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抗击越南的狂犬病疫情:是时候对作为主要传播源的狗肉养殖实施限制了。

Combatting rabies outbreaks in Vietnam: High time to enforce restrictions on dog meat farming, a key source of transmission.

作者信息

Quan Nguyen Khoi, Taylor-Robinson Andrew W

机构信息

College of Health Sciences, VinUniversity, Hanoi, Vietnam.

Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.

出版信息

IJID Reg. 2024 Nov 10;13:100490. doi: 10.1016/j.ijregi.2024.100490. eCollection 2024 Dec.

Abstract

In Vietnam, farming dogs for meat is not illegal but is increasingly marginalized as dog meat consumption comes under heightened social scrutiny. This loosely regulated practice likely increases the risk of rabies transmission to humans. At a time when human-wildlife conflict has become a major discussion point for global health, stray dogs escaping or being deliberately released from dog farms is a cause for serious concern. The first half of 2024 saw a significant spike in the incidence of human rabies cases, occurring in not just rural hot spots but also urban conurbations. Bites from rabid feral dogs are the primary source of infection, the distribution of which often clusters in the vicinity of battery farms or slaughterhouses that have recently downscaled or closed their business. Addressing this risk requires pursuing a One Health strategy that focuses on catching and euthanizing rabid dogs, vaccinating healthy dogs, implementing safety measures during dog slaughtering, and regulating dog meat trade. By robust enforcement of this comprehensive plan, it is hoped to prevent rabies outbreaks and protect public health. Hanoi is already taking the lead in introducing measures to avert a rabies crisis in the Vietnamese capital.

摘要

在越南,养殖肉狗并不违法,但随着狗肉消费受到越来越多的社会审视,这种行为正逐渐被边缘化。这种监管宽松的做法可能会增加狂犬病传播给人类的风险。在人类与野生动物冲突已成为全球健康主要议题之际,流浪狗从养狗场逃脱或被故意放生令人深感担忧。2024年上半年,人类狂犬病病例的发病率大幅飙升,不仅出现在农村热点地区,也出现在城市集聚区。感染狂犬病的野狗咬伤是主要感染源,其分布往往集中在近期缩减规模或关闭业务的养殖场或屠宰场附近。应对这一风险需要推行一种“同一健康”战略,该战略侧重于捕杀和安乐死感染狂犬病的狗、为健康的狗接种疫苗、在狗肉屠宰过程中实施安全措施以及规范狗肉贸易。通过大力执行这一全面计划,有望预防狂犬病疫情并保护公众健康。河内已经率先采取措施,以避免越南首都出现狂犬病危机。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c61c/11629242/d7c90b6d0566/gr1.jpg

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