How a private organization in Pakistan initiated One Health Project to eliminate rabies

Naseem Salahuddin , M. Aftab Gohar , Naila Baig-Ansari , Rabia Khan , M. Abdullah Qureshi , Kausar SK , Rashna Spencer Karanjia , Sara Salman , Isma Gheewala
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Abstract

Objectives

In response to the escalating dog-bite incidents in Pakistan, the Indus Hospital Research Center (IHRC) introduced a pilot program of One Health to raise awareness about dog-related rabies in a fishing village in Karachi, and to vaccinate and sterilize unowned dogs in the area. The program was named “Rabies Free Pakistan” (RFP).

Design

Through community engagement, and financial and logistical support from multiple sources, field workers were trained to catch, vaccinate, neuter/spay, and release the dogs.

Results

The local community became aware of rabies and postexposure prophylaxis, while the team vaccinated 36,997dogs and sterilized 11,397 between 2018 and 2022. The outcome of a reduced dog population cannot be predicted for several years; however, cases of dog-bite outbreaks in the field reduced considerably, and the local people reported fewer puppies in 2022.

Conclusions

Despite many challenges, RFP proved to the community, the local government, and the donors that mass dog vaccination and neutering/spaying are possible through a collaborative effort. Political will is the primary requisite to carry on the One Health Initiative if rabies is to be eliminated from the country.

巴基斯坦一家私营组织如何发起 "一个健康项目 "以消灭狂犬病
目标针对巴基斯坦不断升级的狗咬人事件,印度河医院研究中心(IHRC)在卡拉奇的一个渔村开展了 "同一健康 "试点项目,以提高人们对与狗有关的狂犬病的认识,并对该地区无主的狗进行疫苗接种和绝育。该计划被命名为 "无狂犬病的巴基斯坦"(RFP)。设计通过社区参与以及来自多方的财政和后勤支持,培训现场工作人员捕捉、接种疫苗、绝育/绝育并放归狗群。结果当地社区开始了解狂犬病和暴露后预防措施,同时该团队在 2018 年至 2022 年期间为 36997 只狗接种了疫苗,并为 11397 只狗进行了绝育手术。尽管面临诸多挑战,但 RFP 向社区、当地政府和捐助者证明,通过共同努力,大规模为狗接种疫苗和绝育/绝育是可行的。要想在该国消灭狂犬病,政治意愿是实施 "同一健康倡议 "的首要条件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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