{"id":21353,"date":"2021-09-01T13:40:51","date_gmt":"2021-09-01T07:55:51","guid":{"rendered":"https:\/\/www.revoscience.com\/en\/?p=21353"},"modified":"2021-09-01T13:58:10","modified_gmt":"2021-09-01T08:13:10","slug":"dog-vaccination-essential-for-preventing-rabies-spread-to-humans-and-animals","status":"publish","type":"post","link":"https:\/\/www.revoscience.com\/en\/dog-vaccination-essential-for-preventing-rabies-spread-to-humans-and-animals\/","title":{"rendered":"Dog vaccination essential for preventing rabies spread to humans and animals"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Researchers have found that rabies incidence in both humans and\u00a0domestic dogs\u00a0decreased during\u00a0a period of sustained dog vaccination\u00a0in\u00a0southeast\u00a0Tanzania, despite incidences of\u00a0ongoing\u00a0wildlife rabies infections. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">New\u00a0research,\u00a0led by the<a href=\"https:\/\/www.gla.ac.uk\/\" target=\"_blank\" rel=\"noopener\"> University\u00a0of Glasgow<\/a> in collaboration with\u00a0Ifakara Health Institute and\u00a0Imperial College London,\u00a0published today in Applied Ecology.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/09\/Media_-mammal-1-675x460.jpg\" alt=\"\" class=\"wp-image-21360\" width=\"837\" height=\"570\" title=\"\" srcset=\"https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/09\/Media_-mammal-1-675x460.jpg 675w, https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/09\/Media_-mammal-1-586x400.jpg 586w, https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/09\/Media_-mammal-1-768x524.jpg 768w, https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/09\/Media_-mammal-1-95x65.jpg 95w, https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/09\/Media_-mammal-1-170x116.jpg 170w, https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/09\/Media_-mammal-1.jpg 818w\" sizes=\"auto, (max-width: 837px) 100vw, 837px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Researchers&nbsp;found that even in areas with a relatively high proportion of&nbsp;wildlife&nbsp;rabies&nbsp;cases,&nbsp;the&nbsp;domestic dog vaccination&nbsp;campaign&nbsp;still reduced the risk to humans.&nbsp;However, after mass dog vaccination ended in&nbsp;early 2017,&nbsp;rabies cases began to rise in some areas once again.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Rabies is one of the world\u2019s most feared diseases&nbsp;due to its high case fatality&nbsp;rate. Despite the existence of&nbsp;safe and effective vaccines, rabies continues to kill an estimated 59,000 people annually in low-and middle-income countries, with&nbsp;children&nbsp;disproportionately&nbsp;affected.&nbsp;For this reason, in&nbsp;2015&nbsp;a call for action set the \u2018Zero&nbsp;by&nbsp;30\u2019 goal,&nbsp;to achieve zero&nbsp;human deaths from dog-mediated rabies by 2030.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Most human rabies&nbsp;cases&nbsp;result&nbsp;from bites by rabid animals,&nbsp;either from&nbsp;domestic dogs or, less commonly,&nbsp;wild&nbsp;animals including jackals.&nbsp;Once exposed, immediate treatment is vital as&nbsp;rabies is invariably fatal once clinical signs develop. Treatment consists of a course of vaccinations known as post-exposure prophylaxis,&nbsp;which although highly effective,&nbsp;can be difficult to access&nbsp;due to&nbsp;the cost, limited availability, and low awareness&nbsp;of rabies risks.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Across&nbsp;Africa and Asia, domestic dogs are considered the main&nbsp;hosts for rabies,&nbsp;and over&nbsp;99% of human rabies deaths are caused by dog bites. Vaccination of domestic dogs against rabies has repeatedly been shown to be successful and cost-effective in preventing human rabies.&nbsp;However, despite this, in many rabies-endemic countries dog vaccination is still not routine. This is primarily due to lack of investment in dog vaccination, but concerns are often expressed that wildlife may play&nbsp;a role in maintaining transmission and dog vaccination may therefore be ineffective.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">To answer&nbsp;these concerns the&nbsp;researchers&nbsp;investigated&nbsp;the transmission dynamics of rabies in a previously unstudied area&nbsp;of&nbsp;Tanzania&nbsp;where&nbsp;jackals were found to make up more&nbsp;than 40% of reported animal rabies cases.&nbsp;Collecting&nbsp;data over a nine-year period from 13 districts in southern Tanzania, they&nbsp;used hospital records to identify people potentially exposed to rabies who were&nbsp;then traced and interviewed to determine if the biting animal was rabid.&nbsp;As part of this they were able to&nbsp;examine&nbsp;evidence on whether rabies transmission&nbsp;is sustained in wildlife as well as in domestic dogs,&nbsp;and whether wildlife could present an obstacle to rabies elimination.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The&nbsp;researchers&nbsp;found&nbsp;that&nbsp;rabies incidence in both humans and animals decreased&nbsp;during the period of dog vaccinations, from a high of 218 cases in 2011 to a low of just 15 in 2017.&nbsp;Most human rabies exposures (56%) were from domestic dogs,&nbsp;but&nbsp;approximately one third of transmission events occurred in wildlife, with the remainder due to cross-species transmission&nbsp;between&nbsp;dogs&nbsp;and&nbsp;wildlife.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">These&nbsp;findings&nbsp;highlight&nbsp;the potential importance of wildlife as a&nbsp;rabies&nbsp;public health threat&nbsp;and&nbsp;also&nbsp;a potential obstacle to elimination.&nbsp;However,&nbsp;even in areas with a&nbsp;relatively&nbsp;a&nbsp;high proportion of wildlife cases,&nbsp;the researchers found that&nbsp;domestic dog vaccination still&nbsp;significantly&nbsp;reduced the risk&nbsp;of rabies infection&nbsp;to humans.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Professor&nbsp;Katie Hampson, senior author of the study from the University&nbsp;of Glasgow,&nbsp;said:&nbsp;\u201cOur findings confirm that, even in areas where wildlife rabies cases&nbsp;are high,&nbsp;focusing on domestic dog vaccination will have major public health benefits.