Rabies free zone in Thailand - Faculty of Veterinary...
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Rabies free zone in Thailand Dr. Pornpitak Panlar Bureau of General Communicable Disease Department of Disease Control
Transcript of Rabies free zone in Thailand - Faculty of Veterinary...
Rabies free zone in Thailand Dr. Pornpitak Panlar
Bureau of General Communicable Disease
Department of Disease Control
Rabies remains a public health concern in Thailand.
There are some people death from rabies every year.
The mean age of the patients was 40 years old.
Over 1 million people are potentially at risk of rabies infection.
More than 5 hundred thousand patients receive rabies vaccination annually at an estimated cost of 1 billion Bath.
More than 99% of all human deaths from rabies did not have post-exposure prophylaxis.
Domestic dogs the major source of human cases.
Burden of Rabies
Source: R.36 and TRN
Distribution of the risk levels of humans contracting rabies, worldwide, 2011
Rabies situation in Thailand
44.5 47.1 49.9
41.5
32.7 29.1 27.6 28.9 28.7
24.5 22 18.8 21.6
24.1
18.2 20.2
29.2
17.8 13.7 13.2
2.9 5.7 3.6
91
78
74
77
58 57
68
50
37 30
18 19 20 22
14 9
24
15 7
4 7 7
3
0
10
20
30
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50
60
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80
90
100 19
93
1994
1995
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2003
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2011
2012
2013
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2015
% animal rabies positive no. human death
Year
Source: R.36 and TRN Update: 15 Jul 2015
Rabies risk areas 2015
Divide by 1. No. of human rabies cases 2. No. of positive rabies in animals
Source: R.36 and TRN
Why human rabies still remain? • Public health
– Most of rabies case did not receive post exposure prophylaxis. – Lack of public participation from people – Inadequate of risk communication. – Provider error. – Health services accessibility.
• Livestock – Vaccine coverage in dogs is less than 80% – Inadequate of laboratory diagnosis. – Stray dogs especially in border line.
What’s next ?
SAARC and the ASEAN Plus 3 ( SEA + China, Japan and Rep. of Korea)
2020
2030
2015
2013
2014 2015
2017 2020
Road map to Rabies free area 2020
Control area level C Control area level B Control area level A Rabies Free Area
A = 27 provinces
A =18 provinces RFZ= 44 provinces
A =15 provinces RFZ= 47 provinces
RFZ= 77 provinces
RFZ= 77 provinces
Thailand will become the Rabies Free
Country by 2020.
6 Missions
5 core strategic
Visions Missions Strategies
Goal To achieve a long-term goal of zero rabies fatality both in human and animal populations
Efficient management and integrated approach to prevention and control of rabies
Increased role and active engagement from local administration organizations in rabies prevention and control
Surveillance, prevention and control of rabies in human and animal populations
Multi-sectoral engagement and public participation
Efforts to raise awareness, increase knowledge and skills, and influence behavior changes among the public for rabies prevention and control
Rabies control programs and results 1. Foster multi-sectorial efforts and collaboration to prevent and control rabies in local communities nationwide.
- 91.43% of local community in Thailand join in Rabies free zone project.
58% 30% 12%
Areas of Rabies free zone in Thailand during 2013-2014
A B C ปลอดโรค
60% 30%
9% 1%
2014
2013
Rabies control programs and results
2. Promote dog registration and rabies vaccination.
- The estimated vaccine coverage in dog is 78.97%
- Unable to consolidate updated and accurate dog populations.
3. Control and minimize the number of stray dogs.
4. Continued rabies surveillance prevention and control in both humans (Rabies) and animal (Thai Rabies Net)
Surveillance System
http://r36.ddc.moph.go.th/r36/home
Rabies control programs and results
5. Raise public knowledge, understanding and awareness on rabies prevention.
Animal health:
- Thailand’s dog vaccination program: 2 rounds of vaccination annually
1st round: April – May
2nd round: September – October
Public health:
- The patients have to see a doctor, if they are bitten by animals.
6. Enforce applicable laws related to rabies prevention and control.
RB campaign
Credit: District livestock office, Chiang Kong and Terng, Chiang Rai province
RB campaign
Challenge
• Prevention and control : Introduce cost-effective public health intervention techniques to improve accessibility, affordability and availability of post-exposure prophylaxis including mass dog vaccination and dog population control.
• Promotion : Improve understanding of rabies through awareness, education and operational research.
• Partnership : Collaboration between involvement of community, civil society, government and non-government sectors and international partners i.e. CDC, DLD, OIE, FAO, WHO
