The Road to Dog Rabies Control and Elimination - What Keeps Us from Moving Faster?

The Road to Dog Rabies Control and Elimination - What Keeps Us from Moving Faster?
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DOI:
10.3389/fpubh.2017.00103
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发表时间:
2017-05-15
影响因子:
5.2
通讯作者:
Abela-Ridder, Bernadette
Abela-Ridder, Bernadette
中科院分区:
医学3区
文献类型:
--
作者:
Fahrion, Anna S.;Taylor, Louise H.;Abela-Ridder, Bernadette

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狂犬病是一种可通过疫苗预防的被忽视的热带疾病,估计每年仍有35,000至60,000人死亡。国际社会,有100多个流行国家,已经制定了到2030年狗传播狂犬病造成0人死亡的全球目标。虽然在几个国家和地区已经证明,消除狂犬病作为一个公共卫生问题是可行的,而且有工具可用,但全球狂犬病死亡尚未得到有效预防。虽然对狂犬病进行了广泛的研究,但控制和消除狂犬病的具体实施领域尚未得到充分解决。本文重点介绍了各国实施狂犬病控制和消除计划的一些最常见的障碍,并讨论了社会政治,组织,技术和资源相关要求的可能解决方案,遵循2015年12月全球狂犬病会议通过的消除犬介导的人狂犬病全球框架的支柱。
Rabies, a vaccine preventable neglected tropical disease, still claims an estimated 35,000-60,000 human lives annually. The international community, with more than 100 endemic countries, has set a global target of 0 human deaths from dog-transmitted rabies by 2030. While it has been proven in several countries and regions that elimination of rabies as a public health problem is feasible and tools are available, rabies deaths globally have not yet been prevented effectively. While there has been extensive rabies research, specific areas of implementation for control and elimination have not been sufficiently addressed. This article highlights some of the commonest perceived barriers for countries to implementing rabies control and elimination programs and discusses possible solutions for sociopolitical, organizational, technical, and resource-linked requirements, following the pillars of the global framework for the elimination of dog-mediated human rabies adopted at the global rabies meeting in December 2015.