Campaign Prof. Dr. Be-Nazir Ahmed Rabies Expert Chairperson, - PowerPoint PPT Presentation

Tackling Dog Vaccination Campaign Prof. Dr. Be-Nazir Ahmed Rabies Expert Chairperson, Rabies in Asia Foundation, Bangladesh Former, Director Disease Control, Bangladesh Global Rabies Conference Geneva 10-11 Prof Dr Be-Nazir Ahmed Dec 2015

Rabies Transmission Rabies is transmitted by roaming dogs Rabies virus is harbored by roaming dogs The dogs staying at large often inflict injuries The victims transmit the virus at different times The transmission of the virus is sustained in an area, region or country

95% -99% transmitted through dogs Global Rabies Conference Geneva 10-11 Prof Dr Be-Nazir Ahmed Dec 2015

Roaming Dogs Roaming dog is a common feature of dog population of many countries of Asia and Africa The dogs are either not owned or loosely owned leading to no or lesser care Almost all roaming dogs are without chance of vaccination against rabies

Domestic Roaming Dogs: Key in Transmission of Rabies Global Rabies Conference Geneva 10-11 Prof Dr Be-Nazir Ahmed Dec 2015

Mass Dog Vaccination in Rabies Elimination MDV is important intervention for achieving elimination of rabies The regional and country strategies are now targeting MDV MDV is found to develop herd immunity to a level, that can contribute in consistent reduction and elimination of rabies In countries of south America and some countries of Asia and Africa also, MDV has been campaigned generating evidences of success in elimination of rabies

Impact of MDV on Rabies Elimination 100 90 80 70 Probability of 60 elimination 50 Time to 40 elimination 30 20 10 0 Global Rabies Conference Geneva 10-11 Prof Dr Be-Nazir Ahmed Dec 2015

Decrease in Transmission after 1 st Round MDV Infected animals Introduction of Vaccinated animals Infection Unvaccinated animal 1 0 1 0 0 1 1 0 Global Rabies Conference Geneva 10-11 Dec 2015

Further Decrease after 2 nd Round MDV Infected animals Introduction of Vaccinated animals Infection Unvaccinated animal 1 Global Rabies Conference Geneva 10-11 Dec 2015

No Transmission after 3 rd Round MDV Infected animals Vaccinated animals Unvaccinated animal Global Rabies Conference Geneva 10-11 Dec 2015

MDV Initiative and Coverage Many rabies endemic countries of Asia and Africa are yet to campaign MDV They are facing problems in prioritization, planning and mobilization of resources. Catching stray dogs the first and most difficult step in MDV. It requires involvement of different sectors, expertise, fund and commitment.

Livestock Department: Yet to take responsibility The vaccination of roaming dogs also belongs to no man's land The public health problem lies with human, the responsibility of MDV lies with livestock Vaccinating unworthy dog is not a priority for livestock The problem of rabies in cattle is also not well reported, thereby masking the burden. It did not happen in many countries that, DLS&A came forward for conducting MDV.

Role of Health Department Health department faced the pressure of addressing dog as source of rabies as humans are fatal victim. So, it is the public health of many countries of South America, Africa and Asia that have started to take the responsibility of conducting MDV.

Mass Dog Vaccination Global Rabies Conference Geneva 10-11 Prof Dr Be-Nazir Ahmed Dec 2015

Global Rabies Conference Geneva 10-11 Prof Dr Be-Nazir Ahmed Dec 2015

Global Rabies Conference Geneva 10-11 Prof Dr Be-Nazir Ahmed Dec 2015

Characteristics of successful MDV The campaign itself also deserves few characteristics to be effective and feasible; • the duration to short, • vaccine should be of quality, • target coverage to be achieved, • campaign should be cost effective and affordable and reproducible. • It is also important to have capacity building through piloting and scale up campaigns to ensure coverage of a whole country or a whole region within shortest possible time.

One Week Strategy Day 1 • Advocacy meeting • Microplanning • Orientation of Animal Control Staff Day 2-3 Day 4-7 • MDV Campaign Global Rabies Conference Geneva 10-11 Prof Dr Be-Nazir Ahmed Dec 2015

MDV: From Zero to All district municipalities and Four Whole Districts within 4 Years Global Rabies Conference Geneva 10-11 Dec 2015 Prof Dr Be-Nazir Ahmed

Preparatory meeting: A key for successful MDV Global Rabies Conference Geneva 10-11 Prof Dr Be-Nazir Ahmed Dec 2015

• Killer to Saver of Dogs Thousands of Expert Dog Catchers Now Global Rabies Conference Geneva 10-11 Prof Dr Be-Nazir Ahmed Dec 2015

Requisites for Completing Three Rounds MDV Monetary resource is one of the most important component to complete three rounds of MDV; International development organizations and partners should convene together to realize this important public health initiatives; Vaccine bank for animal rabies has contributed significantly in scaling up in countries like Bangladesh, Sri Lanka and the Philippines in Asia.

Conclusion For achieving rabies free world we need to tackle MDV as a totality.

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