History of Rabies Incidence and Rabies Control in Serbia in Support of the Zero by 2030 Campaign to Eliminate Dog-Mediated Human Rabies

Urban (principally canine-mediated) rabies has been a public health risk for people living in Serbia for centuries. The first legal act in urban rabies prevention in Serbia was established in 1834 by introducing high taxes for pet dog owners. Five years later in 1839, the first set of literature describing rabies prevention was issued by the health department from The Serbian Ministry of Interior. An overview of cauterization of rabies wounds was presented as the principal method of rabies post exposure prophylaxis. In 1890, a human rabies vaccination was introduced in Serbia with the royal government directive which ordered patients to be treated at the Pasteur Institute in Budapest in receipt of rabies vaccination. Urban (canine) rabies was eliminated during the 1980s, but sylvatic (principally fox-mediated) rabies still prevailed. The last human rabies case was recorded in the Province of Kosovo and Metohija in 1980. Sylvatic rabies in Serbia is in the final stages of elimination by orally vaccinating foxes (Vulpes vulpes). The only published finding of a lyssavirus among Serbian bats was made in 1954 by Dr Milan Nikolić in the vicinity of Novi Sad. In 2006, a comprehensive two-year active surveillance program of lyssaviruses in bats in Serbia was undertaken. In this single study, all of the bats from Serbia tested negative for a lyssavirus.

Rabies is still a fatal but neglected disease: a case report

Background Rabies, caused by a lyssavirus, is a viral zoonosis that affects people in many parts of the world, especially those in low income countries. Contact with domestic animals, especially dogs, is the main source of human infections. Humans may present with the disease only after a long period of exposure. Nearly half of rabies cases occur in children <15 years old. We report on a fatal case of rabies in a Ghanaian school child 5 years after the exposure incident, and the vital role of molecular tools in the confirmation of the diagnosis. Case presentation The patient, an 11-year-old junior high school Ghanaian student from the Obuasi Municipality in Ghana, presented with aggressive behavior, which rapidly progressed to confusion and loss of consciousness within a day of onset. Her parents reported that the patient had experienced a bite from a stray dog on her right leg 5 years prior to presentation, for which no antirabies prophylaxis was given. The patient died within minutes of arrival in hospital (within 24 hours of symptom onset). Real-time polymerase chain reaction testing of cerebrospinal fluid obtained after her death confirmed the diagnosis of rabies. Subsequent phylogenetic analysis showed the virus to belong to the Africa 2 lineage of rabies viruses, which is one of the predominant circulating lineages in Ghana. Conclusion The incubation period of rabies is highly variable so patients may only present with symptoms long after the exposure incident. Appropriate molecular testing tools, when available as part of rabies control programmes, are vital in confirming cases of rabies.

Analyses of Contact Networks of Community Dogs on a University Campus in Nakhon Pathom, Thailand

Free-roaming dogs have been identified as an important reservoir of rabies in many countries including Thailand. There is a need for novel insights to improve current rabies control strategies in these countries. Network analysis is commonly used to study the interactions between individuals or organizations and has been applied in preventive veterinary medicine. However, contact networks of domestic free-roaming dogs are mostly unexplored. The objective of this study was to explore the contact network of free-roaming dogs residing on a university campus. Three one-mode networks were created using co-appearances of dogs as edges. A two-mode network was created by associating the dog with the pre-defined area it was seen in. The average number of contacts a dog had was 6.74. The normalized degree for the weekend network was significantly higher compared to the weekday network. All one-mode networks displayed small-world network characteristics. Most dogs were observed in only one area. The average number of dogs which shared an area was 8.67. In this study, we demonstrated the potential of observational methods to create networks of contacts. The network information acquired can be further used in network modeling and designing targeted disease control programs.

