TE_L__AR_40-905_Veterinary_Health_Services.pdf

Army Regulation 40–905

SECNAVINST 6401.1B

AFI 48–131

Medical Services

Veterinary Health Services

Headquarters Departments of the Army, the Navy, and the Air Force Washington, DC 29 August 2006

UNCLASSIFIED

SUMMARY of CHANGE

AR 40–905/SECNAVINST 6401.1B/AFI 48–131

Veterinary Health Services

This major revision, dated 29 August 2006--o Reaffirms the role of the U.S. Army as the Executive Agent for the Department of Defense Veterinary Services for the Secretary of the Army, in accordance with Department of Defense Directive 6400.4, dated August 22, 2003, subject:

Department of Defense Veterinary Services Program (para 2-1a).

o Defines the installation commander’s responsibility for the capture, impoundment, disposal, and control of privately owned and stray animals on military installations (para 2-3f).

o Updates guidance on the Human-Animal Bond Program as an essential function of the Army Veterinary Service mission to support the military community (paras 2-5b(4), 2-5b(9), and 4-2f).

o Defines authorized veterinary services for Department of Defense, Government-owned (non-Department of Defense), nonappropriated fund instrumentality-owned, and privately owned animals (chap 3).

o Changes fee schedule for service/assistance animals and Animals In the Military Helping Individuals from cost reimbursable to same rate as privately owned animals (para 3-4f).

o Provides guidance for veterinary support to animals provided by contractor or concession (para 3-5).

o Updates measures for the control of rabies and other animal diseases and conditions (chap 4).

o Provides guidance for animal care and sanitation in, and veterinary support to, Child Development Centers and Individual Family Child Care homes (para 4- 1a(3)).

o Updates guidance for Department of Defense veterinary treatment facility programs to prevent disease and injury (para 4-2a).

o Provides guidance on diagnostic laboratory services available at the U.S.

Army Department of Defense Food Analysis and Diagnostic Laboratory and on forms to be used when submitting specimens or samples to the laboratory (para 4-2h).

o Provides guidance on procedures for pre-purchase physical examinations of prospective Department of Defense-owned horses (para 5-1b(2)).

o Updates guidance on procedures for periodic physical examinations of Department of Defense owned animals (para 5-1c).

o Updates guidance on Veterinary Corps officer responsibilities upon the death or euthanasia of Department of Defense owned animals (para 5-2).

o Provides guidance on adoption of retired military working dogs (para 5-3).

o Redefines guidance on the fiscal administration of Veterinary Service appropriated fund and nonappropriated fund activities (chap 6).

o Prescribes the following new form: DA Form 7593, Department of Defense Military Working Dog Veterinary Service Referral Information Form (para 6- 1a(3)(b)).

o Redefines guidance on preparation of required medical records for Department of Defense owned, other Government-owned (non-Department of Defense), and privately owned animals (para 6-5).

o Replaces the use of DD Form 2344 (Veterinary Treatment Record) with Air Force Form 2110A (Health Record) for military working dogs only (para 6-5a(1)(a)).

Headquarters Departments of the Army, the Navy, and the Air Force Washington, DC 29 August 2006

Medical Services

Veterinary Health Services

*Army Regulation 40–905

*SECNAVINST 6401.1B

*AFI 48–131

Effective 29 September 2006

H i s t o r y . T h i s p u b l i c a t i o n i s a m a j o r revision.

S u m m a r y . T h i s r e g u l a t i o n p r e s c r i b e s policies, responsibilities, and procedures for the provision of veterinary health serv-ices; to include the complete veterinary medical care for all DOD-owned, Govern-ment-owned animals and the prevention and control of zoonotic diseases through-out all components of the Department of Defense in time of peace, war, or opera-tions other than war.

Applicability. This regulation applies to t h e A c t i v e A r m y , t h e A r m y N a t i o n a l Guard/Army National Guard of the United States, and the U.S. Army Reserve, unless otherwise stated. This regulation applies t o t h e N a v y , A i r F o r c e , a n d M a r i n e Corps; and the U.S. Navy, Air Force, and Marine Corps Reserve. During mobiliza-tion, the proponent may modify chapters and policies contained in this regulation.

Proponent and exception authority.

The proponent of this regulation is the A r m y S u r g e o n G e n e r a l . T h e S u r g e o n General has the authority to approve ex-ceptions to this regulation that are consis-tent with controlling law and regulations.

The Surgeon General may delegate this approval authority, in writing, to a divi-sion chief within the proponent agency or its direct reporting unit or field operating agency, in the grade of colonel or the civilian equivalent. Activities may request a waiver to this regulation by providing justification that includes a full analysis of t h e e x p e c t e d b e n e f i t s a n d m u s t i n c l u d e f o r m a l r e v i e w b y t h e a c t i v i t y ’ s s e n i o r legal officer. All waiver requests will be e n d o r s e d b y t h e c o m m a n d e r o r s e n i o r leader of the requesting activity and for-warded through their higher headquarters t o t h e p o l i c y p r o p o n e n t . R e f e r t o A R 25–30 for specific guidance.

Army management control process.

This regulation contains management con-t r o l p r o v i s i o n s i n a c c o r d a n c e w i t h A R 11–2 and contains a checklist for assess-ing management controls (see app B).

