Faculty of Medicine, Chulalongkorn University, Bangkok, 10330, Thailand,
Curr Top Microbiol Immunol. 2013;365:185-203. doi: 10.1007/82_2012_228.
Rabies remains a constant threat to humans throughout much of Asia. The dog is the main reservoir and vector with wildlife playing a very minor role. No Asian country or region has been declared rabies free by WHO in over two decades and there is evidence of canine rabies spread to new regions during the past 10 years. We now have the knowledge and technology to control canine rabies. The main barrier in managing this costly endemic is lack of motivation by authorities to address this issue along with regional inability of public health and livestock (agriculture) officials to tackle this issue in cooperation and coordination. Rabies is one of the first recognized zoonoses and a model for a true "One Health" management goal where human; veterinary, and government officials must work together in harmony to defeat this disease.
在亚洲大部分地区,狂犬病仍然对人类构成持续威胁。狗是主要的储存宿主和传播媒介,野生动物的作用很小。二十多年来,世界卫生组织没有宣布任何亚洲国家或地区无狂犬病,并且有证据表明,在过去 10 年中,犬狂犬病已传播到新的地区。我们现在拥有控制犬狂犬病的知识和技术。管理这种昂贵的地方病的主要障碍是当局缺乏解决这一问题的动力,以及公共卫生和畜牧业(农业)官员在合作与协调方面解决这一问题的区域能力不足。狂犬病是最早被认识的人畜共患病之一,也是真正的“同一健康”管理目标的典范,在这一目标中,人类、兽医和政府官员必须共同努力,战胜这一疾病。