Department of Biochemistry, Genetics and Microbiology, Faculty of Natural and Agricultural Sciences, University of Pretoria, Pretoria, South Africa; Global Alliance for Rabies Control, Pretoria, South Africa.
Global Alliance for Rabies Control, Santa Rosa, Philippines.
Antiviral Res. 2018 Sep;157:134-139. doi: 10.1016/j.antiviral.2018.07.018. Epub 2018 Jul 26.
The drive towards the worldwide elimination of dog-mediated human rabies by 2030 is the first step towards the ultimate goal of dog rabies elimination - as dogs account for more than 99% of human rabies cases globally - and has gained considerable momentum since this resolution was taken at a global meeting in Geneva in December 2015. For dog rabies-endemic countries and regions, dedicated regional networks may offer unique opportunities to take advantage of this global momentum. Towards this goal, the Pan-African Rabies Control Network (PARACON) was created in 2015, and the past year has seen the formation of the Asian Rabies Control Network (ARACON). ARACON provides opportunities for member countries to share lessons learnt and challenges faced, while also introducing them to programmatic support tools such as the Stepwise Approach towards Rabies Elimination (SARE) assessment and the Rabies Epidemiological Bulletin (REB). During the inaugural ARACON meeting, member countries evaluated their progress and developed country-specific Practical Workplans based on their SARE outcomes. The results from the national-level SARE assessments were considered at the regional level and, after discussion among countries, consensual agreement was reached that the target date of regional freedom from dog-mediated human rabies by 2020 was not feasible, and a new regional target of 2030 was set. With this new regional target, ongoing support will continue to be provided to countries through regional structures such as ARACON. However, the responsibility remains with the countries to use the available tools and resources to progress towards the new regional goal of dog-mediated human rabies elimination by 2030.
到 2030 年在全球范围内消除犬介导的人类狂犬病的目标是消除犬狂犬病的最终目标的第一步——因为狗在全球范围内导致了超过 99%的人类狂犬病病例——自 2015 年 12 月在日内瓦举行的全球会议通过该决议以来，这一目标已经取得了相当大的进展。对于犬狂犬病流行的国家和地区，专门的区域网络可能为利用这一全球势头提供独特的机会。为此，泛非狂犬病控制网络（PARACON）于 2015 年成立，过去一年还成立了亚洲狂犬病控制网络（ARACON）。ARACON 为成员国提供了分享经验教训和面临的挑战的机会，同时还向它们介绍了方案支持工具，如狂犬病消除的逐步方法（SARE）评估和狂犬病流行病学通报（REB）。在首届 ARACON 会议上，成员国评估了其进展情况，并根据其 SARE 结果制定了具体的国家工作计划。国家一级 SARE 评估的结果在区域一级进行了审议，在各国讨论后，一致认为到 2020 年实现区域内犬介导的人类狂犬病自由的目标不可行，并设定了到 2030 年的新区域目标。有了这个新的区域目标，将继续通过 ARACON 等区域结构向各国提供持续支持。然而，各国仍有责任利用现有的工具和资源，朝着到 2030 年消除犬介导的人类狂犬病的新区域目标迈进。