S u p p l e m e n t a t i o n . S u p p l e m e n t a t i o n o f this regulation and establishment of com-mand and local forms are prohibited with-out prior approval from the Office of the Surgeon General. If supplements are is-sued, major Service commands will fur-n i s h o n e c o p y t o t h e S u r g e o n G e n e r a l (DASG–DODVSA), 5109 Leesburg Pike, F a l l s C h u r c h , V A 2 2 0 4 1 – 3 2 5 8 . O t h e r commands will furnish one copy of each to the next higher headquarters.

Suggested improvements. Users are invited to send comments and suggested improvements on DA Form 2028 (Recom-m e n d e d C h a n g e s t o P u b l i c a t i o n s a n d Blank Forms) directly to DODVSA, 5109 L e e s b u r g P i k e , F a l l s C h u r c h , V A 2 2 0 4 1 – 3 2 5 8 . N a v y u s e r s s h o u l d s e n d comments and recommendations through normal channels to the Chief, Bureau of M e d i c i n e a n d S u r g e r y ( B U M E D – 2 4 ) , N a v y D e p a r t m e n t , 2 3 0 0 E S t r e e t N W , Washington, DC 20372–5300.

Distribution. Army: This publication is available in electronic media only and is intended for command level B for the Ac-t i v e A r m y ; c o m m a n d l e v e l C f o r t h e A r m y N a t i o n a l G u a r d / A r m y N a t i o n a l Guard of the United States; and command level D for the U.S. Army Reserve. Navy:

E l e c t r o n i c m e d i a o n l y . A i r F o r c e : F .

USMC: PCN 10202060100.

*This regulation supersedes AR 40–905/SECNAVINST 6401.1A/AFI 48–131, 16 August 1994.

AR 40–905/SECNAVINST 6401.1B/AFI 48–131 • 29 August 2006 i

UNCLASSIFIED

Contents (Listed by paragraph and page number)

Chapter 1 Introduction, page 1 Purpose • 1–1, page 1 References • 1–2, page 1 Explanation of abbreviations and terms • 1–3, page 1

Chapter 2 General Responsibilities and Functions, page 1 Principal officials of Department of Defense agencies and the services • 2–1, page 1 The Director, Department of Defense Veterinary Service Activity • 2–2, page 1 Commanders of major Department of Defense commands and installations • 2–3, page 2 Department of Defense installation Director of Health Services • 2–4, page 2 Veterinary Corps officers • 2–5, page 2

Chapter 3 Authorized Veterinary Health Services, page 3 Department of Defense owned animals • 3–1, page 3 Government-owned (non-Department of Defense) animals • 3–2, page 3 Nonappropriated animals • 3–3, page 3 Privately owned animals • 3–4, page 3 Contractor animals • 3–5, page 4 Civilian veterinary medical care • 3–6, page 5

Chapter 4 Injury and Disease Prevention and Control, page 5 Measures for preventing injury and disease • 4–1, page 5 Community health care support • 4–2, page 6

Chapter 5 Department of Defense-owned and Government-owned (non-Department of Defense) Animal Program, Duties of the veterinarian • 5–1, page 9 Death or euthanasia of Department of Defense-owned animals • 5–2, page 11 Adoption of military working dogs • 5–3, page 12 Immunizations • 5–4, page 12 Diet and weight management • 5–5, page 12

Chapter 6 Fiscal Management and General Administrative Procedures, page 13 Fiscal management • 6–1, page 13 Supply procedures • 6–2, page 14 Nonappropriated funds on Department of Defense installations • 6–3, page 16 Controlled substances • 6–4, page 16 Veterinary medical records • 6–5, page 16 Posting of warning signs • 6–6, page 19 Professional civilian employment • 6–7, page 19

Appendixes

A. References, page 20

B. Management Control Evaluation Checklist, page 24 ii AR 40–905/SECNAVINST 6401.1B/AFI 48–131 • 29 August 2006

Contents—Continued

Table List

Table 6–1: Fiscal administration of the DOD veterinary treatment facility, page 14 Table 6–2: Standard form and optional form number, title, and instructions for recording of animal medical information., page 18

Glossary

Index iiiAR 40–905/SECNAVINST 6401.1B/AFI 48–131 • 29 August 2006

Chapter 1 Introduction

1–1. Purpose This regulation prescribes policies, responsibilities, and procedures for the provision of veterinary health services. The veterinary health objectives of the Army Veterinary Service are to—

a. Respond to the veterinary service requirements of all components of the Department of Defense (DOD) in time of peace, war, or operations other than war.

b. Provide complete veterinary medical care for all DOD-owned animals.

c. Provide complete care to other Government-owned (non-DOD) animals, on a reimbursable basis, as resources permit. A memorandum of understanding (MOU) between the supported Government agency and the U.S. Army Veterinary Command (VETCOM) or the overseas Major Army Command (MACOM) Veterinarian outside of VET- COM’s area of responsibility (AOR) should be established.

d. Provide for prevention and control of zoonotic diseases (that is, those transmissible under natural conditions from vertebrate animals to humans).

e. Provide professional support to training programs and research protocols involving animal models.

f. Provide for humane medical treatment, care, use, and handling of animals.

g. Provide emergency medical treatment of privately owned animals and medical care with the emphasis on veterinary preventive medicine and diseases that present a community health threat.

h. Support the health of the military community through the Human-Animal Bond (HAB) Program and other programs.

