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Jato-Espino D, Mayor-Vitoria F, Moscardó V, Capra-Ribeiro F, Bartolomé del Pino LE. Toward One Health: a spatial indicator system to model the facilitation of the spread of zoonotic diseases. Front Public Health 2023; 11:1215574. [PMID: 37457260 PMCID: PMC10340543 DOI: 10.3389/fpubh.2023.1215574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Accepted: 06/14/2023] [Indexed: 07/18/2023] Open
Abstract
Recurrent outbreaks of zoonotic infectious diseases highlight the importance of considering the interconnections between human, animal, and environmental health in disease prevention and control. This has given rise to the concept of One Health, which recognizes the interconnectedness of between human and animal health within their ecosystems. As a contribution to the One Health approach, this study aims to develop an indicator system to model the facilitation of the spread of zoonotic diseases. Initially, a literature review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement to identify relevant indicators related to One Health. The selected indicators focused on demographics, socioeconomic aspects, interactions between animal and human populations and water bodies, as well as environmental conditions related to air quality and climate. These indicators were characterized using values obtained from the literature or calculated through distance analysis, geoprocessing tasks, and other methods. Subsequently, Multi-Criteria Decision-Making (MCDM) techniques, specifically the Entropy and Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) methods, were utilized to combine the indicators and create a composite metric for assessing the spread of zoonotic diseases. The final indicators selected were then tested against recorded zoonoses in the Valencian Community (Spain) for 2021, and a strong positive correlation was identified. Therefore, the proposed indicator system can be valuable in guiding the development of planning strategies that align with the One Health principles. Based on the results achieved, such strategies may prioritize the preservation of natural landscape features to mitigate habitat encroachment, protect land and water resources, and attenuate extreme atmospheric conditions.
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Affiliation(s)
- Daniel Jato-Espino
- GREENIUS Research Group, Universidad Internacional de Valencia—VIU, Calle Pintor Sorolla, Valencia, Spain
| | - Fernando Mayor-Vitoria
- GREENIUS Research Group, Universidad Internacional de Valencia—VIU, Calle Pintor Sorolla, Valencia, Spain
| | - Vanessa Moscardó
- GREENIUS Research Group, Universidad Internacional de Valencia—VIU, Calle Pintor Sorolla, Valencia, Spain
| | - Fabio Capra-Ribeiro
- GREENIUS Research Group, Universidad Internacional de Valencia—VIU, Calle Pintor Sorolla, Valencia, Spain
- School of Architecture, College of Art and Design, Louisiana State University, Baton Rouge, LA, United States
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Wang H, Guo H, Wang L, Yu S, Li Y, Wang X. Serological surveillance for rabies and canine distemper in wild boar in Heilongjiang province, China. EUR J WILDLIFE RES 2023. [DOI: 10.1007/s10344-023-01655-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Chen Q, Liu Q, Gong C, Yin W, Mu D, Li Y, Ding S, Liu Y, Yang H, Zhou S, Chen S, Tao Z, Zhang Y, Tang X. Strategies to inTerrupt RAbies Transmission for the Elimination Goal by 2030 In China (STRATEGIC): a modelling study. BMC Med 2023; 21:100. [PMID: 36927437 PMCID: PMC10022085 DOI: 10.1186/s12916-023-02821-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Accepted: 03/08/2023] [Indexed: 03/18/2023] Open
Abstract
