Mbilo C, Lechenne M, Mauti S, Chitnis N, Tschopp R, Zinsstag J
Rev Sci Tech. 2018 Aug;37(2):331-340. doi: 10.20506/rst.37.2.2806.
While major progress has been made in the control of rabies in the Western Hemisphere, large parts of Europe and some parts of Asia, the disease continues to kill tens of thousands of people every year. Its highest burden is in resourcelimited countries in Asia and Africa, disproportionately affecting children and poor rural communities. Today, domesticated dogs are responsible for the vast majority of human rabies cases. In late 2015, rabies experts from around the world gathered at the Rabies Global Conference in Geneva, Switzerland, and launched the ambitious initiative to end deaths from dog-mediated human rabies by 2030. The most cost-effective and sustainable approach to achieve this goal is to eliminate the disease at source through mass dog vaccination. In this article, the role of and challenges faced by Veterinary Services in resourcelimited settings in implementing the dog vaccination strategy to reduce the human rabies burden are discussed, together with the role of wildlife in disease control and why the 'One Health' approach is indispensable on the path towards a dograbies- free future.
虽然西半球、欧洲大部分地区和亚洲部分地区在狂犬病防控方面已取得重大进展,但该疾病每年仍导致数万人死亡。其负担最重的地区是亚洲和非洲资源有限的国家,对儿童和贫困农村社区的影响尤为严重。如今,绝大多数人类狂犬病病例是由家养狗造成的。2015年末,来自世界各地的狂犬病专家齐聚瑞士日内瓦的狂犬病全球会议,并发起了一项宏伟倡议,即到2030年消除由狗传播导致的人类狂犬病死亡病例。实现这一目标最具成本效益和可持续的方法是通过大规模犬类疫苗接种从源头上消除该疾病。本文讨论了资源有限地区的兽医服务机构在实施犬类疫苗接种战略以减轻人类狂犬病负担方面所起的作用和面临的挑战,以及野生动物在疾病控制中的作用,还有为什么“同一健康”方法在迈向无犬狂犬病未来的道路上不可或缺。