1–2. References Required and related publications and prescribed and referenced forms are listed in appendix A.

1–3. Explanation of abbreviations and terms Abbreviations and special terms used in this regulation are explained in the glossary.

Chapter 2 General Responsibilities and Functions

2–1. Principal officials of Department of Defense agencies and the services Principal officials of DOD agencies and the services will—

a. Use the Army Veterinary Service as provided by Department of Defense Directive 6400.4, dated August 22, 2003, subject: DOD Veterinary Services Program.

b. Coordinate peacetime and mobilization requirements for veterinary services in a timely manner.

2–2. The Director, Department of Defense Veterinary Service Activity The Director, Department of Defense Veterinary Service Activity (DODVSA) will—

a. Act on behalf of the Secretary of the Army and the Surgeons General as the DOD Executive Agent for Veterinary Services.

b. Ensure uniform provision of veterinary services throughout the DOD.

c. Advise the Military Police or Security Forces and other DOD elements on the veterinary medical aspects of the

Military Working Dog (MWD) Program and other programs using DOD-owned animals. This will include advice on the following subjects:

(1) Health.

(2) Physical standards.

(3) Behavioral standards.

(4) Training methods.

(5) Training standards.

(6) Nutrition.

(7) Housing.

(8) Research.

(9) Procurement.

(10) Acceptance policies.

(11) Shipping and transport.

1AR 40–905/SECNAVINST 6401.1B/AFI 48–131 • 29 August 2006

(12) Medical Evacuation (MEDEVAC).

2–3. Commanders of major Department of Defense commands and installations Commanders of major DOD commands and installations will support and give command emphasis to programs that—

a. Effectively prevent and control diseases and conditions of animals that are common to humans and to wild and domestic animals.

b. Control and prevent animal diseases and conditions of environmental, community, or economic significance.

c. Protect and maintain the health and welfare of DOD-owned and Government-owned (non-DOD) animals.

d. Ensure humane care and use of animals.

e. Promote the concept of responsible animal ownership as an integral element of health and well-being within the command.

f. Control privately owned and stray animals at large on military installations through capture, impoundment, disposal, or other physical means. If adequate military facilities are not available, the installation commander will arrange for off-installation facilities and will be responsible for any costs incurred.

g. Promote and support Human Animal Bond programs.

h. Publicize, at least quarterly, the installation policy on confinement and disposition of stray and inadequately controlled privately owned animals.

2–4. Department of Defense installation Director of Health Services Department of Defense installation Director of Health Services (DHS) will—

a. Inform and advise installation commanders regarding animal diseases and conditions that can affect the health or welfare of the military community.

b. Ensure that pre-exposure rabies prophylaxis will be made available to all personnel with occupational rabies exposure risk, in keeping with current recommendations published annually by the Public Health Service Advisory Committee on Immunization Practices. If results of rabies antibody titers are provided, they should be entered immediately into the individual’s permanent medical record.

c. Provide logistics support to the installation veterinary service. This support includes budgeting for, programming, and planning maintenance, repair, and replacement of veterinary medical facilities.

2–5. Veterinary Corps officers Veterinary Corps officers (VCOs) are graduates of American Veterinary Medical Association (AVMA)-accredited schools of veterinary medicine or graduates of foreign veterinary schools, and maintain licensure or certification according to AR 40–68, chapter 4. VCOs serve as special staff officers/advisors to installation commanders, senior installation/command medical officers, and commanders of veterinary units.

a. Veterinary Corps officers at all levels will—

(1) Provide DOD-owned animal support in accordance with paragraph 5–1.

(2) Help prevent and control animal diseases and conditions by performing the duties listed in chapter 4.

(3) Provide food hygiene and safety inspection responsibilities in accordance with AR 40–657/NAVSUPINST

4355.4F/MCO P 10110.31G, paragraph 1–4. On USAF installations, Public Health personnel perform these activities in accordance with AFI 48–116, Food Safety Program.

(4) Maintain current awareness of DOD directives and other publications that pertain to the provision of veterinary services.

b. The installation veterinarian will—

(1) Coordinate the provision of veterinary services in support of all DOD component installations, satellite installa-tions, and operating locations within the geographic area of responsibility.

(2) Be responsible for reports and records prescribed for use by the Army Veterinary Service or specific Veterinary

Commands.

(3) Review pertinent installation communications and give special attention to veterinary services terminology, topics, issues, and problem descriptions.

(4) Ensure that training is provided for appropriate personnel in veterinary public health, zoonotic and other animal diseases, emergency animal first aid, nuclear, biological, and chemical (NBC) protective measures for animals, benefits of HAB programs, and animal care procedures. He or she will also advise and assist in training programs pertaining to emergency medical care and the significance of animal diseases to human health and the environment.

(5) Ensure that the Veterinary Service inspects foods intended for animal consumption for wholesomeness and, when requested, for other contract requirements.

(6) Ensure maintenance of liaison with civilian health agencies in matters pertaining to animal health, veterinary public health, and zoonotic disease surveillance.

(7) Ensure coordination of wild animal survey programs on military installations with State, Federal, and foreign

2 AR 40–905/SECNAVINST 6401.1B/AFI 48–131 • 29 August 2006 government programs and agencies. Installation medical personnel will be notified when surveys demonstrate a potential public health impact.

