Aptriana Cut Desna, Sudarnika Etih, Basri Chaerul, Indrawan Dikky, Daryono Joko, Suseno Pebi Purwo
Directorate of Veterinary Public Health, Ministry of Agriculture Republic Indonesia, Jakarta 12550, Indonesia.
School of Veterinary Medicine and Biomedical Science, IPB University, Bogor 16680, Indonesia.
Prev Med Rep. 2024 Jul 26;45:102838. doi: 10.1016/j.pmedr.2024.102838. eCollection 2024 Sep.
Ketapang District, located in West Kalimantan, is a region where rabies is endemic. The first human death from rabies was reported in 2014 and the problem persists to this day. In response, the government has implemented the one health approach to control rabies since 2017. This study aimed to assess the disease burden of rabies control using zDALY metrics.
The zoonotic burden for human and animal was measured by developing Zoonotic Disability-Adjusted Life Years (zDALY), which combines DALY and local values of animals and their products, considering animal morbidity and mortality due to the disease (Animal Loss Equivalent/ALE). Data were gathered through interviews with victims or their families, dog owners, and secondary data from the Animal Husbandry Service, and the District Health Office.
Before implementing the one health approach, the zDALY value was 1,561.22 person-years (the zDALY rate: 109.53 years/100,000 people). After the intervention, the zDALY value was 1,808.86 person-years (the zDALY rate: 86.62 years/100,000 people).
This reduction in the zDaly rate indicates that rabies control through the one health approach in Ketapang District was effective in alleviating the disease burden caused by rabies.
位于西加里曼丹的吉打邦区是狂犬病的地方性流行地区。2014年报告了首例狂犬病死亡病例，这一问题至今仍然存在。作为应对措施，政府自2017年起实施了“同一健康”方法来控制狂犬病。本研究旨在使用伤残调整生命年（zDALY）指标评估狂犬病控制的疾病负担。
通过制定人畜共患病伤残调整生命年（zDALY）来衡量人和动物的人畜共患病负担，该指标结合了伤残调整生命年以及动物及其产品的当地价值，并考虑了因该疾病导致的动物发病率和死亡率（动物损失当量/ALE）。数据通过对受害者或其家属、狗主人的访谈以及来自畜牧服务部门和区卫生办公室的二手数据收集。
在实施“同一健康”方法之前，zDALY值为1561.22人年（zDALY率：109.53年/10万人）。干预后，zDALY值为1808.86人年（zDALY率：86.62年/10万人）。
zDALY率的下降表明，吉打邦区通过“同一健康”方法控制狂犬病有效地减轻了狂犬病造成的疾病负担。