BACKGROUND A global plan has been set to end human deaths from dog-mediated rabies by 2030 ("Zero-by-30"), but whether it could be achieved in some countries, such as China, remains unclear. Although elimination strategies through post-exposure prophylaxis (PEP) use, dog vaccination, and patient risk assessments with integrated bite case management (IBCM) were proposed to be cost-effective, evidence is still lacking in China. We aim to evaluate the future burdens of dog-mediated human rabies deaths in the next decade and provide quantitative evidence on the cost-effectiveness of different rabies-control strategies in China. METHODS Based on data from China's national human rabies surveillance system, we used decision-analytic modelling to estimate dog-mediated human rabies death trends in China till 2035. We simulated and compared the expected consequences and costs of different combination strategies of the status quo, improved access to PEP, mass dog vaccination, and use of IBCM. RESULTS The predicted human rabies deaths in 2030 in China will be 308 (95%UI: 214-411) and remain stable in the next decade under the status quo. The strategy of improved PEP access alone could only decrease deaths to 212 (95%UI: 147-284) in 2028, remaining unchanged till 2035. In contrast, scaling up dog vaccination to coverage of 70% could eliminate rabies deaths by 2033 and prevent approximately 3,265 (95%UI: 2,477-3,687) extra deaths compared to the status quo during 2024-2035. Moreover, with the addition of IBCM, the "One Health" approach through mass dog vaccination could avoid unnecessary PEP use and substantially reduce total cost from 12.53 (95%UI: 11.71-13.34) to 8.73 (95%UI: 8.09-9.85) billion US dollars. Even if increasing the total costs of IBCM from 100 thousand to 652.10 million US dollars during 2024-2035, the combined strategy of mass dog vaccination and use of IBCM will still dominate, suggesting the robustness of our results. CONCLUSIONS The combined strategy of mass dog vaccination and IBCM requires collaboration between health and livestock/veterinary sectors, and it could eliminate Chinese rabies deaths as early as 2033, with more deaths averted and less cost, indicating that adding IBCM could reduce unnecessary use of PEP and make the "One Health" rabies-control strategy most cost-effective.
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Affiliation(s)
- Qiulan Chen
- Key Laboratory of Surveillance and Early-Warning On Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, 102206, China
| | - Qiuping Liu
- Department of Epidemiology and Biostatistics, Peking University School of Public Health, Beijing, 100191, China
| | - Chao Gong
- Department of Epidemiology and Biostatistics, Peking University School of Public Health, Beijing, 100191, China
| | - Wenwu Yin
- Key Laboratory of Surveillance and Early-Warning On Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, 102206, China
| | - Di Mu
- Key Laboratory of Surveillance and Early-Warning On Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, 102206, China
| | - Yu Li
- Key Laboratory of Surveillance and Early-Warning On Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, 102206, China
| | - Shujun Ding
- Shandong Center for Disease Control and Prevention, Jinan, China
| | - Yifang Liu
- Tianjin Centers for Disease Control and Prevention, Tianjin, China
| | - Hao Yang
- Hunan Provincial Center for Disease Control and Prevention, Changsha, China
| | - Shuwu Zhou
- Guangxi Zhuang Autonomous Region Center for Disease Prevention and Control, Nanning, China
| | - Sa Chen
- Shaanxi Provincial Center for Disease Control and Prevention, Xi'an, China
| | - Zhongfa Tao
- Guizhou Center for Disease Control and Prevention, Guiyang, China
| | - Yanping Zhang
- Key Laboratory of Surveillance and Early-Warning On Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, 102206, China.
| | - Xun Tang
- Department of Epidemiology and Biostatistics, Peking University School of Public Health, Beijing, 100191, China.
