RAB RABIES IES IN ASIA: IN ASIA: REGIONAL REGIONA L APP APPROAC ROACH AND AND PROGRE PROGRESS SS Mary Joy Gordoncillo Science and One Health Coordinator OIE Sub-Regional Representation for South-East Asia Maison de la Paix - Geneva, Switzerland - 10 – 11 December 2015
INTRODUCTION | RABIES SITUATION IN THE ASIA-PACIFIC REGION Animal rabies is present in 22 >4 billion people countries (46%) in the Asia- Pacific Region are at risk of rabies in Asia >10,000 rabies events from >11 million people 15 countries in Asia Pacific receive post-exposure rabies were reported to WAHIS in 2014. prophylaxis after being 96% were in domestic animals exposed to dog bites while 4% were in wildlife animals Nearly 100% of human 2014 Rabies events in domestic rabies cases in Asia are animals: livestock, dogs, due to bites of rabid dogs cats, horses, camels Almost 50% of global 2014 Rabies events in wildlife animals: ferret badger, red rabies burden is in Asia fox, Gray wolf, Pallas’s cat
INTRODUCTION | RABIES CHALLENGES IN ASIA SOME OF ITS STRONG AL MANY STILL LIVE IN TRAD TRADITION ITIONAL CUL CULTURAL TURAL EXTR EXTREME EME BELIEFS BEL IEFS INFL IN FLUENC UENCES ES PO POVER VERTY TY CONTINUE TO PERSIST IMPACT DOG ECOLOGY
INTRODUCTION | RABIES CHALLENGES IN ASIA UES GOOD ACCESS TO QUALITY OTHE THER I R ISS SSUES SOME OF ITS NATIONAL HEALTH HEALTH HEA TH CA CARE RE AND VETERINARY SERVICES ARE STILL ST ILL REQUIRE REQUIRES S THAT CONTINUE TO IMPR IMPROVEMENT VEMENT IS OFTEN PROBLEMATIC PERSIST IN THE REGION
UPDATES ON PROGRESS | REGIONAL COORDINATION South Asia Association for Regional Cooperation: Plans a regionally coordinated rabies elimination The Association of South-East Asia Nations (ASEAN) Ministers of Health and Ministers of Agriculture have jointly endorsed ASEAN Rabies Elimination Strategy (ARES) FAO-OIE-WHO Regional Tripartite: Multi-Sectoral Workshop on Zoonoses Prevention and Control since 2010
UPDATES ON PROGRESS | RABIES REFERENCE LABORATORIES OIE Reference Laboratory Diagnostic Lab for Changchun Veterinary Rabies and Wildlife Research Institute (CVRI), Associated Zoonoses PEOPLE'S REP. OF CHINA National Center for Disease Control WHO-Collaborating Center New Delhi, INDIA Rabies Research Laboratory National Institute of Mental Health and OIE Reference Laboratory Neurosciences MAFRA, REPUBLIC OF KOREA WHO-Collaborating Center Bengaluru, INDIA Queen Saovabha Chulalongkorn Memorial Institute University WHO-Collaborating Center WHO-Collaborating Center Bangkok, THAILAND Bangkok, THAILAND
UPDATES ON PROGRESS | RABIES VACCINE BANK >3.9 million doses >3.9 million doses of rabies vaccines delivered as of December 2015 Nepal Vietnam Lao PDR (200,000 doses) (872,000 doses) (290,400 doses) Bangladesh (200,000 doses) Singapore Afghanistan (5,000 doses) (200,000 doses) Cambodia Bhutan (50,000 doses ) (100,000 doses ) Sri Lzanka Philippines (300,400 doses) (1.12M doses ) Indonesia Myanmar (200,000 doses ) (400,000 doses )
UPDATES ON PROGRESS | LESSONS AND EXPERIENCES Strong public awareness is important. Community ownership is also key to success.
UPDATES ON PROGRESS | LESSONS AND EXPERIENCES Nerve- tissue vaccine production phased out in Asia! Intradermal vaccination is safe, cheap and effective.
UPDATES ON PROGRESS | LESSONS AND EXPERIENCES Mass dog vaccination needs to be strategic. Dog population needs to be addressed.
UPDATES ON PROGRESS | LESSONS AND EXPERIENCES Capacity for rabies diagnosis & surveillance are important One Health coordination will move things forward
UPDATES ON PROGRESS | LESSONS AND EXPERIENCES A strong Public Health and Veterinary Services is crucial for success . Policy advocacy is crucial for sustainability.
WAYS FORWARD ORGANIZATIONAL TECHNICAL POLITICAL SOCIO-CULTURAL (including One Health) CHALLENGES CHALLENGES CHALLENGES CHALLENGES
Dr Eric Brum Country Team Leader, ECTAD FAO Avian Influenza Technical Unit Dhaka, Bangladesh Eric.Brum@fao.org Dr Mary Joy Gordoncillo Science and One Health Coordinator Thank you OIE Sub-Regional Representation for SE Asia Bangkok, Thailand m.gordoncillo@oie.int Dr Gyanendra Gongal Scientist WHO Regional Office for South-East Asia New Delhi, India gongalg@who.int Acknowledgement: Images from Member Countries, GARC Philippines, Dr Gadey Sampath, and the authors. Animal rabies data from the World Animal Health Information and Analysis Department, OIE HQ, Paris
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