AMERICAN ACADEMY ON VETERINARY DISASTER MEDICINE
NEWSLETTER--Online Version
Volume 5, Number 2
AWARENESS-COMMUNICATION-EDUCATION
www.cvmbs.colostate.edu/clinsci/wing/aavdm/aavdm.htm
Volume 5 Number 2 AAVDM June 27, 2000
OFFICERS: |
BOARD OF DIRECTORS: |
|||
| PRESIDENT: | Dr. Jacob Casper | Dr. Julia Allen 2000 | Dr. Gary Stamp 2001 | |
| VICE PRESIDENT | Dr. Lorna Lanman | Dr. John H. Anderson 2000 | Cecily Westermann 2002 | |
| SECRETARY/TREASURER | Dr. Joanne Howl | Dr. Jim Hamilton 2002 | Dr. Wayne Wingfield 2001 | |
Annual Meeting Announcement and Agenda: Joanne Howl, DVM
VECCS Contents
Kudos for Dr. John Anderson
Announcements
National Animal Disaster Conference: Cindy Lovern, DVM, MS
Academy Members Attend National Disaster Medical Systems
Annual Convention: Lorna Lanman, DVM
Los Animals Fires (preview)
Drought in Eastern Africa Causes Concern: Reprint,
EMPRES-Livestock
Pro-med Reports Seal Die-OffKazakhstan
The Importance of a Thorough and Organized Search and Rescue
Effort Following a Disaster: Dick Green, EdD
Pro-med Reports Vulture Die-OffIndia
Maelstrom
Resources
ANNOUNCEMENT OF AAVDM ANNUAL BUSINESS MEETING
Tuesday, July 25, 200012:00 Noon-2:00 P.M.
Marriott Hotel (across from the Convention Center)--Salt Lake City, Utah
Lunch will be served.
AGENDA
16th Annual Business MeetingAmerican Academy on Veterinary Disaster Medicine
Submitted by Joanne Howl, DVMSecretary/Treasurer
I. Call to Order
II. Reading and approval of Minutes of last annual meeting
III. Reading and approval of Treasurer's Report
IV. Old Business
Report on website
membership listings
newsletter publication
other website issues
Report on Certification for FEMA course
Report on new logo
Review of AAVDM activities and educational goals. Should we reprioritize?
Fund Raising/ sponsorship
Membership Drive
V. Comments from the President
VI. Nominations Committee Report
Current Nominees:
Officers
President: Dr. Lorna Lanman
Vice President: Dr. Julia Allen
Sec/Treas: Dr. Joanne Howl
Directors (2 positions open)
Dr. John H. Anderson
Dr. Garry Goemann
Dr. Barry Kellogg
Dr. Cindy Lovern
VII. Election of New Officers
VIII. Comments from the new President
IX: New Business
Nominations for Honorary Membership
Report on USDA Consortium
USDA coordination of animal disaster issues
Discussion of Direction of Newsletter
Newsletter survey review
Editorial position
Advertising
Instituting public awareness
Pet food boxes for public awareness
Improving our Booth
X: Meeting Adjournment
Return to Table of ContentsOne manifestation of AAVDMs alliance with VECCS is cross publication of Journal/Newsletter contents.
JOURNAL OF VETERINARY EMERGENCY
AND CRITICAL CARE
April-June 2000 Volume 10, Number 2
SCIENTIFIC REPORTS
Successful Management of Traumatic Right Atrial Rupture: Angela L. Witt, DVM,
Karol A. Mathews, DVM, DVSC,
David L. Holmberg, DVM, MVSc
Peritoneal Dialysis: A Tool in Veterinary Critical Care: Lisa Ann Dzyban, DVM, Mary
Anna Labato, DVM,
Linda A. Ross, DVM, MS
Perethrin Spot-On Toxicoses in Cats: Jill A. Richardson, DVM
Whats Your Diagnosis? Wayne E. Wingfield, MS, DVM
7th IVECCS 2000 ORLANDO-Program Guide
ORGANIZATION NEWS
All articles are copyrighted by VECCS. Publication is included in theUnited States Department of Agricultures National Agricultural Library.