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SAVADOGO M, RENMANS D, ALAMBEDJI RBADA, TARNAGDA Z, ANTOINE-MOUSSIAUX N. Using causal loop analysis to explore pathways for zoonosis control in low-income setting: the case of dog rabies vaccination in Burkina Faso. Prev Vet Med 2022; 203:105623. [DOI: 10.1016/j.prevetmed.2022.105623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Revised: 03/15/2022] [Accepted: 03/20/2022] [Indexed: 11/30/2022]
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Djegui F, Gourlaouen M, Coetzer A, Adjin R, Tohozin R, Leopardi S, Mauti S, Akpo Y, Gnanvi C, Nel LH, De Benedictis P. Capacity Building Efforts for Rabies Diagnosis in Resource-Limited Countries in Sub-Saharan Africa: A Case Report of the Central Veterinary Laboratory in Benin (Parakou). Front Vet Sci 2022; 8:769114. [PMID: 35118149 PMCID: PMC8805029 DOI: 10.3389/fvets.2021.769114] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Accepted: 11/11/2021] [Indexed: 01/13/2023] Open
Abstract
Rabies has been listed as a priority zoonotic disease in many African countries and the countdown to reach the goal of eliminating dog-mediated human rabies deaths by 2030 means that disease control measures need to be applied fast. In this context, an essential pillar of any national plan to control rabies is the implementation of reliable diagnostic techniques to ensure the success of field surveillance systems. Although many African countries have received international support for the control of rabies–some countries, like Benin, have not received a similar level of support. Indeed, until 2018, Benin was not able to diagnose rabies and rabies diagnosis in animals as well as humans relied solely on observed clinical symptoms. Although the Central Veterinary Laboratory (CVL) of Parakou had the equipment to implement two recommended tests, the lack of specific reagents and skills prevented the implementation of a rabies diagnostic service. Here we present the joint efforts of the national authorities in Benin, intergovernmental agencies, and non-governmental organizations to assess the strengths and weaknesses of the government's rabies control efforts. We have applied the Stepwise Approach toward Rabies Elimination (SARE) analysis, implemented rabies diagnostic capacities at the CVL of Parakou, characterized strains of rabies virus circulating in Benin, and finally integrated an inter-laboratory comparison program.
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Affiliation(s)
- Fidelia Djegui
- Laboratoire de Diagnostic Vétérinaire et de Sérosurveillance de Parakou (LADISERO), Parakou, Benin
- *Correspondence: Fidelia Djegui
| | - Morgane Gourlaouen
- The Food and Agriculture Organization of the United Nations (FAO) and National Reference Centre for Rabies, The World Organisation for Animal Health (OIE) Collaborating Centre for Diseases at the Animal-Human Interface, Istituto Zooprofilattico Sperimentale delle Venezie, Viale dell'Università, Legnaro, Italy
| | - Andre Coetzer
- Department of Biochemistry, Genetics and Microbiology, Faculty of Natural and Agricultural Sciences, University of Pretoria, Pretoria, South Africa
- Global Alliance for Rabies Control SA Non-profit Company (NPC), Pretoria, South Africa
| | - Rachidatou Adjin
- Laboratoire de Diagnostic Vétérinaire et de Sérosurveillance de Parakou (LADISERO), Parakou, Benin
| | - Rogatien Tohozin
- Laboratoire de Diagnostic Vétérinaire et de Sérosurveillance de Parakou (LADISERO), Parakou, Benin
| | - Stefania Leopardi
- The Food and Agriculture Organization of the United Nations (FAO) and National Reference Centre for Rabies, The World Organisation for Animal Health (OIE) Collaborating Centre for Diseases at the Animal-Human Interface, Istituto Zooprofilattico Sperimentale delle Venezie, Viale dell'Università, Legnaro, Italy
| | - Stephanie Mauti
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland
- Faculty of Science, University of Basel, Basel, Switzerland
| | - Yao Akpo
- Direction des Services Vétérinaires, Cotonou, Benin
| | | | - Louis H. Nel
- Department of Biochemistry, Genetics and Microbiology, Faculty of Natural and Agricultural Sciences, University of Pretoria, Pretoria, South Africa
- Global Alliance for Rabies Control SA Non-profit Company (NPC), Pretoria, South Africa
| | - Paola De Benedictis
- The Food and Agriculture Organization of the United Nations (FAO) and National Reference Centre for Rabies, The World Organisation for Animal Health (OIE) Collaborating Centre for Diseases at the Animal-Human Interface, Istituto Zooprofilattico Sperimentale delle Venezie, Viale dell'Università, Legnaro, Italy
- Paola De Benedictis
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Zhu M, Mu D, Chen Q, Chen N, Zhang Y, Yin W, Li Y, Chen Y, Deng Y, Tang X. Awareness Towards Rabies and Exposure Rate and Treatment of Dog-Bite Injuries Among Rural Residents - Guangxi Zhuang Autonomous Region, China, 2021. China CDC Wkly 2021; 3:1139-1142. [PMID: 35036037 PMCID: PMC8742139 DOI: 10.46234/ccdcw2021.260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Accepted: 11/13/2021] [Indexed: 11/14/2022] Open
