Th. Mller C. M. Freuling, P. Rosado-Martin, C. Bertrand, A.R. - PowerPoint PPT Presentation

Th. Müller C. M. Freuling, P. Rosado-Martin, C. Bertrand, A.R. Fooks, F. Cliquet, T.C. Mettenleiter WHO CC for Rabies Surveillance and Research Friedrich-Loeffler-Institut, Greifswald-Insel Riems, Germany PROGRESS IN RABIES ELIMINATION IN EUROPE Maison de la Paix - Geneva, Switzerland - 10 – 11 December 2015

Rabies in Europe Past & present 2014 1983

Elimination of rabies Step I: canine rabies § Pre-1940s § Stray dog elimination § Enforcement of sanitary policy § Quarantine § Notification of rabies § Dog muzzling § Movement restrictions § Endemic canine rabies

Elimination of rabies A new threat … fox rabies (1947 – 1953)

Elimination of rabies A new threat … fox rabies § Conventional rabies control = Decimation of fox population § Culling § Trapping § Poisoning § Destruction of fox cubs 1940s ineffective 1950s 1960s 1970s 1980s 1990s

Elimination of rabies Step I: canine rabies § 1940s -1980s § Dog registration § Compulsory vaccination § Movement restrictions § Dog population management

Elimination of rabies Step II: fox rabies Oral fox vaccination – immune barrier Protected Susceptible R R R

Elimination of rabies Step II: fox rabies Area ever vaccinated Cumulative area vaccinated 2.5 Mio km 2 33.2 Mio km 2 (1978 – 2014)

Elimination of rabies Step II: fox rabies Rabies cases I/2015 & current vaccination areas 1.1 Mio km 2

Elimination of rabies Political milestones § Pioneering spirit of a few countries § Strong long term political commitment § Stepwise (harmonized) approach § Step I: Canine rabies § Step II: Wildlife rabies § Commitment of WHO / OIE § Transparency (Rabies Bulletin Europe) § Support of European Union (Co-financing)

Elimination of rabies Political milestones Since 1977

Elimination of rabies Challenges in the past § Planning § Communication § Quality control § Suboptimal rabies control strategies § Epidemiological supervision § Rabies Surveillance § Monitoring of vaccination campaigns § Other disease priorities

Elimination of rabies Challenges ahead § Elimination of rabies from the EU and beyond § Cost-efficiency of wildlife rabies control in vast areas § Maintenance of rabies free regions § Vaccination belts § Import requirements § Awareness / vigilance / surveillance § Increasing abundance of novel rabies reservoirs § Delays in dog rabies elimination…

Elimination of rabies When rabid dogs meet wildlife… 2002 1998 2008 2014

Thank you Thomas Müller WHO CC for Rabies Surveillance and Research Friedrich-Loeffler-Institut, Greifswald-Insel Riems, Germany thomas.mueller@fli.bund.de