(8) Review invitation for bids on contracts for the collection or disposal of animal or animal biological wastes, animal apprehension services, or other veterinary requirements. The following subjects must be included in the contracts: sanitation of equipment, humane animal care, and protection of the environment and military and animal populations.

(9) Support HAB programs, as resources permit.

Chapter 3 Authorized Veterinary Health Services

3–1. Department of Defense owned animals

a. The following categories of animals are considered DOD-owned:

(1) Military Workings Dogs (MWDs).

(2) Military Working Horses (MWHs) (those not managed by a nonappropriated fund instrumentality (NAFI)).

(3) Marine Mammals (U.S. Navy).

(4) Authorized unit mascots.

(5) Stray animals on military installations (for the first 3 working days).

(6) Health Assistance Animals in the Military (HAAM) animals (while enrolled in a HAAM training program).

(7) Animals used in biomedical research, education, training, and testing.

(8) Wild animals (buffalo, deer, and so forth) in confinement on military installations.

b. Complete veterinary medical and surgical service is authorized for DOD-owned animals. DOD-owned animals will receive priority of care over Government-owned (non-DOD) animals, nonappropriated fund (NAF) animals, and privately owned animals. The veterinarian will designate an appropriate time for routine examination of these animals.

c. Mascots (one per company-sized unit) established by unit orders, signed by an officer in the rank of LTC or higher, will be afforded the same rights, privileges, support services, and health surveillance as other DOD-owned animals.

d. Animals owned by the Government for use as HAAM are entitled to the same veterinary medical/surgical care as provided for other DOD-owned animals. Included in this category are Animals In the Military Helping Individuals (AIM HI) animals, from the time they are officially transferred to the Government to the time that they graduate and/or are otherwise removed from one of the AIM HI programs. At that time, ownership is transferred to the qualified recipient. From then on, veterinary care is as described in paragraph 3–4.

3–2. Government-owned (non-Department of Defense) animals Animals owned by non-DOD government agencies may receive veterinary services in accordance with the provisions of agreements (Memorandums Of Understanding (MOUs)/Memorandums Of Agreement (MOAs) between those agen-cies and VETCOM.

3–3. Nonappropriated animals Animals used to generate funds for NAFIs, including NAF-managed, and DOD-owned horses, will be provided preventive medical care as resources allow, on a reimbursable basis. Complete veterinary medical and surgical care may be provided on a reimbursable basis, as time, expertise, and resources allow.

3–4. Privately owned animals

a. The Commander, VETCOM or the overseas MACOM veterinarian outside of VETCOM’s area of responsibility will establish the extent to which veterinary services are authorized for animals owned by personnel authorized DOD medical care; that is, those persons enrolled in the Defense Enrollment/Eligibility Reporting System (DEERS). Unless otherwise specified, authorized veterinary services will be the same for personnel living off the installation as for those living on the installation, and for both active-duty and retired personnel.

b. Animals owned by personnel authorized DOD medical care may be examined, have diagnostic tests performed, be immunized, and receive treatment for the prevention and control of diseases or conditions which may be transmissi-ble to humans or animals, or those diseases or conditions which may constitute community health problems or are of significant public interest. Priority should be on preventive veterinary care.

c. Army VCOs will follow the guidelines for the use and distribution of veterinary prescription drugs and prescrip-tion diets as approved by the AVMA House of Delegates in 1997.

(1) Veterinary prescription drugs and prescription diets are to be used or prescribed only within the context of a valid veterinarian-client-patient relationship (VCPR). Filling of prescriptions without a valid VCPR is not authorized.

The Army Veterinary Service may be considered as one “corporate” veterinary practice. A valid VCPR may be

3AR 40–905/SECNAVINST 6401.1B/AFI 48–131 • 29 August 2006 interpreted as one between an authorized client/patient and any Army VCO or NAF veterinarian within the Army Veterinary Service “corporate” veterinary practice. A valid VCPR exists if the animal has been seen at a military veterinary treatment facility (VTF) within the past 12 months. A VCPR exists when all of the following conditions have been met:

(a) The veterinarian has assumed the responsibility for making clinical judgments regarding the health of the animal(s) and the need for medical treatment, and the client has agreed to follow the veterinarian’s instructions.

(b) The veterinarian has sufficient knowledge of the animal(s) to initiate at least a general or preliminary diagnosis of the medical condition of the animal(s). This means that the veterinarian has recently seen, and is personally acquainted with, the keeping and care of the animal(s) by virtue of an examination of the animal(s) or by medically appropriate and timely visits to the premises where the animal(s) are kept.

(c) The veterinarian is readily available for follow-up evaluation, or has arranged for emergency coverage, in the event of adverse reactions or failure of the treatment regimen.

(2) Veterinary prescription drugs must be properly labeled before being dispensed.

(3) Appropriate dispensing and treatment records must be maintained, and veterinary prescription drugs should be dispensed only in quantities required for the treatment of the animal(s) for which the drugs are dispensed.

(4) Veterinary prescription drugs should be appropriately handled and stored.