&nbsp;Moreover,&nbsp;if sustained and coordinated&nbsp;a&nbsp;dog&nbsp;vaccination programme&nbsp;has&nbsp;the&nbsp;potential to eliminate rabies from circulating&nbsp;even in these&nbsp;areas&nbsp;despite the presence of wildlife transmission.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cWe were&nbsp;surprised to see how many wildlife rabies cases were occurring in this part of Tanzania.&nbsp;Jackal cases represented a far&nbsp;higher proportion of rabies cases than we\u2019ve seen elsewhere in East Africa. This was why it was such a relief to see that, even with such high numbers of cases in jackals, dog vaccination still led to very clear declines in rabies, in all species, and in people bitten by rabid animals \u2013&nbsp;both dogs and jackals.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sarah Hayes, co-author from Imperial College London, added:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8220;Even in this part of Tanzania, where wildlife makes up a large proportion of the reported rabies cases, we&nbsp;have shown that vaccinating domestic dogs can significantly reduce the risk to people and have an important public health impact.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cIt is critical that there is continued investment in domestic dog vaccination and this work suggests that the presence of&nbsp;rabies within wildlife populations&nbsp;should not be a barrier to implementing these programmes.&#8221;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kennedy Lushasi, from the Ifakara&nbsp;Health Institute, added:&nbsp;\u201cEven though wildlife cases, especially jackals,&nbsp;appear to make up a large proportion of animal rabies&nbsp;cases and&nbsp;bites to people in south-eastern Tanzania, vaccinating domestic dogs alone resulted in the decline of cases in all species.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cThis suggests that&nbsp;wildlife should not be an obstacle in eliminating rabies. The government and other stakeholders should invest in mass dog vaccination programs and these should be sustained to make rabies history.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The paper,\u00a0\u2018Reservoir Dynamics of Rabies in Southeast Tanzania and the role of\u00a0cross-species transmission\u2019, is published in<a href=\"https:\/\/besjournals.onlinelibrary.wiley.com\/journal\/13652664\" target=\"_blank\" rel=\"noopener\"> Applied Ecology<\/a>.\u00a0The work was funded by Wellcome,\u00a0with additional support from\u00a0the DELTAS Africa Initiative\u00a0and\u00a0EPSRC.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Researchers have found that rabies incidence in both humans and\u00a0domestic dogs\u00a0decreased during\u00a0a period of sustained dog vaccination\u00a0in\u00a0southeast\u00a0Tanzania, despite incidences of\u00a0ongoing\u00a0wildlife rabies infections. <\/p>\n","protected":false},"author":2,"featured_media":21360,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6,17],"tags":[],"class_list":["post-21353","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","category-research"],"featured_image_urls":{"full":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/09\/Media_-mammal-1.jpg",818,558,false],"thumbnail":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/09\/Media_-mammal-1-200x200.jpg",200,200,true],"medium":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/09\/Media_-mammal-1-586x400.jpg",586,400,true],"medium_large":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/09\/Media_-mammal-1-768x524.jpg",750,512,true],"large":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/09\/Media_-mammal-1-675x460.jpg",675,460,true],"1536x1536":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/09\/Media_-mammal-1.jpg",818,558,false],"2048x2048":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/09\/Media_-mammal-1.jpg",818,558,false],"ultp_layout_landscape_large":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/09\/Media_-mammal-1.jpg",818,558,false],"ultp_layout_landscape":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/09\/Media_-mammal-1.jpg",818,558,false],"ultp_layout_portrait":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/09\/Media_-mammal-1.jpg",600,409,false],"ultp_layout_square":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/09\/Media_-mammal-1.jpg",600,409,false],"newspaper-x-single-post":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/09\/Media_-mammal-1-760x490.jpg",760,490,true],"newspaper-x-recent-post-big":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/09\/Media_-mammal-1-550x360.jpg",550,360,true],"newspaper-x-recent-post-list-image":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/09\/Media_-mammal-1-95x65.jpg",95,65,true],"web-stories-poster-portrait":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/09\/Media_-mammal-1.jpg",640,437,false],"web-stories-publisher-logo":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/09\/Media_-mammal-1.jpg",96,65,false],"web-stories-thumbnail":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/09\/Media_-mammal-1.jpg",150,102,false]},"author_info":{"info":["RevoScience"]},"category_info":"<a href=\"https:\/\/www.revoscience.com\/en\/category\/health\/\" rel=\"category tag\">Health<\/a> <a href=\"https:\/\/www.revoscience.com\/en\/category\/news\/research\/\" rel=\"category tag\">Research<\/a>","tag_info":"Research","comment_count":"0","_links":{"self":[{"href":"https:\/\/www.revoscience.com\/en\/wp-json\/wp\/v2\/posts\/21353","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.revoscience.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.revoscience.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.revoscience.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.revoscience.com\/en\/wp-json\/wp\/v2\/comments?post=21353"}],"version-history":[{"count":0,"href":"https:\/\/www.revoscience.com\/en\/wp-json\/wp\/v2\/posts\/21353\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.revoscience.com\/en\/wp-json\/wp\/v2\/media\/21360"}],"wp:attachment":[{"href":"https:\/\/www.revoscience.com\/en\/wp-json\/wp\/v2\/media?parent=21353"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.revoscience.com\/en\/wp-json\/wp\/v2\/categories?post=21353"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.revoscience.com\/en\/wp-json\/wp\/v2\/tags?post=21353"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}