One-health approach to the control and prevention of rabies in humans and animals:
overcoming the barriers
Anthony Osei-Tutu1,&, Dickson Ankugah2, Ernest Ameyaw3, Mark Tettey4, Kwesi Sarpong1
1Veterinary Disease Investigation Laboratory, Techiman, Ministry of Food and Agriculture, Ghana, 2Veterinary Services Directorate, Accra, Ministry of Food and Agriculture, Ghana, 3Holy Family Hospital, Techiman, Brong Ahafo Region, Ghana Health Service, Ghana, 4Public Health Unit, Veterinary Services Department, Ho, Ministry of Food and Agriculture, Ghana
Anthony Osei-Tutu, Veterinary Disease Investigation Laboratory, Techiman, Ghana
rabies, a neglected zoonotic disease remains one of the most important public health problems worldwide. Although new opportunities have emerged to promote health in the rapidly changing human, animal and environmental domains, our ability to protect, improve, and advance health cannot be based on strategies and mindsets of sectoral and uni-disciplinary approach, but rather, a trans-disciplinary one-health concept approach. One-Health embraces a broad based strategy for managing infectious diseases through multi-disciplinary communication and collaboration, with optimal environmental, human, domestic animal, and wildlife health outcomes at local, national, and global levels.
traditionally, communication among health workers, animal health workers, dog owners and dog bite victims (DBV) has been weak in Techiman Municipality. We used the One-Health strategy to highlight how integration and collaboration among these stakeholders could result in more rapid prevention and control of rabies in both animals and humans.
One-Health strategy provided effective and timely exchange of information
among the stakeholders. Consequently, the approach was beneficial in avoiding
unnecessary post-exposure prophylaxis, treatments and undue economic burden
to 88% (573) DBV. While the One-Health approach was beneficial to avoid unnecessary
post-exposure prophylaxis, 18% (157) of DBV had to receive post-exposure
prophylaxis due to positive case and stray dog bites.
acceptance and practice of one-health concept can advance and impact significantly on prevention and control of rabies in dogs thereby contributing to the achievement of Millennium Development Goal, six which focuses on combating HIV/AIDS, malaria and other diseases.
The 2nd International Conference on Rabies in West Africa (RIWA) (Madina)
Rabies in West Africa, a forum to coordinate regular meeting among governments and stakeholders in one-health, was inaugurated in December, 2012 to link Anglophone and Francophone West African countries in the surveillance and control of rabies. It aims to disseminate progress reports on rabies surveillance and control activities in West Africa. Its first conference was jointly sponsored by the Federal Ministry of Health, Nigeria and the University of Ibadan Centre for Control and Prevention of Zoonoses. The 2nd conference was held concurrently with the 20th Congress of the Ghana Veterinary Medical Association. The scientific programme included 2 lead papers, 9 symposia and a roundtable discussion. The presented papers which focused on: (i) knowledge, attitude and practices among native community stakeholders; (ii) clinical detection and outbreak investigations; (iii) national laboratory diagnostic activities and vaccination records; (iv) wildlife infection study; and (v) spatial or spatio-temporal distribution of dog bite victims with suspected, probable and confirmed rabies exposures from three countries namely, Ghana (7); Nigeria (4) and Liberia (1). The conference gave consensus report that rabies has remained a neglected disease in West Africa and therefore deserves one-health approach for its control and prevention alongside a stepwise eradication in domestic dogs and humans.
Dates: 28 Oct 14 - 31 Oct 14
Venue: Institute of Local Government Studies
Organizers: The Society for Rabies in West Africa
Contact person: Professor Albert B. Ogunkoya (email@example.com)