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A comprehensive rabies control program in Alaska

J Middaugh, D Ritter

    American Journal of Public Health
    |April 1, 1982
    PubMed
    Summary
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    Alaska

    Area of Science:

    • Public Health
    • Veterinary Medicine
    • Infectious Disease Control

    Background:

    • Alaska implemented a statewide Rabies Control Program in 1975.
    • The program utilized trained lay vaccinators for animal vaccination in rural communities.
    • Rabies prevention is crucial in preventing human exposure and disease.

    Purpose of the Study:

    • To evaluate the outcomes and cost-effectiveness of Alaska's comprehensive Rabies Control Program.
    • To assess the impact of lay vaccinator-administered animal rabies vaccinations.
    • To analyze the use of post-exposure rabies prophylaxis in humans.

    Main Methods:

    • Review of rabies control activities and post-exposure prophylaxis data from 1975 to 1980.
    • Analysis of cases receiving Human Rabies Immune Globulin (HRIG) with Duck Embryo Vaccine (DEV) or Human Diploid Cell Vaccine (HDCV).

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  • Comparison of treated individuals versus those assessed and not treated after potential rabies exposure.

    • Main Results:

    • 182 individuals received post-exposure rabies prophylaxis between 1975 and 1980.
    • 2,569 individuals were evaluated for exposure but did not require treatment.
    • The program resulted in significant cost savings of approximately $3,220,241 by avoiding unnecessary treatments.

    Conclusions:

    • Alaska's Rabies Control Program, utilizing lay vaccinators, was effective in managing rabies risks.
    • The program demonstrated substantial cost savings through careful assessment of post-exposure prophylaxis needs.
    • This approach highlights the importance of targeted public health interventions in disease control.