Next Article in Journal / Special Issue
Epidemiology of Rabies in Lesotho: The Importance of Routine Surveillance and Virus Characterization
Previous Article in Journal
Five-Year Antimicrobial Susceptibility of Pseudomonas aeruginosa from a Local Tertiary Hospital in Bacolod City, Philippines
Previous Article in Special Issue
The History of Rabies in Trinidad: Epidemiology and Control Measures
Open AccessCommunication

The Formation of the Eastern Africa Rabies Network: A Sub-Regional Approach to Rabies Elimination

National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30329, USA
Department of Microbiology and Plant Pathology, Faculty of Natural and Agricultural Sciences, University of Pretoria, 0028 Pretoria, South Africa
Global Alliance for Rabies Control SA NPC, Erasmus Forum A434, South Erasmus Rand, 0181 Pretoria, South Africa
Zoonotic Disease Unit, Kenya Ministry of Health, Nairobi, Kenya
Ethiopian Public Health Institute, Addis Ababa, Ethiopia
Ethiopian Ministry of Livestock and Fisheries, Addis Ababa, Ethiopia
Ethiopian Ministry of Wildlife and Conservation, Addis Ababa, Ethiopia
Rwandan Ministry of Agriculture, Kigali, Rwanda
Tanzania Directorate of Veterinary Services, Ministry of Agriculture, Dar es Salam, Tanzania
Tanzania Ministry of Health, Dar es Salam, Tanzania
Division of Global Health Protection, Centers for Disease Control and Prevention, Nairobi, Kenya
Authors to whom correspondence should be addressed.
Trop. Med. Infect. Dis. 2017, 2(3), 29;
Received: 30 June 2017 / Revised: 11 July 2017 / Accepted: 13 July 2017 / Published: 18 July 2017
(This article belongs to the Special Issue Rabies Symptoms, Diagnosis, Prophylaxis and Treatment)
Abstract: International rabies networks have been formed in many of the canine-rabies endemic regions around the world to create unified and directed regional approaches towards elimination. The aim of the first sub-regional Eastern Africa rabies network meeting, which included Kenya, Ethiopia, Tanzania, Rwanda, and Uganda, was to discuss how individual country strategies could be coordinated to address the unique challenges that are faced within the network. The Stepwise Approach towards Rabies Elimination and the Global Dog Rabies Elimination Pathway tool were used to stimulate discussion and planning to achieve the elimination of canine-mediated human rabies by 2030. Our analysis estimated a total dog population of 18.3 million dogs in the Eastern Africa region. The current dog vaccination coverage was estimated to be approximately 5% (915,000 dogs), with an estimated 4910 vaccinators available. Assuming that every vaccinator performs rabies vaccination, this equated to each vaccinator currently vaccinating 186 dogs per year, whilst the target would be to vaccinate 2609 dogs every year for the community to reach 70% coverage. In order to achieve the World Health Organization-recommended 70% vaccination coverage, an additional 11 million dogs need to be vaccinated each year, pointing to an average annual shortfall of $ 23 million USD in current spending to achieve elimination by 2030 across the region. Improved vaccination efficiency within the region could be achieved by improving logistics and/or incorporating multiple vaccination methods to increase vaccinator efficiency, and could serve to reduce the financial burden associated with rabies elimination. Regional approaches to rabies control are of value, as neighboring countries can share their unique challenges while, at the same time, common approaches can be developed and resource-saving strategies can be implemented. View Full-Text
Keywords: words: rabies surveillance; rabies network; Africa; rabies elimination words: rabies surveillance; rabies network; Africa; rabies elimination
MDPI and ACS Style

Pieracci, E.G.; Scott, T.P.; Coetzer, A.; Athman, M.; Mutembei, A.; Kidane, A.H.; Bekele, M.; Ayalew, G.; Ntegeyibizaza, S.; Assenga, J.; Markalio, G.; Munyua, P.; Nel, L.H.; Blanton, J. The Formation of the Eastern Africa Rabies Network: A Sub-Regional Approach to Rabies Elimination. Trop. Med. Infect. Dis. 2017, 2, 29.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map

Trop. Med. Infect. Dis., EISSN 2414-6366, Published by MDPI AG
Back to TopTop