The horror of rabies

A global study on canine rabies has found that 160 people die every single day from the disease. Even though the disease is preventable, the study says that around 59 000 people die every year of rabies transmitted by dogs.

The multi-author study, by the Global Alliance for Rabies Control’s Partners for the Rabies Prevention Group, also shows that annual economic losses because of the disease are around 8,6 billion US dollars.

“This ground-breaking study is an essential step towards improved control and eventual elimination of rabies,” says Professor Louis Nel, Executive Director of the Global Alliance for Rabies Control (GARC). “An understanding of the actual burden helps us determine and advocate for the resources needed to tackle this fatal disease.”

Led by Dr Katie Hampson of the University of Glasgow, the study is the first to estimate the impact of canine rabies and the extent of control efforts in every country in the world.

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Dr Hampson explains, “The breadth of data used in this study, from surveillance reports to epidemiological study data to global vaccine sales figures, is far greater than ever analysed before, allowing this more detailed output.”

Where people are at risk

The study finds that overwhelmingly the greatest risk of canine rabies is in the poorest countries.

The death rate (deaths / 100 000 people) is highest in countries in sub-Saharan Africa, while India has the highest number of fatalities, with over 20  000 human deaths annually. The proportion of dogs vaccinated is far below that necessary to control the disease across almost all countries of Africa and Asia.

Fatal but preventable

Rabies is close to 100 percent fatal, but it is also almost 100 percent preventable, and the best, most cost-effective way of preventing canine rabies is by vaccinating dogs. This needs to be supplemented by improving access to human vaccines.

According to the report, this One Health approach to eliminating rabies deaths, with collaboration between the human and animal health sectors, can save many lives and significantly reduce the burden on vulnerable economies. Indeed, the countries that have invested most in dog vaccination are the ones where human deaths from the disease have been virtually eliminated.

“No one should die of rabies and GARC and its partners will continue to work together using a One Health approach towards global rabies elimination,” concludes Professor Nel.

Source: Global Alliance for Rabies Control via Sciencedaily.com

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