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Mshelbwala PP, Rupprecht CE, Osinubi MO, Njoga EO, Orum TG, Weese JS, Clark NJ. Factors influencing canine rabies vaccination among dog-owning households in Nigeria. One Health 2024; 18:100751. [PMID: 38827784 PMCID: PMC11141449 DOI: 10.1016/j.onehlt.2024.100751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2024] [Accepted: 05/06/2024] [Indexed: 06/05/2024] Open
Abstract
Rabies perpetuates in Nigeria despite initiatives like the Regional Disease Surveillance System Enhancement Project, with evidence indicating suboptimal canine vaccination rates as a contributing factor. To inform effective planning of mass dog vaccination campaigns, it is crucial to understand the factors associated with variation in canine vaccination rates. We conducted a cross-sectional study in 2022 to understand factors associated with canine vaccination. We used stratified random sampling of the streets and dog-owning households to survey 4162 households from three states and the Federal Capital Territory (FCT). We then built a joint probabilistic model to understand factors associated with dog vaccination and non-vaccination. First, we modelled rabies knowledge as a latent variable indirectly measured with several targeted survey questions. This method allowed a respondent's unobserved understanding of rabies to be estimated using their responses to a collection of survey questions that targeted different aspects of rabies epidemiology and took various possible response distributions (i.e., ordinal, categorical, binary). Second, we modelled factors influencing pet owners' decisions to vaccinate their dogs against rabies and barriers to dog vaccination among dog owners whose dogs were not vaccinated against rabies. Posterior distributions revealed that the probability of dog vaccination was positively associated with the owner's latent knowledge of rabies, civil servant service employment, residence in the FCT, ownership of a single dog, providing care to dogs, and a preference for contemporary treatment following a dog bite. Conversely, non-vaccination was positively associated with private employment, residing in Anambra and Enugu states, owning multiple dogs, allowing dogs to search for leftovers, and a preference for traditional treatment after a dog bite. Cost was the primary barrier against vaccination for dog owners in Anambra and Enugu, while mistrust posed a major challenge for those in the FCT. Owners in areas with veterinary establishments cited cost as a barrier, while those without a veterinary establishment cited access as the primary barrier. Our study underscores the need to enhance rabies knowledge, tailor vaccination campaigns to specific demographics, address financial and access barriers, and combat hesitancy to improve rabies vaccination rates in Nigeria.
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Affiliation(s)
- Philip P. Mshelbwala
- Faculty of Veterinary Medicine, University of Abuja, Nigeria
- Department of Primary Industries, NSW, Australia
- School of Veterinary Science, The University of Queensland, Australia
| | - Charles E. Rupprecht
- College of Forestry, Wildlife & Environment, College of Veterinary Medicine, Auburn University, Auburn, AL, USA
| | | | - Emmanuel O. Njoga
- Department of Veterinary Public Health and Preventive Medicine, Faculty of Veterinary Medicine, University of Nigeria, Nigeria
| | - Terese G. Orum
- Regional Disease Surveillance System Enhancement Project, Abuja, Nigeria
| | - J. Scott Weese
- Department of Pathobiology, Ontario Veterinary College, Guelph, Canada
| | - Nicholas J. Clark
- School of Veterinary Science, The University of Queensland, Australia
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Tenzin T, Hikufe EH, Hedimbi N, Athingo R, Shikongo MB, Shuro T, Iipinge J, Herman N, Naunyango M, Haufiku F, Peter J, Hango L, Gottlieb S, Shoombe K, Denzin N, Busch F, Lohr F, Letshwenyo M, Torres G, Freuling CM, Müller T, Shilongo A. Dog ecology and rabies knowledge, attitude and practice (KAP) in the Northern Communal Areas of Namibia. PLoS Negl Trop Dis 2024; 18:e0011631. [PMID: 38315727 PMCID: PMC10881021 DOI: 10.1371/journal.pntd.0011631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 02/21/2024] [Accepted: 01/24/2024] [Indexed: 02/07/2024] Open
Abstract
In 2021, a comprehensive dog demographic questionnaire combined with a KAP survey were conducted in the northern communal areas (NCAs) of Namibia with the aim of gaining a better understanding of dog populations, owner behaviour, and knowledge, attitudes and practices (KAP) relating to rabies. The survey of 3,726 households across the eight regions of the NCAs provided insights that will inform interventions in order to improve human rabies prevention and Namibia's dog rabies control strategy. The results showed a relatively low average human/dog ratio (HDR) of 5.4:1 indicating a surprisingly high dog population of at least 272,000 dogs in the NCAs, 93% of which appear to be owned but are free-roaming. Data analysis revealed opportunities but also highlighted needs for improvements in rabies surveillance and mass dog vaccinations. Although knowledge, attitude, and practice scores towards epidemiologic and clinical aspects, human rabies prevention, and dog rabies vaccination were deemed to be acceptable, the survey nevertheless revealed deficiencies in certain aspects in some of the population. Interestingly, data seemed to indicate relatively high dog bite incidences per 100,000 people, ranging between 262 and 1,369 and a certain number of unreported human rabies cases. Despite the very high number of dogs, only 50% of dog-owning households reported having vaccinated their dogs. In order to address these issues, the planning, announcement, and implementation of mass dog vaccination campaigns needs to be adapted to achieve adequate vaccination coverage. Another focus needs to be on rabies awareness and education if Namibia is to be significantly contributing to the global goal of "Zero by 30".
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Affiliation(s)
- Tenzin Tenzin
- World Organisation for Animal Health (WOAH), Sub-Regional Representation for Southern Africa, Gaborone, Botswana
| | - Emmanuel H. Hikufe
- Directorate of Veterinary Services, Ministry of Agriculture, Water and Land Reform, Windhoek, Namibia
| | - Nehemia Hedimbi
- State Veterinary Office, Ministry of Agriculture, Water & Land Reform, Directorate of Veterinary Services, Kunene region, Opuwo, Namibia
| | - Rauna Athingo
- Animal Disease Control—North, State Veterinary Office, Ministry of Agriculture, Water & Land Reform, Directorate of Veterinary Services, Ongwediva, Namibia
| | - Mainelo Beatrice Shikongo
- State Veterinary Office, Ministry of Agriculture, Water & Land Reform, Directorate of Veterinary Services, Zambezi region, Katima Mulilo, Namibia
| | - Thompson Shuro
- State Veterinary Office, Ministry of Agriculture, Water & Land Reform, Directorate of Veterinary Services, Kavango East region, Rundu, Namibia
| | - Johannes Iipinge
- State Veterinary Office, Ministry of Agriculture, Water & Land Reform, Directorate of Veterinary Services, Oshana region, Ondangwa, Namibia
| | - Nelson Herman
- State Veterinary Office, Ministry of Agriculture, Water & Land Reform, Directorate of Veterinary Services, Oshana region, Ondangwa, Namibia
| | - Matias Naunyango
- State Veterinary Office, Ministry of Agriculture, Water & Land Reform, Directorate of Veterinary Services, Ohangwena region, Eenhana, Namibia
| | - Frenada Haufiku
- State Veterinary Office, Ministry of Agriculture, Water & Land Reform, Directorate of Veterinary Services, Oshikoto region, Omuthiya, Namibia
| | - Josephat Peter
- State Veterinary Office, Ministry of Agriculture, Water & Land Reform, Directorate of Veterinary Services, Omusati region, Outapi, Namibia
| | - Laina Hango
- State Veterinary Office, Ministry of Agriculture, Water & Land Reform, Directorate of Veterinary Services, Omusati region, Outapi, Namibia
| | - Sara Gottlieb
- State Veterinary Office, Ministry of Agriculture, Water & Land Reform, Directorate of Veterinary Services, Kavango East region, Nkurunkuru, Namibia
| | - Kenneth Shoombe
- Animal Disease Control—North, State Veterinary Office, Ministry of Agriculture, Water & Land Reform, Directorate of Veterinary Services, Ongwediva, Namibia
| | - Nicolai Denzin
- Institute of Epidemiology, Friedrich-Loeffler-Institut (FLI), Greifswald-Insel Riems, Germany
| | - Frank Busch
- Institute of International Animal Health/One Health, Friedrich-Loeffler-Institut (FLI), Greifswald-Insel Riems, Germany
| | | | - Moetapele Letshwenyo
- World Organisation for Animal Health (WOAH), Sub-Regional Representation for Southern Africa, Gaborone, Botswana
| | | | - Conrad M. Freuling
- Institute of Molecular Virology and Cell Biology, Friedrich-Loeffler-Institut (FLI), WHO Collaborating Centre for Rabies Surveillance and Research, WOAH Reference Laboratory for Rabies, Greifswald-Insel Riems, Germany
| | - Thomas Müller
- Institute of Molecular Virology and Cell Biology, Friedrich-Loeffler-Institut (FLI), WHO Collaborating Centre for Rabies Surveillance and Research, WOAH Reference Laboratory for Rabies, Greifswald-Insel Riems, Germany
| | - Albertina Shilongo
- Directorate of Veterinary Services, Ministry of Agriculture, Water and Land Reform, Windhoek, Namibia
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Corfmat J, Gibson AD, Mellanby RJ, Watson W, Appupillai M, Yale G, Gamble L, Mazeri S. Community attitudes and perceptions towards free-roaming dogs in Goa, India. J APPL ANIM WELF SCI 2023; 26:565-581. [PMID: 35037536 DOI: 10.1080/10888705.2021.2014839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Free-roaming dogs (FRD) represent a large proportion of the canine population in India and are often implicated as a source of conflict with humans. However, objective data on the attitudes and perceptions of local communities toward FRD are lacking. This study collected baseline data from 1141 households in Goa, India, on FRD feeding practices and assessed people's attitudes toward FRD in urban and rural communities. Additionally, respondents identified problems caused by FRD and proposed potential solutions.The study reported that 37% of respondents fed FRD with dog owners and Hindus being the most likely to feed. The majority of respondents agreed FRD were a menace (57%), a nuisance (58%) and scary (60%). Most respondents also agreed FRD were a vulnerable population (59%), that belong in communities (66%) and have a right to live on the streets (53%). Barking was the most commonly reported problem associated with FRD and the preferred solution was to impound FRD in shelters. This study reveals the complex and often misunderstood relationship between local communities and FRD and highlights potential strategies to reduce human-dog conflict.
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Affiliation(s)
- J Corfmat
- Division of Veterinary Clinical Studies, The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Hospital for Small Animals, Easter Bush Veterinary Centre, Midlothian, United Kingdom
- Mission Rabies, Goa, Panjim, India
| | - A D Gibson
- Division of Veterinary Clinical Studies, The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Hospital for Small Animals, Easter Bush Veterinary Centre, Midlothian, United Kingdom
- Mission Rabies, Cranborne, Dorset, UK
| | - R J Mellanby
- Division of Veterinary Clinical Studies, The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Hospital for Small Animals, Easter Bush Veterinary Centre, Midlothian, United Kingdom
| | - W Watson
- Division of Veterinary Clinical Studies, The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Hospital for Small Animals, Easter Bush Veterinary Centre, Midlothian, United Kingdom
| | | | - G Yale
- Mission Rabies, Goa, Panjim, India
| | - L Gamble
- Mission Rabies, Cranborne, Dorset, UK
- Worldwide Veterinary Service, Cranborne, Dorset, UK
| | - S Mazeri
- Division of Veterinary Clinical Studies, The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Hospital for Small Animals, Easter Bush Veterinary Centre, Midlothian, United Kingdom
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Fielding HR, Fernandes KA, Amulya VR, Belgayer D, Misquita A, Kenny R, Gibson AD, Gamble L, Bronsvoort BMDC, Mellanby RJ, Mazeri S. Capturing free-roaming dogs for sterilisation: A multi-site study in Goa, India. Prev Vet Med 2023; 218:105996. [PMID: 37595388 DOI: 10.1016/j.prevetmed.2023.105996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 08/08/2023] [Accepted: 08/09/2023] [Indexed: 08/20/2023]
Abstract
Sterilisation and rabies vaccination programs seek to manage free-roaming domestic dog (Canis familiaris) populations with the aim to reduce inter-species disease transmission and conflicts. As effective, permanent, remotely-administered options are not yet available for sterilisation, and oral vaccination is not yet commonly used; free-roaming dogs are typically captured for these interventions. There is a paucity of information describing how dog capture rates change over time within defined areas following repeated capture efforts. This data is needed to allow efficient dog capture programmes to be developed. Using spatial co-ordinates of dog capture, we characterise where dogs are more likely to be captured in six catch-sterilise-release campaigns, in Goa state, India. Combining capture numbers with population survey data collected in five sites, we document the increasing difficulty of catching entire (non-sterilised) dogs as sterilisation coverage increases and demonstrate how this leads to increased unit costs. Accounting for the extra resources required to capture dogs when sterilisation coverage is high will improve estimation of the resources required to manage free-roaming dog populations and assist in planning the most efficient intervention strategies.
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Affiliation(s)
- H R Fielding
- The Epidemiology, Economics and Risk Assessment (EERA) Group, The Roslin Institute and the Royal (Dick) School of Veterinary Studies (R(D)SVS), Easter Bush, Midlothian EH25 9RG, UK.
| | - K A Fernandes
- Worldwide Veterinary Service, Ooty, Tamil Nadu, India
| | - V R Amulya
- Worldwide Veterinary Service, Ooty, Tamil Nadu, India
| | - D Belgayer
- Worldwide Veterinary Service, Ooty, Tamil Nadu, India
| | - A Misquita
- Department of Animal Husbandry and Veterinary Services, Government of Goa and The Goa Veterinary Association, Pashusamwardhan Bhavan, Patto, Panaji 403401, Goa, India
| | - R Kenny
- Department of Animal Husbandry and Veterinary Services, Government of Goa and The Goa Veterinary Association, Pashusamwardhan Bhavan, Patto, Panaji 403401, Goa, India
| | - A D Gibson
- Worldwide Veterinary Service, 4 Castle Street, Cranborne, Dorset BH21 5PZ, UK
| | - L Gamble
- Worldwide Veterinary Service, 4 Castle Street, Cranborne, Dorset BH21 5PZ, UK
| | - B M de C Bronsvoort
- The Epidemiology, Economics and Risk Assessment (EERA) Group, The Roslin Institute and the Royal (Dick) School of Veterinary Studies (R(D)SVS), Easter Bush, Midlothian EH25 9RG, UK
| | - R J Mellanby
- Royal (Dick) School of Veterinary Studies, University of Edinburgh, Easter Bush, Midlothian EH25 9RG, UK
| | - S Mazeri
- The Epidemiology, Economics and Risk Assessment (EERA) Group, The Roslin Institute and the Royal (Dick) School of Veterinary Studies (R(D)SVS), Easter Bush, Midlothian EH25 9RG, UK
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Freuling CM, Busch F, Shikongo MB, Silume N, van der Westhuizen J, Khaiseb S, Shilongo A, Müller T. Emergency response using oral rabies vaccination of dogs -field data from Namibia demonstrate high efficiency. One Health 2023; 16:100562. [PMID: 37363208 PMCID: PMC10288086 DOI: 10.1016/j.onehlt.2023.100562] [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: 01/12/2023] [Revised: 05/08/2023] [Accepted: 05/09/2023] [Indexed: 06/28/2023] Open
Abstract
Dog-mediated rabies is responsible for tens of thousands of human deaths annually, and in resource-constrained settings, vaccinating dogs to control the disease at source remains challenging for various reasons. Currently, rabies elimination efforts rely on mass dog vaccination by the parenteral route. While oral rabies vaccination (ORV) of dogs is primarily considered a tool to increase herd immunity, particularly by targeting free-roaming and stray dogs, here, we are showcasing an ORV-only approach as an emergency response model. Using a third-generation vaccine and a standardized egg-flavored bait, we assessed the effectiveness and vaccination under field conditions in the Zambezi region of Namibia. During this trial, with four teams and within four working days, 3097 dogs were offered a bait, of which 88,0% were considered vaccinated. Teams managed to vaccinate, on average, over 20 dogs/h, despite using a door-to-door vaccination approach. The favorable results both in terms of bait acceptance and successful vaccination as well as field applicability and effectiveness further support the great potential of ORV in dog rabies control programmes.
