Lembo Tiziana, Attlan Michaël, Bourhy Hervé, Cleaveland Sarah, Costa Peter, de Balogh Katinka, Dodet Betty, Fooks Anthony R, Hiby Elly, Leanes Fernando, Meslin François-Xavier, Miranda Mary Elizabeth, Müller Thomas, Nel Louis H, Rupprecht Charles E, Tordo Noël, Tumpey Abbigail, Wandeler Alexander, Briggs Deborah J
Global Alliance for Rabies Control, 529 Humboldt Street, Suite 1, Manhattan, KS 66502, USA.
Vet Med Int. 2011;2011:923149. doi: 10.4061/2011/923149. Epub 2011 Jun 1.
Canine rabies, responsible for most human rabies deaths, is a serious global public health concern. This zoonosis is entirely preventable, but by focusing solely upon rabies prevention in humans, this "incurable wound" persists at high costs. Although preventing human deaths through canine rabies elimination is feasible, dog rabies control is often neglected, because dogs are not considered typical economic commodities by the animal health sector. Here, we demonstrate that the responsibility of managing rabies falls upon multiple sectors, that a truly integrated approach is the key to rabies elimination, and that considerable progress has been made to this effect. Achievements include the construction of global rabies networks and organizational partnerships; development of road maps, operational toolkits, and a blueprint for rabies prevention and control; and opportunities for scaling up and replication of successful programs. Progress must continue towards overcoming the remaining challenges preventing the ultimate goal of rabies elimination.
导致大多数人类狂犬病死亡的犬类狂犬病，是一个严重的全球公共卫生问题。这种人畜共患病是完全可以预防的，但仅专注于人类狂犬病的预防，这种“无法治愈的创伤”仍以高昂的代价持续存在。虽然通过消除犬类狂犬病来预防人类死亡是可行的，但犬类狂犬病的控制往往被忽视，因为动物卫生部门不将狗视为典型的经济商品。在此，我们证明，管理狂犬病的责任落在多个部门身上，真正的综合方法是消除狂犬病的关键，并且为此已经取得了相当大的进展。成就包括构建全球狂犬病网络和组织伙伴关系；制定路线图、操作工具包以及狂犬病预防和控制蓝图；以及扩大和推广成功项目的机会。必须继续取得进展，以克服阻碍实现消除狂犬病这一最终目标的其余挑战。
