Pr

1
Le Ministère de lAgriculture, de lAlimentation,
de la Pêche et des Affaires Rurales
et
Le Conseil Supérieur de lOrdre des Vétérinaires
Vous présentent
The role of the veterinarian in the french system
of livestock sanitary supervision
By DV. Christian RONDEAU, President of the
National Order of Veterinarians Represented by DV
Yannick POUBANNE, Member of the Order of
Veterinarians
17/06/08
2
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires

• DEFINITIONS and STATISTICS
• AREAS OF ACTIVITIES
• ATTRIBUTIONS OF THE MANDATE

3
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires

• DEFINITIONS AND STATISTICS
• The sanitary mandate
• The sanitary veterinarian
• Statistics

4
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires

• DEFINITIONS AND STATISTICS
• The sanitary mandate
• The sanitary veterinarian
• Statistical elements

5
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires
The sanitary mandate is an administrative act by
which the State gives a veterinarian who is
authorized to practice in France, the power to
carry out in its name, veterinary sanitary
interventions (article L.221-II of the rural
code). The attribution and practice conditions
of this sanitary mandate are defined by decree.
Its owner is called a  sanitary veterinarian
6
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires

• DEFINITIONS AND STATISTICAL ELEMENTS
• The sanitary mandate
• The sanitary veterinarian
• Statistical elements

7
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires
The sanitary veterinarian is a polyactivity
veterinarian practicing in the field
8
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires
9
Sanitary veterinarian
A network of 10 000 private practitioners

• under contract (mandate) with the Administration
  for special duties related to animal health
• placed under public authority (i.e. the Director
  of departmental veterinary services)
• chosen by the owner of the animals for activities
  related to the sanitary mandate
• fees fixed between Administration / Owners / and
  Vets
• cost supported by owners (prophylaxis) or public
  funds (sanitary policy)

10
Sanitary veterinarian
REQUIREMENTS

• training
• keeping to the instructions of the Administration
• keeping to fixed fees

11
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires

• DEFINITIONS AND STATISTICAL ELEMENTS
• The sanitary mandate
• The sanitary veterinarian
• Statistical elements

12
Human and financial resources
Permanent staff 4 000 civil servants (inc. 500
vet. and 2 200 technicians plus 1300
administratives)
Annual budget for animal health and food safety
371 M (inc. 119 M for animal health and
welfare)
Part-time staff (contract public servant) 500
eq. full-time vet.
Sanitary vet. private vet. with sanitary
contract 10 000 private vet 500 eq. full-time
Inspections
Animal health operations
13
Other key figures
1 private veterinarian with sanitary contract
for 6 000 LBU 1 LBU 1 cattle 1
horse 5 pigs 10 small ruminants 100 poultry
Annual fees for private veterinarians publicly
funded for rural animal health activities (under
sanitary contract) 26,7 M (eq. to additional
500 full time veterinarians) including more than
15 M for BSE purposes Average part of income
for private vet. with sanitary contract supported
by public funds 4 to 8 (on average 5 800
per veterinarian under contract per year)
14
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires

• DEFINITIONS DU MANDAT SANITAIRE
• 2. AREAS OF ACTIVITIES
• 3. ATTRIBUTIONS DU MANDAT

15
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires

• 2. AREAS OF ACTIVITIES
• Sanitary police operations
• Collective prophylaxy operations
• Special missions

16
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires
Sanitary police operations
17
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires
Regards contagious regulated deseases such as

• Rabies
• Tuberculosis
• Brucellosis
• BSE

18
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires

• The vet is in charge of the application of some
  measures
• Visits of animals (case of rabies)
• Counting and marking
• Isolation
• Vaccination or treatment
• Slaughtering of sick or contaminated animals
• Necessary samplings for diagnostics or
  epidemiological surveys

19
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires
Example of B.S.E.
20
BSE supervision of clinical cases
Farms
Departmental Veterinary services
Confirmation by Departmental coordinator
veterinarian (also sanitary.vet.)
Visit by the Sanitary veterinarian
Farmer
2002
Culling by injection
941 visits 221 suspicions 41 cases confirmed
sampling
Departmental laboratory
Result
National Reference Laboratory
National Veterinary Administration
21
BSE supervison of at risk cattle (all
dead cattle and fallen stock)
270 000 visits and samples in 2002
Farm
Naturally dead cattle
Injured or sick cattle
Culling by injection
Sanitary veterinarian
Visit - Collection of epidemiological data
Collection of the cadaver
Rendering plant
Sanitary veterinarian
Sampling and completion of the filling of the form
Departmental laboratory
Departmental Veterinary services
22
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires
Example of F.M.D.
23
The FMD outbreak in 2001
Alert
1st outbreak
2nd outbreak
21/02
26/02
13/03
23/03
Preventive culling
Curative culling
25 000 imported and 35 000 contact animals
400 animals in 2 farms
Preventive culling
Sero monitoring
5 400 samples in 195 farms
4 500 animals in protection areas
Direct cost 15 m inc. 4 for sanitary vet.
24
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires