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Affiliation(s)
- Conrad M. Freuling
- Institute of Molecular Virology and Cell Biology, Friedrich-Loeffler-Institut (FLI), WHO Collaborating Centre for Rabies Surveillance and Research, OIE Reference Laboratory for Rabies, 17493 Greifswald-Insel Riems, Germany
| | - Frank Busch
- Institute of International Animal Health/One Health, Friedrich-Loeffler-Institut (FLI), 17493 Greifswald-Insel Riems, Germany
| | - Mainelo Beatrice Shikongo
- Animal Disease Control, Zambezi Region, Ministry of Agriculture, Water & Land Reform, Directorate of Veterinary Services, State Veterinary Office, Katima Mulilo, Namibia
| | - Nzwana Silume
- Animal Disease Control, Zambezi Region, Ministry of Agriculture, Water & Land Reform, Directorate of Veterinary Services, State Veterinary Office, Katima Mulilo, Namibia
| | - Jolandie van der Westhuizen
- Central Veterinary Laboratory, Directorate of Veterinary Services (DVS), Ministry of Agriculture Water and Land Reform, Windhoek, Namibia
| | - Siegfried Khaiseb
- Central Veterinary Laboratory, Directorate of Veterinary Services (DVS), Ministry of Agriculture Water and Land Reform, Windhoek, Namibia
| | - Albertina Shilongo
- Directorate of Veterinary Services (DVS), Ministry of Agriculture Water and Land Reform, Windhoek, Namibia
| | - Thomas Müller
- Institute of Molecular Virology and Cell Biology, Friedrich-Loeffler-Institut (FLI), WHO Collaborating Centre for Rabies Surveillance and Research, OIE Reference Laboratory for Rabies, 17493 Greifswald-Insel Riems, Germany
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Rayner EL, Airikkala-Otter I, Mellanby RJ, Gibson AD, Susheelan A, Gamble L, Mazeri S. Assessing the effect of a canine surgical-neutering educational programme on the knowledge and confidence of Indian veterinary participants. Front Vet Sci 2023; 10:942890. [PMID: 37303735 PMCID: PMC10249432 DOI: 10.3389/fvets.2023.942890] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Accepted: 05/09/2023] [Indexed: 06/13/2023] Open
Abstract
India has a large, free-roaming dog population, encompassing both owned and stray dogs. Canine surgical neutering is often a central component of dog population management and rabies control initiatives. The provision of practical, surgical training opportunities remains a major challenge for veterinary educational establishments worldwide to ensure competency in this routine procedure. A 12-day educational programme, focusing on surgical neutering skills, was developed to address this need. A questionnaire comprising 26 questions covering surgical and clinical topics, and a self-assessment of confidence in undertaking five common surgical procedures, was completed immediately before and after finishing the programme. A total of 296 participants attended, with 228 achieving the inclusion criteria for the study. Total knowledge scores increased significantly after the training programme (mean score pre-18.94, 95% CI 18.13-19.74; post-28.11, 95% CI 27.44-28.77, p < 0.05) with improvements seen in all categories (surgical principles, anaesthesia, antibiotic use and wound management). After accounting for other participants' characteristics, scores increased, on average, by 9 points after training. Being female was associated with significantly higher overall scores, while compared to younger and older age groups, those aged 25-34 were associated with lower overall scores. Amongst those with post-graduate qualifications, overall scores increased with age. Furthermore, there was an increase in self-rated confidence by participants in undertaking all five procedures. This study demonstrates that a targeted training programme can improve veterinary participants' knowledge and confidence in canine surgical neutering and may provide an effective way to develop surgical expertise amongst veterinarians engaged in dog population management initiatives.
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Affiliation(s)
- Emma L. Rayner
- Worldwide Veterinary Service (WVS), Dorset, United Kingdom
| | - Ilona Airikkala-Otter
- Worldwide Veterinary Service India, International Training Centre, Nilgiris, Tamil Nadu, India
| | - Richard J. Mellanby
- Royal (Dick) School of Veterinary Studies and the Roslin Institute, The University of Edinburgh, Easter Bush Campus, Midlothian, United Kingdom
| | | | - Aswin Susheelan
- Worldwide Veterinary Service India, International Training Centre, Nilgiris, Tamil Nadu, India
| | - Luke Gamble
- Worldwide Veterinary Service (WVS), Dorset, United Kingdom
| | - Stella Mazeri
- The Epidemiology, Economics and Risk Assessment (EERA) Group, The Roslin Institute, Royal (Dick) School of Veterinary Studies, Easter Bush, Midlothian, United Kingdom
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Schrodt CA, Dilius P, Gibson AD, Crowdis K, Fénelon N, Ross Y, Bonaparte S, Joseph HC, Wallace RM. Electronic application for rabies management improves surveillance, data quality, and investigator experience in Haiti. Front Vet Sci 2023; 10:1052349. [PMID: 37065250 PMCID: PMC10103903 DOI: 10.3389/fvets.2023.1052349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Accepted: 03/13/2023] [Indexed: 04/03/2023] Open
Abstract
BackgroundIntegrated bite case management (IBCM) is a multi-sectoral response to animal-bites which reduces human and canine rabies mortality through animal quarantine, bite-victim counseling, and vaccination tracking. Haiti's national rabies surveillance program was established in 2013 using paper-based IBCM (pIBCM) with adoption of an electronic smartphone application (eIBCM) in 2018.MethodsWe evaluated the feasibility of implementing the electronic app in Haiti and compared pIBCM and eIBCM data quality collected January 2013–August 2019. Deaths prevented, cost-per-death averted, and cost-per-investigation during use of pIBCM and eIBCM were estimated using a previously validated rabies cost-effectiveness tool that accounted for bite-victim demographics; probability of acquiring rabies; post-exposure prophylaxis; and costs including training, supplies, and salaries. We compared pIBCM and eIBCM based on data comprehensiveness, completeness, and reporting efficiency. Surveys were administered to IBCM staff to evaluate the usefulness, simplicity, flexibility, and acceptability of eIBCM.ResultsOf 15,526 investigations, 79% were paper-based and 21% electronic. IBCM prevented 241 (estimated) human rabies deaths. Using pIBCM, cost-per-death averted was $2,692 and the cost-per-investigation was $21.02; up to 55 data variables were collected per investigation; data transmission took 26 days to reach national staff, and 180 days until analysis. Using eIBCM, the cost-per-death averted was $1,247 and the cost-per-investigation was $22.70; up to 174 data variables were collected per investigation; data transmission took 3 days to reach national staff, and 30 days until analysis. Among 12,194 pIBCM investigations, 55% were mappable by commune, compared to 100% of eIBCM investigations mappable by GPS. Animal case definitions were incorrectly ascribed by investigators in 5.5% of pIBCM investigations and zero for eIBCM; typically, errors were in determining probable vs. suspect case assignments. Overall, eIBCM was well-accepted by staff, who reported the app is easy-to-use, facilitates investigations, and compared to pIBCM hastens data reporting.DiscussionIn Haiti, eIBCM showed improved data completeness, data quality, and shorter notification times with minimal increase in operational cost. The electronic app is simple-to-use and facilitates IBCM investigations. Rabies endemic countries could refer to eIBCM in Haiti as a cost-effective means to reduce human rabies mortality and improve surveillance capacity.
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Affiliation(s)
- Caroline A. Schrodt
- National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States
- Epidemic Intelligence Service, CDC, Atlanta, GA, United States
- *Correspondence: Caroline A. Schrodt
| | - Pierre Dilius
- Haiti Ministry of Agriculture, Rural Development and Natural Resources, Port au Prince, Haiti
| | - Andrew D. Gibson
- Mission Rabies, Cranborne, Dorset, United Kingdom
- The Royal Dick School of Veterinary Studies and The Roslin Institute, University of Edinburgh, Edinburgh, United Kingdom
| | | | | | - Yasmeen Ross
- National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States
| | - Sarah Bonaparte
- National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States
| | - Haïm C. Joseph
- Epidemic Intelligence Service, CDC, Atlanta, GA, United States
| | - Ryan M. Wallace
- National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States
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Modelling bodyweight to avoid anthelmintic underdosing of goats in resources-limited settings. Trop Anim Health Prod 2023; 55:72. [PMID: 36757509 PMCID: PMC9911490 DOI: 10.1007/s11250-023-03479-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Accepted: 01/23/2023] [Indexed: 02/10/2023]
Abstract
Improved management of livestock in resource-limited settings can provide a means towards improved human nutrition and livelihoods. However, gastrointestinal nematodes (GIN) are a significant production-limiting factor. Anthelmintics play a role in GIN management; however, few anthelmintic classes are available in many low-middle-income countries. Utilising a limited range of classes may increase selection for anthelmintic resistance; therefore, strategies to reduce other selective pressures are of heightened importance. Avoiding anthelmintic underdosing is one such strategy, but it can be challenging without access to accurate bodyweight measurement. Many previous studies have used thoracic girth as a practical proxy for bodyweight in goats; however, they have rarely considered the potential impact of natural variation on therapeutic doses. Here, the relationship between bodyweight and thoracic girth was modelled using data from 820 goats from three Malawian biomes in two seasons, with the specific aim of avoiding underestimation of bodyweight. The internally cross-validated linear regression (∛Weight ~ 0.053 + 0.040*Girth, R2 = 0.92, rounded up to the nearest 5 kg) was validated against data from an additional 352 Malawian goats (1.4% of goats allocated an underdose and 10.2% allocated a dose > 200% of bodyweight). The equation was further externally validated using an historical dataset of 150 goats from Assam, India (2.7% of goats were allocated to an underdose and 24.8% allocated to a > 200% of bodyweight). These results suggest that a more globally generalisable approach may be feasible, provided the accuracy of the estimate is considered alongside the therapeutic index of the pharmaceutical.
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Airikkala-Otter I, Fröchlich J, Porkodi S, Gibson A, Gamble L, Rayner E. Sharing the Load by One Health: Integrating Canine Rabies Vaccination With Bovine Foot-and-Mouth Vaccination Program and Community Public Health Services in Rural Nilgiris District, Tamil Nadu, India. Indian J Community Med 2022; 47:600-603. [PMID: 36742947 PMCID: PMC9891052 DOI: 10.4103/ijcm.ijcm_1438_21] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Accepted: 02/16/2022] [Indexed: 02/07/2023] Open
Abstract
Background India carries the largest national burden for rabies globally. Coordinating large-scale canine rabies elimination programs is challenging, particularly in rural areas, where the majority of human rabies deaths occur. This study evaluated the feasibility of combining canine rabies vaccination with pre-existing animal-health interventions or public health programs in a rural area of India. Materials and Methods Canine rabies vaccination teams collaborated with a bi-annual bovine foot-and-mouth vaccination program coordinated by the Animal Husbandry Department (AH-collaboration) and with a village health program by the Public Health Department (PH-collaboration) in Nilgiris, Tamil Nadu, to vaccinate dogs during the implementation of these government-led health initiatives. Results A total of 251 dogs were vaccinated over 7 days during the AH-collaboration, and 1083 dogs were vaccinated over 15 days during the PH-collaboration. The AH-collaboration achieved a vaccination coverage of 76% based on same-time sighting survey, and 58% based on post-vaccination survey. The PH-collaboration achieved vaccination coverage of 79% based on the same-time survey and 83% based on the post-vaccination survey. Conclusions The integration of mass dog vaccination into existing government sector initiatives may facilitate the scaling up of canine rabies vaccination campaigns.
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Affiliation(s)
- Ilona Airikkala-Otter
- Worldwide Veterinary Service India, International Training Center, Gramya Bhavan, RDO Trust Building, Aruvankadu The Nilgiris, Tamil Nadu, India
| | - Julia Fröchlich
- MSD Sharp and Dohme GmbH, Levelingstr. 4a, 81673 Munich, Germany
| | - S. Porkodi
- Department of Health Services, Villupuram District, Tamil Nadu, India
| | - Andrew Gibson
- Worldwide Veterinary Service (WVS), 4 Castle Street, Cranborne, Dorset BH21 5PZ, United Kingdom
| | - Luke Gamble
- Worldwide Veterinary Service (WVS), 4 Castle Street, Cranborne, Dorset BH21 5PZ, United Kingdom
| | - Emma Rayner
- Worldwide Veterinary Service (WVS), 4 Castle Street, Cranborne, Dorset BH21 5PZ, United Kingdom
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10
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Freuling CM, Busch F, Vos A, Ortmann S, Lohr F, Hedimbi N, Peter J, Nelson HA, Shoombe K, Shilongo A, Gorejena B, Kaholongo L, Khaiseb S, van der Westhuizen J, Dietze K, Geurtse G, Müller T. Oral rabies vaccination of dogs—Experiences from a field trial in Namibia. PLoS Negl Trop Dis 2022; 16:e0010422. [PMID: 35994498 PMCID: PMC9436088 DOI: 10.1371/journal.pntd.0010422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Revised: 09/01/2022] [Accepted: 06/24/2022] [Indexed: 11/29/2022] Open
Abstract
Dog-mediated rabies is responsible for tens of thousands of human deaths annually, and in resource-constrained settings, vaccinating dogs to control the disease at source remains challenging. Currently, rabies elimination efforts rely on mass dog vaccination by the parenteral route. To increase the herd immunity, free-roaming and stray dogs need to be specifically addressed in the vaccination campaigns, with oral rabies vaccination (ORV) of dogs being a possible solution. Using a third-generation vaccine and a standardized egg-flavoured bait, bait uptake and vaccination was assessed under field conditions in Namibia. During this trial, both veterinary staff as well as dog owners expressed their appreciation to this approach of vaccination. Of 1,115 dogs offered a bait, 90% (n = 1,006, 95%CI:91–94) consumed the bait and 72.9% (n = 813, 95%CI:70.2–75.4) of dogs were assessed as being vaccinated by direct observation, while for 11.7% (n = 130, 95%CI:9.9–17.7) the status was recorded as “unkown” and 15.4% (n = 172, 95%CI: 13.4–17.7) were considered as being not vaccinated. Smaller dogs and dogs offered a bait with multiple other dogs had significantly higher vaccination rates, while other factors, e.g. sex, confinement status and time had no influence. The favorable results of this first large-scale field trial further support the strategic integration of ORV into dog rabies control programmes. Given the acceptance of the egg-flavored bait under various settings worldwide, ORV of dogs could become a game-changer in countries, where control strategies using parenteral vaccination alone failed to reach sufficient vaccination coverage in the dog population. Rabies in dogs can be prevented by vaccination, and this approach has become a cornerstone in the control and eventual elimination of the disease. However, vaccinating hard-to-reach often free-roaming dogs are a challenge and represents one of the challenges to reach sufficient herd-immunity. A potential solution would be to vaccinate these dogs using oral baits filled with a vaccine. In this study we have assessed the acceptability of oral rabies vaccination (ORV) in Namibian dogs under field conditions. The results demonstrate that the method is acceptable both for the owners and the dogs, with a very high uptake of the egg-flavored bait. This supports the potential of ORV to contribute to vaccination programs where parenteral vaccination alone failed to reach sufficient vaccination coverage in the dog population.
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Affiliation(s)
- Conrad Martin Freuling
- Institute of Molecular Virology and Cell Biology, Friedrich-Loeffler-Institut (FLI), WHO Collaborating Centre for Rabies Surveillance and Research, WOAH Reference Laboratory for Rabies, Greifswald-Insel Riems, Germany
- * E-mail:
| | - Frank Busch
- Institute of International Animal Health/One Health, Friedrich-Loeffler-Institut (FLI), Greifswald-Insel Riems, Germany
| | - Adriaan Vos
- Ceva Innovation Center GmbH, Dessau–Rosslau, Germany
| | | | | | - Nehemia Hedimbi
- Animal Disease Control, Kunene, Ministry of Agriculture, Water & Land Reform, Directorate of Veterinary Services, State Veterinary Office, Opuwo, Namibia
| | - Josephat Peter
- Directorate of Veterinary Services, State Veterinary Office, Omusati, Namibia
| | | | - Kenneth Shoombe
- Deputy Chief Veterinary Officer, Animal Disease Control, North, Ministry of Agriculture, Water & Land Reform, Directorate of Veterinary Services, State Veterinary Office, Ongwediva, Namibia
| | - Albertina Shilongo
- Chief Veterinary Officer, Directorate of Veterinary Services, Ministry of Agriculture, Water and Land Reform, Windhoek, Namibia
| | - Brighton Gorejena
- Faculty of Agriculture and Natural Resources, Ogongo Campus, University of Namibia, Wnindhoek, Namibia
| | - Lukas Kaholongo
- Faculty of Agriculture and Natural Resources, Ogongo Campus, University of Namibia, Wnindhoek, Namibia
| | - Siegfried Khaiseb
- Central Veterinary Laboratory, Directorate of Veterinary Services (DVS), Ministry of Agriculture Water and Land Reform, Windhoek, Namibia
| | - Jolandie van der Westhuizen
- Central Veterinary Laboratory, Directorate of Veterinary Services (DVS), Ministry of Agriculture Water and Land Reform, Windhoek, Namibia
| | - Klaas Dietze
- Institute of International Animal Health/One Health, Friedrich-Loeffler-Institut (FLI), Greifswald-Insel Riems, Germany
| | | | - Thomas Müller
- Institute of Molecular Virology and Cell Biology, Friedrich-Loeffler-Institut (FLI), WHO Collaborating Centre for Rabies Surveillance and Research, WOAH Reference Laboratory for Rabies, Greifswald-Insel Riems, Germany
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11
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Elimination of human rabies in Goa, India through an integrated One Health approach. Nat Commun 2022; 13:2788. [PMID: 35589709 PMCID: PMC9120018 DOI: 10.1038/s41467-022-30371-y] [Citation(s) in RCA: 19] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2021] [Accepted: 04/27/2022] [Indexed: 01/13/2023] Open
Abstract
Dog-mediated rabies kills tens of thousands of people each year in India, representing one third of the estimated global rabies burden. Whilst the World Health Organization (WHO), World Organization for Animal Health (OIE) and the Food and Agriculture Organization of the United Nations (FAO) have set a target for global dog-mediated human rabies elimination by 2030, examples of large-scale dog vaccination programs demonstrating elimination remain limited in Africa and Asia. We describe the development of a data-driven rabies elimination program from 2013 to 2019 in Goa State, India, culminating in human rabies elimination and a 92% reduction in monthly canine rabies cases. Smartphone technology enabled systematic spatial direction of remote teams to vaccinate over 95,000 dogs at 70% vaccination coverage, and rabies education teams to reach 150,000 children annually. An estimated 2249 disability-adjusted life years (DALYs) were averted over the program period at 526 USD per DALY, making the intervention 'very cost-effective' by WHO definitions. This One Health program demonstrates that human rabies elimination is achievable at the state level in India.
