ELIMINATION KWAZULU-NATAL SOUTH AFRICA Mr. Kevin le Roux Rabies - - PowerPoint PPT Presentation
ELIMINATION KWAZULU-NATAL SOUTH AFRICA Mr. Kevin le Roux Rabies - - PowerPoint PPT Presentation
PROOF OF CONCEPT FOR ELIMINATION KWAZULU-NATAL SOUTH AFRICA Mr. Kevin le Roux Rabies Project Manager Veterinary Services Dept. Agriculture and Rural Development KwaZulu-Natal South Africa WHO Headquarters Geneva, Switzerland
- Mr. Kevin le Roux
Rabies Project Manager Veterinary Services
- Dept. Agriculture and
Rural Development KwaZulu-Natal South Africa
PROOF OF CONCEPT FOR ELIMINATION – KWAZULU-NATAL SOUTH AFRICA
WHO Headquarters – Geneva, Switzerland -10-11December 2015
50 100 150 200 250 300 350 400 450 EASTERN CAPE PROVINCE FREE STATE GAUTENG KWAZULU NATAL LIMPOPO MPUMALANGA NORTH WEST PROVINCE NORTHERN CAPE PROVINCE WESTERN CAPE PROVINCE
Reported Rabies Outbreaks per province 2006 and 2007
2006 2007
100,000 200,000 300,000 400,000 500,000 600,000 700,000
Rabies vaccinations per province
KwaZulu-Natal 10 Million people – 1.2 million dogs
Reviewed all aspects of the disease and its control Strategic, Mass MOBILE Campaigns Mulitsectoral Collaboration 87% of people know about rabies
Focus on field staff and pet
- wners
Central point of Operations Expansion CHAMPION
Ideal Flow
Awareness is Key
- 1. 93 % Reduction in
animal cases.
- 2. One human case in
final two years.
- 3. Expansion – 420000
doses of vaccine distributed into 5 neighboring provinces and countries.
5 10 10 15 15 20 20 2000 4000 6000 8000 10000 12000 Axis Title
Mpumalanga Province
Vaccinati… Cases 6 6 4 3 3 4 1 473 335 220 183 185 270 80 37 50 100 150 200 250 300 350 400 450 500 1 2 3 4 5 6 7 7 8 9 10 11 12 13 14
Project Success 2007-2014
Human Animal
South Africa
- Constant political changes (7 HOD’s; 6 Ministers)
- Other more important diseases (FMD; CSF)
- Staff fatigue (160 AHT’s vaccinated 3,5 million dogs)
- Individuals (Final pockets of the disease!)
PERSONALITIES POLITICS BEAUROCRACY
What is the “DIFFICULT?” part of rabies control.
Key Lessons From the Project:
- 1. Role of International
Organizations
- 2. Champions
- 3. One Health (RAG – OHAG)
- 4. Start small and scale up
- 5. Vaccine bank
- 6. Stimulation Packages
- 7. Research
- 8. Selling the project
- 9. Sustainability
Quote: George M. Baer “NATURAL HISTORY OF RABIES 2nd Edition 1991”
“Although notable progress had been made in various aspects of rabies, there is still a splintering of efforts in research and control and ………a great need to bring these efforts together.”
Vaccine bank stimulates expansion
Showcasing a model for control
Thank you
- Mr. K. le Roux
Rabies Project Manager KZN South Africa k.leroux@kzndard.gov.za
Acknowledgements:
- Prof. Louis Nel
- World Health Organization
- Bill and Melinda Gates Foundation
- Field Staff of KZN