(5) Dispensing of veterinary prescription drugs and prescription diets will be limited, in the continental United

States (CONUS), to those required in providing authorized services, as described in paragraph 3–4b.

d. Veterinary Corps officers may perform emergency procedures required to prevent undue suffering or to save the life or limb of animals, prior to referring such cases to a civilian practitioner.

e. Except when an animal is abandoned by its owner, or when the veterinarian acts to prevent undue suffering, or when human health is involved (for example, a rabies suspect), euthanasia of privately owned animals is authorized only after written approval for this action is obtained from the animal owner as documented by a completed DD Form 1745 (Animal Euthanasia). Euthanasia will be accomplished in a humane manner, using approved drugs and techniques as described in the current report of the AVMA panel on euthanasia.

f. Service/Assistance animals owned by, and essential to, the improved function of a military family member enrolled in any of the Services’ Exceptional Family Member Programs (EFMP), or those animals belonging to veterans entitled to animals trained in the DOD AIM HI program or its civilian equivalent training organization, may be provided the same medical/surgical care as provided for DOD-owned animals. These animals include guide dogs for the blind, hearing dogs, and other assistance animals for the physically-impaired that have been trained and certified by an approved organization. However, these animals will be provided such care only as time and resources permit, and charges for supplies and services will be at the same fee schedule as for privately owned animals.

g. Those veterinary procedures commonly recognized by the veterinary profession as cosmetic or elective surgery, to include surgical neutering, will not be performed in the United States or U.S. Territories, except as part of an authorized population control program or command-directed surgical proficiency program.

h. The Veterinary Service may provide consultation and facility inspections for NAF boarding facilities for privately owned animals, but will not be assigned operational responsibility. NAF boarding facilities will not be co-located with Veterinary Treatment Facilities (VTFs).

i. Veterinary services will not be provided in support of commercial operations that breed or raise animals for sale or profit.

j. When extenuating circumstances exist, request for waiver to the provisions of this paragraph will be submitted through command channels to Commander, U.S. Army Veterinary Command (VETCOM), 2050 Worth Road, Suite 5, Fort Sam Houston, TX 78234–6005, or the overseas MACOM veterinarian outside of VETCOM’s area of responsibili-ty, as appropriate, with information copies furnished to Headquarters of the Department of the Army (HQDA) Department of Defense Veterinary Service Activity (DODVSA), 5109 Leesburg Pike, Falls Church, VA 22041–3258.

All waivers granted will be reevaluated and renewed, if appropriate, at least every 2 years.

3–5. Contractor animals Animals provided by contractor or concession normally are not eligible for military veterinary services. The exception to this pertains to contractor animals supporting a contingency in a theater of operations where military veterinary assets are already available.

a. Emergency veterinary procedures required to prevent undue suffering or to save the life or limb of contractor animals may be provided by military veterinarians, on a reimbursable basis, as time and resources permit, before referral of such cases to a civilian practitioner for followup care.

b. If applicable, and included in the provisions of the contract, non-emergency veterinary services may be provided to contractor animals in the theater of operations, on a reimbursable and space available basis, within the capabilities of the deployed veterinary unit.

c. Payment for civilian veterinary medical care (emergency and non-emergency) of contractor animals in the theater of operations remains the responsibility of the contractor.

4 AR 40–905/SECNAVINST 6401.1B/AFI 48–131 • 29 August 2006

3–6. Civilian veterinary medical care Civilian veterinary medical care for DOD-owned animals is authorized by AR 40–3, paragraph 15–.4 and AR 40–330, paragraph 2–8 when a military veterinarian is not available, or when requirements for veterinary medical care exceed the capability of the supporting facility. This includes the pre-purchase examination of prospective MWDs and MWHs.

Veterinary care that is approved by HQDA and is provided within the purview of AR 40–1 will be funded by Army appropriated funds. Policy for non-emergency care will be set by the Commander, VETCOM or the overseas MACOM veterinarian outside of VETCOM’s area of responsibility.

Chapter 4 Injury and Disease Prevention and Control

4–1. Measures for preventing injury and disease

a. Veterinarians will ensure the investigation of animal and zoonotic diseases and recommend measures for preven-tion and control. This activity includes—

(1) Maintaining liaison with local, State, Federal, or Host Nation health authorities and evaluating animal disease infestations and infections in areas near or on military installations.

(2) Examining privately owned, wild, or other animals maintained on, or introduced onto, military installations, and advising on control and handling. If a serious communicable disease is discovered, the infected animals may be treated, quarantined, or euthanized, as appropriate.

(3) Child Development Centers (CDC) with mammals, birds, and/or other caged animals will be inspected monthly by a VCO or designee. A veterinarian will conduct the inspection not less than annually. AR 608–10, paragraph 4–34c outlines inspection requirements. Emphasis will be on ensuring that animals are free of disease, immunized as appropriate, sanitarily maintained, and that they are receiving adequate nutrition and humane care. Individual Family Child Care (FCC) homes will only receive veterinary inspections if specifically requested by the FCC director.

Animals, other than fish, in FCC homes require a yearly health certificate; current vaccinations and vaccination certificates are required for appropriate species. The CDC and individual FCC homes are responsible for scheduling appointments and paying for these services. For issues involving determination of acceptable animal temperament (AR 608–10, appendix C), the FCC director may request VCO assistance in determining acceptable temperament of pets in FCC homes. The CDC or FCC director may also request VCO assistance in assessing the potential health risks posed by specific species of animals that may be kept in the CDC or FCC homes.