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12
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Lugelo A, Hampson K, Ferguson EA, Czupryna A, Bigambo M, Duamor CT, Kazwala R, Johnson PCD, Lankester F. Development of Dog Vaccination Strategies to Maintain Herd Immunity against Rabies. Viruses 2022; 14:v14040830. [PMID: 35458560 PMCID: PMC9028497 DOI: 10.3390/v14040830] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 03/14/2022] [Accepted: 03/19/2022] [Indexed: 02/01/2023] Open
Abstract
Human rabies can be prevented through mass dog vaccination campaigns; however, in rabies endemic countries, pulsed central point campaigns do not always achieve the recommended coverage of 70%. This study describes the development of a novel approach to sustain high coverage based on decentralized and continuous vaccination delivery. A rabies vaccination campaign was conducted across 12 wards in the Mara region, Tanzania to test this approach. Household surveys were used to obtain data on vaccination coverage as well as factors influencing dog vaccination. A total 17,571 dogs were vaccinated, 2654 using routine central point delivery and 14,917 dogs using one of three strategies of decentralized continuous vaccination. One month after the first vaccination campaign, coverage in areas receiving decentralized vaccinations was higher (64.1, 95% Confidence Intervals (CIs) 62.1-66%) than in areas receiving pulsed vaccinations (35.9%, 95% CIs 32.6-39.5%). Follow-up surveys 10 months later showed that vaccination coverage in areas receiving decentralized vaccinations remained on average over 60% (60.7%, 95% CIs 58.5-62.8%) and much higher than in villages receiving pulsed vaccinations where coverage was on average 32.1% (95% CIs 28.8-35.6%). We conclude that decentralized continuous dog vaccination strategies have the potential to improve vaccination coverage and maintain herd immunity against rabies.
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Affiliation(s)
- Ahmed Lugelo
- Environmental Health and Ecological Sciences Department, Ifakara Health Institute, Dar es Salaam P.O. Box 78373, Tanzania
- Boyd Orr Centre for Population and Ecosystem Health, Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Graham Kerr Building, Glasgow G12 8QQ, UK; (K.H.); (E.A.F.); (A.C.); (P.C.D.J.)
- Department of Veterinary Medicine and Public Health, Sokoine University of Agriculture, Morogoro P.O. Box 3105, Tanzania;
- Global Animal Health Tanzania, Arusha 1642, Tanzania; (M.B.); (F.L.)
- Correspondence:
| | - Katie Hampson
- Boyd Orr Centre for Population and Ecosystem Health, Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Graham Kerr Building, Glasgow G12 8QQ, UK; (K.H.); (E.A.F.); (A.C.); (P.C.D.J.)
| | - Elaine A. Ferguson
- Boyd Orr Centre for Population and Ecosystem Health, Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Graham Kerr Building, Glasgow G12 8QQ, UK; (K.H.); (E.A.F.); (A.C.); (P.C.D.J.)
| | - Anna Czupryna
- Boyd Orr Centre for Population and Ecosystem Health, Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Graham Kerr Building, Glasgow G12 8QQ, UK; (K.H.); (E.A.F.); (A.C.); (P.C.D.J.)
| | - Machunde Bigambo
- Global Animal Health Tanzania, Arusha 1642, Tanzania; (M.B.); (F.L.)
| | - Christian Tetteh Duamor
- Department of Global Health, Nelson Mandela African Institution of Science and Technology, Arusha P.O. Box 447, Tanzania;
| | - Rudovick Kazwala
- Department of Veterinary Medicine and Public Health, Sokoine University of Agriculture, Morogoro P.O. Box 3105, Tanzania;
| | - Paul C. D. Johnson
- Boyd Orr Centre for Population and Ecosystem Health, Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Graham Kerr Building, Glasgow G12 8QQ, UK; (K.H.); (E.A.F.); (A.C.); (P.C.D.J.)
| | - Felix Lankester
- Global Animal Health Tanzania, Arusha 1642, Tanzania; (M.B.); (F.L.)
- Paul G. Allen School for Global Health, College of Veterinary Medicine, Washington State University, Pullman, WA 99164, USA
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13
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De la Puente‐Arévalo M, Motta P, Dürr S, Warembourg C, Nikola C, Burdon‐Bailey J, Mayer D, Lohr F, Gibson AD, Chikungwa P, Chulu J, Gamble L, Anderson NE, Bronsvoort BMD, Mellanby RJ, Mazeri S. Ranging patterns and factors associated with movement in free-roaming domestic dogs in urban Malawi. Ecol Evol 2022; 12:e8498. [PMID: 35127025 PMCID: PMC8794712 DOI: 10.1002/ece3.8498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Revised: 12/03/2021] [Accepted: 12/10/2021] [Indexed: 11/16/2022] Open
Abstract
Rabies is a neglected zoonotic disease that causes around 59,000 deaths per year globally. In Africa, rabies virus is mostly maintained in populations of free-roaming domestic dogs (FRDD) that are predominantly owned. Characterizing the roaming behavior of FRDD can provide relevant information to understand disease spread and inform prevention and control interventions. To estimate the home range (HR) of FRDD and identify predictors of HR size, we studied 168 dogs in seven different areas of Blantyre city, Malawi, tracking them with GPS collars for 1-4 days. The median core HR (HR50) of FRDD in Blantyre city was 0.2 ha (range: 0.08-3.95), while the median extended HR (HR95) was 2.14 ha (range: 0.52-23.19). Multivariable linear regression models were built to identify predictors of HR size. Males presented larger HR95 than females. Dogs living in houses with a higher number of adults had smaller HR95, while those living in houses with higher number of children had larger HR95. Animals that received products of animal origin in their diets had larger HR95, and only in the case of females, animals living in low-income areas had larger HR50 and HR95. In contrast, whether male dogs were castrated or not was not found to be associated with HR size. The results of this study may help inform rabies control and prevention interventions in Blantyre city, such as designing risk-based surveillance activities or rabies vaccination campaigns targeting certain FRDD subpopulations. Our findings can also be used in rabies awareness campaigns, particularly to illustrate the close relationship between children and their dogs.
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Affiliation(s)
| | - Paolo Motta
- European Commission for the Control of Foot‐and‐Mouth DiseaseFAORomeItaly
| | - Salome Dürr
- Veterinary Public Health Institute, Vetsuisse FacultyUniversity of BernBernSwitzerland
| | - Charlotte Warembourg
- Veterinary Public Health Institute, Vetsuisse FacultyUniversity of BernBernSwitzerland
| | | | | | | | | | | | | | - Julius Chulu
- Department of Animal Health and Livestock DevelopmentLilongweMalawi
| | | | - Neil E. Anderson
- The Roslin Institute and The Royal (Dick) School of Veterinary Studies, Easter Bush Veterinary CentreUniversity of EdinburghMidlothianUK
| | - Barend M deC. Bronsvoort
- The Epidemiology, Economics and Risk Assessment Group, The Roslin Institute and The Royal (Dick) School of Veterinary Studies, Easter Bush Veterinary CentreThe University of EdinburghMidlothianUK
| | - Richard J. Mellanby
- Division of Veterinary Clinical Studies, Hospital for Small Animals, The Roslin Institute and The Royal (Dick) School of Veterinary Studies, Easter Bush Veterinary CentreThe University of EdinburghMidlothianUK
| | - Stella Mazeri
- Mission RabiesCranborneUK
- The Epidemiology, Economics and Risk Assessment Group, The Roslin Institute and The Royal (Dick) School of Veterinary Studies, Easter Bush Veterinary CentreThe University of EdinburghMidlothianUK
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14
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Evans MJ, Gibson A, Fielding H, Ohal P, Pandey P, Kumar A, Singh SK, Airikkala-Otter I, Abela-Ridder B, Gamble L, Handel I, Bronsvoort BMDC, Mellanby RJ, Mazeri S. Free-roaming dog population dynamics in Ranchi, India. Res Vet Sci 2022; 143:115-123. [PMID: 35007799 DOI: 10.1016/j.rvsc.2021.12.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Revised: 12/03/2021] [Accepted: 12/28/2021] [Indexed: 11/24/2022]
Abstract
Rabies causes approximately 20,000 human deaths in India each year. Nearly all of these occur following dog bites. Large-scale, high-coverage dog rabies vaccination campaigns are the cornerstone of rabies elimination strategies in both human and dog populations, although this is particularly challenging to achieve in India as a large proportion of the dog population are free-roaming and unowned. Further, little is known about free-roaming dog ecology in India which makes defining optimum vaccination strategies difficult. In this study, data collected using a mobile phone application during three annual mass vaccination and neutering (surgical sterilisation of both males and females) campaigns of free-roaming dogs in Ranchi, India (during which a total of 43,847 vaccinations, 26,213 neuter surgeries and 28,172 re-sight observations were made) were interrogated, using two novel approaches to estimate the proportion of neutered dogs that were lost from the city (assumed due to mortality or migration) between campaign years. Analysis revealed high losses of neutered dogs each year, ranging from 25.3% (28.2-22.8) to 55.8% (57.0-54.6). We also estimated that the total population declined by 12.58% (9.89-15.03) over the three-year period. This demonstrates that there is a high turnover of free-roaming dogs and that despite neutering a large number of dogs in an annual sterilisation campaign, the decline in population size was modest over a three-year time period. These findings have significant implications for the planning of rabies vaccination campaigns and population management programmes as well as highlighting the need for further research into the demographics of free-roaming, unowned dogs in India.
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Affiliation(s)
- M J Evans
- The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Roslin, Midlothian, UK.
| | - A Gibson
- The Roslin Institute, The University of Edinburgh, Roslin, Midlothian, UK; Mission Rabies, Cranborne, Dorset, UK
| | - H Fielding
- The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Roslin, Midlothian, UK
| | - P Ohal
- Hope & Animal Trust, Ranchi, Jharkhand, India
| | - P Pandey
- Department of Agriculture Animal Husbandry and Cooperative, (Animal Husbandry Division) Govt. of Jharkhand, India
| | - A Kumar
- Hope & Animal Trust, Ranchi, Jharkhand, India
| | - S K Singh
- Hope & Animal Trust, Ranchi, Jharkhand, India
| | - I Airikkala-Otter
- WVS India, Gramya Bhavan/RDO-Building Complex, Aruvankadu, 643202 Nilgiris District, Tamil Nadu, India
| | - B Abela-Ridder
- Department for the Control of Neglected Tropical Diseases, World Health Organization, Genève, Switzerland
| | - L Gamble
- Mission Rabies, Cranborne, Dorset, UK
| | - I Handel
- The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Roslin, Midlothian, UK
| | - B M D C Bronsvoort
- The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Roslin, Midlothian, UK; The Roslin Institute, The University of Edinburgh, Roslin, Midlothian, UK
| | - R J Mellanby
- The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Roslin, Midlothian, UK; The Roslin Institute, The University of Edinburgh, Roslin, Midlothian, UK
| | - S Mazeri
- The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Roslin, Midlothian, UK; The Roslin Institute, The University of Edinburgh, Roslin, Midlothian, UK
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15
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Monroe B, Ludder F, Dilius P, Crowdis K, Lohr F, Cleaton J, Gamble L, Blanton J, Etheart M, Pieracci EG, Natal Vigilato MA, Molina-Flores B, Millien M, Gibson AD, Wallace RM. Every Dog Has Its Data: Evaluation of a Technology-Aided Canine Rabies Vaccination Campaign to Implement a Microplanning Approach. Front Public Health 2021; 9:757668. [PMID: 34790645 PMCID: PMC8591122 DOI: 10.3389/fpubh.2021.757668] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2021] [Accepted: 10/07/2021] [Indexed: 11/13/2022] Open
Abstract
Background: Robust dog vaccination coverage is the primary way to eliminate canine rabies. Haiti conducts annual canine mass vaccination campaigns, but still has the most human deaths in the Latin American and Caribbean region. We conducted an evaluation of dog vaccination methods in Haiti to determine if more intensive, data-driven vaccination methods, using smartphones for data reporting and geo-communication, could increase vaccination coverage to a level capable of disrupting rabies virus transmission. Methods: Two cities were designated into "Traditional" and "Technology-aided" vaccination areas. Traditional areas utilized historical methods of vaccination staff management, whereas Technology-aided areas used smartphone-supported spatial coordination and management of vaccination teams. Smartphones enabled real time two-way geo-communication between campaign managers and vaccinators. Campaign managers provided geographic instruction to vaccinators by assigning mapped daily vaccination boundaries displayed on phone handsets, whilst vaccinators uploaded spatial data of dogs vaccinated for review by the campaign manager to inform assignment of subsequent vaccination zones. The methods were evaluated for vaccination effort, coverage, and cost. Results: A total of 11,420 dogs were vaccinated during the 14-day campaign. The technology-aided approach achieved 80% estimated vaccination coverage as compared to 44% in traditional areas. Daily vaccination rate was higher in Traditional areas (41.7 vaccinations per team-day) compared to in technology-aided areas (26.8) but resulted in significantly lower vaccination coverages. The cost per dog vaccinated increased exponentially with the associated vaccination coverage, with a cost of $1.86 to achieve 25%, $2.51 for 50% coverage, and $3.19 for 70% coverage. Conclusions: Traditional vaccination methods failed to achieve sufficiently high vaccination coverages needed to interrupt sustained rabies virus transmission, whilst the technology-aided approach increased coverage above this critical threshold. Over successive campaigns, this difference is likely to represent the success or failure of the intervention in eliminating the rabies virus. Technology-aided vaccination should be considered in resource limited settings where rabies has not been controlled by Traditional vaccination methods. The use of technology to direct health care workers based on near-real-time spatial data from the field has myriad potential applications in other vaccination and public health initiatives.
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Affiliation(s)
- Benjamin Monroe
- Poxvirus and Rabies Branch, Centers for Disease Control and Prevention, Atlanta, GA, United States
| | - Fleurinord Ludder
- Haiti Ministry of Agriculture, Rural Development and Natural Resources, Port au Prince, Haiti
| | - Pierre Dilius
- Haiti Ministry of Agriculture, Rural Development and Natural Resources, Port au Prince, Haiti
| | | | | | - Julie Cleaton
- Poxvirus and Rabies Branch, Centers for Disease Control and Prevention, Atlanta, GA, United States
| | | | - Jesse Blanton
- Poxvirus and Rabies Branch, Centers for Disease Control and Prevention, Atlanta, GA, United States
| | - Melissa Etheart
- Centers for Disease Control and Prevention, Haiti Office, Port au Prince, Haiti
| | - Emily G Pieracci
- Poxvirus and Rabies Branch, Centers for Disease Control and Prevention, Atlanta, GA, United States
| | - Marco Antonio Natal Vigilato
- Pan American Center of Foot-and-Mouth Disease and Veterinary Public Health - Pan American Health Organization Veterinary Public Health Unit/(PANAFTOSA/VPH-PAHO), Rio de Janeiro, Brazil
| | - Baldomero Molina-Flores
- Pan American Center of Foot-and-Mouth Disease and Veterinary Public Health - Pan American Health Organization Veterinary Public Health Unit/(PANAFTOSA/VPH-PAHO), Rio de Janeiro, Brazil
| | - Max Millien
- Division of Genetics and Genomics, Easter Bush Veterinary Centre, The Roslin Institute and the Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Roslin, United Kingdom
| | - Andrew D Gibson
- Mission Rabies, Cranborne, United Kingdom.,Division of Genetics and Genomics, Easter Bush Veterinary Centre, The Roslin Institute and the Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Roslin, United Kingdom
| | - Ryan M Wallace
- Poxvirus and Rabies Branch, Centers for Disease Control and Prevention, Atlanta, GA, United States
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16
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Karki S, Weiss A, Dcruz J, Hunt D, Haigood B, Ouakou PT, Chop E, Zirimwabagabo H, Rubenstein BL, Yerian S, Roy SL, Kamb ML, Guagliardo SAJ. Assessment of the Chad guinea worm surveillance information system: A pivotal foundation for eradication. PLoS Negl Trop Dis 2021; 15:e0009675. [PMID: 34370746 PMCID: PMC8376011 DOI: 10.1371/journal.pntd.0009675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Revised: 08/19/2021] [Accepted: 07/23/2021] [Indexed: 12/02/2022] Open
Abstract
Background In the absence of a vaccine or pharmacological treatment, prevention and control of Guinea worm disease is dependent on timely identification and containment of cases to interrupt transmission. The Chad Guinea Worm Eradication Program (CGWEP) surveillance system detects and monitors Guinea worm disease in both humans and animals. Although Guinea worm cases in humans has declined, the discovery of canine infections in dogs in Chad has posed a significant challenge to eradication efforts. A foundational information system that supports the surveillance activities with modern data management practices is needed to support continued program efficacy. Methods We sought to assess the current CGWEP surveillance and information system to identify gaps and redundancies and propose system improvements. We reviewed documentation, consulted with subject matter experts and stakeholders, inventoried datasets to map data elements and information flow, and mapped data management processes. We used the Information Value Cycle (IVC) and Data-Information System-Context (DISC) frameworks to help understand the information generated and identify gaps. Results Findings from this study identified areas for improvement, including the need for consolidation of forms that capture the same demographic variables, which could be accomplished with an electronic data capture system. Further, the mental models (conceptual frameworks) IVC and DISC highlighted the need for more detailed, standardized workflows specifically related to information management. Conclusions Based on these findings, we proposed a four-phased roadmap for centralizing data systems and transitioning to an electronic data capture system. These included: development of a data governance plan, transition to electronic data entry and centralized data storage, transition to a relational database, and cloud-based integration. The method and outcome of this assessment could be used by other neglected tropical disease programs looking to transition to modern electronic data capture systems. Guinea worm disease has no pharmacological treatment or vaccines, and therefore existing prevention and control strategies (e.g., case containment, health education, chemical treatment of water bodies) are critically dependent on timely, accurate, and actionable data. We conducted informant interviews, used conceptual frameworks, and mapped data flow to evaluate the Chad Guinea Worm Eradication Program’s current information system. We identified areas for improvement including the need to consolidate variables across data collection forms and the need to develop streamlined workflows. We proposed a four-phased roadmap for transitioning to an electronic data capture system and centralizing data storage. Our approach and proposed roadmap could be adopted by other neglected tropical disease control programs looking to modernize data collection and storage procedures.