Abstract
What is already known about this topic? Although fatal once clinical signs appear, rabies is preventable through three proven, effective interventions including mass dog vaccination, post-exposure prophylaxis (PEP), and, though sometimes neglected, awareness of rabies. What is added by this report? The total awareness rate of rabies-related knowledge among rural residents was only 57.9% in Guangxi Zhuang Autonomous Region, one of the provincial-level administrative divisions (PLADs) with endemic rabies in China, and the exposure rate of dog-bite injuries was as high as 7.2% in the past year. In addition, 14.8% of bite victims failed to seek PEP service. What are the implications for public health practice? This study can provide evidence for the targeted prevention and control program of rabies in rural areas and help realize the international goals of eliminating dog-mediated rabies by 2030.
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Affiliation(s)
- Mantong Zhu
- School of Public Health, Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, China
| | - Di Mu
- Division of Infectious Disease, Key Laboratory of Surveillance and Early Warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Qiulan Chen
- Division of Infectious Disease, Key Laboratory of Surveillance and Early Warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Ning Chen
- School of Public Health, Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, China
| | - Yanping Zhang
- Division of Infectious Disease, Key Laboratory of Surveillance and Early Warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Wenwu Yin
- Division of Infectious Disease, Key Laboratory of Surveillance and Early Warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Yu Li
- Division of Infectious Disease, Key Laboratory of Surveillance and Early Warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China
| | | | | | - Xianyan Tang
- School of Public Health, Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, China
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Wang X, Rainey JJ, Goryoka GW, Liang Z, Wu S, Wen L, Duan R, Qin S, Huang H, Kharod G, Rao CY, Salyer SJ, Behravesh CB, Jing H. Using a One Health approach to prioritize zoonotic diseases in China, 2019. PLoS One 2021; 16:e0259706. [PMID: 34797849 PMCID: PMC8604330 DOI: 10.1371/journal.pone.0259706] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Accepted: 10/26/2021] [Indexed: 12/24/2022] Open
Abstract
Background China is vulnerable to zoonotic disease transmission due to a large agricultural work force, sizable domestic livestock population, and a highly biodiverse ecology. To better address this threat, representatives from the human, animal, and environmental health sectors in China held a One Health Zoonotic Disease Prioritization (OHZDP) workshop in May 2019 to develop a list of priority zoonotic diseases for multisectoral, One Health collaboration. Methods Representatives used the OHZDP Process, developed by the US Centers for Disease Control and Prevention (US CDC), to prioritize zoonotic diseases for China. Representatives defined the criteria used for prioritization and determined questions and weights for each individual criterion. A review of English and Chinese literature was conducted prior to the workshop to collect disease specific information on prevalence, morbidity, mortality, and Disability-Adjusted Life Years (DALYs) from China and the Western Pacific Region for zoonotic diseases considered for prioritization. Results Thirty zoonotic diseases were evaluated for prioritization. Criteria selected included: 1) disease hazard/severity (case fatality rate) in humans, 2) epidemic scale and intensity (in humans and animals) in China, 3) economic impact, 4) prevention and control, and 5) social impact. Disease specific information was obtained from 792 articles (637 in English and 155 in Chinese) and subject matter experts for the prioritization process. Following discussion of the OHZDP Tool output among disease experts, five priority zoonotic diseases were identified for China: avian influenza, echinococcosis, rabies, plague, and brucellosis. Conclusion Representatives agreed on a list of five priority zoonotic diseases that can serve as a foundation to strengthen One Health collaboration for disease prevention and control in China; this list was developed prior to the emergence of SARS-CoV-2 and the COVID-19 pandemic. Next steps focused on establishing a multisectoral, One Health coordination mechanism, improving multisectoral linkages in laboratory testing and surveillance platforms, creating multisectoral preparedness and response plans, and increasing workforce capacity.
