Gains and Future Road Map for the Elimination of Dog-Transmitted Rabies in the Americas

Clavijo, Alfonso; Vilas, Victor Del Rio; Mayen, F.; Yadón, Zaida E.; Beloto, Albino Jose; Vigilato, Marco Antonio Natal; Schneider, María Cristina; Cosivi, Ottorino

doi:10.4269/ajtmh.13-0229

Cited by 19 publications

(16 citation statements)

References 7 publications

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“…The current situation in Haiti clearly impacts on the region’s 2015 elimination goal [ 1 ]. This will not be achieved.…”

Section: Discussionmentioning

confidence: 99%

“…As part of the regional efforts by the Pan American Health Organization (PAHO) to eliminate dog-mediated rabies in the American region by 2015 [ 1 ], a mission led by the Pan American Center of foot-and-mouth disease (PANAFTOSA), a regional center of PAHO with specific responsibilities on the regional control of rabies, visited Haiti in early December 2013. The objectives of the mission were to assess the status of Haiti’s rabies programme as delivered by MARNDR and MSPP, seek opportunities for collaboration between Haiti and Brazil, and explore coordination with the rabies programme conducted by the United States Centers for Disease Control and Prevention (CDC) in Haiti.…”

Section: Introductionmentioning

confidence: 99%

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Control of Dog Mediated Human Rabies in Haiti: No Time to Spare

Millien

Pierre-Louis²,

Wallace

et al. 2015

PLoS Negl Trop Dis

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The American region has pledged to eliminate dog-mediated human rabies by 2015. As part of these efforts, we describe the findings of a desk and field mission review of Haiti’s rabies situation by the end of 2013. While government officials recognize the importance of dog-mediated rabies control, and the national rabies plan adequately contemplates the basic capacities to that effect, regular and sufficient implementation, for example, of dog vaccination, is hampered by limited funding. Compounding insufficient funding and human resources, official surveillance figures do not accurately reflect the risk to the population, as evidenced by the large number of rabid dogs detected by focalized and enhanced surveillance activities conducted by the Ministry of Agriculture, Natural Resources and Rural Development (MARNDR) and the Health and Population Ministry (MSPP) with the technical assistance of the United States Centers for Disease Control and Prevention. Although international support is common, either in the form of on-the-ground technical support or donations of immunobiologicals, it is not comprehensive. In addition, there is limited coordination with MARNDR/MSPP and with other actors at the strategic or operational level due to human resources limitations. Given these findings, the 2015 elimination goal in the region is compromised by the situation in Haiti where control of the disease is not yet in sight despite the best efforts of the resolute national officials. More importantly, dog-mediated rabies is still a threat to the Haitian population.

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“…The current situation in Haiti clearly impacts on the region’s 2015 elimination goal [ 1 ]. This will not be achieved.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Control of Dog Mediated Human Rabies in Haiti: No Time to Spare

Millien

Pierre-Louis²,

Wallace

et al. 2015

PLoS Negl Trop Dis

Self Cite

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“…While there exists a number of supra-national initiatives targeted at, mostly endemic, specific zoonoses, e.g. canine rabies and cystic hydatidosis [25,26], the Region does not possess an overarching strategy to, among other objectives, realize the potential benefits of integrating shared resources across vertical zoonoses programmes. Such integration would lead to improved control and eradication programmes as well as conservation of resources.…”

Section: Capacitiesmentioning

confidence: 99%

Building the road to a regional zoonoses strategy: A survey of zoonoses programmes in the Americas

