The multi-author study, by the Global Alliance for Rabies Control's Partners for Rabies Prevention Group, also shows that annual economic losses because of the disease are around 8.6 billion US dollars, mostly due to premature deaths, but also because of spending on human vaccines, lost income for victims of animal bites and other costs.
The study led by Dr Katie Hampson of the University of Glasgow, the study is the first to estimate the impact of canine rabies and the extent of control efforts in every country in the world.
Rabies is close to 100% fatal, but it is also almost 100% preventable, and the best, most cost-effective way of preventing canine rabies is by vaccinating dogs.
This needs to be supplemented by improving access to human vaccines.
The One Health approach to eliminating rabies deaths, with collaboration between the human and animal health sectors, can save many lives and significantly reduce the burden on vulnerable economies. Indeed, the countries that have invested most in dog vaccination are the ones where human deaths from the disease have been virtually eliminated.
The scope of the data used were from surveillance reports, epidemiological study data and global vaccine sales figures.
This scope is far greater than ever analysed before, thus allowing fora more detailed result.The study also emphasizes that reporting systems are fundamental to rabies elimination, to monitor and assess the success of prevention efforts.
The study shows that the greatest risk of canine rabies is in the poorest countries; the death rate (deaths / 100,000 people) is highest in countries in sub-Saharan Africa, while India has the highest number of fatalities, with over 20,000 human deaths annually. The proportion of dogs vaccinated is far below that necessary to control the disease across almost all countries of Africa and Asia.
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