Implementation of high coverage mass rabies vaccination in rural Uganda using predominantly static point methodology.

Autor: Evans MJ; The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian, UK. Electronic address: m.j.evans-5@sms.ed.ac.uk., Burdon Bailey JL; Mission Rabies, Cranborne, Dorset, UK., Lohr FE; The Roslin Institute, Division of Genetics and Genomics, Easter Bush Veterinary Centre, Roslin, Midlothian, UK; Mission Rabies, Cranborne, Dorset, UK., Opira W; School of Veterinary Medicine, College of Veterinary Medicine, Animal Resources and Bio-security, Makerere University, Kampala, Uganda; The Big Fix Uganda, Gulu, Uganda., Migadde M; School of Veterinary Medicine, College of Veterinary Medicine, Animal Resources and Bio-security, Makerere University, Kampala, Uganda., Gibson AD; The Roslin Institute, Division of Genetics and Genomics, Easter Bush Veterinary Centre, Roslin, Midlothian, UK; Mission Rabies, Cranborne, Dorset, UK., Handel IG; The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian, UK; The Roslin Institute, Division of Genetics and Genomics, Easter Bush Veterinary Centre, Roslin, Midlothian, UK., Bronsvoort BMD; The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian, UK; The Roslin Institute, Division of Genetics and Genomics, Easter Bush Veterinary Centre, Roslin, Midlothian, UK., Mellanby RJ; 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., Gamble L; Mission Rabies, Cranborne, Dorset, UK., Mazeri S; The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian, UK; The Roslin Institute, Division of Genetics and Genomics, Easter Bush Veterinary Centre, Roslin, Midlothian, UK; Mission Rabies, Cranborne, Dorset, UK.
Jazyk: angličtina
Zdroj: Veterinary journal (London, England : 1997) [Vet J] 2019 Jul; Vol. 249, pp. 60-66. Date of Electronic Publication: 2019 May 23.
DOI: 10.1016/j.tvjl.2019.04.013
Abstrakt: 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.
(Copyright © 2019 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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