(4) Coordinating with the installation engineer or public works center to control vectors capable of transmitting animal diseases, as prescribed in AR 200–5, OPNAVINST 6250.4B, and AFI 32–1053; and for disposal of dead animals found on the installation, as prescribed in this regulation, paragraph 4–2b.

(5) Establishing procedures to ensure that animals will not be disposed of without coordination with the installation veterinarian or his or her designated representative, on those installations where a formal disease control program is ongoing (for example, sylvatic plague).

(6) Providing professional support for the care and disposition of animals impounded or quarantined. For stray animal facilities on military installations, the Veterinary Service will provide professional support limited to establish-ing and maintaining a preventive medicine program and supportive medical care and facility inspection.

(7) Providing a euthanasia service for stray animals, or assisting in administration of an approved adoption program, in order to assist in control of animal diseases and stray animal populations.

(8) Conducting animal disease surveys after protocol approval is received from VETCOM or the overseas MACOM veterinarian outside of VETCOM’s area of responsibility.

(9) Maintaining coordination with State, county, host country, and other wildlife agencies.

b. The Veterinary Services representative will ensure the inspection and oversight of animal care conditions for sanitary and humane practices. This includes—

(1) Frequent observation of DOD-owned and other Government-owned (non-DOD) animals residing on a military installation. The purpose of such observation is to detect early signs of disease, the presence of injuries, and signs of inadequate management or diet. These inspections should also include an examination of feeding, weight, and training records. Observation of Government-owned (non-DOD) animals that do not reside on a military installation will be performed as time and resources permit.

(2) Inspections of kennels, runs, stables, corrals, and other animal facilities on Government installations, using part 3.3, title 9, Code of Federal Regulations (9 CFR 3.3) and other applicable references as guidelines. The evaluation will determine adequacy of animal husbandry practices and will evaluate construction, maintenance, and sanitation to prevent disease, injury, or adverse effects on the welfare of animals. The frequency of inspections by a veterinarian will be not less than quarterly. More frequent courtesy visits are encouraged. A copy of a completed DD Form 2342 (Animal Facility Sanitation Checklist) will be furnished to the individual responsible for the facilities inspected (Army Records Information Management System (ARIMS) Record No. 40–905a)).

5AR 40–905/SECNAVINST 6401.1B/AFI 48–131 • 29 August 2006

c. When facilities permit, MWDs will be admitted to the VTF through an entrance located separately from that used by privately owned animals. This provision will be considered in new construction programs. Each DOD-owned or other Government-owned (non-DOD) animal will be presented to the veterinarian by its handler or caretaker, who will retain control of the animal unless specifically released by the veterinarian.

d. Upon arrival, all equines being stabled on a military installation will receive a health examination by a veterinarian. The installation health certificate, immunization, and quarantine requirements will be established by the installation veterinarian through an installation-approved regulation or policy. Requirements will not be less than those needed to comply with laws and regulations of States and countries where the installation is located. All equines will comply with these established requirements prior to entry, and once stabled, on the installation.

e. All DOD-owned, other Government-owned, and NAFI-owned equines in CONUS will be tested for equine infectious anemia (that is, Coggins tested) at least annually. Privately owned equines stabled in the same facility as DOD-owned, other Government-owned, or NAFI-owned equines will be tested at the same frequency. Serum samples may be sent to the DOD Food Analysis and Diagnostic Laboratory at Fort Sam Houston, TX for testing. The current edition of the U.S. Department of Agriculture (USDA) Veterinary Services (VS) Form 1011 (Equine Infectious Anemia Laboratory Test Report) will be used as the test request form. Veterinary Service Form 1011 may be obtained from the State veterinarian in the State where the installation is located. Requirements for outside the continental United States (OCONUS) will comply with local policies and foreign country regulations. Veterinarians will be prepared to provide detailed information on equine infectious anemia to the installation commander and to assist in developing a local regulation or policy concerning testing, quarantine, movement, and final disposition of reactor equines.

f. The installation Veterinary Service representative will coordinate the maintenance of a local regulation or directive that provides minimum standards for animal welfare and control, including disposition of animal abuse or neglect complaints and stray and wild animal control programs. A local housing regulation should establish the maximum number of animals allowed in base/post housing; any restrictions on types of animals allowed in base/post housing; and policy for animals in barracks/dormitories.

g. The Veterinary Service representative will assist the installation commander in formulating policy and recommen-ding control measures to comply with State, Federal, and foreign government quarantine laws pertaining to the movement or control of animals and animal diseases. AR 40–12/SECNAVINST 6210.2A/AFR 161–4, section 22(i) implements quarantine policies and procedures of the U.S. Public Health Service and the USDA in military programs.

h. Installation commanders will establish guidelines for the disposition of animals against which substantiated bite or repeated nuisance complaints have been made. The installation Veterinary Service representative will provide specific guidance in each case.

4–2. Community health care support

a. Veterinary Treatment Facility program. The installation veterinarian will provide professional guidance and support at each military installation to help prevent and control those animal diseases or conditions that may be transmissible to humans or animals, or that may constitute a community health problem. Control measures may include, but are not limited to—

(1) Surveys for the detection of disease in domestic and wild animals, as indicated.

(2) Confinement of stray animals.

(3) Physical examinations.

(4) Diagnostic tests and examinations.

(5) Immunization of susceptible animals.

(6) Chemoprophylaxis.

(7) Treatment.

