RAB RABIES IES IN ASIA: IN ASIA: REGIONAL REGIONA L APP - - PowerPoint PPT Presentation

Mary Joy Gordoncillo

Science and One Health Coordinator OIE Sub-Regional Representation for South-East Asia

RAB RABIES IES IN ASIA: IN ASIA:

REGIONA REGIONAL L APP APPROAC ROACH AND AND PROGRE PROGRESS SS

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

INTRODUCTION |RABIES SITUATION IN THE ASIA-PACIFIC REGION

>10,000 rabies events from 15 countries in Asia Pacific were reported to WAHIS in 2014.

96% were in domestic animals

while 4% were in wildlife animals 2014 Rabies events in domestic animals: livestock, dogs, cats, horses, camels 2014 Rabies events in wildlife animals: ferret badger, red fox, Gray wolf, Pallas’s cat Animal rabies is present in 22 countries (46%) in the Asia- Pacific Region

>4 billion people

are at risk of rabies in Asia

>11 million people

receive post-exposure rabies prophylaxis after being exposed to dog bites Nearly 100% of human rabies cases in Asia are due to bites of rabid dogs Almost 50% of global rabies burden is in Asia

MANY STILL LIVE IN

EXTR EXTREME EME PO POVER VERTY TY

SOME OF ITS STRONG

CUL CULTURAL TURAL

IN INFL FLUENC UENCES ES

IMPACT DOG ECOLOGY

TRAD TRADITION ITIONAL AL

BEL BELIEFS IEFS

CONTINUE TO PERSIST

INTRODUCTION |RABIES CHALLENGES IN ASIA

SOME OF ITS NATIONAL HEALTH AND VETERINARY SERVICES ARE

ST STILL ILL REQUIRE REQUIRES S

IMPR IMPROVEMENT VEMENT

GOOD ACCESS TO QUALITY

HEA HEALTH TH CA CARE RE

IS OFTEN PROBLEMATIC

OTHE THER I R ISS SSUES UES THAT CONTINUE TO

PERSIST IN THE REGION

INTRODUCTION |RABIES CHALLENGES IN ASIA

South Asia Association for Regional Cooperation: Plans a regionally coordinated rabies elimination FAO-OIE-WHO Regional Tripartite: Multi-Sectoral Workshop on Zoonoses Prevention and Control since 2010 The Association of South-East Asia Nations (ASEAN) Ministers of Health and Ministers

• f Agriculture have jointly endorsed ASEAN

Rabies Elimination Strategy (ARES)

UPDATES ON PROGRESS|REGIONAL COORDINATION

UPDATES ON PROGRESS|RABIES REFERENCE LABORATORIES

OIE Reference Laboratory Changchun Veterinary Research Institute (CVRI), PEOPLE'S REP. OF CHINA

Diagnostic Lab for Rabies and Wildlife Associated Zoonoses Rabies Research Laboratory

OIE Reference Laboratory MAFRA, REPUBLIC OF KOREA WHO-Collaborating Center Bengaluru, INDIA National Institute of Mental Health and Neurosciences National Center for Disease Control WHO-Collaborating Center New Delhi, INDIA Queen Saovabha Memorial Institute WHO-Collaborating Center Bangkok, THAILAND WHO-Collaborating Center Bangkok, THAILAND Chulalongkorn University

UPDATES ON PROGRESS|RABIES VACCINE BANK

Afghanistan

(200,000 doses)

Bangladesh

(200,000 doses)

Bhutan

(100,000 doses )

Indonesia

(200,000 doses )

Lao PDR

(290,400 doses)

Myanmar

(400,000 doses )

Nepal

(200,000 doses)

Philippines

(1.12M doses )

Singapore

(5,000 doses)

Sri Lzanka

(300,400 doses)

Vietnam

(872,000 doses)

>3.9 million doses >3.9 million doses

• f rabies vaccines delivered as of December 2015

Cambodia

(50,000 doses )

UPDATES ON PROGRESS|LESSONS AND EXPERIENCES

Community ownership is also key to success. Strong public awareness is important.

UPDATES ON PROGRESS|LESSONS AND EXPERIENCES

Nerve- tissue vaccine production phased out in Asia! Intradermal vaccination is safe, cheap and effective.

UPDATES ON PROGRESS|LESSONS AND EXPERIENCES

Mass dog vaccination needs to be strategic. Dog population needs to be addressed.

UPDATES ON PROGRESS|LESSONS AND EXPERIENCES

One Health coordination will move things forward Capacity for rabies diagnosis & surveillance are important

UPDATES ON PROGRESS|LESSONS AND EXPERIENCES

Policy advocacy is crucial for sustainability.

A strong Public Health and Veterinary Services is crucial for success.

WAYS FORWARD

SOCIO-CULTURAL

CHALLENGES

TECHNICAL

CHALLENGES

ORGANIZATIONAL (including One Health)

CHALLENGES

POLITICAL

CHALLENGES

Dr Mary Joy Gordoncillo Science and One Health Coordinator OIE Sub-Regional Representation for SE Asia Bangkok, Thailand m.gordoncillo@oie.int Dr Eric Brum Country Team Leader, ECTAD FAO Avian Influenza Technical Unit Dhaka, Bangladesh Eric.Brum@fao.org Dr Gyanendra Gongal Scientist WHO Regional Office for South-East Asia New Delhi, India gongalg@who.int

Thank you

Acknowledgement: Images from Member Countries, GARC Philippines, Dr Gadey Sampath, and the authors. Animal rabies data from the World Animal Health Information and Analysis Department, OIE HQ, Paris