Eduardo Pacheco de Caldas Substitute Coordinator of Transmissible Diseases_MoH_BRASIL Local Government and Municipalities: Motivating Communities Session 6 : The Global Campaign For Rabies Elimination Maison de la Paix - Geneva, Switzerland - 10 – 11 December 2015
South America Local Government and Municipalities: Motivating Communities South America and the Caribbean* “The dog rabies control is executed by the Health Sector, except in Haiti. ” Brazil 1973 National Program of Rabies Control In capital and metropolitan regions 1982 1 th Vaccination Campaigns Against Animal Rabies All country
Brazil Local Government and Municipalities: Motivating Communities Regions : 05 Federated Unit : 27 Cities : 5.571 Area : 8.5 millions Km2 204 millions of people 32 millions of dogs* = Unified Health System - Brazil Universality Equity Integrality *estimated
Unified Health System - Brazil Local Government and Municipalities: Motivating Communities Annual Vaccination Campaign Against Rabies Guidelines Regulation and Vaccines Acquisition – cell culture Inputs Vaccines distribution to the states Federal Financial contribution and resource transfer Impact evaluation - NPRC State Coordinate the Rabies Campaing Monitoring and evaluation Vaccines distribution to cities Financial contribution City Execution Execute the Rabies Vaccination Execute focus block Financial contribution Performance evaluation
National Program for Rabies Control-NPRC Local Government and Municipalities: Motivating Communities 16,5 100,000 millions US $ 14,4 millions US $ US $ 32 million 578,398 US $ People* Investment *Annual average for the period: 2010-2015. Health Surveillance Secretaria / Ministry of Health
National Program for Rabies Control-NPRC Local Government and Municipalities: Motivating Communities 32 2,5 70 246 million million thousand thousand doses doses flasks flasks Human Rabies Vaccines Human Heterologous Canine Rabies Rabies ( VERO Rabies Vaccines Antiserum Immunoglobulin and Chicken embryo) Free Procedures
Canine Rabies Local Government and Municipalities: Motivating Communities Cases Incidence Venezuela Colombia 2000 1,20 1737 1800 1,00 1600 Peru 1274 1400 1231 0,80 Bolívia 1200 1058 921 889 1000 0,60 Paraguay 800 Argentina 635 0,40 600 Uruguay 400 274 0,20 170 200 91 81 83 83 77 73 34 32 26 17 15 0 0,00 Source: MoH/Brazil Data: until 2015/09 Cases Incidence per 10.000 animals
Human and Canine Rabies X Vaccination Coverage Local Government and Municipalities: Motivating Communities Cases % 1400 100 23 90 1200 80 24 18 1000 70 60 800 6 50 600 40 30 400 14 5 20 1 200 6 1 1 2 2 10 0 2 1 3 0 0 - 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Canine Rabies human Rabies Vaccination coverage (%) Source: MoH/Brazil Community mobilization is the Data: until 2015/09 responsibility of local governments
Brazil – Rabies in wild canides Local Government and Municipalities: Motivating Communities Rabies in wild canids, Brazil. 2002-2015* N=400 MA CE (1.5%) RN (26.8%) (9%) PB (7%) PI PE (7.8%) (28.8%) AL (0.8%) BA SE (3.0%) (15.5%) Source: SVS / MS. *Until Nov/2015
Brazil – Rabies in Non Human Primates Local Government and Municipalities: Motivating Communities Rabies Non Human Primates. Brazil, in 2002 and 2015 * Source: SVS / MS. *Until Nov/2015
Brazil – Human Rabies Local Government and Municipalities: Motivating Communities Human rabies by animal species transmission, 1986 -2015* 70 60 50 40 30 20 10 0 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 Canine Feline Bats Wild Animals (Terrestrial) Herbivores BRAZIL (2008-2013) was 28% (10/36) of the total reported cases of human rabies transmitted by dogs in Latin America. (SIRVERA / PAHO, 2013) Note Brazil:. 90% (9/10) reported state of Maranhão Source: SVS / MS. *Until Nov/2015
Brazil – Human Rabies Local Government and Municipalities: Motivating Communities Challenges: Human rabies transmitted by dogs and cats with the virus originates from bats Human rabies originating from foxes Human rabies transmited by dogs with virus originating foxes Human rabies transmitted by monkeys ( Callithrix jaccus )
Thank you Eduardo Pacheco de Caldas Substitute Coordinator of Transmissible Diseases_MoH_BRASIL eduardo.caldas@saude.gov.br raiva@saude.gov.br
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