Th. Mller C. M. Freuling, P. Rosado-Martin, C. Bertrand, A.R. - - PowerPoint PPT Presentation

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Th. Mller C. M. Freuling, P. Rosado-Martin, C. Bertrand, A.R. Fooks, F. Cliquet, T.C. Mettenleiter WHO CC for Rabies Surveillance and Research Friedrich-Loeffler-Institut, Greifswald-Insel Riems, Germany PROGRESS IN RABIES ELIMINATION IN

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Th. Müller
C. M. Freuling, P. Rosado-Martin, C. Bertrand, A.R.

Fooks, F. Cliquet, T.C. Mettenleiter

WHO CC for Rabies Surveillance and Research Friedrich-Loeffler-Institut, Greifswald-Insel Riems, Germany

PROGRESS IN RABIES ELIMINATION IN EUROPE

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

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2014 1983

Rabies in Europe

Past & present

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§ Pre-1940s

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Stray dog elimination

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Enforcement of sanitary policy

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Quarantine

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Notification of rabies

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Dog muzzling

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Movement restrictions

§ Endemic canine rabies

Elimination of rabies

Step I: canine rabies

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Elimination of rabies

A new threat … fox rabies

(1947 – 1953)

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1940s 1950s 1960s 1970s 1980s 1990s

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Conventional rabies control = Decimation of fox population

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Culling

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Trapping

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Poisoning

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Destruction of fox cubs ineffective

Elimination of rabies

A new threat … fox rabies

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§ 1940s -1980s

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Dog registration

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Compulsory vaccination

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Movement restrictions

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Dog population management

Elimination of rabies

Step I: canine rabies

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Oral fox vaccination – immune barrier

Elimination of rabies

Step II: fox rabies

R R R

Susceptible Protected

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2.5 Mio km2 33.2 Mio km2

Area ever vaccinated Cumulative area vaccinated

Elimination of rabies

Step II: fox rabies

(1978 – 2014)

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1.1 Mio km2

Elimination of rabies

Step II: fox rabies

Rabies cases I/2015 & current vaccination areas

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§ Pioneering spirit of a few countries § Strong long term political commitment § Stepwise (harmonized) approach

§ Step I: Canine rabies § Step II: Wildlife rabies

§ Commitment of WHO / OIE § Transparency (Rabies Bulletin Europe) § Support of European Union (Co-financing)

Elimination of rabies

Political milestones

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Elimination of rabies

Political milestones

Since 1977

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Elimination of rabies

Challenges in the past

§ Planning § Communication § Quality control § Suboptimal rabies control strategies § Epidemiological supervision § Rabies Surveillance § Monitoring of vaccination campaigns § Other disease priorities

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Elimination of rabies

Challenges ahead

§ Elimination of rabies from the EU and beyond

§ Cost-efficiency of wildlife rabies control in vast areas

§ Maintenance of rabies free regions

§ Vaccination belts § Import requirements § Awareness / vigilance / surveillance

§ Increasing abundance of novel rabies reservoirs § Delays in dog rabies elimination…

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2002 1998 2008 2014

Elimination of rabies

When rabid dogs meet wildlife…

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Thank you

Thomas Müller thomas.mueller@fli.bund.de

WHO CC for Rabies Surveillance and Research Friedrich-Loeffler-Institut, Greifswald-Insel Riems, Germany