Return to Table of ContentsKUDOS for DR. JOHN ANDERSON
Dr. John Anderson of Simi Valley, CA, past president of AAVDM, was recently honored by the Redondo Beach Police Department at the 14th Annual Redondo Beach Police K9 Trials on May 13, 2000. This years Trials were dedicated to Dr. Anderson in recognition of over ten years of veterinary care that he has provided to their police dogs and to the many hours he has invested in training canine handlers in emergency first aid for working canines all over the country. submitted by Dr. Lorna Lanman
CONGRATULATIONS to Dr. Joanne Howl!!!
Martha Grace Claire Howl (aka "Grace") was born May 28, 2000.
COLLEGE CREDIT AVAILABLE FOR FEMA INDEPENDENT STUDY COURSES
Dr. Lorna Lanman reports that college credit is available for success- fully completed FEMA Independent Study Courses.
(The courses are free from FEMA, the tuition/credit charge is $60through Frederick Community College.) The courses, and application for college credit, can be processed through FEMA.
Eighteen independent study courses are currently available through the independent study program. Among these are both modules of Animals in Disaster (IS-10 and IS-11), An Orientation to Hazardous Materials for Medical Personnel (IS-346), and The Professional in Emergency Program Management (IS-513). Please access
www.fema.gov/home/emi/ishome.htm for further information, or write to EMI-Independent Study Programs16825 S. Seton AvenueEmmitsburg, MD 21727.
WWW.ANIMALDISASTERS.COM UPDATE
Dr. Sebastian Heath reports that he has updated this website, and
invites everyone to look at the proposed outline for the course on
livestock and disasters. The outline is based on the meeting held
April 3 and 4, 2000 at the Emergency Management Institute in
Emmitsburg, MD.
INTERNATIONAL COURSE IN APPLIED EPIDEMIOLOGY
CDC and Emory Universitys Rollins School of Public Health will cosponsor a course "International Course in Applied Epidemiology". This basic course in epidemiology is directed at public health professionals from countries other than the United States.
October 2-27, 2000
Atlanta, GA
There are prerequisites and there is a tuition charge. For more
information, please contact:
Emory University, Rollins School of Public Health
International Health Department (PIA)
1518 Clifton Road NE, Room 746
Atlanta, GA 30322
Telephone: 404-727-3485
FAX: 404-727-4590
E-mail: pvaleri@sph.emory.edu
submitted by Dr. Joanne Howl
INTERNATIONAL NORTHWESTERN CONFERENCES IN NATURE COMMUNICABLE TO MAN (INCDNCM)55th
Annual Meeting
Dates: July 30-August 2, 2000
Venue: Colorado State University, Fort Collins, CO, USA
Program Scope:
Viral, Rickettsial, Bacterial, Parasitic or Prion-related Diseases acquired from natural sources, including animals (wild or domestic), contaminated water or food supplies, arthopod vectors, and other sources.
For more information and abstract submission contact:
Dr. Kenneth L. Gage, Dr. Michael Kosoy
Post Office Box 2087
Fort Collins, CO 80522
Telephone: 970-221-6450 or 970-221-6404
FAX: 970-221-6476
E-mail klg0@cdc.gov or mck3@cdc.gov
Errol Prasad
President, INCDNCM
Microbiology & Public Health Laboratory
University of Alberta Hospital
Edmonton, Alberta, Canada T6G 2J2
Telephone: 780-407-8975
FAX: 780-407-8961
E-mail: esp@bugs.uah.ualberta.ca
submitted by Dr. Joanne Howl
JOHNS HOPKINS UNIVERSITYTHE SUMMER INSTITUTE IN TROPICAL MEDICINE AND PUBLIC HEALTH
July 5-August 25, 2000 (eight weeks)
Contact: Yandong Qiang, Program Coordinator
The Johns Hopkins University School of Hygiene+Public Health
615 N. Wolfe StreetRoom 3501
Baltimore, MD 21205
Telephone: 410-614-3959
FAX: 410-614-6060
Course is designed to provide training in tropical medicine and
related health issues, and is meant to prepare participants for
working with current and emerging health problems in developing
countries and health problems of travelers.
submitted by Dr. Joanne Howl
National Animal Disaster Conference
by Cindy Lovern, DVM, MS
The National Animal Disaster Conference was held March 22-24, 2000 in Orlando, Florida. People from 34 states and three countries came together to discuss the details concerning animals in disasters and how to make the situation better for both people and animals.