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Affiliation(s)
- Saugat Karki
- Surveillance and Data Management Branch, Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America
- * E-mail:
| | - Adam Weiss
- Guinea Worm Eradication Program, The Carter Center, Atlanta, Georgia, United States of America
| | - Jina Dcruz
- Population Health Workforce Branch, Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America
| | - Dorothy Hunt
- Guinea Worm Eradication Program, The Carter Center, Atlanta, Georgia, United States of America
| | - Brandon Haigood
- Guinea Worm Eradication Program, The Carter Center, Atlanta, Georgia, United States of America
| | - Philip Tchindebet Ouakou
- Guinea Worm Eradication Program, Ministry of Public Health and National Solidarity, N’Djamena, Chad
| | - Elisabeth Chop
- Guinea Worm Eradication Program, The Carter Center, Atlanta, Georgia, United States of America
| | - Hubert Zirimwabagabo
- Guinea Worm Eradication Program, The Carter Center, Atlanta, Georgia, United States of America
| | - Beth L. Rubenstein
- Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America
- Malaria Branch, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America
| | - Sarah Yerian
- Guinea Worm Eradication Program, The Carter Center, Atlanta, Georgia, United States of America
| | - Sharon L. Roy
- Parasitic Diseases Branch, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America
| | - Mary L. Kamb
- Parasitic Diseases Branch, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America
| | - Sarah Anne J. Guagliardo
- Guinea Worm Eradication Program, The Carter Center, Atlanta, Georgia, United States of America
- Parasitic Diseases Branch, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America
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17
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Changalucha J, Hampson K, Jaswant G, Lankester F, Yoder J. Human rabies: prospects for elimination. CAB REVIEWS : PERSPECTIVES IN AGRICULTURE, VETERINARY SCIENCE, NUTRITION AND NATURAL RESOURCES 2021; 16:039. [PMID: 34765015 PMCID: PMC8580373 DOI: 10.1079/pavsnnr202116039] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Almost half of all countries in the world are effectively free of human deaths from dog-mediated rabies. But the disease still affects people in low- and middle-income countries, especially the rural poor, and children. Successful regional elimination of human rabies is attributable to advances in significant and sustained investment in dog vaccination, post-exposure vaccination and surveillance, illustrated by productive efforts to reduce human rabies in Latin America over the last 35 years. Nonetheless, countries still facing endemic rabies face significant barriers to elimination. Using the 2017 Global Strategic Plan to end human rabies deaths from dog-mediated rabies by 2030 as a reference point and an organizing framework, we assess progress toward global rabies elimination by examining the characteristics of successful regional control efforts and barriers to elimination. Although substantive barriers exist for countries where rabies remains endemic, advances in knowledge, technology, institutions, and economics provide a basis for optimism.
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Affiliation(s)
- Joel Changalucha
- Environmental Health and Ecological Science Department, Ifakara Health Institute, P.O. Box 78373, Dar es salaam, 14112, Tanzania
- Boyd Orr Centre for Population and ecosystem Health, Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, G12, 8QQ, UK
- College of Veterinary Medicine and Biomedical Science, Sokoine University of Agriculture, P.O. Box 3021, Morogoro, 23, Tanzania
| | - Katie Hampson
- Boyd Orr Centre for Population and ecosystem Health, Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, G12, 8QQ, UK
| | - Gurdeep Jaswant
- Boyd Orr Centre for Population and ecosystem Health, Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, G12, 8QQ, UK
- University of Nairobi Institute of Tropical and Infectious Diseases (UNITID), P.O. Box 30197, Nairobi, 00202, Kenya
- Tanzania Industrial Research Development Organisation (TIRDO), P.O. Box 23235, Dar es salaam, Tanzania
| | - Felix Lankester
- Global Animal Health Tanzania, Ngorongoro Conservation Area Authority Building, P.O. Box 1642, Arusha, Tanzania
- Paul G. Allen School for Global Animal Health, Washington state University, P.O. Box 647090, Pullman, Washington, WA 99164 United States of America
| | - Jonathan Yoder
- Paul G. Allen School for Global Animal Health, Washington state University, P.O. Box 647090, Pullman, Washington, WA 99164 United States of America
- School of Economic Sciences, Washington State University, P.O. Box 646210, Pullman, Washington, WA 99164-6210, United States of America
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Using data-driven approaches to improve delivery of animal health care interventions for public health. Proc Natl Acad Sci U S A 2021; 118:2003722118. [PMID: 33468627 PMCID: PMC7865124 DOI: 10.1073/pnas.2003722118] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Rabies is arguably the exemplar of the One Health Agenda in which preventative health care in one species can improve health of other species. Interrogation of large epidemiology datasets offers the potential to deliver health care initiatives in a more efficient and cost-effective manner. However, real-life examples demonstrating this potential are limited. Here, we report a real-time, data-driven approach to improve cost effectiveness of dog vaccination campaigns in urban sub-Saharan African settings, which eliminates the need of expensive door-to-door vaccination by replacing them with strategically positioned fixed and roaming static points (SPs). This approach has the potential to act as a template for future successful and sustainable urban SP-only dog vaccination campaigns. Rabies kills ∼60,000 people per year. Annual vaccination of at least 70% of dogs has been shown to eliminate rabies in both human and canine populations. However, delivery of large-scale mass dog vaccination campaigns remains a challenge in many rabies-endemic countries. In sub-Saharan Africa, where the vast majority of dogs are owned, mass vaccination campaigns have typically depended on a combination of static point (SP) and door-to-door (D2D) approaches since SP-only campaigns often fail to achieve 70% vaccination coverage. However, D2D approaches are expensive, labor-intensive, and logistically challenging, raising the need to develop approaches that increase attendance at SPs. Here, we report a real-time, data-driven approach to improve efficiency of an urban dog vaccination campaign. Historically, we vaccinated ∼35,000 dogs in Blantyre city, Malawi, every year over a 20-d period each year using combined fixed SP (FSP) and D2D approaches. To enhance cost effectiveness, we used our historical vaccination dataset to define the barriers to FSP attendance. Guided by these insights, we redesigned our vaccination campaign by increasing the number of FSPs and eliminating the expensive and labor-intensive D2D component. Combined with roaming SPs, whose locations were defined through the real-time analysis of vaccination coverage data, this approach resulted in the vaccination of near-identical numbers of dogs in only 11 d. This approach has the potential to act as a template for successful and sustainable future urban SP-only dog vaccination campaigns.
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Trends and spatial distribution of animal bites and vaccination status among victims and the animal population, Uganda: A veterinary surveillance system analysis, 2013-2017. PLoS Negl Trop Dis 2021; 15:e0007944. [PMID: 33872314 PMCID: PMC8084341 DOI: 10.1371/journal.pntd.0007944] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2019] [Revised: 04/29/2021] [Accepted: 01/06/2021] [Indexed: 11/28/2022] Open
Abstract
Rabies is a vaccine-preventable fatal zoonotic disease. Uganda, through the veterinary surveillance system at National Animal Disease Diagnostics and Epidemiology Centre (NADDEC), captures animal bites (a proxy for rabies) on a monthly basis from districts. We established trends of incidence of animal bites and corresponding post-exposure prophylactic anti-rabies vaccination in humans (PEP), associated mortality rates in humans, spatial distribution of animal bites, and pets vaccinated during 2013–2017. We reviewed rabies surveillance data at NADDEC from 2013–2017. The surveillance system captures persons reporting bites by a suspected rabid dog/cat/wild animal, human deaths due to suspected rabies, humans vaccinated against rabies, and pets vaccinated. Number of total pets was obtained from the Uganda Bureau of Statistics. We computed incidence of animal bites and corresponding PEP in humans, and analyzed overall trends, 2013–2017. We also examined human mortality rates and spatial distribution of animal bites/rabies and pets vaccinated against rabies. We identified 8,240 persons reporting animal bites in Uganda during 2013–2017; overall incidence of 25 bites/ 100,000population. The incidence significantly decreased from 9.2/100,000 in 2013 to 1.3/100,000 in 2017 (OR = 0.62, p = 0.0046). Of the 8,240 persons with animal bites, 6,799 (82.5%) received PEP, decreasing from 94% in 2013 to 71% in 2017 (OR = 0.65, p<0.001). Among 1441 victims, who reportedly never received PEP, 156 (11%) died. Western region had a higher incidence of animal bites (37/100,000) compared to other regions. Only 5.6% (124,555/2,240,000) of all pets in Uganda were vaccinated. There was a decline in the reporting rate (percentage of annual district veterinary surveillance reports submitted monthly to Commissioner Animal Health by districts) of animal bites. While reported animal bites by districts decreased in Uganda, so did PEP among humans. Very few pets received anti-rabies vaccine. Evaluation of barriers to complete reporting may facilitate interventions to enhance surveillance quality. We recommended improved vaccination of pets against rabies, and immediate administration of exposed humans with PEP. Rabies is a deadly viral disease, that is transmitted mainly by dog bites. Globally at least 59,000 deaths are reported to occur annually- mostly in Sub-Saharan Africa and Asia. However, rabies can be prevented through vaccination of pets (dogs and cats) and administration of rabies vaccine in humans exposed to rabies. In our study we reviewed secondary data of animal bites and rabies captured at the National Animal disease diagnostic epidemiology centre in Entebbe for the period 2013–2017. We found that of 1441 animal bite victims who never received rabies vaccine, only 156 (11%) died hence need for immediate administration of exposed humans with rabies and sensitization of the public about the consequences of animal bites and need for urgent health care. There was a decline in the reporting rate of animal bites during the study period suggesting that evaluation of the barriers to complete reporting may facilitate interventions to enhance surveillance quality. Less than 10% of the pets in the Uganda were vaccinated against rabies hence need for improved vaccination of pets against rabies through appropriated legislation.
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Evaluation of Multiplicity of Infection (MOI) and Harvesting Time on the Production of CVS-11 Strain of Rabies Virus in BSR Cell Line. JOURNAL OF MEDICAL MICROBIOLOGY AND INFECTIOUS DISEASES 2021. [DOI: 10.52547/jommid.9.1.25] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
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Dahm JR, Bailey JB, Kelly RF, Chikungwa P, Chulu J, Junior LC, Freeman EJ, Mayer D, Mazeri S, Sargison ND. Risk factors associated with Ctenocephalides felis flea infestation of peri-urban goats: a neglected parasite in an under-appreciated host. Trop Anim Health Prod 2021; 53:181. [PMID: 33625587 PMCID: PMC7904731 DOI: 10.1007/s11250-021-02620-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Accepted: 02/08/2021] [Indexed: 12/29/2022]
Abstract
Goats are critical in mixed smallholder agricultural systems in lower and middle-income countries, while fleas are important human and animal health concerns around the world. Convenience sampling was used to describe and consider risk factors for flea infestations of peri-urban goats, with the aim of informing the iterative development of animal husbandry and management based control strategies. Seven hundred and ninety-two goats were examined in 228 households across 10 peri-urban communities surrounding Blantyre in southern Malawi. The prevalence of Ctenocephalides felis fleas was 18.3, 37.1 and 100% at the levels of individual goats, households and communities, respectively, highlighting a neglected human and animal health concern. Constant introduction of new livestock coupled to a lack of biosecurity within communities, the ubiquitous presence of dog and cat hosts for C. felis, the frequency and thoroughness of cleaning overnight goat accommodation, and goat age less than 12 months old were identified as risk factors for flea infestation. This focal cross-sectional study highlights the significance of fleas in peri-urban communities and uncovers trends and commonalities that are needed to inform sustainable disease management. The majority of the peri-urban goat keepers were female, had resided in the same community throughout their whole life and had primary level education. Advice on the planned management of fleas in livestock needs to be tailored towards this demographic group. This approach affords an opportunity to promote public health measures to address household flea infestations and zoonotic disease spread.
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Affiliation(s)
- Julia Rose Dahm
- University of Edinburgh, Royal (Dick) School of Veterinary Studies, Easter Bush Veterinary Centre, Roslin, Midlothian, EH25 9RG, UK
| | | | - Robert F Kelly
- University of Edinburgh, Royal (Dick) School of Veterinary Studies, Easter Bush Veterinary Centre, Roslin, Midlothian, EH25 9RG, UK
| | - Patrick Chikungwa
- Department of Animal Health and Livestock Development, PO, Box 2096, Lilongwe, Malawi
| | - Julius Chulu
- Department of Animal Health and Livestock Development, PO, Box 2096, Lilongwe, Malawi
| | - Livio Costa Junior
- Pathology Department, Federal University of Maranhão, São Luís, Maranhão, Brazil
| | - Emily June Freeman
- University of Edinburgh, Royal (Dick) School of Veterinary Studies, Easter Bush Veterinary Centre, Roslin, Midlothian, EH25 9RG, UK
| | - Dagmar Mayer
- Worldwide Veterinary Service, 4 Castle Street, Cranborne, Dorset, BH21 5PZ, UK
| | - Stella Mazeri
- University of Edinburgh, Royal (Dick) School of Veterinary Studies, Easter Bush Veterinary Centre, Roslin, Midlothian, EH25 9RG, UK
- Worldwide Veterinary Service, 4 Castle Street, Cranborne, Dorset, BH21 5PZ, UK
| | - Neil Donald Sargison
- University of Edinburgh, Royal (Dick) School of Veterinary Studies, Easter Bush Veterinary Centre, Roslin, Midlothian, EH25 9RG, UK.
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Timing of reproduction and association with environmental factors in female free-roaming dogs in southern India. Prev Vet Med 2020; 187:105249. [PMID: 33418515 DOI: 10.1016/j.prevetmed.2020.105249] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Revised: 11/25/2020] [Accepted: 12/21/2020] [Indexed: 11/23/2022]
Abstract
Annual peaks in reproductive activity have been identified in multiple domestic dog populations. However, there is little evidence to describe how these peaks may be associated with environmental factors such as daylength, which plays a well-established role in breeding patterns of seasonally-reproductive species. Data were collected 2016-2020 during 7,743 and 4,681 neuter surgeries on adult female unowned free-roaming dogs in veterinary clinics in Goa and Tamil Nadu respectively. Temperature, precipitation, relative humidity, and daylength data were gathered for time periods preceding the neuter surgery that may have influenced the likelihood of pregnancy (potential influence periods). A multivariable generalised additive model was used to assess the relationship between these factors and pregnancy. The prevalence of pregnancy varied by month in both locations indicating seasonality of reproduction in these groups. The annual pattern was more distinct in Goa with a peak in pregnancies between September and December. In Goa, decreasing daylength was associated with a higher probability of pregnancy (p = 0.040). Decreasing temperature was associated with decreasing probability of pregnancy in the Nilgiris (p = 0.034). Bitches had a median of 6 foetuses, with no evidence of seasonal variation. Environmental factors were associated with patterns of pregnancy in free-roaming dogs, however statistically-significant factors varied by geographical location. Establishing local seasonal patterns of breeding in free-roaming dogs and assessing their relationship with environmental influences is recommended to facilitate effective and efficient population management strategies, which aim to reduce conflict between human and free-roaming dog populations.
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Athingo R, Tenzin T, Coetzer A, Hikufe EH, Peter J, Hango L, Haimbodi T, Lipinge J, Haufiku F, Naunyango M, Kephas M, Shilongo A, Shoombe KK, Khaiseb S, Letshwenyo M, Pozzetti P, Nake L, Nel LH, Freuling CM, Müller T, Torres G. Application of the GARC Data Logger-a custom-developed data collection device-to capture and monitor mass dog vaccination campaigns in Namibia. PLoS Negl Trop Dis 2020; 14:e0008948. [PMID: 33370285 PMCID: PMC7793283 DOI: 10.1371/journal.pntd.0008948] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Revised: 01/08/2021] [Accepted: 11/05/2020] [Indexed: 12/30/2022] Open
Abstract
Domestic dogs are responsible for 99% of all cases of human rabies and thus, mass dog vaccination has been demonstrated to be the most effective approach towards the elimination of dog-mediated human rabies. Namibia demonstrated the feasibility of this approach by applying government-led strategic rabies vaccination campaigns to reduce both human and dog rabies incidences in the Northern Communal Areas of Namibia since 2016. The lessons learnt using paper-based form for data capturing and management of mass dog vaccination campaign during the pilot and roll out phase of the project (2016–2018) led to the implementation of a simple and accurate data collection tool in the second phase (2019–2022) of the rabies elimination program. In this paper, we describe the implementation of such custom-developed vaccination tracking device, i.e. the Global Alliance for Rabies Control (GARC) Data Logger (GDL), and the integration of the collected data into a website-based rabies surveillance system (Rabies Epidemiological Bulletin—REB) during 2019 and 2020 campaigns. A total of 10,037 dogs and 520 cats were vaccinated during the 2019 campaign and 13,219 dogs and 1,044 cats during the 2020 campaign. The vaccination data were recorded with the GDL and visualized via REB. Subsequent GIS-analysis using gridded population data revealed a suboptimal vaccination coverage in the great majority of grid cells (82%) with a vaccination coverage below 50%. Spatial regression analysis identified the number of schools, estimated human density, and adult dog population were associated with the vaccination performance. However, there was an inverse correlation to human densities. Nonetheless, the use of the GDL improved data capturing and monitoring capacity of the campaign, enabling the Namibian government to improve strategies for the vaccination of at-risk areas towards achieving adequate vaccination coverage which would effectively break the transmission of rabies. We used a custom-developed vaccination tracking device—the Global Alliance for Rabies Control (GARC) Data Logger—to capture dog rabies vaccination data during the 2019 and 2020 mass vaccination campaign in the Northern Communal Areas of Namibia, and then integrated the collected data into the web-based Rabies Epidemiological Bulletin, a rabies-specific disease surveillance platform for rabies-endemic countries. This approach allowed automatic collation, analysis and, visualization of data and drastically improved the data capturing and monitoring capacity of the Namibian government led campaign. Additionally, subsequent GIS analysis enabled a better estimation of vaccination coverage at a much higher spatial resolution, thus identifying areas where improvements in the vaccination strategy are needed to ensure long-term success of the project.
