Rabies control in South Asia requires a One Health approach

Acharya, Krishna Prasad; Subedi, Deepak; Wilson, R.T.

doi:10.1016/j.onehlt.2021.100215

Cited by 41 publications

(47 citation statements)

References 39 publications

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“…It would be preferable to arrange refresher training on time basis for both human and veterinary personnel's at tertiary and district level hospitals to improve their work efficiency and motivation. A joint efforts of the respective departments by activating One Health strategy could be anticipated these challenges in the best possible way [ 15 , 16 ]. Bangladesh has recently started to give rabies as a national priority, and has taken actions to address the problems through One Health approaches with strong political commitments and budget allocation that is a positive milestone towards rabies elimination [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…This plan has focused on integrating One Health actions with multisectoral engagement for working at human-animal-environmental interface to interrupt in rabies transmission from animals to human [ 14 ]. As rabies is an entirely preventable disease, so the One Health efforts by the rabies key stakeholders including health, veterinary, and the local government as well as the extended community people able to cope the disease in efficient way through integrated animal bite management and post-exposure prophylaxis (PEP), scaling of mass dog vaccination (MDV), and community level educational rabies awareness programs [ 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

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Knowledge, attitudes and perceptions about rabies among the people in the community, healthcare professionals and veterinary practitioners in Bangladesh

et al. 2021

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It is crucial to explore knowledge, attitudes and perceptions (KAP) about rabies among the people in the community, the personnel dealing with animal bite management and suspected rabies patients, including humans and animals, to facilitate intervention in improving rabies elimination strategies. In 2016, we conducted an interactive face-to-face survey in three different districts of Bangladesh to understand the extent of KAP towards rabies in the community peoples (CPs), human healthcare professionals (HCPs) and veterinary practitioners (VPs). A set of prescribed questions was employed to measure what proportion of each group possessed sufficient knowledge, positive attitudes and adequate perceptions about rabies. A total of 1133 CPs, 211 HCPs and 168 VPs were interviewed by using a standard questionnaire comprising both closed and open-ended questions. Of the CPs, 49% identified the disease correctly (i.e. rabies is caused by an animal bite or a scratch). Only 29% of the CPs were aware that a wound should be washed immediately with soap and water after an animal bite or a scratch. However, only 49% of the CPs, 65% of the HCPs and 60% of the VPs felt that it is important to consult a physician and receive post-exposure vaccine as the first line of treatment following an animal exposure. Among the HCPs, 23% of the respondents did not possess sufficient knowledge about animal bites as categorised by the World Health Organization (WHO), and 12% of the respondents did not possess the knowledge on how to manage an animal bite properly. Out of 52% of the VPs who previously treated suspected rabid animals, only 29% had a history of taking rabies pre-exposure prophylaxis (PEP). Lack of formal education and rural subsistence were found to largely contribute to poor rabies KAP level among the CPs ( P ≤ 0.01). There has been a high demand for proper training to be provided to HCPs and VPs for the effective management of an animal bite incidence in human and animals, respectively. Multi-sectoral collaboration through integrated One Health initiatives including community education, awareness programmes, facilitation of rabies PEP, and dog vaccination as well as its population control are critical in the way forward to control rabies in Bangladesh.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes and perceptions about rabies among the people in the community, healthcare professionals and veterinary practitioners in Bangladesh

et al. 2021

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“…and various Kennel Clubs are working in the management of stray dogs population and rabies control activities in Nepal (Devleesschauwer et al, 2016). For the control and prevention of rabies in Nepal there is only way of one health approach in which stakeholders related to dog, human and rabies need to work together (Acharya et al, 2021).…”

Section: Rabiesmentioning

confidence: 99%

Prioritised Zoonotic Diseases of Nepal: A Review

Gautam

Upadhayay

Ghimre

et al. 2021

Int J Appl Sci Biotechnol

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World Organization for Animal Health (OIE) has estimated that 60% of infectious diseases and 75% of emerging and re-emerging diseases of humans have an animal origin. In Nepal there six zoonoses; Taeniasis/cysticercosis /Neurocysticercosis, Leptospirosis, Hydatidosis, Brucellosis; Toxoplasmosis and Avian Influenza are identified as priorities zoonotic diseases as they are found to have epidemic potential. Although they are prioritised, there is high prevalence of these diseases in both humans and animals with insufficient research and data. Coordination of multiple stakeholders of public and animal health and One Health collaboration are crucial to control and elimination zoonotic diseases in Nepal. Int. J. Appl. Sci. Biotechnol. Vol 9(1): 1-15

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“…As such, the World Health Organization (WHO) guidelines on rabies PEP recommend three important aspects of treatment immediately after exposure to rabid animals: profuse washing of the bite wound with soap and water or detergent, or with water only; administration of the rabies vaccine; and infiltration of rabies immunoglobulin in and around the wound [11,12]. Furthermore, with integrated synergy within the "One Health" framework, rabies can be effectively addressed through integrated animal bite management and PEP, mass vaccination of dogs and community-based rabies awareness programs [13][14][15][16]. In the rabies control policy in Senegal, human and animal rabies is considered to be a notifiable disease.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Attitudes and Practices on Rabies among Human and Animal Health Professionals in Senegal

et al. 2021

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Rabies is still a public health problem in Senegal. This study aimed to assess the knowledge, attitudes and practices on rabies among human and animal health professionals. It was a cross-sectional, descriptive and analytical study conducted in the Kaffrine district. Data were collected from 28 June to 01 July 2021. An exhaustive recruitment was done, and the final sample size was 95 health professionals. R software was used for descriptive, bivariate and multivariate analyses. Health professionals with sufficient knowledge, positive attitudes and good practices in relation to rabies represented 35.8%, 26.3% and 45.3% of the study respectively. The results of the multivariate analysis showed that professionals who worked in urban areas (AOR = 11.10; 95% CI = [3.50–41.69]) and who worked in animal health (AOR = 7.45; 95% CI = [1.16–70.40]) were more likely to have sufficient knowledge about rabies. Professionals with tertiary education (AOR = 12.40; CI95% = [1.80–268.00]) and with sufficient knowledge (AOR = 3.41; CI95% = [1.01–12.70]) were more likely to have a positive attitude about rabies. Professionals with a positive attitude about rabies (AOR = 3.23; 95% CI = [1.08–10.70]) were more likely to have a good practice when presented with an animal bite case. These results suggest that improving health professionals’ knowledge about rabies is essential in order to influence their attitudes and practices against rabies.

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Rabies control in South Asia requires a One Health approach

Cited by 41 publications

References 39 publications

Knowledge, attitudes and perceptions about rabies among the people in the community, healthcare professionals and veterinary practitioners in Bangladesh

Knowledge, attitudes and perceptions about rabies among the people in the community, healthcare professionals and veterinary practitioners in Bangladesh

Prioritised Zoonotic Diseases of Nepal: A Review

Knowledge, Attitudes and Practices on Rabies among Human and Animal Health Professionals in Senegal

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