Fondation Mérieux, 17 rue Bourgelat, 69002 Lyon, France.
Sanofi Pasteur, France.
J Infect Public Health. 2017 Nov-Dec;10(6):695-701. doi: 10.1016/j.jiph.2017.03.005. Epub 2017 May 2.
MEEREB is an inter-regional network of countries from North Africa, Europe, the Middle East and Central Asia that work together with the aim of improving rabies control and prevention at local, regional and global level. MEEREB members met for the third time in 2015 in France (Lyon) to review the current rabies situation within the network and to discuss the way forward the prospect of a One Health approach against rabies. Dogs were the main vector of transmission in all MEEREB countries except for Croatia and Serbia where foxes represented the primary source. The number of rabies animal cases reported in 2014 varied substantially between countries with Ukraine reporting the highest number of animal cases. Human cases still occur in North Africa and all Middle East and Eurasian countries while no cases of human rabies were reported in Croatia, Serbia and Romania, although cases of rabies were identified in both dogs and foxes in 2014. Participants concluded that MEEREB can act as a think-tank where countries can share data, information, experiences and best practices to jointly address challenges in rabies control and prevention. They called for elimination of dog-transmitted rabies through vaccine and rabies immunoglobulin stockpiles and implementation of a One Health approach to achieve rabies's eradication.
MEEREB 是一个由北非、欧洲、中东和中亚国家组成的区域间网络，旨在共同努力提高地方、区域和全球层面的狂犬病防控水平。MEEREB 成员于 2015 年在法国（里昂）第三次会面，审查了网络内的当前狂犬病情况，并讨论了前进的方向，即采用一种针对狂犬病的“同一健康”方法。除克罗地亚和塞尔维亚外，犬是所有 MEEREB 国家的主要传播媒介，而狐狸则是这两个国家的主要传染源。2014 年报告的狂犬病动物病例数量在各国之间差异很大，乌克兰报告的动物病例数量最多。北非和所有中东及欧亚国家仍有人感染狂犬病病例，而克罗地亚、塞尔维亚和罗马尼亚则没有报告人感染狂犬病病例，但 2014 年在犬和狐狸中均发现了狂犬病病例。与会者认为，MEEREB 可以作为一个思想库，各国可以在其中分享数据、信息、经验和最佳做法，共同应对狂犬病防控方面的挑战。他们呼吁通过疫苗和狂犬病免疫球蛋白储备消除犬传播的狂犬病，并实施“同一健康”方法，以实现狂犬病的根除。
