1. Global rabies management: perspectives on regional strategies for prevention and control
- Author
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Rupprecht Ce, Kate Shervell, Frederic Lohr, Seetahal Jfr, Gibson A D, Del Rio Vilas Vj, Bannazadeh Baghi H, Luke Gamble, and F X Meslin
- Subjects
medicine.medical_specialty ,biology ,Public health ,030231 tropical medicine ,Zoonosis ,General Medicine ,Disease ,medicine.disease ,biology.organism_classification ,Herd immunity ,Vaccination ,03 medical and health sciences ,0302 clinical medicine ,One Health ,Environmental health ,medicine ,Animal Science and Zoology ,Rabies ,030212 general & internal medicine ,Business ,Lyssavirus - Abstract
Rabies is a major neglected zoonotic disease, despite the availability of highly sensitive diagnostic tests and efficacious human and animal vaccines. Perpetuation of rabies among multiple species of bats and wild carnivores, together with the presence of diverse lyssaviruses, remains a challenge for the prevention and control of this disease. However, most of the global burden may be reduced by mass vaccination of dogs, the major reservoir. Elimination of human rabies mediated by dogs may be feasible, based upon the elicitation of herd immunity, the application of sound health economic principles for appropriate disease management and technology transfer to those developing countries where rabies is hyper-endemic. Global canine rabies elimination has clear benefits for public health, veterinary medicine and conservation biology, so these sectors must collaborate using a transdisciplinary 'One Health' approach that allows the creation of long-term regional strategies for enhanced surveillance and practical intervention.
- Published
- 2018
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