ELIMINATION KWAZULU-NATAL SOUTH AFRICA Mr. Kevin le Roux Rabies - PowerPoint PPT Presentation

PROOF OF CONCEPT FOR ELIMINATION – KWAZULU-NATAL SOUTH AFRICA Mr. Kevin le Roux Rabies Project Manager Veterinary Services Dept. Agriculture and Rural Development KwaZulu-Natal South Africa WHO Headquarters – Geneva, Switzerland -10-11December 2015

Reported Rabies Outbreaks per province 2006 and 2007 450 400 350 300 250 2006 200 2007 150 100 50 0 EASTERN CAPE NORTH WEST NORTHERN CAPE WESTERN CAPE FREE STATE GAUTENG KWAZULU NATAL LIMPOPO MPUMALANGA PROVINCE PROVINCE PROVINCE PROVINCE KwaZulu-Natal Rabies vaccinations per province 700,000 600,000 10 Million people – 1.2 million dogs 500,000 400,000 300,000 200,000 100,000 0

Focus on field staff and pet CHAMPION owners Ideal Flow Central point of Operations Reviewed all aspects of the disease and its control Expansion Awareness is Key Mulitsectoral Collaboration 87% of people know about rabies Strategic, Mass MOBILE Campaigns

Project Success 2007-2014 7 500 473 450 Human 6 6 6 Animal 400 1. 93 % Reduction in 5 350 335 animal cases. 300 4 4 4 2. One human case in 270 250 final two years. 220 3 3 3 200 185 183 3. Expansion – 420000 150 2 doses of vaccine 100 80 distributed into 5 1 1 50 37 neighboring provinces 0 0 0 7 8 9 10 11 12 13 14 and countries. Mpumalanga Province 20 20 12000 Vaccinati… South Africa Cases 10000 15 15 8000 Axis Title 10 10 6000 4000 5 2000 0 0

PERSONALITIES POLITICS BEAUROCRACY What is the “ DIFFICULT ?” part of rabies control. • Constant political changes ( 7 HOD’s; 6 Ministers ) • Other more important diseases ( FMD; CSF ) • Staff fatigue ( 160 AHT’s vaccinated 3,5 million dogs ) • Individuals ( Final pockets of the disease !)

Key Lessons From the Project: Quote: George M. Baer “NATURAL HISTORY OF RABIES 2 nd Edition 1991” “Although notable progress had been made in various aspects of rabies, there is still a splintering of efforts in research and control and ………a great need to bring these efforts together.” Showcasing a model for control 1. Role of International Organizations 2. Champions 3. One Health (RAG – OHAG) 4. Start small and scale up 5. Vaccine bank 6. Stimulation Packages 7. Research 8. Selling the project Vaccine bank stimulates expansion 9. Sustainability Thank you

Mr. K. le Roux Rabies Project Manager KZN South Africa k.leroux@kzndard.gov.za Acknowledgements: • Prof. Louis Nel • World Health Organization • Bill and Melinda Gates Foundation • Field Staff of KZN