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Author Spotlight: Rabies-Specific Antibody Isotypes Detection in Sera or Cerebral Spinal Fluid Using an IFA Test
Published on: January 19, 2024
Rabies control in KwaZulu-Natal, South Africa
K LeRoux1, D Stewart2, K D Perrett3
1Allerton Provincial Veterinary Laboratory, KwaZulu-Natal Department of Environment, Agriculture and Rural Development, Pietermaritzburg, South Africa.
A successful One Health approach in KwaZulu-Natal significantly reduced dog rabies cases and eliminated human rabies by 2014. This involved mass dog vaccinations and improved public health strategies, demonstrating effective rabies control.
Area of Science:
- Veterinary Public Health
- Epidemiology
- One Health Initiatives
Background:
- Dog-mediated rabies remains endemic in KwaZulu-Natal, South Africa, due to urbanization and large dog populations.
- Previous control efforts were insufficient, with canine rabies persisting since 1976 and causing an average of 9.2 human cases annually until 2007.
Purpose of the Study:
- To implement and evaluate a One Health strategy for rabies prevention and control in KwaZulu-Natal.
- To reduce canine rabies transmission and human exposure to the rabies virus.
Main Methods:
- A One Health approach was adopted from 2007 to 2014, integrating human and animal health sectors.
- Mass dog vaccination campaigns were conducted, alongside public awareness initiatives and improved access to post-exposure prophylaxis for humans.
Main Results:
- Dog vaccinations increased from 358,611 to 395,000, and human vaccine purchases rose from 100,046 to 156,996.
- Canine rabies cases dramatically decreased from 473 in 2007 to 37 in 2014.
- Zero human rabies cases were recorded in KwaZulu-Natal in 2014, attributed to reduced canine rabies, increased awareness, and better prophylaxis delivery.
Conclusions:
- A scalable One Health approach, starting small and expanding, proved effective in rabies control.
- The project's success was underpinned by competent staff, adequate resources, and comprehensive training for field workers.
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