(8) Restriction of the movement of animals.

(9) Isolation of animals.

(10) Eradication of diseased animals, disease reservoirs, and disease vectors.

(11) Environmental sanitation. (On Navy and Marine Corps installations, environmental sanitation is the responsibil-ity of the Navy Medical Department.)

(12) Zoonotic disease referral procedures with the military treatment facility (MTF).

(13) Stray animal population control services.

(14) Continuing education and public information programs.

(15) Development and maintenance, in conjunction with responsible installation agencies, of an installation regula-tion or directive for veterinary preventive medicine and animal health care, encompassing items in this paragraph.

b. Disposition of dead animals.

(1) The disposition of dead animals found on a military installation is an installation engineering directorate responsibility and is accomplished according to local policy and directives. Federal, State, and local health hazard standards, including environmental restrictions regarding animal disposal, will be the minimum standards.

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(2) The disposition of dead privately owned animals is the responsibility of the animal owner. Owners who have questions regarding animal disposition policies or procedures should contact the VTF for advice.

(3) The disposition of DOD-owned and euthanized stray animals is the responsibility of the installation commander, who will provide resources to accomplish disposal in compliance with Federal, State, and local standards.

c. Rabies control.

(1) The installation commander will provide an adequate number of kennels to meet local needs for quarantine and observation of suspected rabid animals. Construction of such kennels will conform to part 3.3, title 9, Code of Federal Regulations (9 CFR 3.3). In addition, provisions must be made for physical separation of suspected rabid animals from other animals. The installation VCO will ensure that local regulations prescribe procedures for animal confinement facility operations. The use of MWD kennels for privately owned or stray animals is prohibited. When adequate facilities are not available, civilian facilities will be used; the installation VCO should assist with coordination, but the installation is financially responsible.

(2) The installation VCO will manage all facets of the Animal Rabies Control Program, except apprehension and collection of animals, including, but not limited to—

(a) Development of applicable directives.

(b) Registration of animals.

(c) Immunizations.

(d) Professional support to the rabies suspect quarantine facility.

(e) Professional support to the stray animal confinement facility.

(f) Training of support personnel.

(g) Public education.

(3) All dogs, cats, and ferrets maintained on military installations will be routinely immunized against rabies. All horses maintained on military installations in rabies-endemic areas will be immunized against rabies. Immunization will be according to the latest edition of “Compendium of Animal Rabies Prevention and Control” prepared by the National Association of State Public Health Veterinarians (NASPHV). In addition, compliance with the rabies vaccination laws and regulations of States, Territories, and foreign countries is mandatory.

(4) Dogs, cats, and other privately owned or stray animals will not be permitted to run at large on military reservations. Hunting dogs in a designated hunting area are exempt. The installation commander ensures that free-roaming domestic animals are collected as often as necessary for confinement. Stray animals will be confined for a minimum of 3 working days (more if required by local or state regulations) to provide owners sufficient time to reclaim the animals. A longer confinement period may be warranted and is authorized to allow for maximum adoption opportunity for stray animals. This additional time will be at NAF expense. After this time, the animal(s) may be euthanized or disposed of according to local regulations. The installation veterinarian ensures that the installation confinement and disposition policy is published at least quarterly in a media source distributed to the military.

(5) The DHS, or the DHS representative, will notify the veterinarian of all persons presented for animal bites or scratches. Department of Defense Form 2341 (Report of Animal Bite–Potential Rabies Exposure) will be used on military installations to report whenever a patient is treated for an animal bite or scratch and to document the case management. A legible copy of the completed form will be placed in the patient’s medical treatment record (see AR 40–66, chapter 5). The Veterinary Service will coordinate with the animal owner and local authorities to have the involved animal appropriately quarantined and will record observations and disposition of the animal on DD Form 2341. Paragraph d, below, provides guidance for management of animal bites on installations without an assigned VCO. Army Regulation 40–5, para 4–5 provides guidance on Army installations. NAVMEDCOMINST 6220.4, para 4.b provides guidance for the Navy and Marine Corps ashore and afloat.

(a) Department of Defense owned animals, Government-owned (non-DOD) animals, or privately owned dogs, cats, and ferrets will be confined under observation by order of the responsible VCO until definite signs of rabies develop or until the animal has been retained in confinement for 10 days from time of incident. Animals showing no clinical signs of rabies may be released from confinement after 10 days from the time of the incident. Animals developing signs of rabies during the 10-day observation period will be euthanized and appropriate specimens submitted for laboratory examination to the VETCOM Food Analysis and Diagnostic Laboratory, Fort Sam Houston, TX, or another reliable laboratory, if appropriate. The VCO may authorize home confinement on or off the installation if local ordinances permit. Department of Defense Form 2623 (Animal Home Quarantine) will be used to document authorization for home quarantine. The DD Form 2623 will be maintained in the animal’s medical record. The animal will be examined by the VCO or the designated representative at the end of the quarantine period. For installations with attending veterinary support, the attending veterinarian and the DHS will develop procedures for observation of rabies suspects.

(b) Wild animals and unowned dogs, cats, and ferrets will be euthanized immediately and appropriate specimens submitted for laboratory examination if human or animal exposure has justified initiation of anti-rabies treatment.