Subjects that were covered included: FEMA animals in disaster training, Incident Command System training, development of animal response teams, public health issues, wildlife concerns, large animal concerns, dealing with the media, pet friendly sheltering, the Veterinary Medical Assistance Teams (VMAT), pet first aid, and lessons learned from Hurricane Floyd and other disasters.
Two VMAT Team Leaders, Dr. Barry Kellogg (VMAT-1) and Dr. James Hamilton (VMAT-3) presented a 1 ½ hour session about the VMATs, the VMAT deployments, and other related veterinary topics encountered during disasters.
Mr. Michael Dunn, Under Secretary of the United States Department of Agriculture, addressed the conference attendees the evening of March 22, 2000. He expressed his continued interest in expanding the scope of concern of the USDA to include companion animals in addition to large animals/livestock in disasters.
Although Mr. Dunn initiated a
National Animal Disaster Committee, the USDA is restricted from forming official new committees due to an Act passed by Congress regulating the number of federal committees that are in existence. However, the new committee is hoping for USDA endorsement. The committee consists of the American Humane Association (AHA), the American Veterinary Medical Association (AVMA), Code-3, the Humane Society of the United States (HSUS), the International Fund for Animal Welfare (IFAW), the Missing Pet Network (MPN), United Animal Nations Emergency Animal Rescue Services (UAN-EARS), and members from the United States Department of Agriculture Animal Care Division (USDA/APHIS).Mr. Dunn requested that he be told what the new committee and the conference attendees would like from the USDA.
The committee, and conference attendees, are asking for USDA support of the formation of a new Emergency Support Function to be added to the Federal Response Plan. The new ESF would be ESF #13 named something similar to Animal Care and Protection.
In addition, conference attendees would like to see USDA-generated press releases during disasters that communicate the message "take your pets with you", funding available at the state level for animal disaster planning and implementation, a bi-annual National Animal Disaster Conference, standard animal care forms for use by all animal response groups during a disaster (the National Animal Disaster Committee is working on that task), a primary website for disaster information during a disaster, and a National Animal Disaster Week to be approved by each states Governor.
The Conference was a complete success. The attendees were able to learn from the past experiences of others, and obtainable goals were set for substantial forward movement in the area of animal disaster planning and response. Much work remains, but with clear objectives set, the attendees left with a feeling of accomplishment and a clear vision of what must be accomplished in the future to obtain a complete animal disaster response.
Dr. Lovern is Assistant Director, Emergency Preparedness and ResponseAmerican Veterinary Medical Association.
She can be contacted at clovern@avma.org
Please contact author for permission to duplicate.
Ed note: Since this column was submitted for publication, the AAVDM has joined the National Animal Disaster Committee.
Academy Members Attend National Disaster Medical System Annual Convention
by Lorna Lanman, DVM
Las Vegas was the site of the annual convention of the National Disaster Medical System (NDMS) held April 29-May 3, 2000, and a number of AAVDM members were in attendance. The National Disaster Medical System is comprised of the Department of Health and Human Services, Department of Defense, Department of Veterans Affairs, and the Federal Emergency Management Agency.
The NDMS mission is to help provide medical treatment for large numbers of casualties involved in a major domestic disaster. Because of this critical mission, all of us involved in public health and medical services need to keep ourselves trained and prepared. Many of the nations leaders in the field of emergency management and emergency response were at this conference.
Key topics such as Weapons of Mass Destruction (WMD), disaster team response responsibilities, clinical medicine, mental health, and coordination of international disaster response were addressed by more than 145 expert speakers from local, state and federal government agenciesas well as from volunteer, private sector and academic entities.
The conference delivered an understanding of the health and medical requirements generated by disasters of any origin, and provided access to authorities responsible for managing these requirements. Attendees engaged in continuing education, training, research, and information sharing to enable our further development of this nations lifesaving systems.
In attendance were physicians, nurses, social workers, psychologists, pharmacists, infectious disease experts, veterinarians, emergency medical services personnel, morticians, sanitarians, dentists, health care administrators, emergency managers, and response team personnel.
This year, weas AAVDM members and Veterinary Medical Assistance Team members who attendedwere particularly pleased as we performed a significant role in the conference. AAVDM and VMAT officers presented lectures on The Human Animal Bond, Special Challenges Large Animals Pose in Disasters, Infection Hazards of Human and Animal Remains, VMAT and Other Animal Care Disaster Resources, and Hazard and Disease Surveillance: How Veterinary Participation Can Save Lives.
