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Published on: May 2, 2019
Rabies
Anthony R Fooks1,2,3, Florence Cliquet4, Stefan Finke5
1Animal and Plant Health Agency (APHA), Wildlife Zoonoses and Vector Borne Diseases Research Group, (WHO Collaborating Centre for the Characterisation of Rabies and Rabies-Related Viruses, World Organisation for Animal Health (OIE) Reference Laboratory for Rabies), Weybridge, New Haw, Addlestone, Surrey KT15 3NB, UK.
Rabies is a fatal zoonotic disease transmitted by infected animal saliva, primarily from dogs. Effective prevention requires dog vaccination and prompt post-exposure prophylaxis in humans to achieve global eradication by 2030.
Area of Science:
- Zoonotic diseases
- Virology
- Public Health
Background:
- Rabies is a neglected tropical disease causing tens of thousands of annual deaths, primarily in Africa and Asia.
- It is a zoonotic viral infection transmitted via saliva, with dogs being the main reservoir, responsible for over 99% of human cases.
- Once clinical symptoms appear, rabies is almost invariably fatal.
Purpose of the Study:
- To summarize the epidemiology and prevention strategies for rabies.
- To highlight the importance of a multifaceted approach for human rabies eradication.
- To support the World Health Organization's goal of zero human rabies deaths by 2030.
Main Methods:
- Review of existing literature on rabies transmission, pathogenesis, and prevention.
- Analysis of epidemiological data on rabies cases and mortality.
- Synthesis of current strategies for disease control and eradication.
Main Results:
- Dog bites are the primary route of human rabies transmission (>99%).
- Primary prevention focuses on canine vaccination to reduce the reservoir.
- Post-exposure prophylaxis (wound care, immunoglobulin, vaccination) is critical after exposure.
Conclusions:
- Human rabies eradication requires integrated strategies including government support, public awareness, human vaccination, and robust canine rabies control.
- Achieving zero human rabies cases by 2030 necessitates a concerted global effort focused on dog vaccination and timely post-exposure prophylaxis.
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