Faculty of Veterinary Medicine, University of Kinshasa, BP 127, Kinshasa, Congo.
Faculty of Sciences, Namur Research Institute for Life Sciences (NARILIS), Department of Veterinary Medicine, Unit of Integrated Veterinary Research, University of Namur, Rue de Bruxelles, 61-5000, Namur, Belgium.
Prev Vet Med. 2022 Jan;198:105531. doi: 10.1016/j.prevetmed.2021.105531. Epub 2021 Nov 5.
The traditional rabies control strategy based on annual mass vaccination of dogs appears to be costly and cumbersome. Given the existence of different risk zones for rabies transmission, the present study aimed at proposing risk-based vaccination schemes by considering canine population dynamics as well as vaccine efficacy and duration of immunity (DOI). The capital of the Democratic Republic of the Congo (RDC), Kinshasa, was chosen as study site. The turnover rate of dogs was used to assess their population dynamics in two low-roaming (<25 % of dogs are roaming) and in two high-roaming zones (>75 % of dogs are roaming). The sero-conversion rate was assessed in response to primo-vaccination in three age groups: 24 puppies (≤3months), 37 juveniles (4-12 months) and 22 adult dogs. The DOI was evaluated serologically by revaccinating dogs previously vaccinated since 1-2 years (n = 31), 2-3 years (n = 12) or 3-7.5 years (n = 4). Rapid Fluorescent Focus Inhibition Test was used to quantify antibodies. These data were used to implement vaccination outcome models.The turnover rate was twice as high in high-roaming zones (36 %) as that in lowroaming zones (17 %). Irrespective of roaming level, 75 % of dogs were less than 3 years old. The vaccine was equally effective in puppies (96 %), juvenile (97 %) and adult dogs (100 %, p = 0.24). The vaccine was effective in 93 % (11/12) of puppies without pre-vaccinal protective titers (≥0.5 IU/mL). The anamnestic response was strong within 5-8 days upon the booster vaccination, in 96 % (45/47) of dogs reported vaccinated 1-7.5 years before. This suggests that the vaccine provided a long-term protection (≥3 years) which is likely to occur in 75 % of dogs in Kinshasa.Hypothesizing a vaccination stop, the vaccination outcome model allowed to estimate the time point after which vaccination coverage would drop below 40 % in function of dog population turnover rate. The systematic vaccination of puppies as well as annual vaccination of dogs aged between 3 and 15 months or annual vaccination of all unvaccinated dogs aged more than 3 months of age appeared as valuable alternative to systematic annual mass vaccination.In conclusion, this study developed a vaccination outcome model pointing out the impact of dog population dynamics and of effective duration of immunity. It appears as a promising tool for designing cost-effective rabies vaccination campaigns.
基于犬年免疫的传统狂犬病控制策略似乎既昂贵又繁琐。鉴于狂犬病传播存在不同的风险区域,本研究旨在提出基于风险的免疫接种方案,同时考虑犬群的动态变化、疫苗的效力以及免疫持续期(DOI)。刚果民主共和国首都金沙萨被选为研究地点。使用犬群周转率评估两个低度游荡(<25%的犬游荡)和两个高度游荡(>75%的犬游荡)区域的犬群动态变化。评估了三个年龄组(24 只幼犬[≤3 个月]、37 只幼犬[4-12 个月]和 22 只成年犬)在初次免疫接种后的血清转化率。通过对 1-2 年(n=31)、2-3 年(n=12)或 3-7.5 年(n=4)前接种过疫苗的犬进行再免疫,评估了血清学 DOI。使用快速荧光灶抑制试验定量抗体。使用这些数据实施了免疫接种结果模型。高度游荡区的犬群周转率是低度游荡区的两倍(36%)。无论游荡程度如何,75%的犬年龄都小于 3 岁。幼犬(96%)、幼龄犬(97%)和成年犬(100%,p=0.24)对疫苗的反应相同。在没有预疫苗保护性滴度(≥0.5 IU/mL)的情况下,疫苗对 12 只幼犬中的 11 只(96%)同样有效。加强免疫后 5-8 天内,96%(45/47)的犬报告在 1-7.5 年前接种过疫苗,呈现强烈的回忆反应。这表明疫苗提供了长达 3 年以上的长期保护(≥3 年),这可能发生在金沙萨 75%的犬中。假设停止接种疫苗,接种结果模型可以根据犬群周转率估算出疫苗接种覆盖率低于 40%的时间点。对幼犬进行系统免疫接种,或对 3 至 15 月龄犬进行年度免疫接种,或对所有 3 月龄以上未接种疫苗的犬进行年度免疫接种,这些都是替代系统年度大规模免疫接种的有价值的方法。总之,本研究开发了一种接种结果模型,指出了犬群动态变化和有效免疫持续期的影响。它似乎是设计具有成本效益的狂犬病接种运动的有前途的工具。