Baba Soumaré, Morgane Gourlaouen, Cristian De Battisti, Louis Hendrik Nel, Luis Filipe L de J Loureiro, Roland Varkpeh, Jakob Zinsstag, Garmie Voupawoe, Varney Kamara, Jesse D. Blanton, Andre Coetzer, Sonpon Sieh, Abdallah Traoré, Stefania Leopardi, Paola De Benedictis, Wolde Abebe, Laurent Dacheux, Terence Peter Scott, Monique Léchenne, Gwenaelle Dauphin, Hervé Bourhy, Simon Bonas, Angélique Angot, Stephanie Mauti, Ministry of Agriculture [Liberia], Swiss Tropical and Public Health Institute [Basel], University of Basel (Unibas), National Public Health Institute of Liberia (NPHIL), Laboratoire Central Vétérinaire [Bamako, Mali], Food and Agriculture Organization of the United Nations [Rome, Italie] (FAO), Universidade Lusofona Medicina Veterinaria, Food and Agriculture Organization of the United Nations [Accra, Ghana] (FAO), CEVA Santé Animale [Libourne, France] (Laboratoire Vétérinaire Pharmaceutique), Food and Agriculture Organization of the United Nations [Monrovia, Libéria] (FAO), University of Pretoria [South Africa], Global Alliance for Rabies Control [South Africa], Global Alliance for Rabies Control [Manhattan, Kansas], Centers for Disease Control and Prevention [Atlanta] (CDC), Centers for Disease Control and Prevention, Lyssavirus, épidémiologie et neuropathologie - Lyssavirus Epidemiology and Neuropathology, Institut Pasteur [Paris] (IP), FAO Reference Centre for Rabies, Istituto Zooprofilattico Sperimentale delle Venezie (IZSVe), Environment and Sustainability Institute [Penryn, UK], University of Exeter, This work was supported through the Global Alliance for Vaccines and Immunisation (GAVI) (VISLACRV19122014, Workstream 3), the Wolfermann Nägeli Foundation, the Swiss African Research Cooperation (SARECO) and research funds from Stay on Track of the University of Basel. FAO support was possible thanks to the GHSA project funded by USAID., We thank the dog owners, the County Livestock Officers, the Health Surveillance Officers, the members of the OH platform and the laboratory staff for their great commitment. We also want to acknowledge Lisa Crump for the language editing., and Institut Pasteur [Paris]
International audience; Despite declaration as a national priority disease, dog rabies remains endemic in Liberia, with surveillance systems and disease control activities still developing. The objective of these initial efforts was to establish animal rabies diagnostics, foster collaboration between all rabies control stakeholders, and develop a short-term action plan with estimated costs for rabies control and elimination in Liberia. Four rabies diagnostic tests, the direct fluorescent antibody (DFA) test, the direct immunohistochemical test (dRIT), the reverse transcriptase polymerase chain reaction (RT-PCR) assay and the rapid immunochromatographic diagnostic test (RIDT), were implemented at the Central Veterinary Laboratory (CVL) in Monrovia between July 2017 and February 2018. Seven samples (n=7) out of eight suspected animals were confirmed positive for rabies lyssavirus, and molecular analyses revealed that all isolates belonged to the Africa 2 lineage, subgroup H. During a comprehensive in-country One Health rabies stakeholder meeting in 2018, a practical workplan, a short-term action plan and an accurately costed mass dog vaccination strategy were developed. Liberia is currently at stage 1.5/5 of the Stepwise Approach towards Rabies Elimination (SARE) tool, which corresponds with countries that are scaling up local-level interventions (e.g. dog vaccination campaigns) to the national level. Overall an estimated 5.3 - 8 million USD invested over 13 years is needed to eliminate rabies in Liberia by 2030. Liberia still has a long road to become free from dog-rabies. However, the dialogue between all relevant stakeholders took place, and disease surveillance considerably improved through implementing rabies diagnosis at the CVL. The joint efforts of diverse national and international stakeholders laid important foundations to achieve the goal of zero dog-mediated human rabies deaths by 2030.