statement:

	Unsure	Strongly disagree	Disagree	Neutral	Agree	Strongly Agree
The current FDA ban on the sale of turtles with a shell length less than 4inches has reduced or prevented illness in my jurisdiction
If the FDA ban did not exist, my jurisdiction would enact a ban of its own restricting the sale of turtles with a shell length less than 4 inches

26. My jurisdiction adopted Title 21 CFR 1240.62 (the language banning the sale of turtles with a shell length less than 4 inches) such that the language became state or local law:

Yes

No

Don’t know

27. Independent of the language in Title 21 CFR 1240.62, my jurisdiction adopted language banning the sale of turtles with a shell length less than 4 inches

Yes (provide additional details below)

No

Don’t know

28. What do you see as the greatest barriers to enforcement of the FDA ban on the sale of turtles with a shell length less than <4

	Inadequate staff (i.e., local personnel) to investigate cases or outbreaks
	Transient nature of sellers
	Inability of state to enforce a federal ban
	Difficulty reporting to regulatory officials
	Inadequate resources other than personnel (i.e., laboratory supplies) to conduct tracebacks or onsite investigations
	Communication efforts to the public have not effectively informed consumers of the “turtle ban” or the serious nature of Salmonella spread by immature turtles
	Other (please specify in detail)

29. What, if any, public health impacts would you expect to see if the FDA ban on the sale of turtles with a shell length less than 4 inches was to be lifted?

N o comments

30. Please provide any additional comments or concerns regarding laws/regulations around the sale or display of live animals

N o comments

Thank you for your time completing this important assessment. Once you have completed the fields, please click the “submit” button. We look forward to sharing results with our partners in the coming months.

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