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Quan NK, Taylor-Robinson AW. Combatting rabies outbreaks in Vietnam: High time to enforce restrictions on dog meat farming, a key source of transmission. IJID REGIONS 2024; 13:100490. [PMID: 39659747 PMCID: PMC11629242 DOI: 10.1016/j.ijregi.2024.100490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/24/2024] [Revised: 11/05/2024] [Accepted: 11/06/2024] [Indexed: 12/12/2024]
Abstract
In Vietnam, farming dogs for meat is not illegal but is increasingly marginalized as dog meat consumption comes under heightened social scrutiny. This loosely regulated practice likely increases the risk of rabies transmission to humans. At a time when human-wildlife conflict has become a major discussion point for global health, stray dogs escaping or being deliberately released from dog farms is a cause for serious concern. The first half of 2024 saw a significant spike in the incidence of human rabies cases, occurring in not just rural hot spots but also urban conurbations. Bites from rabid feral dogs are the primary source of infection, the distribution of which often clusters in the vicinity of battery farms or slaughterhouses that have recently downscaled or closed their business. Addressing this risk requires pursuing a One Health strategy that focuses on catching and euthanizing rabid dogs, vaccinating healthy dogs, implementing safety measures during dog slaughtering, and regulating dog meat trade. By robust enforcement of this comprehensive plan, it is hoped to prevent rabies outbreaks and protect public health. Hanoi is already taking the lead in introducing measures to avert a rabies crisis in the Vietnamese capital.
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Affiliation(s)
- Nguyen Khoi Quan
- College of Health Sciences, VinUniversity, Hanoi, Vietnam
- Johns Hopkins Bloomberg School of Public Health, Baltimore, USA
| | - Andrew W. Taylor-Robinson
- College of Health Sciences, VinUniversity, Hanoi, Vietnam
- Center for Global Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA
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Meriño-Olivella S, Sánchez-Bonilla MDP, Aguirre-Acevedo DC, Correa-Valencia NM. Knowledge, attitudes, and practices towards rabies: A preliminary cross-sectional appraisal in Colombia. BIOMEDICA : REVISTA DEL INSTITUTO NACIONAL DE SALUD 2024; 44:468-485. [PMID: 39531554 PMCID: PMC11781532 DOI: 10.7705/biomedica.7161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/02/2023] [Accepted: 07/30/2024] [Indexed: 11/16/2024]
Abstract
INTRODUCTION Rabies virus infection can cause fatal brain disease in mammals. Any species is susceptible to infection. Any effort aimed at recognizing infected animals and performing first actions in the event of transmission is mandatory. OBJECTIVE To determine knowledge, attitudes, and practice profiles regarding rabies, or hydrophobia, in a municipality of Colombia, using a multiple correspondence analysis. MATERIALS AND METHODS A descriptive observational study involving 71 pet owners was carried out in the municipality of Ibagué (Tolima). A questionnaire-based survey collected data on rabies knowledge, attitudes, practices, and demographic information. The survey was conducted between October and November 2021, and the data analysis involved descriptive statistics and multiple correspondence analysis. RESULTS The study revealed a commendable level of rabies awareness among the urban residents in the study municipality. However, there are causes of concern as they allow stray animals to enter their homes and are not aware of the importance of notifying dead animals. The respondents demonstrated a humane approach to bite management and emphasized the importance of wound cleaning. Additionally, they expressed a strong desire for more information to enhance their knowledge and awareness of the disease. CONCLUSION The findings of this study provide valuable insights for improving rabies prevention efforts and promoting public health. Health education, evidence-based strategies, and community participation are essential for successful disease control and educational gaps addressing related to sociocultural factors.