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Affiliation(s)
- Rauna Athingo
- Animal Disease Control, Sub-division, North-West, Directorate of Veterinary Services (DVS), Ministry of Agriculture, Water and Land Reform, Ongwediva, Namibia
| | - Tenzin Tenzin
- World Organisation for Animal Health (OIE), Sub-Regional Representation for Southern Africa, Gaborone, Botswana
- * E-mail: ,
| | - Andre Coetzer
- Global Alliance for Rabies Control (GARC), Pretoria, South Africa
- Department of Biochemistry, Genetics and Microbiology, Faculty of Natural and Agricultural Sciences, University of Pretoria, South Africa
| | - Emmanuel H. Hikufe
- Directorate of Veterinary Services (DVS), Ministry of Agriculture, Water and Land Reform, Windhoek, Namibia
| | - Josephat Peter
- Outapi State Veterinary Office, Directorate of Veterinary Services (DVS), Ministry of Agriculture, Water and Land Reform, Omusati region, Outapi, Namibia
| | - Laina Hango
- Outapi State Veterinary Office, Directorate of Veterinary Services (DVS), Ministry of Agriculture, Water and Land Reform, Omusati region, Outapi, Namibia
| | - Tangeni Haimbodi
- Ondangwa State Veterinary Office, Directorate of Veterinary Services (DVS), Ministry of Agriculture, Water and Land Reform, Oshana region, Ondangwa, Namibia
| | - Johannes Lipinge
- Ondangwa State Veterinary Office, Directorate of Veterinary Services (DVS), Ministry of Agriculture, Water and Land Reform, Oshana region, Ondangwa, Namibia
| | - Frenada Haufiku
- Omuthiya State Veterinary Office, Directorate of Veterinary Services (DVS), Ministry of Agriculture, Water and Land Reform, Oshikoto region, Omuthiya, Namibia
| | - Matias Naunyango
- Eenhana State Veterinary Office, Directorate of Veterinary Services (DVS), Ministry of Agriculture, Water and Land Reform, Ohangwena region, Eenhana, Namibia
| | - Magano Kephas
- Eenhana State Veterinary Office, Directorate of Veterinary Services (DVS), Ministry of Agriculture, Water and Land Reform, Ohangwena region, Eenhana, Namibia
| | - Albertina Shilongo
- Directorate of Veterinary Services (DVS), Ministry of Agriculture, Water and Land Reform, Windhoek, Namibia
| | - Kenneth K. Shoombe
- Animal Disease Control, Sub-division, North-West, Directorate of Veterinary Services (DVS), Ministry of Agriculture, Water and Land Reform, Ongwediva, Namibia
| | - Siegfried Khaiseb
- Central Veterinary Laboratory, Directorate of Veterinary Services (DVS), Ministry of Agriculture Water and Land Reform, Windhoek, Namibia
| | - Moetapele Letshwenyo
- World Organisation for Animal Health (OIE), Sub-Regional Representation for Southern Africa, Gaborone, Botswana
| | | | - Lorenz Nake
- World Organisation for Animal Health (OIE), Paris, France
| | - Louis H. Nel
- Global Alliance for Rabies Control (GARC), Pretoria, South Africa
- Department of Biochemistry, Genetics and Microbiology, Faculty of Natural and Agricultural Sciences, University of Pretoria, South Africa
| | - Conrad M. Freuling
- Institute of Molecular Virology and Cell Biology, Friedrich-Loeffler-Institute, Greifswald—Insel Riems, Germany
| | - Thomas Müller
- Institute of Molecular Virology and Cell Biology, Friedrich-Loeffler-Institute, Greifswald—Insel Riems, Germany
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Sargison ND, Mazeri S, Gamble L, Lohr F, Chikungwa P, Chulu J, Hunsberger KT, Jourdan N, Shah A, Burdon Bailey JL. Conjunctival mucous membrane colour as an indicator for the targeted selective treatment of haemonchosis and of the general health status of peri-urban smallholder goats in southern Malawi. Prev Vet Med 2020; 186:105225. [PMID: 33348303 DOI: 10.1016/j.prevetmed.2020.105225] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2020] [Revised: 11/23/2020] [Accepted: 11/24/2020] [Indexed: 10/22/2022]
Abstract
The world's growing population is becoming increasingly centred around large cities, affording opportunities for peri-urban food production. Goats are well-suited to conversion of resources that are available in peri-urban settings into meat and occasionally milk. Haemonchus contortus has been described as "the nemesis of small ruminant production systems in tropical and subtropical regions"; hence control of haemonchosis through planned animal health management affords a pragmatic first step in improving the production efficiency of peri-urban goats. This study of peri-urban goat production investigated the potential value of targeted selective treatment of haemonchosis. 452 peri-urban goat keepers in southern Malawi were visited during three seasonal periods with relevance to the epidemiology of haemonchosis. 622, 599 and 455 individually identified goats were clinically examined during the dry season, the rainy season, and shortly after the end of the rainy season, respectively. Data were recorded for sex, age, weight, conjunctival mucous membrane colour score (FAMACHA©), body condition score (BCS) and faecal worm egg count (FEC); and where possible for pregnancy and lactation status. Animals with pale ocular mucous membranes were treated with 10 mg/kg albendazole, then re-examined 14 days later. Animals with pink mucous membranes, but FECs ≥250 eggs per gram were also re-examined and treated 14 days later. The results show high variability in growth rates deduced from the ages and bodyweights of each of 999 goats at the time of their enrolment. FAMACHA© scores alone were a poor index for the targeted selective treatment of haemonchosis, because they failed to identify too many animals that would have required treatment at different times of year and using different FAMACHA© and FEC cut-offs. Combining the indices of FAMACHA© scores ≥4, body condition scores ≥2, and age >18 months was more reliable in identifying those animals requiring treatment when different epidemiologically-relevant FEC thresholds for different seasons were taken into account. Inclusion of late pregnancy or early lactation status would have resulted in very few animals requiring treatment being missed. The use of conjunctival mucous membrane colour scoring in this way provided a valuable insight of the general health status of the peri-urban goats, to create opportunities for planned animal health management to improve productivity. The efficacy of albendazole treatment was poor, putatively due to drug resistance, or poor drug bioavailability in goats. In summary, our study shows opportunities for better production efficiency in peri-urban goats, and demonstrates the value of simple clinical diagnostic indices as decision support tools in planned animal health management.
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Affiliation(s)
- N D Sargison
- University of Edinburgh, Royal (Dick) School of Veterinary Studies, Easter Bush Veterinary Centre, Roslin, Midlothian, EH25 9RG, UK.
| | - S Mazeri
- University of Edinburgh, Royal (Dick) School of Veterinary Studies, Easter Bush Veterinary Centre, Roslin, Midlothian, EH25 9RG, UK
| | - L Gamble
- Mission Rabies, Worldwide Veterinary Service, 4 Castle Street, Cranborne, Dorset, BH21 5PZ, UK
| | - F Lohr
- Mission Rabies, Worldwide Veterinary Service, 4 Castle Street, Cranborne, Dorset, BH21 5PZ, UK
| | - P Chikungwa
- Department of Animal Health and Livestock Development, PO Box 2096, Lilongwe, Malawi
| | - J Chulu
- Department of Animal Health and Livestock Development, PO Box 2096, Lilongwe, Malawi
| | - K T Hunsberger
- MSD Fellowship for Global Health, Merck & Co., Inc., Kenilworth, NJ, USA
| | - N Jourdan
- MSD Fellowship for Global Health, Merck & Co., Inc., Kenilworth, NJ, USA
| | - A Shah
- MSD Fellowship for Global Health, Merck & Co., Inc., Kenilworth, NJ, USA
| | - J L Burdon Bailey
- Mission Rabies, Worldwide Veterinary Service, 4 Castle Street, Cranborne, Dorset, BH21 5PZ, UK
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Multisectoral approach to achieve canine rabies controlled zone using Intervention Mapping: Preliminary results. PLoS One 2020; 15:e0242937. [PMID: 33259498 PMCID: PMC7707495 DOI: 10.1371/journal.pone.0242937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2020] [Accepted: 11/11/2020] [Indexed: 10/31/2022] Open
Abstract
BACKGROUND Annually, in India, millions of dog bite cases occur; most of them are inflicted by a stray dog. There are over 25 million dogs in the country. The rate of stray dog vaccination is suboptimal in India. This study aims to develop an intervention strategy, using Intervention Mapping framework, tailored for the target community to achieve canine rabies controlled zone. METHODOLOGY This is an exploratory, cross-sectional study conducted at a tertiary care Medical Institute at Jodhpur, Rajasthan, India, from 2018-2019. The semi-structured, In-Depth Discussion was conducted with a multidisciplinary planning group comprising of members from veterinary, health, and administrative sectors. The In-Depth Discussion focused on knowledge regarding complete stray dog vaccination schedule, self-efficacy (to prevent dog bites), challenges, and barriers faced by residents to achieve canine rabies controlled zone. Further, discussion with veterinary stakeholders focused on challenges faced for rigorous implementation of stray dog vaccination and sterilization. RESULTS In-Depth Discussion revealed the following challenges: Lack of participation by the study population for canine vaccination, incomplete knowledge about annual canine vaccination schedule, lack of understanding of dog gestures, lack of infrastructure and resources at veterinary hospitals. The majority of the dogs in the study area were stray dogs that were partially or non-vaccinated and non-sterilized. An intersectoral collaboration was achieved between the community members, veterinary stakeholders both private and Non-Governmental organisations, and heath sector. Following which 35 (76.0%) stray dogs were vaccinated, and 17 (35.4%) were sterilized with community support. Burden of dog bite cases also decreased. The stray dog density map was prepared, and community engagement activity on dog gestures was conducted. CONCLUSION The present study demonstrates the feasibility of achieving canine rabies controlled zone. When implemented in a phase-wise manner across all Medical and Residential complex, this strategy would ensure achieving canine rabies controlled zone through multi-stakeholder engagement.
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Kimitsuki K, Saito N, Yamada K, Park CH, Inoue S, Suzuki M, Saito-Obata M, Kamiya Y, Manalo DL, Demetria CS, Mananggit MR, Quiambao BP, Nishizono A. Evaluation of the diagnostic accuracy of lateral flow devices as a tool to diagnose rabies in post-mortem animals. PLoS Negl Trop Dis 2020; 14:e0008844. [PMID: 33151941 PMCID: PMC7671516 DOI: 10.1371/journal.pntd.0008844] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Revised: 11/17/2020] [Accepted: 09/28/2020] [Indexed: 11/19/2022] Open
Abstract
Implementation of lateral flow devices (LFDs) for rabies antigen detection is expected to improve surveillance through the efficient detection of rabid animals in resource-limited settings; however, the use of LFDs for diagnosis remains controversial because some commercially available kits show low sensitivity. Therefore, we compared the diagnostic efficacy of three LFDs (ADTEC, Bionote, and Elabscience kits) paralleled with the direct fluorescent antibody test (dFAT) using fresh samples and investigated the diagnostic accuracies. To do so, we evaluated rabies-suspected samples submitted to the Regional Animal Disease Diagnostic Laboratory III, Philippines. Furthermore, we conducted real-time RT-PCR and sequencing to measure the accuracy of field laboratory diagnosis. The total number of animals submitted during this study period was 184 cases, including negative control samples. Of these, 53.9% (84 cases) were positive in the dFAT. Dogs were the most common rabies-suspected animal (n = 135). The sensitivities of the ADTEC and Bionote kits were 0.88 (74 cases) and 0.95 (80 cases), respectively. The specificity of both kits was 1.00 (100 cases). Furthermore, the sensitivity and specificity of the ADTEC kit after directly homogenizing the samples in assay buffer without dilution in phosphate-buffered saline (ADTEC kit DM) were 0.94 (79 cases) and 1.00 (100 cases), respectively. By contrast, there were no positive results using the Elabscience kit among all dFAT-positive samples. The sensitivity and specificity of LFDs make these tests highly feasible if properly used. Therefore, LFD tests can be used to strengthen the surveillance of rabies-infected animals in endemic and resource-limited settings.
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Affiliation(s)
- Kazunori Kimitsuki
- Department of Microbiology, Faculty of Medicine, Oita University, Yufu, Oita, Japan
| | - Nobuo Saito
- Department of Microbiology, Faculty of Medicine, Oita University, Yufu, Oita, Japan
| | - Kentaro Yamada
- Laboratory of Veterinary Public Health, Department of Veterinary Medical Science, Faculty of Agriculture, University of Miyazaki, Miyazaki, Miyazaki, Japan
| | - Chun-Ho Park
- Department of Veterinary Pathology, School of Veterinary Medicine, Kitasato University, Towada, Aomori, Japan
| | - Satoshi Inoue
- National Institute of Infectious Disease, Tokyo, Japan
| | - Motoi Suzuki
- National Institute of Infectious Disease, Tokyo, Japan
| | | | - Yasuhiko Kamiya
- School of Tropical Medicine & Global Health, Nagasaki University, Nagasaki, Nagasaki, Japan
| | - Daria L. Manalo
- Research Institute for Tropical Medicine, Muntinlupa City, Metro Manila, Philippines
| | - Catalino S. Demetria
- Research Institute for Tropical Medicine, Muntinlupa City, Metro Manila, Philippines
| | - Milagros R. Mananggit
- Regional Animal Disease Diagnostic Laboratory, Department of Agriculture Field Office III, San Fernando, Pampanga, Philippines
| | - Beatriz P. Quiambao
- Research Institute for Tropical Medicine, Muntinlupa City, Metro Manila, Philippines
| | - Akira Nishizono
- Department of Microbiology, Faculty of Medicine, Oita University, Yufu, Oita, Japan
- * E-mail:
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Gigante CM, Yale G, Condori RE, Costa NC, Long NV, Minh PQ, Chuong VD, Tho ND, Thanh NT, Thin NX, Hanh NTH, Wambura G, Ade F, Mito O, Chuchu V, Muturi M, Mwatondo A, Hampson K, Thumbi SM, Thomae BG, de Paz VH, Meneses S, Munyua P, Moran D, Cadena L, Gibson A, Wallace RM, Pieracci EG, Li Y. Portable Rabies Virus Sequencing in Canine Rabies Endemic Countries Using the Oxford Nanopore MinION. Viruses 2020; 12:v12111255. [PMID: 33158200 PMCID: PMC7694271 DOI: 10.3390/v12111255] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2020] [Revised: 10/21/2020] [Accepted: 10/26/2020] [Indexed: 12/18/2022] Open
Abstract
As countries with endemic canine rabies progress towards elimination by 2030, it will become necessary to employ techniques to help plan, monitor, and confirm canine rabies elimination. Sequencing can provide critical information to inform control and vaccination strategies by identifying genetically distinct virus variants that may have different host reservoir species or geographic distributions. However, many rabies testing laboratories lack the resources or expertise for sequencing, especially in remote or rural areas where human rabies deaths are highest. We developed a low-cost, high throughput rabies virus sequencing method using the Oxford Nanopore MinION portable sequencer. A total of 259 sequences were generated from diverse rabies virus isolates in public health laboratories lacking rabies virus sequencing capacity in Guatemala, India, Kenya, and Vietnam. Phylogenetic analysis provided valuable insight into rabies virus diversity and distribution in these countries and identified a new rabies virus lineage in Kenya, the first published canine rabies virus sequence from Guatemala, evidence of rabies spread across an international border in Vietnam, and importation of a rabid dog into a state working to become rabies-free in India. Taken together, our evaluation highlights the MinION's potential for low-cost, high volume sequencing of pathogens in locations with limited resources.
