Suchergebnisse

Rabies is a notifiable disease in animals in the European Union. Despite the existence of several recommendations made by international organizations for rabies control, surveillance and monitoring of rabies in animals vary greatly between Member States. In this report recommendations are proposed for improving and harmonising rabies surveillance and reporting in animals in Europe. An adequate system of surveillance should be in place in all countries, whatever the rabies status (rabies-free and infected countries). Surveillance should be evenly distributed in time and space and should target animals suspected of having contracted the disease. All countries should report both positive and negative results of rabies diagnosis. For countries involved in oral rabies vaccination programmes (infected as well as rabies-free countries), the monitoring of rabies vaccination, based on investigating hunted animals from vaccinated areas, should be undertaken for assessing the efficacy of these programmes. The standardisation of diagnostic reference techniques and new confirmatory tests (such as Polymerase Chain Reaction) used in European Union is recommended. A national bat rabies surveillance network should be established in all European countries based on the testing of sick, rabies-suspect or dead bats of all bat species for lyssavirus infections. The Rabies Bulletin Europe is recommended as the basis for the reporting scheme of animal rabies in Europe with additional information to improve the existing data collection system and monitoring of rabies trends over time. Veterinary authorities should also report cases regularly to the OIE database interface.

Rabies is a life-threatening neglected tropical disease: tens of thousands of cases are reported annually in endemic countries (mainly in Africa and Asia), although the actual numbers are most likely underestimated. Rabies is a zoonotic disease that is caused by infection with viruses of the Lyssavirus genus, which are transmitted via the saliva of an infected animal. Dogs are the most important reservoir for rabies viruses, and dog bites account for >99% of human cases. The virus first infects peripheral motor neurons, and symptoms occur after the virus reaches the central nervous system. Once clinical disease develops, it is almost certainly fatal. Primary prevention involves dog vaccination campaigns to reduce the virus reservoir. If exposure occurs, timely post-exposure prophylaxis can prevent the progression to clinical disease and involves appropriate wound care, the administration of rabies immunoglobulin and vaccination. A multifaceted approach for human rabies eradication that involves government support, disease awareness, vaccination of at-risk human populations and, most importantly, dog rabies control is necessary to achieve the WHO goal of reducing the number of cases of dog-mediated human rabies to zero by 2030.