mary joy gordoncillo - oie...dr mary joy gordoncillo science and one health coordinator oie...
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Mary Joy Gordoncillo Science and One Health Coordinator OIE Sub-Regional Representation for South-East Asia
RABIES IN ASIA:
REGIONAL APPROACH AND PROGRESS
Maison de la Paix - Geneva, Switzerland - 10 – 11 December 2015
INTRODUCTION |RABIES SITUATION IN THE ASIA-PACIFIC REGION
>10,000 rabies events from 15 countries in Asia Pacific were reported to WAHIS in 2014.
96% were in domestic animals
while 4% were in wildlife animals
2014 Rabies events in domestic animals: livestock, dogs,
cats, horses, camels
2014 Rabies events in wildlife animals: ferret badger, red
fox, Gray wolf, Pallas’s
cat
Animal rabies is present in 22
countries (46%) in the Asia-Pacific Region
>4 billion people
are at risk of rabies in Asia
>11 million people
receive post-exposure rabies prophylaxis after being exposed to dog bites
Nearly 100% of human
rabies cases in Asia are
due to bites of rabid dogs
Almost 50% of global
rabies burden is in Asia
MANY STILL LIVE IN
EXTREME
POVERTY
SOME OF ITS STRONG
CULTURAL
INFLUENCES
IMPACT DOG ECOLOGY
TRADITIONAL
BELIEFS
CONTINUE TO PERSIST
INTRODUCTION |RABIES CHALLENGES IN ASIA
SOME OF ITS NATIONAL HEALTH AND VETERINARY SERVICES ARE
STILL REQUIRES
IMPROVEMENT
GOOD ACCESS TO QUALITY
HEALTH CARE
IS OFTEN PROBLEMATIC
OTHER ISSUES
THAT CONTINUE TO PERSIST IN THE REGION
INTRODUCTION |RABIES CHALLENGES IN ASIA
South Asia Association for Regional Cooperation: Plans a regionally coordinated rabies elimination
FAO-OIE-WHO Regional Tripartite: Multi-Sectoral Workshop on Zoonoses Prevention and Control since 2010
The Association of South-East Asia Nations (ASEAN) Ministers of Health and Ministers of Agriculture have jointly endorsed ASEAN Rabies Elimination Strategy (ARES)
UPDATES ON PROGRESS|REGIONAL COORDINATION
UPDATES ON PROGRESS|RABIES REFERENCE LABORATORIES
OIE Reference Laboratory Changchun Veterinary Research Institute (CVRI), PEOPLE'S REP. OF CHINA
Diagnostic Lab for Rabies and Wildlife Associated Zoonoses
Rabies Research Laboratory
OIE Reference Laboratory MAFRA, REPUBLIC OF KOREA
WHO-Collaborating Center Bengaluru, INDIA
National Institute of
Mental Health and
Neurosciences
National Center for
Disease Control
WHO-Collaborating Center New Delhi, INDIA
Queen Saovabha
Memorial Institute
WHO-Collaborating Center Bangkok, THAILAND
WHO-Collaborating Center Bangkok, THAILAND
Chulalongkorn
University
UPDATES ON PROGRESS|RABIES VACCINE BANK
Afghanistan (200,000 doses)
Bangladesh (200,000 doses)
Bhutan (100,000 doses )
Indonesia (200,000 doses )
Lao PDR (290,400 doses)
Myanmar (400,000 doses )
Nepal (200,000 doses)
Philippines (1.12M doses )
Singapore (5,000 doses)
Sri Lzanka (300,400 doses)
Vietnam (872,000 doses)
>3.9 million doses
of rabies vaccines delivered as of December 2015
Cambodia (50,000 doses )
UPDATES ON PROGRESS|LESSONS AND EXPERIENCES
Community ownership is also key to success.
Strong public awareness is important.
UPDATES ON PROGRESS|LESSONS AND EXPERIENCES
Nerve- tissue vaccine production phased out in Asia!
Intradermal vaccination is safe, cheap and effective.
UPDATES ON PROGRESS|LESSONS AND EXPERIENCES
Mass dog vaccination needs to be strategic.
Dog population needs to be addressed.
UPDATES ON PROGRESS|LESSONS AND EXPERIENCES
One Health coordination will move things forward
Capacity for rabies diagnosis & surveillance are important
UPDATES ON PROGRESS|LESSONS AND EXPERIENCES
Policy advocacy is crucial for sustainability.
A strong Public Health and Veterinary Services is crucial for success.
WAYS FORWARD
SOCIO-CULTURAL
CHALLENGES TECHNICAL CHALLENGES
ORGANIZATIONAL (including One Health)
CHALLENGES
POLITICAL CHALLENGES
Dr Mary Joy Gordoncillo
Science and One Health Coordinator
OIE Sub-Regional Representation for SE Asia
Bangkok, Thailand
Dr Eric Brum Country Team Leader, ECTAD FAO Avian Influenza Technical Unit
Dhaka, Bangladesh
Dr Gyanendra Gongal
Scientist
WHO Regional Office for South-East Asia
New Delhi, India
Thank you
Acknowledgement: Images from Member Countries, GARC Philippines, Dr Gadey Sampath, and the authors. Animal
rabies data from the World Animal Health Information and Analysis Department, OIE HQ, Paris