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Dr Emmanuel A. Mpolya
Lecturer, Nelson Mandela African Institution of Science and Technology (NM-AIST), Arusha, Tanzania
Maison de la Paix - Geneva, Switzerland - 10 – 11 December 2015
Dr Emmanuel A. Mpolya Lecturer, Nelson Mandela African Institution - - PowerPoint PPT Presentation
Dr Emmanuel A. Mpolya Lecturer, Nelson Mandela African Institution - - PowerPoint PPT Presentation
Dr Emmanuel A. Mpolya Lecturer, Nelson Mandela African Institution of Science and Technology (NM-AIST), Arusha, Tanzania Maison de la Paix - Geneva, Switzerland - 10 11 December 2015 Introduction Tanzania Key features o Mainland and
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Introduction
Key features
- Mainland and island
- > 150 workers (vet + health)
- > 100 vet and health units
- 28 districts
- ~ 10 million people
Tanzania
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Project Timeline
No Large Rabies Control Programme Project Offic ally Launched Interna onally, Trainings in Tanzania Project Launched in Tanzania: 56,216 (50%) dogs vacc'd
- Mobile
Phone Surveillance started: 71,306 (70%) dogs vacc'd Vaccina ons con nued: 83,083 (80%) dogs vacc'd Vaccina ons con nued: 68,000 (62%) dogs vacc'd Vaccina ons con nued: 65,342 (63%) dogs vacc'd Final MDV campaigns
- ngoing
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
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Human deaths have declined dramatically
- ver the project period and with increasing
dog vaccination coverage
2011 2012 2013 2014 2015 5 10 15 20 Project Years Human Rabies Deaths 20 40 60 80 100 % Dogs Vaccinated Human Deaths % Dogs Vaccinated
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Human PEP use has declined with the implementation
- f effective mass dog vaccination campaigns
- Widespread shift from
intramuscular to intradermal administration of PEP resulting in cost savings
2011 2012 2013 2014 2015 0.0 0.5 1.0 1.5 2.0 2.5 3.0 Project Years PEP Doses (in thousands )
PEP Doses & Delivery Total PEP Intradermally Intramuscularly
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Elimination of rabies in Pemba Island
Economic Findings
Kilombero Masasi Newala Total Cost of Vaccination (USD) 50000 150000 250000 Lindi Rural Newala Kinondoni Cost of Vaccination per Animal (USD) 5 10 15 20 Ilala Rufiji Newala Liwale Total Cost of PEP (USD) 10000 30000 50000 70000 Lindi Rural Mkuranga Masasi Average Cost per PEP (USD) 10 20 30 40 50
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Successes & Lessons Learned
SUCCESSES
- First large scale programme to
eliminate rabies in Tanzania; a blueprint for local policy makers
- Elimination of human and dog
rabies in Pemba
- Mobile phone surveillance
increased data availability
- Reduction of human and dog
rabies in Mainland Tanzania
- Increased accessibility of PEP
across southern Tanzania averted many deaths
- Achieving 70% dog vaccination
coverage even in remote areas
- One – Health platform (formation
- f Zoonotic Diseases Unit where
rabies is more visible than before
LESSONS LEARNED
- Focus: a management unit with
focused responsibilities is key to project success
- Close cooperation of all key
sectors and stakeholders involved is important
- Estimations of dog populations
must adapt according to improved information
- Proper data management is vital
for smooth project operation
- Alternative data collection
technologies (eg. Mobile Phones) can be revolutionary
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Acknowledgments
International
- Bill and Melinda Gates
Foundation (BMGF)
- World Health Organization
(WHO) - Headquarters
- University of Glasgow (UoG)
- UBS Optimus Foundation
National
- WHO Country Office, TZ
- Ministry of Livestock and
Fisheries Development, TZ
- Ministry of Health and Social
Welfare, TZ
- Directorate of Veterinary
Services, TZ
- Tanzania Veterinary Laboratory
Agency, TZ
- Sokoine University of Agriculture
(SUA), TZ
- Ifakara Health Institute (IHI), TZ
Tribute to Dr. E Mbunda
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- Dr. Emmanuel A. Mpolya