Rabies control initiative in Tamil Nadu, India: a test case for the 'One Health' approach
Rabies control initiative in Tamil Nadu, India: a test case for the 'One Health' approach
复制标题
DOI：
10.1016/j.inhe.2011.08.001
复制
发表时间：
2011-12-01
影响因子：
2.5
通讯作者：
Kakkar, Manish
中科院分区：
文献类型：
--
作者：
Abbas, Syed Shahid;Venkataramanan, Vidya;Kakkar, Manish
虽然印度占全球狂犬病死亡率的近50%，但没有有组织的国家狂犬病控制计划。狂犬病控制通常局限于小城市，部门间协调极少。泰米尔纳德邦是印度第一个实施全州多部门狂犬病控制倡议的邦。疾病预防控制中心项目评估框架指导了泰米尔纳德邦狂犬病预防和控制倡议的当前评估。主要利益攸关方通过一系列访谈参与，以便记录政策举措，描述方案并了解其各种作用。对狗咬伤的监测数据与疫苗消费和狗种群数据进行了三角测量，以确定该州地区一级的趋势。在不同级别交流了调查结果和建议。泰米尔纳德邦的狂犬病控制活动由目标类似的不同部门进行。除了公共卫生监测、动物普查和实施养犬许可证规则外，其他有针对性的干预措施包括废物管理、动物节育和抗狂犬病疫苗接种、提高认识运动以及在所有公共卫生设施广泛提供抗狂犬病疫苗。总之，本评估表明，在一个具有强烈政治意愿、循证政策创新、明确界定的机构作用和责任、各级协调机制和公开信息交流文化的环境中，成功实施“一个健康”方案是可能的。(C)2011年皇家热带医学和卫生学会。由爱思唯尔有限公司出版。保留所有权利，
Although India accounts for nearly 50% of the global rabies mortality, there is no organised national rabies control programme. Rabies control is generally confined to small urban pockets, with minimal intersectoral co-ordination. Tamil Nadu is the first state in India to implement a state-wide, multisectoral rabies control initiative. The CDC Program Evaluation Framework guided the current assessment of this rabies prevention and control initiative in Tamil Nadu. Principle stakeholders were engaged through a series of interviews in order to document policy initiatives, to describe the programme and to understand their various roles. Surveillance data on dog bites were triangulated with vaccine consumption and dog population data to identify trends at the district level in the state. Findings and recommendations were shared at different levels. Rabies control activities in Tamil Nadu were conducted by separate departments linked by similar objectives. In addition to public health surveillance, animal census and implementation of dog licensing rules, other targeted interventions included waste management, animal birth control and anti-rabies vaccination, awareness campaigns, and widespread availability of anti-rabies vaccine at all public health facilities. In conclusion, this assessment suggests that it is possible to implement a successful 'One Health' programme in an environment of strong political will, evidence-based policy innovations, clearly defined roles and responsibilities of agencies, co-ordination mechanisms at all levels, and a culture of open information exchange. (C) 2011 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved,