World Rabies Day on Sept. 28 marks the announcement of the largest global anti-rabies initiative, as the World Health Organization (WHO), the World Organization for Animal Health (OIE), the U.N. Food & Agriculture Organization (FAO) and the Global Alliance for Rabies Control (GARC) revealed an ambitious initiative to end human deaths from dog-transmitted rabies by 2030.
The plan, "United Against Rabies," centers on a One Health approach and addresses the disease in a holistic and cross-sectoral manner while highlighting the important role veterinary, health and educational services play in rabies prevention and control.
"The plan ensures the use of rabies best practice to support countries in developing national plans and provide innovative training and education tools across regional rabies networks," Dr. Bernadette Abela-Ridder said on behalf of the Global Steering Group of the United Against Rabies plan. "Vaccines are a key component of the global plan and a trigger for national programs. The United Against Rabies collaboration provides leadership and advocates for critical resources to advance towards reaching zero human rabies deaths by 2030."
United Against Rabies builds on more than 10 years of global partnership, research and evidence building to demonstrate the feasibility of eliminating dog-transmitted rabies. The plan puts a magnifying glass over the problem of continued human deaths from rabies and helps make this a priority disease for key international organizations and governments.
The world has the knowledge, technology and vaccines needed to eliminate rabies, the groups said. The plan supported by the four partners aims to:
* Prevent and respond to dog-transmitted rabies by improving awareness and education, reducing human rabies risk through expanded dog vaccinations and improving access to health care, medicines and vaccines for populations at risk;
* Generate and measure impact by implementing proven-effective guidelines for rabies control and encouraging the use of innovative surveillance technologies to monitor progress towards “Zero by 30,” and
* Demonstrate the impact of the United Against Rabies collaboration in national, regional and global rabies elimination programs in order to ensure continued stakeholder engagement at all levels and sustained financing to achieve Zero by 30.
Rabies is 100% preventable
Rabies — a viral disease that occurs in more than 150 countries and territories — is usually fatal once symptoms appear. Dog-transmitted rabies accounts for about 99% of human rabies cases. It is estimated that 59,000 people die from rabies every year.
Rabies is a disease of poverty, a disease of neglect. The world’s poorest are the most affected, because they cannot afford treatment or transport for care. People’s livelihoods are also affected when livestock get rabies — a loss estimated at more than $500 million per year.
However, rabies is 100% preventable by ensuring access to life-saving treatment following dog bites and by vaccinating dogs to reduce risks and, ultimately, eliminate the disease at its animal source. Ending human deaths from rabies requires strengthening human and animal health services and increasing political commitment.
“As the mass vaccination of dogs is unanimously recognized as the exclusive approach to eradicate the disease in humans, this United Against Rabies plan is a crucial step to bring together intentions, resources and actions towards our common goal,” OIE director general Dr. Monique Eloit said. “Elimination of dog-mediated rabies is achievable, and we will make sure that it is achieved.”
Many countries where rabies is of concern recognize it as a priority communicable disease with significant impact on people’s health and their country’s economy. This does not usually translate, however, into adequate resources and actions to end rabies.
"Working across sectors to eliminate human rabies aligns with WHO’s mission to leave no one behind by building a better, healthier future for people all over the world" said Dr. Ren Minghui, WHO assistant director-general for HIV/AIDS, tuberculosis, malaria and neglected tropical diseases. “Eliminating human rabies contributes to the goal of providing affordable and equitable health care while working with partners to prevent the disease in dogs, which is the most frequent source of infection."
Ren Wang, FAO assistant director-general added, “FAO has been supporting vaccination campaigns and the development of community-based programs to prevent and eliminate rabies. This new initiative will enhance that work and can play an essential role in FAO’s overall goal to build stronger rural communities.”
GARC chief executive officer professor Louis Nel concluded, “There is no reason for anyone to die of rabies in today’s world, and rabies-endemic countries have made its elimination a priority. With strong and sustained commitment from the human and animal health sectors, we can and will end this deadly disease.”