Implementation of high coverage mass rabies vaccination in rural Uganda using predominantly static point methodology

The Veterinary Journal
M J EvansStella Mazeri

Abstract

Despite successful eradication programmes in many regions, rabies remains responsible for approximately 60,000 human deaths annually, and no country in Africa is rabies-free. Dogs are the principal reservoir of the virus in Africa and the World Health Organisation recommends that at least 70% of the dog population be vaccinated in order to break the transmission cycle. Most attempts at mass rabies vaccinations in Africa have failed to vaccinate high numbers of dogs at a high coverage. Successful studies have often used a door-to-door (DTD) approach, which is logistically challenging and expensive compared to a static point (SP) approach. Mission Rabies has successfully implemented a combined SP and DTD method in cities in India and Malawi. This campaign used a combined methodology in rural Uganda, starting with a SP campaign, followed by a DTD campaign, and then subsequent transect surveys to assess vaccination coverage. This was facilitated by the use of a smartphone application which recorded all vaccinations and survey responses along with their Global Positioning System location. A total of 4172 dogs were vaccinated in 7 days, attaining an estimated 88.4% coverage. This campaign is of particular note as 95.9% of the vaccina...Continue Reading

Citations

Jan 23, 2020·Tropical Medicine and Infectious Disease·Rauna AthingoThomas Müller
Jan 21, 2021·Proceedings of the National Academy of Sciences of the United States of America·Stella MazeriRichard J Mellanby
Mar 20, 2021·Transboundary and Emerging Diseases·Katja Natalie KoeppelPeter N Thompson

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