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Affiliation(s)
- Samir Meriño-Olivella
- Grupo de Investigación Centauro, Escuela de Medicina Veterinaria, Facultad de Ciencias Agrarias, Universidad de Antioquia, Medellín, ColombiaUniversidad de AntioquiaGrupo de Investigación Centauro, Escuela de Medicina VeterinariaFacultad de Ciencias AgrariasUniversidad de AntioquiaMedellínColombia
- Grupo de Investigadores en Medicina y Producción Tropical Animal - IMPRONTA, Facultad de Medicina Veterinaria y Zootecnia, Universidad Cooperativa de Colombia, Ibagué, ColombiaUniversidad Cooperativa de ColombiaGrupo de Investigadores en Medicina y Producción Tropical Animal - IMPRONTAFacultad de Medicina Veterinaria y ZootecniaUniversidad Cooperativa de ColombiaIbaguéColombia
| | - María del Pilar Sánchez-Bonilla
- Grupo de Investigadores en Medicina y Producción Tropical Animal - IMPRONTA, Facultad de Medicina Veterinaria y Zootecnia, Universidad Cooperativa de Colombia, Ibagué, ColombiaUniversidad Cooperativa de ColombiaGrupo de Investigadores en Medicina y Producción Tropical Animal - IMPRONTAFacultad de Medicina Veterinaria y ZootecniaUniversidad Cooperativa de ColombiaIbaguéColombia
| | - Daniel Camilo Aguirre-Acevedo
- Grupo Académico de Epidemiología Clínica, Instituto de Investigaciones Médicas, Facultad de Medicina, Universidad de Antioquia, Medellín, ColombiaUniversidad de AntioquiaInstituto de Investigaciones MédicasFacultad de MedicinaUniversidad de AntioquiaMedellínColombia
| | - Nathalia M. Correa-Valencia
- Grupo de Investigación Centauro, Escuela de Medicina Veterinaria, Facultad de Ciencias Agrarias, Universidad de Antioquia, Medellín, ColombiaUniversidad de AntioquiaGrupo de Investigación Centauro, Escuela de Medicina VeterinariaFacultad de Ciencias AgrariasUniversidad de AntioquiaMedellínColombia
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Emikpe BO, Asare DA, Tasiame W, Segbaya S, Takyi PN, Allegye-Cudjoe E. Rabies control in Ghana: Stakeholders interventions, challenges and opportunities. Health Sci Rep 2024; 7:e70112. [PMID: 39323463 PMCID: PMC11422661 DOI: 10.1002/hsr2.70112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2024] [Revised: 09/07/2024] [Accepted: 09/11/2024] [Indexed: 09/27/2024] Open
Abstract
Background Rabies remains a significant public health issue in Ghana, predominantly affecting rural communities with limited access to health care and veterinary services. The disease is primarily transmitted through bites from infected domestic dogs and leads to many deaths worldwide each year. Despite various interventions, Ghana continues to struggle with rabies control and prevention. This narrative paper focuses on rabies control in Ghana, examining stakeholders' interventions, challenges faced, and opportunities available. Methods The paper reviews existing rabies control measures in Ghana, including dog vaccination efforts and One Health strategies. It also discusses the limitations of these interventions, such as minimal vaccination coverage, weak surveillance, and inadequate intersectoral coordination. Results Ghana has implemented dog vaccination campaigns, but coverage remains minimal. Additionally, weak disease surveillance, cultural perceptions, and inadequate coordination across sectors have hampered the country's ability to control rabies effectively. Conclusion Adopting One Health principles, which integrate human, animal, and environmental health efforts, is emphasized as a critical strategy to eliminate rabies in Ghana by 2030. By addressing these challenges and leveraging available opportunities, Ghana can strengthen its rabies control programs and work toward a rabies-free future.
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Affiliation(s)
- Benjamin Obukowho Emikpe
- Department of Pathobiology, School of Veterinary Medicine Kwame Nkrumah University of Science and Technology (KNUST) Kumasi Ghana
| | - Derrick Adu Asare
- Department of Pathobiology, School of Veterinary Medicine Kwame Nkrumah University of Science and Technology (KNUST) Kumasi Ghana
| | - William Tasiame
- Department of Public Health, School of Veterinary Medicine Kwame Nkrumah University of Science and Technology (KNUST) Kumasi Ghana
| | | | - Prince Nana Takyi
- Department of Pathobiology, School of Veterinary Medicine Kwame Nkrumah University of Science and Technology (KNUST) Kumasi Ghana
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Alemayehu T, Oguttu B, Rupprecht CE, Niyas VKM. Rabies vaccinations save lives but where are the vaccines? Global vaccine inequity and escalating rabies-related mortality in low- and middle-income countries. Int J Infect Dis 2024; 140:49-51. [PMID: 38232796 DOI: 10.1016/j.ijid.2024.01.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2024] Open