Adoption of the One Health approach to improve zoonosis control in low-income countries: Insights from the case of rabies management in Burkina Faso

Background and Aim: Rabies is a neglected zoonotic disease transmissible to humans and domestic and wild animals through biting, scratching, or licking. This study aimed to analyze the adoption of the One Health approach by the stakeholders involved in rabies control in Burkina Faso. Materials and Methods: The stakeholders involved in rabies control were from the Ministry of Livestock, Ministry of Health, Ministry of the Territory Administration, Ministry of Environment and Wildlife, and Ministry of Higher Education and Research. A structured questionnaire was used in face-to-face interviews to collect data from the stakeholders. The collected data included stakeholders' knowledge of rabies and the One Health approach and their levels of involvement in the multisectoral collaboration. Results: Most participants could not describe rabies correctly (80%), and only 52.9% had heard of the One Health approach. In addition, there was no significant association between knowledge of rabies and participants' characteristics, and the knowledge of the One Health approach was significantly influenced by a participant's affiliation (place of work). Conclusion: The results call for an increase in One Health education for its effective adoption by all the rabies control stakeholders. Additional efforts should focus on continual training of the One Health workforce, from policy-makers to frontline personnel.

ZOONOSIS CONTROL POLICY IN THE STATE OF RIO GRANDE DO SUL (PART 1)

Background: The scientist, graduated in veterinary medicine, coordinator of the Herbivorous Rabies Control Program, Wilson Hoffmeister Júnior, was interviewed. The Inspector of the Secretariat of Agriculture, Livestock, and Rural Development (SEAPDR) of the State of Rio Grande do Sul, which develops one of the work fronts of sanitary defense. Objective: to analyze the work of prevention and control of rabies in the state of Rio Grande do Sul (Brazil). Methods: the interview was formulated using the Herbivorous Rabies Control Program (PNCRH-RS) as an information base. Results and Discussion: The PNCRH-RS is a public policy program that has operated for decades in the state of Rio Grande do Sul, and it has contributed to the elimination of certain types of rabies in the state. In addition to keeping rabies transmitted by vampire bats under control, preventing or reducing economic losses, and ensuring the health and quality of the herd in the state of Rio Grande do Sul. Conclusions: the uninterrupted continuity of the PNCRH-RS guaranteed the economic viability of rural producers, increased their profitability, and ensured animal health and public health in the state of Rio Grande do Sul.

Rabies eradication measures in wildlife in the Republic of Moldova

Introduction. Rabies is one of the most dangerous zoonoses in the world with a lethality rate around 100% of infected animals. The main factor in rabies’ control is the prophylactic immunization of domestic and wild carnivores. Material and methods. As a research material for this manuscript, a number of rabies cases in wildlife over the last 5 years was studied, as well as some data from the national program regarding the vaccination of wildlife animals in the Republic of Moldova. Results. The anual incidence of rabies in wildlife was determined to range between 12 to 25% of the total number of rabies cases at national level. Due to vaccination by combining some methods (aerial and manual), the incidence of positive cases of rabies in wildlife has decreased by 48% in the last 5 years. Conclusions. The use of the mixed vaccination method of wildlife animals (manual and the distribution of baits by plane) contributed significantly to reducing the incidence of rabies in wildlife.

The Impact of Socioeconomic Factors on Knowledge, Attitudes, and Practices of Dog Owners on Dog Rabies Control in Thailand

Rabies is a deadly zoonotic disease responsible for almost 60,000 deaths each year, especially in Africa and Asia including Thailand. Dogs are the major reservoirs for rabies virus in these settings. This study thus used the concept of knowledge, attitudes, and practices (KAP) to identify socioeconomic factors that contribute to the differences in the canine rabies occurrences in high and low-risk areas which were classified by a Generalized Additive Model (GAM). Multistage sampling was then applied to designate the study locations and a KAP-based questionnaire was used to retrieve data and relevant perspectives from the respondents. Based on the responses from 476 participants living across four regions of Thailand, we found that the knowledge of the participants was positively correlated with their behaviors but negatively associated with the attitudes. Participants who are male, younger, educated at the level of middle to high school, or raising more dogs are likely to have negative attitudes but good knowledge on rabies prevention and control whereas farmers with lower income had better attitudes regardless of their knowledge. We found that people in a lower socioeconomic status with a lack of knowledge are not willing to pay at a higher vaccine price. Public education is a key to change dog owners' behaviors. Related authorities should constantly educate people on how to prevent and control rabies in their communities. Our findings should be applicable to other countries with similar socioeconomic statuses.