Vigilato M A N, Molina-Flores B, Del Rio Vilas V J, Pompei J C, Cosivi O
Rev Sci Tech. 2018 Aug;37(2):703-709. doi: 10.20506/rst.37.2.2859.
Rabies is still one of the deadliest diseases known to exist in the 21st century, and yet it remains irresponsibly neglected and underestimated. In light of this, this paper discusses the principles of governance as they relate to rabies control, using examples of global intersectoral coordination programmes for the control of canine rabies and for the elimination of human rabies transmitted by dogs. The first of these programmes was the Meeting of Rabies Program Directors of the Americas (REDIPRA), which has served as a model of intersectoral success for rabies elimination in other regions. Examples of intersectoral cooperation on several continents, mainly between the health and agriculture sectors, are detailed to discuss various methods of achieving better technical cooperation. These cooperation programmes follow the 'coalition model' set by REDIPRA. They bring together various actors, such as governments, non-governmental organisations, the private sector, the science and research community, international cooperation agencies and donors, under a common umbrella for advocacy and for the implementation of local projects for the elimination of human rabies transmitted by dogs. Networking is the main intersectoral governance mechanism presented in this review.
狂犬病仍然是21世纪已知的最致命疾病之一，但它仍然被不负责任地忽视和低估。鉴于此，本文讨论了与狂犬病防控相关的治理原则，并列举了全球犬类狂犬病防控和消除犬传人狂犬病的跨部门协调项目实例。其中第一个项目是美洲狂犬病项目主任会议（REDIPRA），它已成为其他地区消除狂犬病跨部门成功的典范。详细介绍了几大洲跨部门合作的实例，主要是卫生和农业部门之间的合作，以讨论实现更好技术合作的各种方法。这些合作项目遵循REDIPRA设定的“联盟模式”。它们将政府、非政府组织、私营部门、科研界、国际合作机构和捐助者等不同行为体聚集在一起，共同进行宣传，并实施当地消除犬传人狂犬病的项目。网络是本综述中提出的主要跨部门治理机制。