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Affiliation(s)
- Crystal M. Gigante
- Poxvirus and Rabies Branch, Division of High-Consequence Pathogens and Pathology, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30329, USA; (C.M.G.); (R.E.C.); (R.M.W.); (E.G.P.)
| | - Gowri Yale
- Mission Rabies, Tonca, Panjim, Goa 403001, India;
| | - Rene Edgar Condori
- Poxvirus and Rabies Branch, Division of High-Consequence Pathogens and Pathology, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30329, USA; (C.M.G.); (R.E.C.); (R.M.W.); (E.G.P.)
| | - Niceta Cunha Costa
- Disease Investigation Unit, Directorate of Animal Health and Veterinary Services, Patto, Panjim, Goa 403001, India;
| | - Nguyen Van Long
- Vietnam Department of Animal Health, Hanoi 100000, Vietnam; (N.V.L.); (P.Q.M.); (V.D.C.)
| | - Phan Quang Minh
- Vietnam Department of Animal Health, Hanoi 100000, Vietnam; (N.V.L.); (P.Q.M.); (V.D.C.)
| | - Vo Dinh Chuong
- Vietnam Department of Animal Health, Hanoi 100000, Vietnam; (N.V.L.); (P.Q.M.); (V.D.C.)
| | - Nguyen Dang Tho
- National Center for Veterinary Diseases, Hanoi 100000, Vietnam;
| | - Nguyen Tat Thanh
- Sub-Department of Animal Health, Phú Thọ Province 35000, Vietnam; (N.T.T.); (N.X.T.); (N.T.H.H.)
| | - Nguyen Xuan Thin
- Sub-Department of Animal Health, Phú Thọ Province 35000, Vietnam; (N.T.T.); (N.X.T.); (N.T.H.H.)
| | - Nguyen Thi Hong Hanh
- Sub-Department of Animal Health, Phú Thọ Province 35000, Vietnam; (N.T.T.); (N.X.T.); (N.T.H.H.)
| | - Gati Wambura
- Center for Global Health Research, Kenya Medical Research Institute, Nairobi 00100, Kenya; (G.W.); (F.A.); (O.M.); (V.C.); (S.M.T.)
| | - Frederick Ade
- Center for Global Health Research, Kenya Medical Research Institute, Nairobi 00100, Kenya; (G.W.); (F.A.); (O.M.); (V.C.); (S.M.T.)
| | - Oscar Mito
- Center for Global Health Research, Kenya Medical Research Institute, Nairobi 00100, Kenya; (G.W.); (F.A.); (O.M.); (V.C.); (S.M.T.)
| | - Veronicah Chuchu
- Center for Global Health Research, Kenya Medical Research Institute, Nairobi 00100, Kenya; (G.W.); (F.A.); (O.M.); (V.C.); (S.M.T.)
- Department of Public Health, Pharmacology and Toxicology, University of Nairobi, Nairobi 00100, Kenya
| | - Mathew Muturi
- Zoonotic Disease Unit, Ministry of Health, Ministry of Agriculture, Livestock and Fisheries, Nairobi 00100, Kenya; (M.M.); (A.M.)
| | - Athman Mwatondo
- Zoonotic Disease Unit, Ministry of Health, Ministry of Agriculture, Livestock and Fisheries, Nairobi 00100, Kenya; (M.M.); (A.M.)
| | - Katie Hampson
- Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow G12 8QQ, UK;
| | - Samuel M. Thumbi
- Center for Global Health Research, Kenya Medical Research Institute, Nairobi 00100, Kenya; (G.W.); (F.A.); (O.M.); (V.C.); (S.M.T.)
- University of Nairobi Institute of Tropical and Infectious Diseases, Nairobi 00100, Kenya
- Paul G. Allen School for Global Animal Health, Washington State University, Pullman, WA 99164, USA
| | - Byron G. Thomae
- Ministry of Agriculture Livestock and Food, Guatemala City 01013, Guatemala;
| | - Victor Hugo de Paz
- National Health Laboratory, MSPAS, Villa Nueva 01064, Guatemala; (V.H.d.P.); (S.M.)
| | - Sergio Meneses
- National Health Laboratory, MSPAS, Villa Nueva 01064, Guatemala; (V.H.d.P.); (S.M.)
| | - Peninah Munyua
- Division of Global Health Protection, Centers for Disease Control, Nairobi 00100, Kenya;
| | - David Moran
- University del Valle de Guatemala, Guatemala City 01015, Guatemala;
| | - Loren Cadena
- Division of Global Health Protection, Centers for Disease Control, Guatemala City 01001, Guatemala;
| | - Andrew Gibson
- The Roslin Institute and The Royal (Dick) School of Veterinary Studies, Division of Genetics and Genomics, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian EH25 9RG, UK;
| | - Ryan M. Wallace
- Poxvirus and Rabies Branch, Division of High-Consequence Pathogens and Pathology, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30329, USA; (C.M.G.); (R.E.C.); (R.M.W.); (E.G.P.)
| | - Emily G. Pieracci
- Poxvirus and Rabies Branch, Division of High-Consequence Pathogens and Pathology, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30329, USA; (C.M.G.); (R.E.C.); (R.M.W.); (E.G.P.)
| | - Yu Li
- Poxvirus and Rabies Branch, Division of High-Consequence Pathogens and Pathology, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30329, USA; (C.M.G.); (R.E.C.); (R.M.W.); (E.G.P.)
- Correspondence:
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Belsare A, Vanak AT. Modelling the challenges of managing free-ranging dog populations. Sci Rep 2020; 10:18874. [PMID: 33139803 PMCID: PMC7608676 DOI: 10.1038/s41598-020-75828-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Accepted: 10/16/2020] [Indexed: 12/24/2022] Open
Abstract
Free-ranging domestic dogs (FRD) are not only vectors of zoonoses of public health concern, but also pose direct threats to humans, livestock, and endangered wildlife. Many developing countries have struggled to control FRD, despite using both lethal and non-lethal methods. India has amongst the highest FRD populations globally and the highest incidences of dog-mediated human rabies, but only deploys Catch-Neuter-Vaccinate-Release (CNVR) for FRD control as a humane alternative to lethal methods, without evidence of it working successfully. Here, we use an agent-based dog population dynamics model to examine the time, effort, financial resources, and conditions needed to successfully control FRD in a typical urban setting. We simulate several scenarios, from an "ideal world" closed population with easily accessible dogs, to a more realistic open population with heterogeneity in catchability of dogs. In only one "best-case" scenario, CNVR resulted in a significant and lasting reduction in FRD, but with vaccination rates peaking only at 35%, which is half the WHO-recommended coverage. The customisable and portable modelling tool that we have developed allows managers to simulate real world processes and understand the expected effort needed to reduce regional dog populations, and assess methods for achieving effective anti-rabies vaccination coverage.
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Affiliation(s)
- Aniruddha Belsare
- Department of Fisheries and Wildlife, Boone and Crockett Quantitative Wildlife Center, Michigan State University, East Lansing, MI, USA
- OneHealth Working Group, Center for Modeling Complex Interactions, University of Idaho, Moscow, ID, USA
| | - Abi Tamim Vanak
- Ashoka Trust for Research in Ecology and the Environment, Bangalore, India.
- DBT/ Wellcome Trust, India Alliance Program (Clinical and Public Health Fellowship), Hyderabad, India.
- School of Life Sciences, University of KwaZulu-Natal, Durban, South Africa.
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Zero human deaths from dog-mediated rabies by 2030: perspectives from quantitative and mathematical modelling. Gates Open Res 2020; 3:1564. [PMID: 32596645 PMCID: PMC7308633 DOI: 10.12688/gatesopenres.13074.2] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/24/2020] [Indexed: 11/20/2022] Open
Abstract
Dog-mediated rabies continues to kill tens of thousands of people every year in low- and middle-income countries despite being an entirely vaccine-preventable disease. WHO and partners have launched a global campaign to reach zero human deaths from dog-mediated rabies by 2030. The primary tools for reaching this target are mass dog vaccination to interrupt transmission in domestic dog populations that maintain infection, appropriate post-exposure prophylaxis (PEP) for rabies-exposed persons to prevent the fatal onset of disease, together with education to support their effective uptake. Models have been developed to assess the feasibility, impact and cost-effectiveness of these measures. From these models, we argue that the 2030 target of zero human rabies deaths is achievable, but will require concerted effort, engagement and investment. A proposed Gavi investment in human rabies vaccines has potential to drive progress towards the 2030 target; however, concomitant investment is needed to scale up mass dog vaccination or this target will be missed. Predicted economic benefits of mass dog vaccination vary according to national PEP provisioning and healthcare access. Integrated Bite Case Management can enhance surveillance and rationalize PEP use, but needs adapting to and integrating within local health systems and international reporting systems to improve PEP accountability, monitor impacts and support verification of disease freedom. Modelling approaches need refining to project realistic and geographically specific timelines for achieving targets. Model iterations informed by data on the implementation of interventions can be used to evaluate progress and guide future strategies. Critically such models are needed to advocate for investment, since the greatest risk to the ‘Zero by 30’ strategy is the limited long-term cross-sectoral or targeted financing to support countries to deliver and sustain mass dog vaccination.
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Bonwitt J, Bonaparte S, Blanton J, Gibson AD, Hoque M, Kennedy E, Islam K, Siddiqi UR, Wallace RM, Azam S. Oral bait preferences and feasibility of oral rabies vaccination in Bangladeshi dogs. Vaccine 2020; 38:5021-5026. [PMID: 32513512 DOI: 10.1016/j.vaccine.2020.05.047] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Revised: 05/13/2020] [Accepted: 05/15/2020] [Indexed: 01/22/2023]
Abstract
Oral rabies vaccination (ORV) can increase rabies vaccination coverage among dogs that are inaccessible to parenteral vaccination (i.e., inaccessible dogs). Because bait uptake can differ according to the bait attractant used and dog characteristics, we evaluated proportion of bait uptake and time to bait uptake using three bait formulations. We looked for associations between bait uptake and dog characteristics (temperament, age, and body condition) and assessed the efficiency of using these bait formulations, as measured by number of dogs vaccinated per hour. A total of 356 baits were offered to free roaming dogs in urban and peri-urban districts of Bangladesh. Fish baits were ignored by 86% (n = 122; 95% CI: 79-91%) of dogs, whereas 60% (n = 45; 95% CI: 49-70%) consumed egg baits and 89% (n = 124; 95% CI: 83-93%) consumed intestine baits. Among the consumed baits, dogs fully consumed 56% (n = 10; 95% CI: 34-75%) of fish baits, 84% (n = 38; 95% CI: 71-92%) of egg baits, and 98% (n = 122; 95% CI: 94-100%) of intestine baits. Among inaccessible dogs, no associations were found between bait uptake and dog characteristics in either bivariate or multivariate analyses. Bait consumption averaged 2 dogs per hour for fish baits, 10 dogs per hour for egg baits, and 18 dogs per hour for intestine baits. The absence of association between bait type preference and individual dog characteristics simplifies the process of choosing attractants for oral rabies vaccines. While intestine attractants achieved highest uptake, egg baits may prove a suitable compromise when considering biological and operational constraints. The efficiency of ORV was demonstrated when compared to parenteral vaccination of free-roaming dogs previously described.
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Affiliation(s)
- Jesse Bonwitt
- Poxvirus and Rabies Branch, Division of High Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, GA, USA; Department of Anthropology, Durham University, Durham, United Kingdom.
| | - Sarah Bonaparte
- Poxvirus and Rabies Branch, Division of High Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, GA, USA; ORISE Fellow, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Jesse Blanton
- Divison of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Andrew D Gibson
- Mission Rabies, Cranborne, UK; The Roslin Institute and The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian, United Kingdom
| | - Mahbub Hoque
- TEPHINET, Centers for Disease Control and Prevention, Dhaka, Bangladesh
| | - Erin Kennedy
- Global Immunisation Division, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Kamrul Islam
- Zoonotic Disease Control Programme, Communicable Disease Control Unit, Directorate General of Health Services, Dhaka, Bangladesh
| | - Umme Ruman Siddiqi
- Zoonotic Disease Control Programme, Communicable Disease Control Unit, Directorate General of Health Services, Dhaka, Bangladesh
| | - Ryan M Wallace
- Poxvirus and Rabies Branch, Division of High Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Shakif Azam
- Department of Livestock Services, Ministry of Fisheries and Livestock, Dhaka, Bangladesh
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Marron O, Thomas G, Burdon Bailey JL, Mayer D, Grossman PO, Lohr F, Gibson AD, Gamble L, Chikungwa P, Chulu J, Handel IG, de C Bronsvoort BM, Mellanby RJ, Mazeri S. Factors associated with mobile phone ownership and potential use for rabies vaccination campaigns in southern Malawi. Infect Dis Poverty 2020; 9:62. [PMID: 32503667 PMCID: PMC7275584 DOI: 10.1186/s40249-020-00677-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2020] [Accepted: 05/19/2020] [Indexed: 12/25/2022] Open
Abstract
BACKGROUND Rabies is a fatal but preventable viral disease, which causes an estimated 59 000 human deaths globally every year. The vast majority of human rabies cases are attributable to bites from infected domestic dogs and consequently control of rabies in the dog population through mass vaccination campaigns is considered the most effective method of eliminating the disease. Achieving the WHO target of 70% vaccination coverage has proven challenging in low-resource settings such as Sub Saharan Africa, and lack of public awareness about rabies vaccination campaigns is a major barrier to their success. In this study we surveyed communities in three districts in Southern Malawi to assess the extent of and socio-economic factors associated with mobile phone ownership and explore the attitudes of communities towards the use of short message service (SMS) to inform them of upcoming rabies vaccination clinics. METHODS This study was carried out between 1 October-3 December 2018 during the post-vaccination assessment of the annual dog rabies campaign in Blantyre, Zomba and Chiradzulu districts, Malawi. 1882 questionnaires were administered to households in 90 vaccination zones. The surveys gathered data on mobile phone ownership and use, and barriers to mobile phone access. A multivariable regression model was used to understand factors related to mobile phone ownership. RESULTS Most survey respondents owned or had use of a mobile phone, however there was evidence of an inequality of access, with higher education level, living in Blantyre district and being male positively associated with mobile phone ownership. The principal barrier to mobile phone ownership was the cost of the phone itself. Basic feature phones were most common and few owned smartphones. SMS was commonly used and the main reason for not using SMS was illiteracy. Attitudes to receiving SMS reminders about future rabies vaccination campaigns were positive. CONCLUSIONS The study showed a majority of those surveyed have the use of a mobile phone and most mobile phone owners indicated they would like to receive SMS messages about future rabies vaccination campaigns. This study provides insight into the feasibility of distributing information about rabies vaccination campaigns using mobile phones in Malawi.
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Affiliation(s)
- Orla Marron
- Veterinary surgeon, Apt 35, The Barley House, Cork St, Dublin, 8 Ireland
| | | | | | | | | | | | | | | | - Patrick Chikungwa
- Department of Animal Health and Livestock Development, Blantyre, Malawi
| | - Julius Chulu
- Department of Animal Health and Livestock Development, Blantyre, Malawi
| | - Ian G. Handel
- The Epidemiology, Economics and Risk Assessment (EERA) Group, The Roslin Institute and The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian, UK
| | - Barend M. de C Bronsvoort
- The Epidemiology, Economics and Risk Assessment (EERA) Group, The Roslin Institute and The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian, UK
| | - Richard J. Mellanby
- The Royal (Dick) School of Veterinary Studies, Division of Veterinary Clinical Studies, The University of Edinburgh, Hospital for Small Animals, Easter Bush Veterinary Centre, Roslin, Midlothian, UK
| | - Stella Mazeri
- The Epidemiology, Economics and Risk Assessment (EERA) Group, The Roslin Institute and The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian, UK
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Gibson AD, Wallace RM, Rahman A, Bharti OK, Isloor S, Lohr F, Gamble L, Mellanby RJ, King A, Day MJ. Reviewing Solutions of Scale for Canine Rabies Elimination in India. Trop Med Infect Dis 2020; 5:E47. [PMID: 32210019 PMCID: PMC7157614 DOI: 10.3390/tropicalmed5010047] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2019] [Revised: 03/14/2020] [Accepted: 03/18/2020] [Indexed: 12/18/2022] Open
Abstract
Canine rabies elimination can be achieved through mass vaccination of the dog population, as advocated by the WHO, OIE and FAO under the 'United Against Rabies' initiative. Many countries in which canine rabies is endemic are exploring methods to access dogs for vaccination, campaign structures and approaches to resource mobilization. Reviewing aspects that fostered success in rabies elimination campaigns elsewhere, as well as examples of largescale resource mobilization, such as that seen in the global initiative to eliminate poliomyelitis, may help to guide the planning of sustainable, scalable methods for mass dog vaccination. Elimination of rabies from the majority of Latin America took over 30 years, with years of operational trial and error before a particular approach gained the broad support of decision makers, governments and funders to enable widespread implementation. The endeavour to eliminate polio now enters its final stages; however, there are many transferrable lessons to adopt from the past 32 years of global scale-up. Additionally, there is a need to support operational research, which explores the practicalities of mass dog vaccination roll-out and what are likely to be feasible solutions at scale. This article reviews the processes that supported the scale-up of these interventions, discusses pragmatic considerations of campaign duration and work-force size and finally provides an examples hypothetical resource requirements for implementing mass dog vaccination at scale in Indian cities, with a view to supporting the planning of pilot campaigns from which expanded efforts can grow.