et al. 2017

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BackgroundIn recent years, global public health security has been threatened by zoonotic disease emergence as exemplified by outbreaks of H5N1 and H1N1 influenza, SARS, and most recently Ebola and Zika. Additionally, endemic zoonoses, such as rabies, burden countries year after year, placing demands on limited finances and personnel. To survey the baseline status of the emerging and endemic zoonoses programmes of the Latin American and the Caribbean (LAC) countries, the Pan American Health Organization (PAHO) conducted a survey of priority emerging and endemic zoonoses, countries´ prioritization criteria and methodologies, and suggestions to strengthen countries capacities and regional approaches to zoonoses control.MethodsA fillable online questionnaire was sent to the zoonoses programme managers of the Ministries of Health (MOH) and Ministries of Agriculture (MAg) of 33 LAC countries from January to April of 2015. The questionnaire comprised 36 single, multiple choice and open-ended questions to inform the objectives of the survey. A descriptive exploratory analysis was completed.ResultsFifty-four ministries (26 MOH, 25 MAg, and 3 combined responses) in 31 LAC countries responded to the survey. Within the ministries, 22 (85%) MOH, 5 (20%) MAg, and 2 (67%) combined entities indicated they had specialized zoonoses units. For endemic zoonoses, 32 of 54 ministries responded that they conduct formal prioritization exercises, most of them annually (69%). The three priority endemic zoonoses for the MOHs were leptospirosis, rabies, and brucellosis while the three priorities for the MAgs were brucellosis, rabies, and tuberculosis. Diagnosis for rabies and leptospirosis were cited as the capacities most in need of development. The most needed cross-cutting capacity was coordination between stakeholders. For emerging zoonoses, 28 ministries performed formal prioritization exercises. The top prioritization criteria were probability of introduction into the country and impact. The three priority emerging zoonoses for the MOHs were Ebola viral disease, avian influenza, and Chikungunya while for the MAgs were avian influenza, bovine spongiform encephalopathy and West Nile virus disease. Surveillance for avian influenza and Ebola, and diagnosis for BSE were quoted as the capacities most needed. For all zoonoses, the majority of respondents (69%) ranked their relationship with the other Ministry as productive or very productive, and 31% minimally productive. Many countries requested a formal regional network, better regional communication and collaboration, and integrated surveillance.ConclusionsThe survey is the first comprehensive effort to date to inform the status of zoonoses programmes in LAC. The information collected here will be used to develop a regional strategy for zoonoses (both endemic and emerging), increase efforts, advocacy, and promote prompt identification and management of EIDs and improvement of endemic programmes.

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“…Learning from successful programs and taking advantage of new technology could accelerate time to elimination for countries that are committed to the goal [20]. Limited understanding of the epidemiology of dog and dog-mediated diseases, lack of community awareness, shortages of trained vaccination personnel and insufficient planning capabilities to project needed resources are among the main barriers to conduct effective animal disease prevention interventions [11, 16, 21–24]. Here, we describe a model to help reduce the period between research and application of successful dog vaccination interventions.…”

Section: Introductionmentioning

confidence: 99%

Estimating the effectiveness of vaccine programs in dog populations

et al. 2019

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Dogs harbor numerous zoonotic pathogens, many of which are controlled through vaccination programs. The delivery of these programs can be difficult where resources are limited. We developed a dynamic model to estimate vaccination coverage and cost-per-dog vaccinated. The model considers the main factors that affect vaccination programs: dog demographics, effectiveness of strategies, efficacy of interventions and cost. The model was evaluated on data from 18 vaccination programs representing eight countries. Sensitivity analysis was performed for dog confinement and vaccination strategies. The average difference between modelled vaccination coverage and field data was 3.8% (2.3%–5.3%). Central point vaccination was the most cost-effective vaccination strategy when >88% of the dog population was confined. More active methods of vaccination, such as door-to-door or capture-vaccinate-release, achieved higher vaccination coverage in free-roaming dog populations but were more costly. This open-access tool can aid in planning more efficient vaccination campaigns in countries with limited resources.

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Gains and Future Road Map for the Elimination of Dog-Transmitted Rabies in the Americas

Cited by 19 publications

References 7 publications

Control of Dog Mediated Human Rabies in Haiti: No Time to Spare

Control of Dog Mediated Human Rabies in Haiti: No Time to Spare

Building the road to a regional zoonoses strategy: A survey of zoonoses programmes in the Americas

Estimating the effectiveness of vaccine programs in dog populations

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