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Affiliation(s)
- Xin Wang
- National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Jeanette J. Rainey
- Division of Global Health Protection, United States Centers for Disease Control and Prevention, Beijing, China
| | - Grace W. Goryoka
- National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States of America
| | - Zuoru Liang
- Center for Global Public Health, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Shuyu Wu
- Division of Global Health Protection, United States Centers for Disease Control and Prevention, Beijing, China
| | - Liming Wen
- Yinchuan Animal Center for Disease Control and Prevention, Yinchuan, Ningxia, China
| | - Ran Duan
- National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Shuai Qin
- National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Haodi Huang
- Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu, China
| | - Grishma Kharod
- National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States of America
| | - Carol Y. Rao
- Division of Global Health Protection, Centers for Disease Control and Prevention, Atlanta, GA, United States of America
| | - Stephanie J. Salyer
- Division of Global Health Protection, Centers for Disease Control and Prevention, Atlanta, GA, United States of America
| | - Casey Barton Behravesh
- National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States of America
| | - Huaiqi Jing
- National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
- * E-mail:
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Chen N, Chen Q, Zhang Y, Zhu M, Yin W, Mu D, Li Y, Chen Y, Deng Y, Tang X. Assessing Impacting Factors of Dog Owners' Adoption of Dog Vaccination Against Rabies: A Cross-sectional Survey in Rural Areas - Guangxi Zhuang Autonomous Region, China, 2021. China CDC Wkly 2021; 3:883-888. [PMID: 34733576 PMCID: PMC8545601 DOI: 10.46234/ccdcw2021.218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2021] [Accepted: 10/08/2021] [Indexed: 12/03/2022] Open
Abstract
What is already known about this topic? Rabies is fatal while preventable. More than 99% of human rabies cases were caused by dog bites worldwide. Mass dog vaccination could interrupt dog-mediated rabies if achieving and maintaining a minimum coverage rate of 70%. What does this report contribute? The results of this study show that roughly 23.7% of households owned dogs in Guangxi Zhuang Autonomous Region, China but only about 19.1% of these households reported having their dogs vaccinated. Possible positive factors were injury history of dog bites, awareness of the necessity, and policy help for the costs of dog vaccination, but negative factors were negative attitude and inaccessibility. What are the implications for public health practices? Much more effort should be made to improve dog vaccination coverage in rural areas in Guangxi Zhuang Autonomous Region, China. Well-designed free mass vaccination campaigns with more accessibility and awareness campaigns are important to improve coverage.