(6) Dogs, cats, and ferrets not immunized against rabies, which have been exposed to another animal known, or reasonably suspected, to be rabid, should be destroyed immediately. If the owner is unwilling to have this done, the exposed animal will be quarantined and/or provided post-exposure rabies prophylaxis in accordance with the current Compendium of Animal Rabies Prevention and Control published by the National Association of State Public Health

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Veterinarians (NASPHV) on an annual basis. All quarantine and immunization costs incurred will be at the expense of the animal owner. Owners may be required to purchase isolation services from a civilian facility if military facilities or manpower are not adequate, as determined by the responsible VCO. The Commander, VETCOM or the overseas MACOM veterinarian outside of VETCOM’s area of responsibility may grant exceptions if State, Territory, or foreign nation laws provide for alternate disposition of such animals.

(7) A dog, cat, or ferret that has been exposed to rabies but which has a current rabies immunization should be re-immunized immediately, then restrained by leashing and confinement and observed for at least 45 days, or handled according to host country regulations.

(8) Periodic training in safe animal handling techniques will be provided by the installation VCO for all personnel having an occupational rabies exposure risk.

(9) Only rabies specimens from mammals involved in human exposure, surveillance animals, or animals collected in an epidemiological study will be submitted for laboratory diagnosis. Shipments of rabies specimens in CONUS will be made to the DOD Food Analysis and Diagnostic Laboratory, Fort Sam Houston, TX, or another reliable laboratory, if appropriate. Shipments will be according to U.S. Army Medical Command/VETCOM procedures. The telephone number of the receiving laboratory must appear on the address label. OCONUS shipments will be made according to locally accepted procedures. A fully completed DD Form 2620 (Request For and Report of Laboratory Examination for Rabies) will accompany rabies specimens submitted for laboratory diagnosis.

(10) In order to implement a more meaningful and manageable rabies vaccination program of dogs, cats, and ferrets in the United States, the NASPHV recommends that all such animals should be identified (examples are, metal or plastic tags, microchips, and so forth) to allow for verification of rabies vaccination status. Use by DOD is mandatory.

This will aid the administration of installation, local, State, national, and international procedures. The current edition of “Compendium of Animal Rabies Prevention and Control” will be utilized in establishing installation vaccination programs that comply with this regulation.

d. Standing operating procedure for installations without an assigned VCO. On those installations where paragraph c(5) above, does not apply because of remote assignment of the responsible Army VCO, the preventive medicine officer and the attending VCO will develop together, for DHS approval, a standing operating procedure for the installation rabies control program.

e. Animal immunization programs.

(1) The installation programs for immunizing against animal diseases other than rabies will be based on ethical, s t a t e - o f - t h e - a r t p r a c t i c e s , a n d w i l l b e g o v e r n e d b y a p p l i c a b l e F e d e r a l , S t a t e o r f o r e i g n g o v e r n m e n t r u l e s a n d regulations.

(2) Immunizing agents, drugs, and biologicals will be administered only by a veterinarian or under the supervision of a veterinarian by personnel trained as veterinary animal care specialists.

f. Human-Animal Bond programs.

(1) The installation VCO and staff, in liaison with other health care professionals, will support HAB programs in an effort to improve community, family, and individual health.

(2) Veterinary Corps officers will assist in promoting a more complete understanding of the role of animals in the lives of the military individual, family, and community. They will further assist in the dissemination of this information to the military individual, family, and community, as well as to commanders and other health care professionals.

(3) Veterinary personnel will be alert to possible situations where the use of animals in therapy will be beneficial and will encourage this when indicated. Although animals should not always be considered as cures, animal-assisted programs have proven value as adjunctive therapy to existing treatment regimens. The veterinarian will maintain liaison with the MTF in order to facilitate program development.

(4) The veterinarian will ensure that all certified military therapy animals, HAAM, and AIM HI animals that are used in officially-sanctioned HAB programs are selected and maintained at an appropriate level of physical and behavioral acceptability according to Technical Bulletin Medical 4 (TB MED 4), appendix F.

(a) Physical criteria:

1. Size should be acceptable for the intended purpose.

2. Skin should be free from fleas, ticks, lice, mites, and dermatitis.

3. Teeth should be clean; the oral cavity should be healthy.

4. All immunizations must be current. The responsible VCO will inform volunteer pet owners of the vaccinations required for the species of pet being considered.

5. Fecal examination must be performed annually to demonstrate that the animal is free from intestinal parasites.

6. Biennial heartworm check must be negative and animal must be on a heartworm preventative as recommended for local area.

7. Animal should be free from any other medical problems (diarrhea, oculo-nasal discharge, and so forth).

8. Other tests will be performed as indicated for the particular program.

(b) Behavioral characteristics:

1. Obedient.

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2. Friendly.

3. Nonaggressive.

(5) Veterinary personnel will function as a part of the military human health care team by being sensitive and responsive to the human needs of clients, staff, animal handlers, and others, as indicated. Subsequent referrals to the MTF or other agencies will be made as appropriate.

g. Professional liaison.

(1) Mutual cooperation between civilian and military practitioners is strongly encouraged. Veterinary Corps officers will keep in close contact with both civilian practitioners and associations. Participation of Army Veterinary Service personnel in local and State veterinary activities such as associations, immunization campaigns, fairs, epizootic control programs, public relations functions, and so forth, in a professionally complementary manner is authorized and encouraged.

(2) Army veterinarians are also…