Blumberg L H
Rev Sci Tech. 2024 Dec;Special Edition:70-73. doi: 10.20506/rst.SE.3560.
A world free of dog-mediated human rabies by 2030 would be an outstanding achievement. This ambitious goal for a neglected tropical disease, set by the World Organisation for Animal Health (WOAH), the World Health Organization, the Food and Agriculture Organization of the United Nations and the Global Alliance for Rabies Control together with partners and countries, has a clear and achievable pathway to success. In the 100 years since the inception of WOAH, many scientific tools have been developed to support the elimination of dog-mediated rabies. In addition to these tools, engaging communities and health workers to build awareness to prevent bite exposures, managing dog populations and ensuring herd immunity through dog vaccination are key to achieving the elimination goals. The provision of post-exposure prophylaxis and care for exposed victims are important interventions on the human side. Success in eradicating rabies will require applying a One Health approach, an integrative and systemic approach to health grounded in the understanding that human health is closely linked to animal and environmental health. Political commitment and availability of adequate resources are key to achieving the Zero by 2030 goal.
到2030年实现一个没有犬传人间狂犬病的世界将是一项卓越成就。这一针对被忽视热带病的宏伟目标由世界动物卫生组织(WOAH)、世界卫生组织、联合国粮食及农业组织以及全球狂犬病控制联盟与合作伙伴和各国共同设定,有着明确且可实现的成功路径。自WOAH成立100年来,已开发出许多科学工具来支持消除犬传狂犬病。除了这些工具外,让社区和卫生工作者参与进来以提高预防咬伤暴露的意识、管理犬只数量并通过犬类疫苗接种确保群体免疫是实现消除目标的关键。为暴露受害者提供暴露后预防和护理是人类方面的重要干预措施。根除狂犬病取得成功需要采用“同一健康”方法,这是一种基于人类健康与动物和环境卫生密切相关这一认识的综合、系统的健康方法。政治承诺和充足资源的可得性是实现2030年零目标的关键。