Much of our team training and preparedness comes from attending
conferences like this. We in the veterinary profession are necessary in the mission of the NDMS, and the networking and information that we gain from attending this conference year after year are invaluable
to our ability to respond to our nations natural and man-made disasters.Also, we were especially gratified to participate in the first organized
VMAT team meeting with Dr. Robert Knouss, Director of NDMS/Office of Emergency Preparedness; Mr. Gary Moore, Deputy Director and Chief of Field Operations; Captain William, Tyler, Chief, Response Branch; Dr. William Piggott, Chief Medical Officer; and many others from the Office of Emergency Preparedness.
Dr. Knouss welcomed us to the meeting and complimented the VMAT on a job well done in North Carolina following Hurricane Floyd. A number of important agenda items were discussed concerning the deployment of the veterinary disaster response teams in the future.
This conference was approved for 18 hours of continuing education
credit
by the State of Nevada, Board of Veterinary Medical Examiners.Dr. Lanman has been nominated for President of AAVDM She can be contacted at LLDVMNAZ@AOL.Com
Please contact author for permission to duplicate.
May 8, 2000--Reuters reports that the Los Alamos nuclear weapons laboratory was closed down, and 500 homes in the surrounding area were evacuated. (More were later evacuated)
May 12, 2000--BHGazette reports that the Santa Fe Animal Shelter & Humane Society took in over 400 animals, with more coming in.
May 12, 2000--BHGazette reports that Animal Protection of New Mexico has compiled an extensive list of foster homes.
Ed note: We hope to present an overview of the situation in the September issue of the AAVDM Newsletter
Drought in Eastern Africa Causes Concern
from EMPRES-Livestock@fao.org (public domain-UN)
Reports are growing of renewed drought in Eastern Africa particularly affecting areas of southern Ethiopia, southern Somalia and eastern Kenya. Once again the livelihoods of the pastoral communities will be affected and their livestock, on which they are heavily dependent, could be at risk from a resurgence of epidemic diseases.
Particular concern at this time relates to rinderpest given that the rinderpest status of the southern Somali ecosystem is largely undefined. In the past, droughts in eastern Africa seem to have been the precipitating factor in causing rinderpest to flare-up in stressed populations of cattle and wildlife.
Presumably this is because drought causes extensive migration of pastoral herds in search of the little water and grazing available and
the congregatation of livestock which results provides ideal conditions for virus transmission.Thus, the scene could be set for a recapitulation of the events which started in 1992/93 leading to invasion
of Tsavo National Park by rinderpest by 1994 and eventually Nairobi National Park, Kajiado and northern Tanzania in 1996.After this episode coordinated interventions by the governments of Kenya and Tanzania succeeded in reversing the spread of rinderpest to the point where declarations of provisional freedom from rinderpest were possible for the whole of Tanzania and a large zone of Kenya. If a recapitualtion of the earlier events is occurring now, or does so in the near future, it will be a severe test of Kenya's defences which include maintenance of a vaccinated buffer zone in the east of the country. The need for vigilance in this highly vulnerable area is of paramount importance and merits support.
Please see full story and maps on the EMPRES web page: www.fao.org/waicent/faoinfo/agricult/AGA/AGAH/EMPRES/EWmes.htm
submitted by Dr. Sebastian HeathPro-med Reports Seal Die-OffKazakhstan
May 23, 20003000 dead seals were victims of an unknown epidemic. Remains were studied by biologists from Kazakhstan, Russia and Britain.
June 12, 2000An official at the Kazakhstan Ministry for Environmental Protection and Natural Resources revealed that the deaths were caused by a pasteurellosis epidemic. A decline in the animals immunity was due to agricultural pesticides and petroleum toxins.
original article submitted by Dr. Joanne Howl
The Importance of a Thorough and Organized Search and Rescue Effort Following a Disaster--by Dick Green, EdD
Animal Planet Rescue recently responded to Camille, Georgia to assist the rescue and recovery efforts resulting from the February 14th tornadoes. At the time this article was written, there were 21 fatalities, $2.4M lost in agricultural buildings, $1.4M in poultry losses with 280,000 poultry deaths and 3 poultry farms completely destroyed. Our teams began arriving in Georgia within 12 hours and our rescue rig was staged in Mitchell County the day after the storm. Animal control agencies and volunteer groups visited the sites at first light and a number of animals were treated and transported to Mitchell County Animal Shelter. It was the opinion of a number of groups including the county Emergency Operations Center, Georgia state patrolmen that were assigned security for that area and the county sheriffs department that there were no more animals in the affected zone.
