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Eduardo Pacheco de Caldas Substitute Coordinator of Transmissible Diseases_MoH_BRASIL Local Government and Municipalities: Motivating Communities Session 6 : The Global Campaign For Rabies Elimination Maison de la Paix - Geneva, Switzerland - 10

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Eduardo Pacheco de Caldas

Substitute Coordinator of Transmissible Diseases_MoH_BRASIL

Local Government and Municipalities: Motivating Communities Session 6 : The Global Campaign For Rabies Elimination

Maison de la Paix - Geneva, Switzerland - 10 – 11 December 2015

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South America and the Caribbean* “The dog rabies control is executed by the Health Sector, except in Haiti.” Brazil 1973 National Program of Rabies Control In capital and metropolitan regions 1982 1th Vaccination Campaigns Against Animal Rabies All country

South America

Local Government and Municipalities: Motivating Communities

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Regions: 05 Federated Unit: 27 Cities: 5.571 Area: 8.5 millions Km2 204 millions of people 32 millions of dogs*

*estimated

= Unified Health System - Brazil

Universality Integrality Equity

Brazil

Local Government and Municipalities: Motivating Communities

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Federal State City Guidelines and Inputs Execution

Regulation
Vaccines Acquisition – cell culture
Vaccines distribution to the states
Financial contribution and resource

transfer

Impact evaluation - NPRC
Coordinate the Rabies Campaing
Monitoring and evaluation
Vaccines distribution to cities
Financial contribution
Execute the Rabies Vaccination
Execute focus block
Financial contribution
Performance evaluation

Annual Vaccination Campaign Against Rabies

Unified Health System - Brazil

Local Government and Municipalities: Motivating Communities

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14,4 millions US $ 16,5 millions US $ 32 million US $ Investment 100,000 US $

578,398

People*

*Annual average for the period: 2010-2015. Health Surveillance Secretaria / Ministry of Health

National Program for Rabies Control-NPRC

Local Government and Municipalities: Motivating Communities

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Canine Rabies Vaccines Human Rabies Vaccines

(VERO and Chicken embryo)

Human Rabies Immunoglobulin

Heterologous Rabies Antiserum

32

million doses

2,5

million doses

70

thousand flasks

246

thousand flasks

Free Procedures

National Program for Rabies Control-NPRC

Local Government and Municipalities: Motivating Communities

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1058 1274 1737 1231 921 889 635 274 170 91 81 83 34 26 17 73 83 32 15 77 0,00 0,20 0,40 0,60 0,80 1,00 1,20 200 400 600 800 1000 1200 1400 1600 1800 2000 Cases Incidence per 10.000 animals

Cases Incidence

Canine Rabies

Local Government and Municipalities: Motivating Communities

Bolívia Peru Colombia Argentina Uruguay Paraguay Venezuela

Source: MoH/Brazil Data: until 2015/09

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Cases %

23 24 18 6 14 5 1 6 1 2 1 2 2 3 1

20 30 40 50 60 70 80 90 100 200 400 600 800 1000 1200 1400 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

Canine Rabies human Rabies Vaccination coverage (%)

Community mobilization is the responsibility of local governments

Human and Canine Rabies X Vaccination Coverage

Local Government and Municipalities: Motivating Communities

Source: MoH/Brazil Data: until 2015/09

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MA (1.5%) N=400 PI (7.8%) CE (26.8%) RN (9%) PB (7%) PE (28.8%) AL (0.8%) SE (3.0%) BA (15.5%)

Source: SVS / MS. *Until Nov/2015

Brazil – Rabies in wild canides

Local Government and Municipalities: Motivating Communities

Rabies in wild canids, Brazil. 2002-2015*

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Source: SVS / MS. *Until Nov/2015

Brazil – Rabies in Non Human Primates

Local Government and Municipalities: Motivating Communities

Rabies Non Human Primates. Brazil, in 2002 and 2015 *

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10 20 30 40 50 60 70 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 Canine Feline Bats Wild Animals (Terrestrial) Herbivores

Human rabies by animal species transmission, 1986 -2015*

BRAZIL (2008-2013) was 28% (10/36) of the total reported cases of human rabies transmitted by dogs in Latin

America. (SIRVERA / PAHO, 2013)

Note Brazil:. 90% (9/10) reported state of Maranhão

Source: SVS / MS. *Until Nov/2015

Brazil – Human Rabies

Local Government and Municipalities: Motivating Communities

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Brazil – Human Rabies

Local Government and Municipalities: Motivating Communities

Challenges:

Human rabies transmitted by dogs and cats with the virus

riginates from bats

Human rabies originating from foxes Human rabies transmited by dogs with virus

riginating foxes

Human rabies transmitted by monkeys (Callithrix jaccus)

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Thank you

Eduardo Pacheco de Caldas eduardo.caldas@saude.gov.br raiva@saude.gov.br

Substitute Coordinator of Transmissible Diseases_MoH_BRASIL