WHO: Zero by 30: the global strategic plan to end human deaths from dog-mediated rabies by 2030

1 July, 2018

From the WHO website:

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Zero by 30: the global strategic plan to end human deaths from dog-mediated rabies by 2030

WHO/Department of control of neglected tropical diseases

Publication details

Editors: Dr B. Abela-Ridder/Neglected Zoonotic Diseases

Publication date: June 2018

Languages: English

http://www.who.int/rabies/resources/9789241513838/en/

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From the global strategic plan:

'Rabies is a neglected tropical disease. Most rabies cases occur in Africa and Asia. Approximately 80% of human cases occur in rural areas, and over 40% of rabies deaths occur in children aged under 15 years (3, 7) (Figure 1). Globally, the economic burden of rabies is estimated at US$ 8.6  billion per annum (1) (Figure 2). This cost is disproportionately borne by the world’s poorest and most disadvantaged communities. People continue to die of rabies because it is neglected, because their awareness of the disease is limited, because the disease remains uncontrolled in dogs, and because they lack access to basic medical care, such as PEP [post-exposure prophylaxis], following an exposure.'

'Objective 1: to effectively use vaccines, medicines, tools and technologies to reduce the risk of human rabies through expanded dog vaccinations, improved awareness and education, and increased access to health care, medicines

and vaccines for populations at risk.

Objective 2: to generate, innovate and measure impact through (i) effective policies, guidance and governance by harmonizing international recommendations, frameworks and strategies and by building capacity in countries; and (ii)

ensuring the availability of reliable data to enable effective decision-making by encouraging the use of technology and health innovations, and by refining tools for countries to monitor and report data, strengthen surveillance capacity and integrate reporting systems.

Objective 3: to sustain commitment and resources through multi-stakeholder engagement and by demonstrating the impact of activities completed under the United Against Rabies collaboration in national, regional and global rabies elimination programmes.'

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Comment: It would be interesting to know what percentage of people are aware of the need for post-exposure prophylaxis in the event of dog bite, how many seek medical care, and how many are treated appropriately. Put another way, what percentage of deaths from rabies reult from lack of awareness, failure to seek medical attention, and failure to provide appropriate PEP?

Best wishes, Neil

Coordinator, HIFA Project on Information for Citizens, Parents and Children:

http://www.hifa.org/projects/citizens-parents-and-children

Let's build a future where people are no longer dying for lack of healthcare information - Join HIFA: www.hifa.org

HIFA profile: Neil Pakenham-Walsh is coordinator of the HIFA global health campaign (Healthcare Information For All - www.hifa.org ), a global community with more than 18,000 members in 177 countries, interacting on five global forums in three languages. He also currently chairs the Dgroups Foundation (www.dgroups.info), which supports 800 communities of practice on international development, health and social justice. Twitter: @hifa_org FB: facebook.com/HIFAdotORG neil@hifa.org