Airikkala-Otter Ilona, Fröchlich Julia, Porkodi S, Gibson Andrew, Gamble Luke, Rayner Emma
Worldwide Veterinary Service India, International Training Center, Gramya Bhavan, RDO Trust Building, Aruvankadu The Nilgiris, Tamil Nadu, India.
MSD Sharp and Dohme GmbH, Levelingstr. 4a, 81673 Munich, Germany.
Indian J Community Med. 2022 Oct-Dec;47(4):600-603. doi: 10.4103/ijcm.ijcm_1438_21. Epub 2022 Dec 14.
India carries the largest national burden for rabies globally. Coordinating large-scale canine rabies elimination programs is challenging, particularly in rural areas, where the majority of human rabies deaths occur. This study evaluated the feasibility of combining canine rabies vaccination with pre-existing animal-health interventions or public health programs in a rural area of India.
Canine rabies vaccination teams collaborated with a bi-annual bovine foot-and-mouth vaccination program coordinated by the Animal Husbandry Department (AH-collaboration) and with a village health program by the Public Health Department (PH-collaboration) in Nilgiris, Tamil Nadu, to vaccinate dogs during the implementation of these government-led health initiatives.
A total of 251 dogs were vaccinated over 7 days during the AH-collaboration, and 1083 dogs were vaccinated over 15 days during the PH-collaboration. The AH-collaboration achieved a vaccination coverage of 76% based on same-time sighting survey, and 58% based on post-vaccination survey. The PH-collaboration achieved vaccination coverage of 79% based on the same-time survey and 83% based on the post-vaccination survey.
The integration of mass dog vaccination into existing government sector initiatives may facilitate the scaling up of canine rabies vaccination campaigns.
印度承担着全球最大的狂犬病国家负担。协调大规模犬类狂犬病消除计划具有挑战性，尤其是在农村地区，那里发生了大多数人类狂犬病死亡病例。本研究评估了在印度农村地区将犬类狂犬病疫苗接种与现有的动物健康干预措施或公共卫生计划相结合的可行性。
犬类狂犬病疫苗接种团队与泰米尔纳德邦尼尔吉里斯区畜牧部门协调的两年一次的牛口蹄疫疫苗接种计划（畜牧部门合作）以及公共卫生部门的村庄健康计划（公共卫生部门合作）合作，在这些政府主导的健康倡议实施期间为犬只接种疫苗。
在畜牧部门合作期间，7天内共为251只犬只接种了疫苗，在公共卫生部门合作期间，15天内为1083只犬只接种了疫苗。基于同时期观察调查，畜牧部门合作的疫苗接种覆盖率为76%，基于接种后调查为58%。基于同时期调查，公共卫生部门合作的疫苗接种覆盖率为79%，基于接种后调查为83%。
将大规模犬只疫苗接种纳入现有的政府部门倡议可能有助于扩大犬类狂犬病疫苗接种运动的规模。