Affiliation(s)
- Tinsae Alemayehu
- International Society for Infectious Diseases, Boston, Massachusetts, USA; Department of Pediatrics and Adolescent health, University of Botswana, Gaborone, Botswana; Department of Pediatrics and Adolescent health, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
| | - Benson Oguttu
- Kampala International University Teaching Hospital, Kampala, Uganda
| | - Charles E Rupprecht
- College of Forestry, Wildlife and Environment, College of Veterinary Medicine, Auburn University, Auburn, Alabama, USA
| | - Vettakkara Kandy Muhammed Niyas
- International Society for Infectious Diseases, Boston, Massachusetts, USA; Department of Infectious Diseases, KIMSHEALTH, Thiruvananthapuram, Kerala, India
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Turkson PK. Spatio-temporal investigation of reported cases of animal rabies in Ghana from 2010 to 2017. Vet Med Sci 2023; 9:2559-2565. [PMID: 37742084 PMCID: PMC10650226 DOI: 10.1002/vms3.1282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2022] [Revised: 08/07/2023] [Accepted: 09/05/2023] [Indexed: 09/25/2023] Open
Abstract
BACKGROUND Rabies is a zoonotic disease transmitted mainly by animals, especially dogs. OBJECTIVE The aim of the article was to examine reported cases of animal rabies in Ghana for trends to provide information that could be helpful to control the disease. METHOD Retrospective analyses of reported cases of rabies in Ghana from 2010 to 2017. RESULTS In all, 328 rabies cases were recorded in animals in the period under review. The predominant species involved were dogs (299; 91.2%) and cats (12; 3.7%). Other species included pigs (4; 1.2%), goats (4; 1.2%), monkeys (4; 1.2%), sheep (2; 0.6%), bats (2; 0.6%) and cattle (1; 0.3%). The numbers of reported cases in animals were markedly higher than those in humans except in 2013 and 2017. There was a positive but weak correlation between cases in animals and humans which could be due to lack of reporting collaboration between institutions responsible for these. Greater Accra and Ashanti Regions were identified as hotspots in the period under review, while January and August were the months with the highest peaks for cases reported. Cases reported in rainy season were significantly higher than those in dry season. Poisson regression for spatio-temporal analyses showed no statistical significance in predicting number of rabies cases (response variable) from year, month, season, region and affected species (predictor variables). CONCLUSION Rabies remained endemic in Ghana during 2010-2017 with cases reported in nearly every month of the year during this period. There was a significant seasonal pattern with higher proportion of cases reported in the rainy/wet season compared to the dry season.
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Subedi D, Chandran D, Subedi S, Acharya KP. Ecological and Socioeconomic Factors in the Occurrence of Rabies: A Forgotten Scenario. Infect Dis Rep 2022; 14:979-986. [PMID: 36547243 PMCID: PMC9778688 DOI: 10.3390/idr14060097] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2022] [Revised: 11/28/2022] [Accepted: 11/29/2022] [Indexed: 12/03/2022] Open
Abstract
In many third world countries, where rabies is endemic in dog populations, humans continue to be at risk of contracting the disease. Vaccination is the most effective form of prophylaxis for people, yet it often fails to adequately protect dogs. The most major implications are the costs of post-exposure prophylaxis (PEP) after an exposure occurs and the loss of human life and productivity due to early mortality from rabies (about 60,000 deaths annually). The largest rabies death tolls can be found in the world's poorest regions, where rabies vaccinations for domestic dogs are uncommon and PEP is scarce. Mass vaccination of dogs, neutering programs, patient PEP, strengthening laboratory and human resources, education and awareness, and animal and human rabies surveillance are all common methods used to prevent, control, and ultimately eradicate dog-mediated human rabies. Current rabies control initiatives, however, pay little attention to the role that ecological and socioeconomic variables play in the disease's occurrence and spread. To help better inform rabies control strategies, we address in this work the ways in which ecological and socioeconomic factors affect the occurrence and spread of rabies.