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Affiliation(s)
- Ning Chen
- School of Public Health, Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, China
| | - Qiulan Chen
- Division of Infectious Disease, Key Laboratory of Surveillance and Early Warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Yanping Zhang
- Division of Infectious Disease, Key Laboratory of Surveillance and Early Warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Mantong Zhu
- School of Public Health, Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, China
| | - Wenwu Yin
- Division of Infectious Disease, Key Laboratory of Surveillance and Early Warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Di Mu
- Division of Infectious Disease, Key Laboratory of Surveillance and Early Warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Yu Li
- Division of Infectious Disease, Key Laboratory of Surveillance and Early Warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China
| | | | | | - Xianyan Tang
- School of Public Health, Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, China
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Yin W, Fu ZF, Gao GF. Progress and Prospects of Dog-Mediated Rabies Elimination in China. China CDC Wkly 2021; 3:831-834. [PMID: 34595002 PMCID: PMC8477050 DOI: 10.46234/ccdcw2021.205] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Accepted: 09/22/2021] [Indexed: 11/14/2022] Open
Affiliation(s)
- Wenwu Yin
- Division of Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Zhen F Fu
- Department of Pathology, College of Veterinary Medicine, University of Georgia, Athens, GA 30602; State Key Laboratory of Agricultural Microbiology, College of Veterinary Medicine, Huazhong Agricultural University, Wuhan, Hubei, China
| | - George F Gao
- Chinese Center for Disease Control and Prevention, Beijing, China
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Chen Q. Accelerate the Progress Towards Elimination of Dog-Mediated Rabies in China. China CDC Wkly 2021; 3:813-814. [PMID: 34594997 PMCID: PMC8477055 DOI: 10.46234/ccdcw2021.200] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2021] [Accepted: 09/23/2021] [Indexed: 11/26/2022] Open
Affiliation(s)
- Qiulan Chen
- Division of Infectious Disease, Key Laboratory of Surveillance and Early Warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China
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Changalucha J, Hampson K, Jaswant G, Lankester F, Yoder J. Human rabies: prospects for elimination. CAB REVIEWS : PERSPECTIVES IN AGRICULTURE, VETERINARY SCIENCE, NUTRITION AND NATURAL RESOURCES 2021; 16:039. [PMID: 34765015 PMCID: PMC8580373 DOI: 10.1079/pavsnnr202116039] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Almost half of all countries in the world are effectively free of human deaths from dog-mediated rabies. But the disease still affects people in low- and middle-income countries, especially the rural poor, and children. Successful regional elimination of human rabies is attributable to advances in significant and sustained investment in dog vaccination, post-exposure vaccination and surveillance, illustrated by productive efforts to reduce human rabies in Latin America over the last 35 years. Nonetheless, countries still facing endemic rabies face significant barriers to elimination. Using the 2017 Global Strategic Plan to end human rabies deaths from dog-mediated rabies by 2030 as a reference point and an organizing framework, we assess progress toward global rabies elimination by examining the characteristics of successful regional control efforts and barriers to elimination. Although substantive barriers exist for countries where rabies remains endemic, advances in knowledge, technology, institutions, and economics provide a basis for optimism.
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Affiliation(s)
- Joel Changalucha
- Environmental Health and Ecological Science Department, Ifakara Health Institute, P.O. Box 78373, Dar es salaam, 14112, Tanzania
- Boyd Orr Centre for Population and ecosystem Health, Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, G12, 8QQ, UK
- College of Veterinary Medicine and Biomedical Science, Sokoine University of Agriculture, P.O. Box 3021, Morogoro, 23, Tanzania
| | - Katie Hampson
- Boyd Orr Centre for Population and ecosystem Health, Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, G12, 8QQ, UK
| | - Gurdeep Jaswant
- Boyd Orr Centre for Population and ecosystem Health, Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, G12, 8QQ, UK
- University of Nairobi Institute of Tropical and Infectious Diseases (UNITID), P.O. Box 30197, Nairobi, 00202, Kenya
- Tanzania Industrial Research Development Organisation (TIRDO), P.O. Box 23235, Dar es salaam, Tanzania
| | - Felix Lankester
- Global Animal Health Tanzania, Ngorongoro Conservation Area Authority Building, P.O. Box 1642, Arusha, Tanzania
- Paul G. Allen School for Global Animal Health, Washington state University, P.O. Box 647090, Pullman, Washington, WA 99164 United States of America
| | - Jonathan Yoder
- Paul G. Allen School for Global Animal Health, Washington state University, P.O. Box 647090, Pullman, Washington, WA 99164 United States of America
- School of Economic Sciences, Washington State University, P.O. Box 646210, Pullman, Washington, WA 99164-6210, United States of America
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