A Georgia State patrolman remarked, as we arrived at the scene, that we were wasting our time, and his, and only impeding the "cleaning up" process by conducting another search in that area. 36 hours after the tornado and following numerous searches through the area by a number of different groups, we led 25 volunteers with representatives from four surrounding county animal control agencies, volunteers from Florida, a member from IFAW, and 2 volunteers from HSUS - Florida into the area to conduct a thorough search.
The search area was divided into three sectors of approximately equal size. One strike team of 7-8 rescuers with a strike team leader was assigned to each sector. Strike team leaders were easily identifiable to their teams by their white helmets, easily heard by their whistles and in constant communication with command via hand-held radios. A veterinarian accompanied each team to perform triage onsite.
A command post was established out of the mainstream traffic yet in a centrally located spot. Typical of tornadoes, street signs and house numericals were most often gone; in fact, in some areas, blocks were completely wiped out. The teams were assigned the task to systematically and thoroughly assess and survey the affected areas without "digging" in the rubble or walking into or near still-standing structures.
As a sector or street was searched, the area was flagged and the team would move on. All dead animals were also flagged and notation of site, disposition, description and time were made by the team leaders as well as calling in the information to command. Within two hours, 10 dogs and three cats were rescued in that area and numerous sightings of additional animals made.
The need for a thorough search in devastated area is painfully clear and the rewards yielded will improve linearly as additional organization, leadership and communication skills are utilized. Safety officers need to be assigned to each team and only animal control officers with specific training in confined spaces should be allowed in the "rubble zone".
My recommendation
is that you assign a centrally located technical rescue team (TRT) that is dispatched if rubble needs to be cleared to effect the rescue. As with all disaster-related rescue efforts for humans or animals personal and team safety must come first. . When an animal rescuer puts himself in a dangerous situation, the entire animal rescue movement suffers. All of us in this field need to keep our response within the confines of our training. There are some who will say that they have a "duty" to respond. If thats true, it is irresponsible and negligent to respond outside of your training. Is it time to entertain the concept of specialized teams being dispatched for animal search and rescue.Dr. Green is the Emergency Animal Relief Manager for the American Humane Association. He can be contacted at green@gu@spokes.com Please contact author for permission to duplicate.
Pro-med Reports Vulture Die-OffIndia
Andrew Cunningham recently spent three weeks investigating vulture mortality at the request of the Bombay Natural History Society. Over the past ten years, _Gyps_spp. vuluture populations have declined 96% in some areas. An emergency conference in India is being planned later this year. Dr. Cunningham suggests the following web page for further information: www.independent.co.uk/news/UK/Environment/2000-05/vultures280500.shtml
Investigation of possible bioterrorism Is prompted by suspected Brucellosis case (
New Hampshire+Massachusetts 1999)Morbidity and Mortality WeeklyJune 16, 2000
Inquiries to mmwrq@cdc.gov
The case involved a woman admitted to a hospital with fever, myalgia, and weaknesswhich progressed to respiratory failure requiring mechanical ventilation. After three weeks of intensive care, patient was transferred. Paired serum specimens showed a 16-fold rise for Brucella antibodies. Cultures of blood were negative for Brucella.
The patients family presented laboratory flasks left in patients apartment by a boyfrienda foreign national who had returned to his country. Various agencies were contacted. On day 33, patient died from adult respiratory distress syndrome. Also on day 33 agglut-ination testing from (previous) paired serum specimens was negative for Brucella antibodies. Autopsy was requested by public health personnel, but was postponed due to concern of bioterrorist threat.
Incident was found not to be a bioterrorism event.
Chernobyl Still Affects Scot Sheep14 Years Later The Scotsman May 11,2000
Twenty farms in Scotland are still under restriction due to Chernobyl fallout. Only about half a dozen lambs on Gilbert Christies show excessive Caesium levels now. When this happens, he keeps them on lower ground for a week or so, after which they are below the limit. Mr. Christie says, "It will go away eventually."