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Affiliation(s)
- Andrew D. Gibson
- Mission Rabies, 4 Castle Street, Cranborne, Dorset BH21 5PZ, UK
- The Royal (Dick) School of Veterinary Studies and the Roslin Institute, Easter Bush Campus, The University of Edinburgh, Roslin, Midlothian EH25 9RG, UK;
| | - Ryan M. Wallace
- United States Centers for Disease Control and Prevention, Poxvirus and Rabies Branch, Atlanta, GA 30333, USA
| | - Abdul Rahman
- Commonwealth Veterinary Association 123, 7th B Main Road, 4th Block West, Jayanagar, Bangalore 560011, Karnataka, India
| | - Omesh K. Bharti
- State Institute of Health and Family Welfare, Parimahal, Kasumpti, Shimla 171009, Himachal Pradesh, India
| | - Shrikrishna Isloor
- Bangalore Veterinary College, KVAFSU, Hebbal, Bangalore 560024, Karnataka, India
| | - Frederic Lohr
- Mission Rabies, 4 Castle Street, Cranborne, Dorset BH21 5PZ, UK
| | - Luke Gamble
- Mission Rabies, 4 Castle Street, Cranborne, Dorset BH21 5PZ, UK
| | - Richard J. Mellanby
- The Royal (Dick) School of Veterinary Studies and the Roslin Institute, Easter Bush Campus, The University of Edinburgh, Roslin, Midlothian EH25 9RG, UK;
| | | | - Michael J. Day
- World Small Animal Veterinary Association and School of Veterinary and Life Sciences, Murdoch University, Murdoch 6150, Australia
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Zero human deaths from dog-mediated rabies by 2030: perspectives from quantitative and mathematical modelling. Gates Open Res 2020; 3:1564. [PMID: 32596645 PMCID: PMC7308633 DOI: 10.12688/gatesopenres.13074.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/24/2020] [Indexed: 09/09/2023] Open
Abstract
Dog-mediated rabies continues to kill tens of thousands of people every year in low- and middle-income countries despite being an entirely vaccine-preventable disease. WHO and partners have launched a global campaign to reach zero human deaths from dog-mediated rabies by 2030. The primary tools for reaching this target are mass dog vaccination to interrupt transmission in domestic dog populations that maintain infection, appropriate post-exposure prophylaxis (PEP) for rabies-exposed persons to prevent the fatal onset of disease, together with education to support their effective uptake. Models have been developed to assess the feasibility, impact and cost-effectiveness of these measures. From these models, we argue that the 2030 target of zero human rabies deaths is achievable, but will require concerted effort, engagement and investment. A proposed Gavi investment in human rabies vaccines has potential to drive progress towards the 2030 target; however, concomitant investment is needed to scale up mass dog vaccination or this target will be missed. Predicted economic benefits of mass dog vaccination vary according to national PEP provisioning and healthcare access. Integrated Bite Case Management can enhance surveillance and rationalize PEP use, but needs adapting to and integrating within local health systems and international reporting systems to improve PEP accountability, monitor impacts and support verification of disease freedom. Modelling approaches need refining to project realistic and geographically specific timelines for achieving targets. Model iterations informed by data on the implementation of interventions can be used to evaluate progress and guide future strategies. Critically such models are needed to advocate for investment, since the greatest risk to the 'Zero by 30' strategy is the limited long-term cross-sectoral or targeted financing to support countries to deliver and sustain mass dog vaccination.
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Fighting Dog-Mediated Rabies in Namibia-Implementation of a Rabies Elimination Program in the Northern Communal Areas. Trop Med Infect Dis 2020; 5:tropicalmed5010012. [PMID: 31963400 PMCID: PMC7157552 DOI: 10.3390/tropicalmed5010012] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2019] [Revised: 01/08/2020] [Accepted: 01/15/2020] [Indexed: 12/25/2022] Open
Abstract
The major part of the global burden of dog-mediated rabies falls on Africa and Asia, where still an estimated 60,000 people die of the disease annually. Like in many African countries, dog-mediated rabies is a major public health concern in Namibia, costing the country an estimated 242 human deaths during the past two decades, in particular in the Northern Communal Areas (NCAs). Consequently, under the “One Health” concept, the Namibian government adopted a National Rabies Control Strategy in 2015, which strives to contribute to the global goal of ending dog-mediated human rabies deaths by 2030. A key component of this strategy was the implementation a dog rabies elimination program in the NCAs in 2016, being designed as a stepwise regional rollout strategy by building on experience gained in a pilot project area. The area of implementation covers approximately 263,376 km2 and 64 constituencies, with around 1.2 million inhabitants and estimated 93,000 dogs.
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35
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Sánchez-Soriano C, Gibson AD, Gamble L, Bailey JLB, Mayer D, Lohr F, Chikungwa P, Chulu J, Handel IG, Bronsvoort BMD, Mellanby RJ, Mazeri S. Implementation of a mass canine rabies vaccination campaign in both rural and urban regions in southern Malawi. PLoS Negl Trop Dis 2020; 14:e0008004. [PMID: 31971943 PMCID: PMC6999910 DOI: 10.1371/journal.pntd.0008004] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2019] [Revised: 02/04/2020] [Accepted: 12/18/2019] [Indexed: 12/18/2022] Open
Abstract
Rabies is a devastating zoonotic disease causing nearly 60,000 deaths globally each year. The disease causes Malawi an economic loss of 13 million USD and kills almost 500 people annually. Domestic dogs are the main reservoir for rabies and vaccinating over 70% of the dog population is the most efficient method to reduce its incidence in both humans and canines. However, achieving such coverages is often difficult and depend on many geospatial factors. Rural and pastoral regions are considered difficult to vaccinate efficiently due to low dog densities, and reports of campaigns spanning large areas containing vastly different communities are lacking. This study describes a mass canine vaccination campaign covering rural and urban regions in southern Malawi. The campaign achieved an average vaccination coverage of 83.4% across 3 districts, and vaccinated over 89,000 dogs through a combined static point and door-to-door effort. A dog population of 107,574 dogs was estimated (dog:human ratio of 1:23). The canine population was found to be almost completely owned (99.2%) and mostly kept for security purposes (82.7%). The dogs were mainly adults, males, and not neutered. Regression analysis identified education level and proportion of young dogs as the only factors influencing (positively and negatively, respectively) whether vaccination coverage over 70% was achieved in a region, independently of variables such as population density or poverty. A second regression analysis was performed predicting absolute vaccination coverage. While education level and the proportion of confined dogs were associated with positive vaccination coverage, higher proportions of young animals and female dogs were associated with a decrease in coverage. This study confirms the feasibility of homogeneously vaccinating over 70% of the dogs in a large area including rural and urban communities. These findings can inform the logistics of future campaigns and might be used as a template to facilitate high-number, high-coverage vaccination campaigns to other regions in sub-Saharan Africa.
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Affiliation(s)
- Carlos Sánchez-Soriano
- The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian, United Kingdom
| | - Andrew D. Gibson
- The Roslin Institute, Division of Genetics and Genomics, Easter Bush Veterinary Centre, Roslin, Midlothian, United Kingdom
- Mission Rabies, Cranborne, Dorset, United Kingdom
| | - Luke Gamble
- Mission Rabies, Cranborne, Dorset, United Kingdom
| | | | - Dagmar Mayer
- Mission Rabies, Cranborne, Dorset, United Kingdom
| | | | - Patrick Chikungwa
- Department of Animal Health and Livestock Development, Lilongwe, Malawi
| | - Julius Chulu
- Department of Animal Health and Livestock Development, Lilongwe, Malawi
| | - Ian G. Handel
- The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian, United Kingdom
- The Roslin Institute, Division of Genetics and Genomics, Easter Bush Veterinary Centre, Roslin, Midlothian, United Kingdom
| | - Barend M. deC. Bronsvoort
- The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian, United Kingdom
- The Roslin Institute, Division of Genetics and Genomics, Easter Bush Veterinary Centre, Roslin, Midlothian, United Kingdom
| | - Richard J. Mellanby
- The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian, United Kingdom
| | - Stella Mazeri
- The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian, United Kingdom
- The Roslin Institute, Division of Genetics and Genomics, Easter Bush Veterinary Centre, Roslin, Midlothian, United Kingdom
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Srinivasan K, Kurz T, Kuttuva P, Pearson C. Reorienting rabies research and practice: Lessons from India. PALGRAVE COMMUNICATIONS 2019; 5:152. [PMID: 32850132 PMCID: PMC7115975 DOI: 10.1057/s41599-019-0358-y] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/28/2019] [Accepted: 10/31/2019] [Indexed: 05/31/2023]
Abstract
In this article, we reflect on the institutional and everyday realities of people-street dog relations in India to develop a case for decolonised approaches to rabies and other zoonoses. Dog-mediated rabies in Asia and Africa continues be a major concern in transnational public health agendas despite extensive research and knowledge on its prevention. In India, which carries 35% of the global rabies burden and has large street dog populations, One Health-oriented dog population management programmes have been central to the control of this zoonotic disease. Yet, rabies continues to be a significant problem in the country. In this article, we address this impasse in rabies research and practice through investigations of interactions between people, policy, and street dogs. Drawing primarily on field and archival research in Chennai city, we track how street dogs are perceived by people, explore how these animals have come into interface with (public) health concerns over time, and examine the biosocial conditions that frame people-dog conflict (and thereby rabies). These analyses create a picture of the multidimensional character of people-dog relations to offer new insights on why One Health-oriented rabies initiatives have not borne out their full promise. In effect, the article makes a case for a shift in public health orientations-away from intervening on these animals as vectors to be managed, and towards enabling multispecies habitats. This, we argue, requires the decolonisation of approaches to dog-mediated rabies, and expanded conceptions of 'healthy more-than-human publics'. In conclusion, the article chalks out broader implications for public health approaches to zoonoses in a world marked by mutual risk and vulnerability that cuts across human and nonhuman animals.
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Affiliation(s)
| | - Tim Kurz
- Department of Psychology, University of Bath, England, United Kingdom
| | | | - Chris Pearson
- Department of History, University of Liverpool, England, United Kingdom
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Sánchez-Soriano C, Gibson AD, Gamble L, Burdon Bailey JL, Green S, Green M, Bronsvoort BMD, Handel IG, Mellanby RJ, Mazeri S. Development of a high number, high coverage dog rabies vaccination programme in Sri Lanka. BMC Infect Dis 2019; 19:977. [PMID: 31747889 PMCID: PMC6868729 DOI: 10.1186/s12879-019-4585-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2019] [Accepted: 10/21/2019] [Indexed: 12/22/2022] Open
Abstract
BACKGROUND Rabies is estimated to cause 59,000 deaths and economic losses of US$8.6 billion every year. Despite several years of rabies surveillance and awareness programmes, increased availability of post-exposure prophylaxis vaccinations and dog population control, the disease still remains prevalent in Sri Lanka. This study reports the roll-out of a high number, high coverage canine rabies vaccination campaign in Sri Lanka, providing estimates for the vaccination coverage achieved, analysing the local dog demographics, and identifying barriers of attendance to static vaccination clinics. METHODS A mass dog vaccination campaign was undertaken in Negombo, Sri Lanka. The campaign was composed of static point and door-to-door vaccination stages, with a final survey of vaccination coverage. A large volume of data on the distribution, health, and signalment of vaccinated dogs was collected through a mobile phone application. A logistic regression model was developed to investigate which socio-spatial and dog-related factors influenced attendance of owners to static vaccination points. RESULTS The campaign vaccinated over 7800 dogs achieving a vaccination coverage of 75.8%. A dog:human ratio of 1:17 was estimated. Most dogs were owned, and the dog population was mostly male, adult, and non-sterilized. Unawareness, unavailability and handling problems were the most common reasons given by owners to explain failure to attend a static vaccination point. The regression analysis showed that increasing distance to a static point, in addition to young age and poor health of the dog, were associated with a decrease in the likelihood of attendance to a static vaccination points. CONCLUSION This study demonstrates the feasibility of high number, high coverage vaccination campaigns in Sri Lanka. The information on dog ecology and barriers of attendance to static point vaccination clinics will facilitate development of future vaccination campaigns.
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Affiliation(s)
- Carlos Sánchez-Soriano
- The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian EH25 9RG UK
| | - Andrew D. Gibson
- The Roslin Institute, Division of Genetics and Genomics, Easter Bush Veterinary Centre, Roslin, Midlothian UK
- Mission Rabies, Cranborne, Dorset UK
| | | | | | | | - Mark Green
- Dogstar Foundation, Negombo, Western Province Sri Lanka
| | - Barend M. deC. Bronsvoort
- The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian EH25 9RG UK
- The Roslin Institute, Division of Genetics and Genomics, Easter Bush Veterinary Centre, Roslin, Midlothian UK
| | - Ian G. Handel
- The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian EH25 9RG UK
- The Roslin Institute, Division of Genetics and Genomics, Easter Bush Veterinary Centre, Roslin, Midlothian UK
| | - Richard J. Mellanby
- The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian EH25 9RG UK
| | - Stella Mazeri
- The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian EH25 9RG UK
- The Roslin Institute, Division of Genetics and Genomics, Easter Bush Veterinary Centre, Roslin, Midlothian UK
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A Novel Integrated and Labile eHealth System for Monitoring Dog Rabies Vaccination Campaigns. Vaccines (Basel) 2019; 7:vaccines7030108. [PMID: 31505844 PMCID: PMC6789753 DOI: 10.3390/vaccines7030108] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2019] [Revised: 07/24/2019] [Accepted: 07/25/2019] [Indexed: 12/11/2022] Open
Abstract
The elimination of canine rabies through the implementation of high coverage mass dog vaccination campaigns is a complex task, particularly in the resource-limited countries of the rabies endemic world. Here we demonstrated the feasibility of applying targeted rabies vaccination campaigns to deliver more impactful intervention campaigns in resource-limited settings using evidence and lessons learnt from other diseases. With the use of strategic rabies intervention programs, we demonstrate the noteworthy reduction of rabies cases in two very different African settings. The strategic intervention was most significantly aided by the use of a custom-developed vaccination tracking device (the Global Alliance for Rabies Control (GARC) Data Logger) and an integrated rabies surveillance system (the Rabies Epidemiological Bulletin). Our first case study, an island-wide strategic dog vaccination on Tanzania's Unguja island, reduced the incidence of rabies by 71% in the first 16 months of implementation. In the second case study, a similar approach was applied in the metropolitan capital city of Zimbabwe and the incidence of rabies declined by 13% during the first 13 months of implementation. The methodologies and results presented here suggest that, in resource-limited settings, an optimal approach towards the elimination of dog rabies would revolve around strategic interventions, subject to the use of appropriate planning, surveillance, and vaccination tools.
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Development of a Non-Meat-Based, Mass Producible and Effective Bait for Oral Vaccination of Dogs against Rabies in Goa State, India. Trop Med Infect Dis 2019; 4:tropicalmed4030118. [PMID: 31487795 PMCID: PMC6789727 DOI: 10.3390/tropicalmed4030118] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2019] [Revised: 08/28/2019] [Accepted: 08/29/2019] [Indexed: 11/16/2022] Open
Abstract
Introduction: To achieve the global goal of canine-mediated human rabies elimination by 2030 there is an urgent need to scale-up mass dog vaccination activities in regions with large dog populations that are difficult to access; a common situation in much of India. Oral rabies vaccination may enable the vaccination of free-roaming dogs that are inaccessible to parenteral vaccination, and is considered a promising complementary measure to parenteral mass dog vaccination campaigns. WHO and OIE have published detailed minimum requirements for rabies vaccines and baits to be used for this purpose, requiring that baits must not only be well-accepted by the target population but must also efficiently release the vaccine in the oral cavity. For oral rabies vaccination approaches to be successful, it is necessary to develop baits which have a high uptake by the target population, are culturally accepted and amenable to mass production. The aim of this study was to compare the interest and uptake rates of meat-based and an egg-based prototype bait constructs by free roaming dogs in Goa, India. Methods: Three teams randomly distributed two prototype baits; an egg-flavoured bait and a commercial meat dog food (gravy) flavoured bait. The outcomes of consumption were recorded and compared between baits and dog variables. Results: A total of 209 egg-bait and 195 gravy-bait distributions were recorded and analysed. No difference (p = 0.99) was found in the percentage of dogs interested in the baits when offered. However, significantly more dogs consumed the egg-bait than the gravy-bait; 77.5% versus 68.7% (p = 0.04). The release of the blue-dyed water inside the sachet in the oral cavity of the animals was significant higher in the dogs consuming an egg-bait compared to the gravy-bait (73.4% versus 56.7%, p = 0.001). Conclusions: The egg-based bait had a high uptake amongst free roaming dogs and also enabled efficient release of the vaccine in the oral cavity, whilst also avoiding culturally relevant materials of bovine or porcine meat products.
