12 th JPC REMESA Toledo, Spain May 2016 SESSION ON RABIES

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1 12 th JPC REMESA Toledo, Spain May 2016 SESSION ON RABIES 1. Global Conference : Global Elimination of Dogmediated Human Rabies The Time is Now! (Geneva, Switzerland December 2015) Dr Jocelyn Mérot OIE Sub-Regional Representation for North Africa Tunis, Tunisia 1

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3 Recommendations of the conference Elimination of dog-mediated rabies is a priority of public interest Combination of mass dog vaccination, responsible dog ownership, dog population control, OIE intergouvernemental standards, dog bite prevention and treatment, human post-exposure prophylaxis OIE/WHO regional vaccine bank Good governance of Veterinary Services and national actions plan based on a regional strategy Achievement by

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10 Global OIE strategy against rabies 10

11 SUCCESSFUL NATIONAL SRATEGY TO ELIMINATE DOG-MEDIATED RABIES 11

Success story: mass dog vaccination in Mexico 18 16 14 12 10 8 6 4 2 0 Vaccinated dogs (millions) 3049 7,1 7,5 2253 9,1 2106 1382 9,3 9,7 1600 1387 10,6 852 10,9 11,1 523 335 12,6 13,3 13,7 317 244

12 Success story: mass dog vaccination in Mexico Vaccinated dogs (millions) ,1 7, , ,3 9, , ,9 11, ,6 13,3 13, ,9 15,9 16,2 14, Rabid dogs Mass dog vaccination carried out every year on a large scale is the most effective strategy to sustainably eliminate rabies. Source : F. X. Meslin 12

13 Geographical distribution of rabies cases Honduras 26/01/ /03/2015 French Guiana 20/08/2015 France 16/05/2015 Congo (Rep. of the) 24/10/2013 Slovakia 26/12/ /06/2015 Lithuania 23/10/2015 Malaysia 27/07/2015 Indonesia 26/11/ /02/2010 Uruguay 06/10/

14 Species distribution of rabies cases except for Mauritania (2014) and Greece (2014) 14

15 Number of rabid dogs Rabies in North Africa "Arab Spring" 15

16 Rabies in North Africa Rabies endemic in North Africa Several stakeholders concerned (Ministries of Health, Agriculture, Interior, Education) Link with stray dogs management Children first victims of dogs bites Economic loss due to post-exposure human treatments Need for communication tools 16

17 Epidemiology of rabies in at-risk areas Lyssavirus Nearly 90% of rabies human cases in North Africa are due to dog bites 40% of cases involve children under 15 years old Source : Zrelli M.,

18 Fight against rabies in at-risk areas: several stakeholders Ministry of Interior local authorities Ministry of Education Awareness in schools Stray dogs management Ministry of Health Vaccination of dogs Ministry of Agriculture Pre and post-exposure prophylaxis in humans 18

Fight against rabies in at-risk areas: communication local authorities INTER-SERVICE COMMUNICATION OBJECTIVES Ministry of Interior Ministry of

19 Fight against rabies in at-risk areas: communication local authorities INTER-SERVICE COMMUNICATION OBJECTIVES Ministry of Interior Ministry of Education Ministry of Agriculture Ministry of Health INTERNAL COMMUNICATION TOOLS / MEDIA COMMUNICATION BETWEEN ALL THE STAKEHOLDERS INVOLVED TARGETS 19

20 Fight against rabies in at-risk areas: communication local authorities Ministry of Interior Ministry of Education Ministry of Health Ministry of Agriculture 20

Veterinary schools / veterinary students Pasteur Institute International organisations

21 Fight against rabies in at-risk areas: conclusions Let s act together! Ministry of Agriculture Ministry of Health Ministry of Interior Ministry of Education Veterinary schools / veterinary students Pasteur Institute International organisations (OIE, WHO, FAO ) Veterinarians Doctors MASS DOG VACCINATION AWARENESS CAMPAIGNS TOWARDS EVERY TARGET AUDIENCE 21

22 Louis Pasteur Pierre Victor Galtier 22

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28 What is the logical link between these figures?? 28

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30 12 th JPC REMESA Toledo, Spain May 2016 SESSION ON RABIES 2. Updated situation and programmes/activities (e.g. World Rabies Day on 28 September 2016) planned in the Mediterranean countries Dr Rachid Bouguedour, Dr Jocelyn Mérot, Dr Alessandro Ripani OIE Sub-Regional Representation for North Africa Tunis, Tunisia 30

31 12 th JPC REMESA Toledo, Spain May 2016 SESSION ON RABIES 3. An example of the use of the OIE vaccine bank: delivery of rabies vaccines in Tunisia Dr Rachid Bouguedour, Dr Jocelyn Mérot, Dr Alessandro Ripani OIE Sub-Regional Representation for North Africa Tunis, Tunisia 31

OIE rabies vaccines in Tunisia Awareness Day on

January 2016 Tunis regional officers of the

Ministry of Health and the Ministry in charge of

32 OIE rabies vaccines in Tunisia Awareness Day on Rabies convened by the Ministry of Agriculture 22 January 2016 Tunis regional officers of the Ministry of Agriculture representatives of the Ministry of Health and the Ministry in charge of local and regional authorities WHO, FAO and OIE representatives media 32

33 OIE rabies vaccines in Tunisia Delivery of rabies vaccines to Tunisia October 2015 Tunis support of the European Union 80,000 doses of rabies vaccines 33

34 OIE rabies vaccines in Tunisia National vaccination campaign against rabies January-March 2016 Ariana-Bizerte free vaccination of pet dogs (and cats) awareness concerning rabies was reiterated by veterinarians and vet students involved towards dog owners, the general population and children in schools, using posters, radio spots and other communication tools 34

35 Thank you for your attention Gracias por su atención 35

GLOBAL CONFERENCE Global elimination of dog-mediated human rabies The Time Is Now

GLOBAL CONFERENCE Global elimination of dog-mediated human rabies The Time Is Now BACKGROUND Concept Note Rabies remains an under-reported and neglected zoonosis with a case fatality rate of almost 100%