ELIMINATION KWAZULU-NATAL SOUTH AFRICA Mr. Kevin le Roux Rabies - - PowerPoint PPT Presentation

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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


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  • 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

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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

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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

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  • 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

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  • 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.

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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

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  • 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