World Organisation for Animal Health, Paris, France.
Center for Epidemiological Modelling and Analysis, University of Nairobi, Nairobi, Kenya.
Front Public Health. 2022 Apr 13;10:854419. doi: 10.3389/fpubh.2022.854419. eCollection 2022.
Human deaths from rabies are preventable and can be eliminated by applying a systematic One Health approach. However, this ancient disease still threatens the lives of millions of people in up to 150 countries and kills an estimated 59, 000 people every year. Rabies today is largely a disease of poverty, almost always linked to dog bites, with most deaths occurring in neglected communities in Africa and Asia. The disease places an immense economic burden on its victims, a cost that far outweighs the investment needed to control it. A global framework for rabies elimination in humans is set out in . Despite the existence of proven control strategies and agreement on the path to eliminating human rabies deaths, mortality numbers from rabies remain high, and COVID-19 has set back efforts even further. But COVID-19 has also highlighted the value of a One Health approach to zoonotic disease and pandemic prevention. Rabies control programs offer a practical route to building One Health capacities that can also address other zoonotic threats, including those with pandemic potential. The United Against Rabies Forum aims to accelerate progress on rabies elimination while applying a One Health approach. The Forum promotes cross-sector collaboration among stakeholders and supports countries in their rabies elimination efforts. Increased political engagement and resource mobilization, both internationally and nationally, will be needed to achieve global rabies goals and can also make One Health implementation a reality.
人类狂犬病死亡是可以预防的,可以通过应用系统的“同一健康”方法来消除。然而,这种古老的疾病仍然威胁着多达 150 个国家的数百万人的生命,每年估计有 59000 人因此死亡。今天,狂犬病主要是一种贫困病,几乎总是与狗咬伤有关,大多数死亡发生在非洲和亚洲被忽视的社区。这种疾病给受害者带来了巨大的经济负担,其代价远远超过控制它所需的投资。在 中为人类消除狂犬病制定了一个全球框架。尽管存在经过验证的控制策略,并且就消除人类狂犬病死亡的途径达成一致,但狂犬病的死亡率仍然很高,而 COVID-19 的出现使情况更加恶化。但 COVID-19 也突显了针对人畜共患病和大流行病预防的“同一健康”方法的价值。狂犬病控制计划为建立同一健康能力提供了一条切实可行的途径,这些能力也可以应对其他具有大流行病潜力的人畜共患威胁。联合抗狂犬病论坛旨在通过应用“同一健康”方法来加速消除狂犬病的进展。该论坛促进利益相关者之间的跨部门合作,并支持各国开展消除狂犬病的工作。需要在国际和国家一级增加政治参与和资源调动,以实现全球狂犬病目标,同时也可以使“同一健康”的实施成为现实。