OHYVB Rabies Campaign

8/2/2019 OHYVB Rabies Campaign

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One Health Young Voice Bangladesh


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RABIES

The most fatal infectious disease in the world

The Lethal Biological BulletThat Never Fails to kill

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Kills almost

70,000 people

worldwide

100% fatal in

clinical cases.


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Highly fatal zoonotic disease infecting all warm-bloodedanimals.

Almost 100% fatal & yet 100% preventable

Rabies is a zoonotic viral NTD

Transmitted through bite, saliva, scratches, licks on broken

mucous membrane etc.

.Rabies


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Rabies Is A Neurotrophic Virus.


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Disturbingly Horrifying Violent symptoms

Hydrophobia and aerophobia

Biting aggression, frenzy, paralysis

Invariably Death 4

Fate of Rabies infected


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Reservoirs of rabies virus worldwide

In Asia and Africa: Dogs are the main reservoirs where, wild carnivores

and Bat are responsible in North America, Australia and Europe.


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Common Rare

Bites from infected animals

Licks on broken skin andmucous membrane

Scratches

Inhalation

Organ transplantation

Ingestion

Mode of Transmission.


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Types of Exposure in Rabies.

Category I Category II Category III


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60-70% of victims of rabiesare children aged 5-15.

One person dies fromrabies in every tenminutes.

Approximately 100children die of the

disease every day.

More than 55,000 people

die of rabies every year inAfrica and Asia alone

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Only few developed countries completely eradicated rabies or reduced its

incidence to the minimum level, but most of the Asian and African

countries are highly endemic for this devastating disease.


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40

32092490

19000

76

44

2000

1100

24

248

30

Human rabies cases (>28,000) in Far East Asia in 2006


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Death >2,000/year (Infectious Disease Hospital (IDH),

Dhaka reported cases only)

(India:20,000/yr; Africa:24,000/yrWHO estimates)

>300,000 people receive Post-exposure treatment / year

>85% from rural areas

Large number of livestock die

Grossly under reported.

No significant improvement over the last 10 years (Data from

IDH, Dhaka)


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A report from analysis of the 684 cases of human rabies came to the IDH,

Dhaka, revealed that from June 1999 to November 2003 the majority of

the victims (64.2%, 439/684) were below 15 years of age.


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In Bangladesh stray dog is the

main transmitter of Rabies and

responsible for almost 99% cases.

There is no official figure on thenumber of stray dogs in the country

but more than 2.5 million is estimated

by officials.

Every year more than 20,000 dogs

are killed/destroyed in and around

the capital alone, in name of rabies

prevention.

Municipalities and city

corporations all over the nation takes

similar role with no sign of

improvement in rabies control.


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People have misconceptions about rabies

Mostly unaware about the exposures and prophylaxis (PEP)

Unavailability of appropriate Tissue Culture Vaccine (TCV)

Use of toxic Nerve Tissue Vaccine (NTV)

Treatment by traditional healers

Large number of unsafe dog population (stray and community)

Rabies in Bangladesh(Cont..)


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Strategic Plan formulated by DG Health Bangladesh ;To prevent death

from rabies and to control animal rabies by 2020

Five main strategy suggested for

rabies control and elimination

A. Control of human rabies

B. Control of animal rabiesC. Effective disease and animal

reservoir surveillance.

D. Operational research

E. Social mobilization andpartnership.


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Bangladesh Anti Rabies Alliance (BARA)

Association of prevention and control of rabies in Bangladesh (APCRIB)

Obhoyaronno to prevent dog culling in Bangladesh.

International Center for Diarrhoeal Disease Research, Bangladesh (ICDDR,B)

Rabies in Asia Foundation (RIAF), Bangladesh

Some Non Government Organizations also Came Forward for rabies

control..


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Goal: To stop human death form rabies andeffectively control animal rabies through ABC-

ARV program by 2015.


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Chittagong is the Second Largest CityEconomic Capital of Bangladesh

.Many rabies reports are there

..Thousand s of stray dogs roaming around the city

No control and eradication program taken yet!


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We will Focus On.

Educational awareness on rabies at all level of society.

Community participation and fund raising.

Create a baseline database (Surveillance).

Reduce numbers of stray dogs through animal birth control (ABC).

Creation and maintenance of rabies free dog population (ARV).

Early and confirmatory laboratory based detection of rabies cases.

Completely Stop inhumane culling and address animal welfare.


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One HealthYoung Voice

Rabies

Control

Campaign

AWARENESS ABC/ARV

Fund Raising Monitoring

Collaboration Diagnosis

We propose action plan..