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Adrien J, Georges Y, Augustin PD, Monroe B, Gibson AD, Fenelon N, Fleurinord L, Crowdis K, Mandra A, Joseph HC, Etheart MD, Wallace RM. Notes from the Field: A Multipartner Response to Prevent a Binational Rabies Outbreak - Anse-à-Pitre, Haiti, 2019. MMWR-MORBIDITY AND MORTALITY WEEKLY REPORT 2019; 68:707-709. [PMID: 31415489 PMCID: PMC6818699 DOI: 10.15585/mmwr.mm6832a6] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Wu X, Yang Y, Kling C, Seigler L, Gallardo-Romero NF, Martin BE, Smith TG, Olson VA. Inactivated Rabies Virus-Vectored Immunocontraceptive Vaccine in a Thermo-Responsive Hydrogel Induces High and Persistent Antibodies against Rabies, but Insufficient Antibodies against Gonadotropin-Releasing Hormone for Contraception. Vaccines (Basel) 2019; 7:vaccines7030073. [PMID: 31349649 PMCID: PMC6789544 DOI: 10.3390/vaccines7030073] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2019] [Revised: 07/18/2019] [Accepted: 07/19/2019] [Indexed: 12/30/2022] Open
Abstract
Rabies is preventable through vaccination, but the need to mount annual canine vaccination campaigns presents major challenges in rabies control and prevention. The development of a rabies vaccine that ensures lifelong immunity and animal population management in one dose could be extremely advantageous. A nonsurgical alternative to spay/neuter is a high priority for animal welfare, but irreversible infertility in one dose has not been achieved. Towards this goal, we developed a rabies virus-vectored immunocontraceptive vaccine ERA-2GnRH, which protected against rabies virus challenge and induced >80% infertility in mice after three doses in a live, liquid-vaccine formulation (Wu et al., 2014). To improve safety and use, we formulated an inactivated vaccine in a thermo-responsive chitosan hydrogel for one-dose delivery and studied the immune responses in mice. The hydrogel did not cause any injection site reactions, and the killed ERA-2GnRH vaccine induced high and persistent rabies virus neutralizing antibodies (rVNA) in mice. The rVNA in the hydrogel group reached an average of 327.40 IU/mL, more than 200 times higher than the liquid vaccine alone. The Gonadotropin-releasing hormone (GnRH) antibodies were also present and lasted longer in the hydrogel group, but did not prevent fertility in mice, reflecting a possible threshold level of GnRH antibodies for contraception. In conclusion, the hydrogel facilitated a high and long-lasting immunity, and ERA-2GnRH is a promising dual vaccine candidate. Future studies will focus on rabies protection in target species and improving the anti-GnRH response.
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Affiliation(s)
- Xianfu Wu
- Centers for Disease Control and Prevention, Poxvirus and Rabies Branch/DHCPP/NCEZID, Atlanta, GA 30329, USA.
| | - Yong Yang
- Centers for Disease Control and Prevention, Poxvirus and Rabies Branch/DHCPP/NCEZID, Atlanta, GA 30329, USA
- ARK Temporary Staffing, Lawrenceville, GA 30046, USA
| | - Chantal Kling
- Centers for Disease Control and Prevention, Poxvirus and Rabies Branch/DHCPP/NCEZID, Atlanta, GA 30329, USA
- Oak Ridge Institute for Science and Education, Oak Ridge, TN 37830, USA
| | - Laurie Seigler
- Centers for Disease Control and Prevention, Poxvirus and Rabies Branch/DHCPP/NCEZID, Atlanta, GA 30329, USA
- ARK Temporary Staffing, Lawrenceville, GA 30046, USA
| | - Nadia F Gallardo-Romero
- Centers for Disease Control and Prevention, Poxvirus and Rabies Branch/DHCPP/NCEZID, Atlanta, GA 30329, USA
| | - Brock E Martin
- Centers for Disease Control and Prevention, Poxvirus and Rabies Branch/DHCPP/NCEZID, Atlanta, GA 30329, USA
| | - Todd G Smith
- Centers for Disease Control and Prevention, Poxvirus and Rabies Branch/DHCPP/NCEZID, Atlanta, GA 30329, USA
| | - Victoria A Olson
- Centers for Disease Control and Prevention, Poxvirus and Rabies Branch/DHCPP/NCEZID, Atlanta, GA 30329, USA
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Cleaton JM, Blanton JD, Dilius P, Ludder F, Crowdis K, Medley A, Chipman R, Estime F, Maciel E, Wallace RM. Use of photography to identify free-roaming dogs during sight-resight surveys: Impacts on estimates of population size and vaccination coverage, Haiti 2016. Vaccine X 2019; 2:100025. [PMID: 31384742 PMCID: PMC6668240 DOI: 10.1016/j.jvacx.2019.100025] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2019] [Revised: 04/26/2019] [Accepted: 04/28/2019] [Indexed: 11/29/2022] Open
Abstract
Reviewing photographs helped identify dogs seen on both survey days. Improved dog identification lead to a higher population estimate. Vaccination coverage did not vary between field-surveyor and photo-reviewer populations. Improved dog identification allowed for vaccination mark loss estimates, showing likely higher coverage.
Background Enumerating dog populations is essential to plan and evaluate rabies vaccination campaigns. To estimate vaccination coverage and dog population size in a Haitian commune, 15 sight-resight counts were conducted over two days following a government-sponsored vaccination campaign. Methods Dogs received temporary laminated collars and livestock wax marks on the head and sides at the time of rabies vaccination. After the vaccination campaign, pairs of surveyors walked pre-defined routes through targeted neighborhoods, photographing and recording characteristics and location of each dog seen on a standardized data sheet. On the second survey day, surveyors retraced the prior day’s track, followed the same procedure, and indicated in addition whether they believed the dogs were resighted from the prior day. After completion of the field survey, two independent evaluators reviewed photographs and characteristics of each dog to assess which had vaccination marks and which were resighted. Surveyor and photo-reviewer sight-resight decisions were compared using Cohen’s kappa, and population estimates were compared using Lincoln-Petersen 95% confidence intervals. Results Field-surveyors identified dogs consistent with the photograph evaluations in 629 out of 800 instances (78.6%, Cohen’s kappa of 0.12). Despite this inconsistency, the population estimates resulting from the field and final determinations were not significantly different at 1,789 (95% CI 1,677 to 1,901) and 1,978 (95% CI 1,839 to 2,118). Vaccination coverage was also the same at 55% and 56%; however, an observed vaccination mark loss of 13.8% suggests that the true coverage may have been closer to 64%. Conclusion Using photos improved dog identification during the sight-resight study, leading to a higher population estimate. Despite using a 2-mark system to temporarily identify vaccinated dogs, a significant proportion had lost all identifying marks by the second day of field surveys. Efforts to estimate vaccination coverage using sight-resight surveys should consider improvement of marking techniques or better accounting for potential loss of marks in their free-roaming dog vaccination coverage assessments.
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Affiliation(s)
- Julie M Cleaton
- Poxvirus and Rabies Branch, Division of High Consequence Pathogens and Pathology, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Jesse D Blanton
- Poxvirus and Rabies Branch, Division of High Consequence Pathogens and Pathology, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Pierre Dilius
- Direction Production et Santé Animale/Protection Sanitaire, Ministère de l'Agriculture, des Ressources Naturelles et du Développement Rural, Port-au-Prince, Haiti
| | - Fleurinord Ludder
- Direction Production et Santé Animale/Protection Sanitaire, Ministère de l'Agriculture, des Ressources Naturelles et du Développement Rural, Port-au-Prince, Haiti
| | | | - Alexandra Medley
- Quarantine and Border Health Services Branch, Division of High Consequence Pathogens and Pathology, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Richard Chipman
- USDA, APHIS, Wildlife Services National Rabies Management Program, Concord, NH, USA
| | - Frantzlet Estime
- Direction Production et Santé Animale/Protection Sanitaire, Ministère de l'Agriculture, des Ressources Naturelles et du Développement Rural, Port-au-Prince, Haiti
| | | | - Ryan M Wallace
- Poxvirus and Rabies Branch, Division of High Consequence Pathogens and Pathology, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA
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Meunier NV, Gibson AD, Corfmat J, Mazeri S, Handel IG, Gamble L, Bronsvoort BMC, Mellanby RJ. A comparison of population estimation techniques for individually unidentifiable free-roaming dogs. BMC Vet Res 2019; 15:190. [PMID: 31174545 PMCID: PMC6556045 DOI: 10.1186/s12917-019-1938-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2019] [Accepted: 05/29/2019] [Indexed: 11/27/2022] Open
Abstract
Background Measuring the size of free roaming dog populations quickly and accurately is critical in the implementation of numerous preventive health and population control interventions. However, few studies have investigated the relative performance of population size assessment tools when applied to dogs. The aim of this study was to compare the commonly used mark-resight methodology with distance sampling methods, which are less resource intensive, to estimate free-roaming dog abundance in Goa, India. Twenty-six working zones were surveyed along all roads twice by the same surveyor at the same time of day, following a vaccination campaign which included marking of vaccinated dogs with a coloured paint. The Chapman estimate was then used to evaluate the mark-resight abundance. Additionally, the number of dogs and perpendicular distance from the road for all dogs sighted was recorded. This was used to estimate dog density and abundance using distance sampling methods. The detection function was fitted based on goodness-of-fit and AIC. Results The Chapman abundance estimate for the entire study area was 5202 dogs (95%CI 4733.8–5671.0), and the distance sampling method abundance estimate was 5067 dogs (95%CI 4454.3–5764.2). For individual working zones, after taking other factors into account in a mixed effects model, the average distance sampling estimate was 35% higher (95%CI 20–53%) than the Chapman estimate. There was also evidence of a difference in estimates between surveyors of 21% (95%CI 7–37%) and between days (22% lower on day 2, 95%CI 8–38%) for individual working zones. Conclusion Our study demonstrated that the distance sampling estimates were comparable overall to the Chapman method of abundance estimation of free roaming dogs across the entire study region but there was noticeable variation between the two methods when individual zones were compared. Consequently, distance sampling methods may be suitable to enumerate dogs over large areas in a more time efficient manner than the widely used mark-resight approach. Electronic supplementary material The online version of this article (10.1186/s12917-019-1938-1) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- N V Meunier
- The Royal (Dick) School of Veterinary Studies (R(D)SVS) and the Roslin Institute, Hospital for Small Animals, Easter Bush Veterinary Centre, Midlothian, EH25 9RG, Scotland
| | - A D Gibson
- Mission Rabies, 4 Castle Street, Cranborne, Dorset, BH21 5PZ, UK.,The Epidemiology, Economics and Risk Assessment (EERA) Group, The Roslin Institute and the Royal (Dick) School of Veterinary Studies (R(D)SVS), Easter Bush, Midlothian, EH25 9RG, Scotland
| | - J Corfmat
- Mission Rabies, 4 Castle Street, Cranborne, Dorset, BH21 5PZ, UK
| | - S Mazeri
- Mission Rabies, 4 Castle Street, Cranborne, Dorset, BH21 5PZ, UK.,The Epidemiology, Economics and Risk Assessment (EERA) Group, The Roslin Institute and the Royal (Dick) School of Veterinary Studies (R(D)SVS), Easter Bush, Midlothian, EH25 9RG, Scotland
| | - I G Handel
- The Royal (Dick) School of Veterinary Studies (R(D)SVS) and the Roslin Institute, Hospital for Small Animals, Easter Bush Veterinary Centre, Midlothian, EH25 9RG, Scotland
| | - L Gamble
- Mission Rabies, 4 Castle Street, Cranborne, Dorset, BH21 5PZ, UK
| | - B Mde C Bronsvoort
- The Epidemiology, Economics and Risk Assessment (EERA) Group, The Roslin Institute and the Royal (Dick) School of Veterinary Studies (R(D)SVS), Easter Bush, Midlothian, EH25 9RG, Scotland
| | - R J Mellanby
- The Royal (Dick) School of Veterinary Studies (R(D)SVS) and the Roslin Institute, Hospital for Small Animals, Easter Bush Veterinary Centre, Midlothian, EH25 9RG, Scotland.
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Implementation of high coverage mass rabies vaccination in rural Uganda using predominantly static point methodology. Vet J 2019; 249:60-66. [PMID: 31239167 DOI: 10.1016/j.tvjl.2019.04.013] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2018] [Revised: 04/23/2019] [Accepted: 04/25/2019] [Indexed: 12/25/2022]
Abstract
Despite successful eradication programmes in many regions, rabies remains responsible for approximately 60,000 human deaths annually, and no country in Africa is rabies-free. Dogs are the principal reservoir of the virus in Africa and the World Health Organisation recommends that at least 70% of the dog population be vaccinated in order to break the transmission cycle. Most attempts at mass rabies vaccinations in Africa have failed to vaccinate high numbers of dogs at a high coverage. Successful studies have often used a door-to-door (DTD) approach, which is logistically challenging and expensive compared to a static point (SP) approach. Mission Rabies has successfully implemented a combined SP and DTD method in cities in India and Malawi. This campaign used a combined methodology in rural Uganda, starting with a SP campaign, followed by a DTD campaign, and then subsequent transect surveys to assess vaccination coverage. This was facilitated by the use of a smartphone application which recorded all vaccinations and survey responses along with their Global Positioning System location. A total of 4172 dogs were vaccinated in 7 days, attaining an estimated 88.4% coverage. This campaign is of particular note as 95.9% of the vaccinations were performed at SPs. The human-to-dog ratio was 4.9 with a mean dogs per house of 1.2. Most dogs were owned (93.7%). This demonstrates that high-number, high-coverage vaccination is achievable in rural Uganda and provides data that may refine future campaign approaches.
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Gibson A, Yale G, Vos A, Corfmat J, Airikkala-Otter I, King A, Wallace R, Gamble L, Handel I, Mellanby R, Bronsvoort BDC, Mazeri S. Oral bait handout as a method to access roaming dogs for rabies vaccination in Goa, India: A proof of principle study. Vaccine X 2019; 1:100015. [PMID: 31384737 PMCID: PMC6668228 DOI: 10.1016/j.jvacx.2019.100015] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2018] [Revised: 02/12/2019] [Accepted: 02/17/2019] [Indexed: 01/06/2023] Open
Abstract
Rabies has profound public health, social and economic impacts on developing countries, with an estimated 59,000 annual human rabies deaths globally. Mass dog vaccination is effective at eliminating the disease but remains challenging to achieve in India due to the high proportion of roaming dogs that cannot be readily handled for parenteral vaccination. Two methods for the vaccination of dogs that could not be handled for injection were compared in Goa, India; the oral bait handout (OBH) method, where teams of two travelled by scooter offering dogs an empty oral bait construct, and the catch-vaccinate-release (CVR) method, where teams of seven travel by supply vehicle and use nets to catch dogs for parenteral vaccination. Both groups parenterally vaccinated any dogs that could be held for vaccination. The OBH method was more efficient on human resources, accessing 35 dogs per person per day, compared to 9 dogs per person per day through CVR. OBH accessed 80% of sighted dogs, compared to 63% by CVR teams, with OBH accessing a significantly higher proportion of inaccessible dogs in all land types. All staff reported that they believed OBH would be more successful in accessing dogs for vaccination. Fixed operational team cost of CVR was four times higher than OBH, at 127 USD per day, compared to 34 USD per day. Mean per dog vaccination cost of CVR was 2.53 USD, whilst OBH was 2.29 USD. Extrapolation to a two week India national campaign estimated that 1.1 million staff would be required using CVR, but 293,000 staff would be needed for OBH. OBH was operationally feasible, economical and effective at accessing the free roaming dog population. This study provides evidence for the continued expansion of research into the use of OBH as a supplementary activity to parenteral mass dog vaccination activities in India.
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Affiliation(s)
- A.D. Gibson
- Mission Rabies, Cranborne, Dorset, United Kingdom
- The Roslin Institute and The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian, United Kingdom
| | - G. Yale
- Mission Rabies, Tonca, Panjim, Goa, India
| | - A. Vos
- IDT Biologika GmbH, Dessau – Rosslau, Germany
| | - J. Corfmat
- Mission Rabies, Tonca, Panjim, Goa, India
| | | | - A. King
- Merck Animal Health, Madison, NJ, USA
| | - R.M. Wallace
- Poxvirus and Rabies Branch, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - L. Gamble
- Mission Rabies, Cranborne, Dorset, United Kingdom
| | - I.G. Handel
- The Roslin Institute and The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian, United Kingdom
| | - R.J. Mellanby
- The Royal (Dick) School of Veterinary Studies, Division of Veterinary Clinical Studies, The University of Edinburgh, Hospital for Small Animals, Easter Bush Veterinary Centre, Roslin, Midlothian, United Kingdom
| | - B.M. de C. Bronsvoort
- The Roslin Institute and The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian, United Kingdom
| | - S. Mazeri
- The Roslin Institute and The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian, United Kingdom
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Rupprecht CE, Kuzmin IV, Yale G, Nagarajan T, Meslin FX. Priorities in applied research to ensure programmatic success in the global elimination of canine rabies. Vaccine 2019; 37 Suppl 1:A77-A84. [PMID: 30685249 DOI: 10.1016/j.vaccine.2019.01.015] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2018] [Revised: 12/14/2018] [Accepted: 01/10/2019] [Indexed: 01/19/2023]
Abstract
The elimination of human rabies mediated by dogs is attainable in concept, based upon current sensitive and specific diagnostic methods, existing safe and effective human and veterinary vaccines and a sound virological, pathological and epidemiological understanding of the disease. Globally, all developed countries achieved this goal. Regionally, major progress occurred throughout the Americas. However, less advancement is evident in Africa and Asia. Our objective was to concentrate upon those salient improvements to extant tools and methods over the next five years which could assist and simplify the task for both those developing countries that have already begun the process, as well as other localities in the earlier stages of consideration. We considered several categories of applied research which could be accomplished in the short term, based upon the available scientific evidence and recent recommendations from subject matter experts and key opinion leaders, focused upon perceived major limitations to prior program success. Areas of concentration included: laboratory-based surveillance, pathogen detection and characterization; human rabies prophylaxis; veterinary biologics; implementation of canine vaccination; and oral vaccination of free-ranging community dogs. Further real-time application in these core areas with proven techniques and technology would simplify attaining not only the global goal focused subtly upon human mortality, but the actual elimination of canine rabies as well.
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Affiliation(s)
| | | | - Gowri Yale
- Mission Rabies, Panaji, Goa 403002, India
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