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Rabies in Myanmar: Prevalent, Preventable but not Prioritized
Thet Thet Mu1, Aye Aye Sein1, Chit Soe2
1Department of Public Health, Ministry of Health and Sports, Nay Pyi Taw, Myanmar.
The American Journal of Tropical Medicine and Hygiene
|July 20, 2017
Summary
Rabies is a growing threat in Myanmar, killing more people than malaria. A coordinated national program, focusing on mass canine vaccination and strengthened healthcare, is crucial for control.
Area of Science:
- Public Health
- Epidemiology
- Veterinary Medicine
Background:
- Rabies mortality in Myanmar now exceeds that of malaria, despite available preventive measures.
- Myanmar's diverse landscape presents unique challenges for disease control.
- A successful National Malaria Control Program highlights the potential for committed public health initiatives.
Purpose of the Study:
- To assess the current status of rabies control in Myanmar.
- To identify necessary components for a comprehensive national rabies control program.
- To recommend cost-effective strategies for rabies prevention and elimination.
Main Methods:
- Analysis of current rabies control strategies in Myanmar.
- Review of successful international rabies elimination programs.
- Evaluation of existing health system infrastructure and potential for strengthening.
Main Results:
- Myanmar lacks a coordinated national program for rabies control.
- Investment in postexposure prophylaxis is increasing, but cost-effective strategies like mass canine vaccination are underemphasized.
- Health system strengthening and decentralization of laboratory services are needed.
Conclusions:
- A multifaceted approach, integrating mass canine vaccination with improved primary healthcare and diagnostics, is essential for rabies control in Myanmar.
- Political, financial, and scientific commitment are vital for establishing an effective national rabies program.
- Decentralized laboratory services will improve the efficiency and cost-effectiveness of postexposure prophylaxis.