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Affiliation(s)
- Deepak Subedi
- Paklihawa Campus, Institute of Agriculture and Animal Science (IAAS), Tribhuvan University (TU), Siddarthanagar 32900, Nepal
- Department of Poultry Science, University of Georgia, Athens, GA 30602, USA
| | - Deepak Chandran
- Department of Veterinary Sciences and Animal Husbandry, Amrita School of Agricultural Sciences, Amrita Vishwa Vidyapeetham University, Coimbatore 642109, Tamil Nadu, India
| | - Sanju Subedi
- School of Public Health, Chitwan Medical College, Tribhuvan University (TU), Bharatpur, Chitwan 44200, Nepal
| | - Krishna Prasad Acharya
- Animal Quarantine Office (AQO), Department of Livestock Services (DLS), Kathmandu 44600, Nepal
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Zhu N, Yang L, Xin S, Huang W, Jiang Y, Yang Y. Low Prevalence of Toxoplasma gondii in Dogs From Central China. Front Cell Infect Microbiol 2022; 12:885348. [PMID: 35573782 PMCID: PMC9097580 DOI: 10.3389/fcimb.2022.885348] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Accepted: 03/29/2022] [Indexed: 11/13/2022] Open
Abstract
BackgroundToxoplasma gondii can infect almost all warm-blooded animals, including humans and dogs. Humans can become infected with T. gondii by petting dogs that have eaten or contacted infected cat feces. The aim of this study was to evaluate T. gondii infections in dogs from central China. From 2015 to 2021, a total of 536 dog samples (195 fecal, 81 hearts, and 260 serum samples) from Henan Province were collected. Heart juice or serum samples (n = 341) were tested for T. gondii antibodies using the modified agglutination test (MAT). Fresh myocardium (n = 6) and blood (n = 2) samples were bioassayed in mice.ResultsThe present study showed that 4.40% (15/341) of the dogs were seropositive for T. gondii by MAT (cut-off, 1:25) and 4.10% (8/195) of dog feces contained T. gondii DNA. No T. gondii DNA was found in any myocardium (n = 81) or blood (n = 2) samples. The viable T. gondii strain was not isolated from any myocardium or blood samples (n = 8). Compared to the prevalence of T. gondii antibodies in dogs sampled from 2015 to 2018, the prevalence significantly declined from 2020 to 2021 (P < 0.05). Gender and age were not risk factors for dogs infected with T. gondii in this study. However, compared to other sources, dogs from Zhoukou City (close to the Yellow River) or from pet shops showed significantly higher prevalence for T. gondii (P < 0.05).ConclusionA total of 4.29% dogs were infected by T. gondii (23/536, 8 of 195 fecal samples, 2 of 260 serum, and 13 of 81 heart juice samples). This is the first survey of T. gondii infection in dog feces from China. Dogs were exposed to T. gondii, and they could act as mechanical transmitters of T. gondii.
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Affiliation(s)
- Niuping Zhu
- College of Veterinary Medicine, Henan Agricultural University, Zhengzhou, China
- College of Animal Science, Henan Agricultural University, Zhengzhou, China
| | - Liulu Yang
- College of Veterinary Medicine, Henan Agricultural University, Zhengzhou, China
| | - Shilin Xin
- College of Veterinary Medicine, Henan Agricultural University, Zhengzhou, China
| | - Wei Huang
- College of Veterinary Medicine, Henan Agricultural University, Zhengzhou, China
| | - Yibao Jiang
- College of Animal Science, Henan Agricultural University, Zhengzhou, China
- *Correspondence: Yibao Jiang, ; Yurong Yang,
| | - Yurong Yang
- College of Veterinary Medicine, Henan Agricultural University, Zhengzhou, China
- *Correspondence: Yibao Jiang, ; Yurong Yang,
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Rupprecht CE, Mani RS, Mshelbwala PP, Recuenco SE, Ward MP. Rabies in the Tropics. CURRENT TROPICAL MEDICINE REPORTS 2022; 9:28-39. [PMID: 35371908 PMCID: PMC8960221 DOI: 10.1007/s40475-022-00257-6] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/13/2022] [Indexed: 11/25/2022]
Abstract
Purpose of Review Rabies is an ancient yet still neglected tropical disease (NTD). This review focuses upon highlights of recent research and peer-reviewed communications on the underestimated tropical burden of disease and its management due to the complicated dynamics of virulent viral species, diverse mammalian reservoirs, and tens of millions of exposed humans and animals - and how laboratory-based surveillance at each level informs upon pathogen spread and risks of transmission, for targeted prevention and control. Recent Findings While both human and rabies animal cases in enzootic areas over the past 5 years were reported to PAHO/WHO and OIE by member countries, still there is a huge gap between these "official" data and the need for enhanced surveillance efforts to meet global program goals. Summary A review of the complex aspects of rabies perpetuation in human, domestic animal, and wildlife communities, coupled with a high fatality rate despite the existence of efficacious biologics (but no therapeutics), warrants the need for a One Health approach toward detection via improved laboratory-based surveillance, with focal management at the viral source. More effective methods to prevent the spread of rabies from enzootic to free zones are needed.
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Affiliation(s)
- Charles E. Rupprecht
- LYSSA LLC, Atlanta, GA USA
- School of Forestry and Wildlife Sciences, Auburn University, Auburn, AL USA
| | - Reeta S. Mani
- Department of Neurovirology, WHO Collaborating Centre for Reference and Research in Rabies, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka India
| | - Philip P. Mshelbwala
- School of Veterinary Science, The University of Queensland, Brisbane, Australia
- Faculty of Veterinary Medicine, University of Abuja, Abuja, Nigeria
| | - Sergio E. Recuenco
- Facultad de Medicina San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Peru
| | - Michael P. Ward
- Sydney School of Veterinary Science, Faculty of Science, The University of Sydney, Camden, NSW Australia
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