Baseline survey


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We Say. Awareness Can Save Life

Educational Programme for schools

Community Talk

Vaccination Campaign for the high risk

group people

Media Publicities

World Rabies Day (28th September)

Guides, posters and billboards


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We Say.Come.Collaborate

Govt. Body (Local Government, Directorate of

Health, DLS)

National and International Organizations

(GARC, AREB, RIA)

City Corporation

Donor agencies

Educational Institutes

Research organizations

Media Partners


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Fund Raising form local community

Search for Donor Organization

Involve Pharmaceuticals

Involve corporate

Involve research organizations

We SayContributeSave Life

d f i


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We Need.Information

Base line survey of the total population Setting of a surveillance

program

1.Estimation of dog population in CMA

2.Estimation of human rabies cases of previous years

-Hospital data record-Post exposure vaccine sale in local market

-Door to door data collection

3.Estimation of animal rabies cases (Reported outbreaks, local communityinformation, DLS)

4.Information of other wild entities

W S D ' KILL N


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We SayDon't KILL..Neuter

STOPCULLING


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Continuous increase in dog population

Continuous increase of Dog bites cases

Continuous raise of the death toll in Rabies

Dogs are highly terrestrial animal ; more dog replaces every time a dog is killed.

Dogs moving in a growing city from the outskirts in search of easy access to food

Because..

Experience Shows that mass culling results in


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Animal Birth Control (ABC) and simultaneous Anti Rabies Vaccination

(ARV) is recommended by the WHO, specially for Asian countries

Permanent, one time solution; Neutered/Sterilized dogs when returned to their

streets prevent new dogs from coming in as they are territorial by nature

On Vaccination and Sterilization of 70% of the street dog population, infection

gets stabilized.

Most cost-beneficial strategy. (Source : APCRI Journal, Vol, I, Issue 2, 2000)

hb


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ABC-ARV Success Stories in Neighboring nations..

O tli f ABC ARV P B OHYVB


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Outline of ABC-ARV Program By OHYVB

Continue the ABC-ARV program for at least 3 consecutive years (vaccination must meet 70% of total

population)

Capture of stray and community dogs from outskirt of the city towards the center

Sterilization of Male Dogs (either chemical Sterilent or surgical method)

Simultaneous Anti Rabies Vaccination of the captured dogs (Both male and female)

Marking of vaccinated dogs and tagging with collars and paints

Boosting of the vaccinated dogs in the following years

Monitoring of the progress


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1. Capture 2.Neuter

3. Tagging and Releasing 4. Follow-up

W ill f ilit t L b t Di i


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Rapid Laboratory Diagnosis of suspected rabid animal (Either form ante

mortem and post mortem samples)

PCR based confirmatory laboratory diagnosis of rabies cases

Search for local lineage of rabies virus (through collaboration with OIE

reference laboratories)

Uplift CVASU laboratory facility up to reference Lab. standards

We will facilitateLaboratory Diagnosis

N

PNN


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Prior and post estimation of the dogs population in CMA

Prior and post evaluation of rabies prevalence (PEP vaccine

procurement record and hospital record data sheet)

Evaluation of animal rabies cases form district livestock office

Seasonal and yearly case monitoring.

Awareness level monitoring in follow-up programs

OUR STRENGTH


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OUR STRENGTH..

We are Confident that we can do this because we have.

Professionals and Resource personals for animal birth control

Professional veterinarians and field workers

MOU with the City Corporation (under process)

National and International connection for support

Large Epidemiology team for formulating programme

Local pharmaceutical companies willing to contribute

Members from numbers of institutes ensuring more coverage

Our Strength (Cond )


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Support form CVASU with intern vet students

Young Active Organizers

Existing connection with the GARC and World rabies Day

Members form different institutes for covering larger dimension

Inputs form District livestock office and Health Division

Our Strength (Cond.)..

Activities done so far by


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Activities done so far by.

Participation with ARV mass vaccination campaign organized by DG

health.

Participation with animal birth control pilot programs

Arranged pet dog rabies vaccination campaign.

Laboratory Detection of rabies virus in various samples

Collaboration with WHO collaborating center for Rabies

Rabies awareness rally on world veterinary day 2011

We are Yo ng


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We are Young

We are Competent

We are committedWe are Diversified

We are multidimensional

We are form many disciplinesWe are United under One Health

We have the Voice

We Are the .

One Health Young Voice Bangladesh

If You Believe We Can Make a Difference


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If You Believe We Can Make a Difference ..

Please Raise your Voice Too

Join.

Collaborate.

Contribute.And

Make Chittagong free from Rabies


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OHYVB Rabies Campaign

Documents

Transcript of OHYVB Rabies Campaign