Health officials issue guidelines on eating catfish caught in Mississippi River
St. Louis Post-Dispatch May 14, 2000Illinois public health officials announced limits on catfishand carp, sturgeon and bass that should be eatenif the fish were caught in the Mississippi River. The culprits are pesticides.
Trichinellosis, dog meatKazakhstan Pro-MED mail post April 22, 2000
17 people in Ust-Kamenogorsk were infected by eating dog meat.
Residents of Brazilian city stock up on water as they prepare for five months of rationing
St. Louis Post-Dispatch June 1, 2000
Australian states face locust "time bomb" Reuters April 28, 2000
Russia approves funds, pesticide to combat locusts Reuters March 30, 2000
Argentina honey output stuck on bad weather Reuters May 4, 2000
Coral collapse in Caribbean (Belize) Pro-MED mail post May 4, 2000
Scientists theorize that high temperatures have caused the first mass coral die-off in this region for 3000 years.
Seaweed harms marine life off Florida Associated Press May 24, 2000
Fertilizers, agricultural runoff and sewage nourish Caulerpa alga, aka "killer seaweed". The seaweed then smothers coral, invertebrates and other organisms living in ocean reefs.
Agency reports 70% increase in cases of Lyme disease St. Louis Post-Dispatch April 29, 2000
CDC reported 16,802 cases in 1998, up from 9,909 in 1992. (Ed note: victims species was not specified.)
Millions of cattle die in famine-hit Ethiopia Reuters May 15, 2000
Cattle perish as drought grips Indias Rajasthan Reuters May 8, 2000
India drought kills cattle, hits milk output Reuters May 2, 2000
Drought ravages Southern Afghanistan Associated Press April 27, 2000
Nomads have lost up to 80% of their cattle
BOOKS
Animal Management in DisastersDr. Sebastian E. Heath available from www.mosby.com
AVMA Emergency Preparedness and Response Guide
available from the American Veterinary Medical Association 1931 N. Meacham Road, Suite 100Schaumburg, IL 60173-4360
Area G Veterinary Disaster Team Development GuideDr. Patty Boge available from Iowa State University Press www.isupress.edu
Emergency Response Contacts DirectoryDr. John H. Anderson, D.V.M. available from VECCS Administrative Office
6335 Camp Bullis RoadSuite 23San Antonio, TX 78257 Email: gstamp@veccs.orgWEBSITES
American Academy on Veterinary Disaster Medicine www.cvmbs.colostate.edu/clinsci/wing/aavdm/aavdm.htm
American Humane Association (AHA) www.americanhumane.org
American Red Cross (ARC) www.redcross.org/disaster/safety/pets.html
American Veterinary Medical Association (AVMA) www.avma.org
Animal Disaster Planning Advisory Committee (ADPAC) www.fl-adpac.org
Animals in Disasters www.animaldisasters.com
Federal Emergency Management Agency (FEMA) www.fema.gov/fema/anemer.htm
Horse Review www.horsereview.net
Humane Society of the United States (HSUS) www.hsus.org
United Animal Nations Emergency Animal Rescue Service (EARS) www.uan.orghttp://www.uan.org
World Animal Net (WAN) www.worldanimal.net
ANIMALS IN DISASTERS
FEMA INDEPENDENT STUDY COURSE
Federal Emergency Management Agency, Emergency Management Institute (EMI) Independent Study Program
16825 South Seton Avenue, Emmitsburg, MD 21727-8998. Courses are available free. Information about FEMA-EMI Independent Study Program can be accessed on the web at http://www.fema.gov/emi/ishome.htmThe AAVDM Newsletter is produced by the American Academy on Veterinary Disaster Medicine. Viewpoints expressed are not necessarily those of the Academy or its administration. Newsletter contents may be copied by anyone if attribution to the AAVDM Newsletter is givenunless the words "Please contact author for permission to duplicate" is stated at the end of the item. Articles and announcements are welcome. Closing dates are the last dates of February, May, August, and November. Maximum article length is 900 words. Please attach reprint permission if your submission has been published elsewhere. E-mail copy-paste submissions are appreciated, but please do not attach downloads. No payment, but three contributor copies are given.
Cecily Westermann, editor3275 Jasper ParkSt. Louis, MO 63139FAX 314-781-2594E-mail Rruni@aol.com