• 2. AREAS OF ACTIVITIES
• Opérations de police sanitaire
• Collective prophylaxy operations
• Missions particulières

25
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires
Collective prophylaxy operations
26
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires

• Set of compulsory actions driven or organized by
  the State in order to
• Prevent from an illness (ex. vaccination against
  rabies or FMD)
• To track down an illness
  (tuberculosis, brucellosis, leucosis)

27
Compulsory prophylaxis for large ruminants
Nb of herds controlled
Nb of cattle subjected to sampling or tub.
testing
(2001 figures)
Bovine Tuberculosis 86 040
5,4 M Bovine leucosis 131792
0,48 M Bovine brucellosis 203 103
12,6 M
Tub. testing
Blood sample
Blood sample
28
Compulsory prophylaxis for large ruminants
Total cost for upholding the sanitary
qualification of herds regarding tuberculosis,
leucosis and brucellosis (except measures of
sanitary police) 71,6 M inc. 3 M publicly
funded (year 2000)
29
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires

• 2. AREAS OF ACTIVITIES
• Opérations de police sanitaire
• Opérations de prophylaxie collective
• Special missions

30
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires
SPECIAL MISSIONS Realized by The sanitary
vet Under the authority of the Head of Veterinary
Services (HVS).
31
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires
CONTROL OF CONDITIONS OF

• Production

• Feeding

• Maintenance

• Transportation

• Live animal Trade

32
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires
CONTROL OF BREDEERS BOOK KEEPING
33
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires
COLLECTION OF ANALYSIS AND TRANSMISSION OF ALL
USEFUL SANITARY DATA
34
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires

• DEFINITIONS ET ELEMENTS STATISTIQUES
• DOMAINES DACTIVITES
• ATTRIBUTION OF THE MANDATE

35
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires

• TRAINING
• OBTAINING
• TERRITORIAL SCOPE
• PRACTICING
• DISCIPLINE
• ADVERTISING

36
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires

• COMPULSORY initial and continuing education
• For the sanitary veterinarian

37
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires

• Obtaining of the mandate throught the Prefet
  (local State officer) of the concerned
  department (administrative territory brick) for a
  renewable duration of one year.

38
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires
Territorial scope

• Concerned departement and if needed, one or
  several neighbouring departments.
• Except special case of SPECIALIZED SANITARY
  MANDATE delivered for operations regarding
• Breedings of special genetical interest
• Breedings of particular species

39
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires
PRACTICING

• The breeder must designate and let the local
  Prefet know his choosen sanitary veterinarian.
• The change of veterinarian can be asked provided
  that
• A good health status of the animals can be
  justified
• The vet fees have be entirely settled

40
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires
DISCIPLINE
For failure or fault in the practice of his
sanitary mandate, the sanitary veterinarian can
be prosecuted in front of a departmental
Commission composed of three State Official
Veterinarians and three sanitary veterinarians
ramdomly selected.
41
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires

• The commission can propose to the Prefet the
  following sanctions
• Warning
• Blame with record registration
• Temporary disqualification of the sanitary
  mandate
• Definitive disqualification of the sanitary
  mandate

42
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires
ADVERTISING
The Prefet insures the setting, the update and
the annual billposting of the list of sanitary
veterinarians in all the city halls of the
department.
43
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires
TO CONCLUDE A few points to be highlighted
44
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires

• The sanitary mandate provides the practitioner
  with a predictable activity representing a
  economical base to settle his practice. It
  insures the State with an efficient shift in
  terms of epidemio-supervision through the network
  of sanitary vets spread all over the country.
• He is a key factor of the profesional
  privatisation and a guarantee of efficacy for the
  success of the sanitary policy.

45
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires
2. It assumes a good coordination between the
State and the professionals
46
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires

• 3. For such a regulated profession, the body
  (Order of Veterinarians) in charge of the
  authorization for the professionals to practice,
  plays a key role of  driving belt  between
  public Power and the practitioners for
• Attributing the mandate
• The supervision of the practice
• The circulation of information

47
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires
This presentation common between the French
State, sanitary veterinarians and breeders, aims
to underline the importance of a good
coordination of the actors to ensure the efficacy
of any sanitary action.
48
OIE

• Dr Christian RONDEAU

49
Invitation to EUROPEAN VETERINARY STATUTORY
BODIES MEETINGThe 25 September 2008

• Presentation of FVE code of conduct
• Survey on  recognition  directive
• Survey on  services directive 
• Roundtable with Commission members

50
Recognition Directive Services Directive

• Directive 2005/36/EC of the European Parliament
  and of the Council of 7 September 2005 on the
  recognition of professional qualifications 20
  October 2007
• Directive 2006/123/EC of the European Parliament
  and of the Council of 12  December  2006 on
  services in the internal market 28 December
  2009

51
Thank you for attention -) !
Yannick POUBANNE DVM MSc PhD y.poubanne-ly84_at_veter
inaire.fr
52
Le Ministère de lAgriculture, de
lAlimentation, de la Pêche et des Affaires
Rurales
Le Conseil Supérieur de lOrdre des Vétérinaires