Sokoine University of Agriculture

Ecological and Epidemiological Findings Associated with Zoonotic Rabies Outbreaks and Control in Moshi, Tanzania, 2017–2018

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dc.contributor.author Killewo, Japhet
dc.contributor.author Mtui-Malamsha, N.
dc.contributor.author Sallu, R.
dc.contributor.author Mahiti, G. R.
dc.contributor.author Mohamed, H.
dc.contributor.author OleNeselle, M.
dc.contributor.author Rubegwa, B.
dc.contributor.author Swai, E. S.
dc.contributor.author Makungu, S.
dc.contributor.author Otieno, E. G.
dc.contributor.author Lupindu, A. M.
dc.contributor.author Komba, E.
dc.contributor.author Mdegela, R.
dc.contributor.author Assenga, J. A.
dc.contributor.author Bernard, J.
dc.contributor.author Marandu, W.
dc.contributor.author Warioba, J.
dc.contributor.author Makondo, Z.
dc.contributor.author Chang'a, J.
dc.contributor.author Mramba, F.
dc.contributor.author Hezron, N.
dc.contributor.author Killewo, J.
dc.contributor.author Kafeero, F.
dc.contributor.author Makonnen, Y. J.
dc.contributor.author Rivas, A. L.
dc.contributor.author Fasina, F. O.
dc.date.accessioned 2020-04-15T06:07:38Z
dc.date.available 2020-04-15T06:07:38Z
dc.date.issued 2019-08-07
dc.identifier.citation Mtui-Malamsha, N., Sallu, R., Mahiti, G.R., Mohamed, H., OleNeselle, M., Rubegwa, B., Swai, E.S., Makungu, S., Otieno, E.O., Lupindu, A.M., Komba, E., Mdegela, R., Assenga, J.A., Bernard, J., Marandu, W., Warioba, J., Makondo, Z., Chang’a, J., Mramba, F., Nonga, H., Killewo, J., Kafeero, F., Makonnen, Y.J., Rivas, A.L., and Fasina, F.O. (2019). Ecological and Epidemiological Findings Associated with Zoonotic Rabies Outbreaks and Control in Moshi, Tanzania, 2017–2018. International Journal Environmental Research and Public Health. 16(16), 2016 en_US
dc.identifier.issn 1687-9805
dc.identifier.issn 1687-9813
dc.identifier.uri https://www.suaire.sua.ac.tz/handle/123456789/3012
dc.description International Journal Environmental Research and Public Health, 2019; 16(2816) en_US
dc.description.abstract Approximately 1500 people die annually due to rabies in the United Republic of Tanzania. Moshi, in the Kilimanjaro Region, reported sporadic cases of human rabies between 2017 and 2018. In response and following a One Health approach, we implemented surveillance, monitoring, as well as a mass vaccinations of domestic pets concurrently in >150 villages, achieving a 74.5% vaccination coverage (n = 29, 885 dogs and cats) by September 2018. As of April 2019, no single human or animal case has been recorded. We have observed a disparity between awareness and knowledge levels of community members on rabies epidemiology. Self-adherence to protective rabies vaccination in animals was poor due to the challenges of costs and distances to vaccination centers, among others. Incidence of dog bites was high and only a fraction (65%) of dog bite victims (humans) received post-exposure prophylaxis. A high proportion of unvaccinated dogs and cats and the relative intense interactions with wild dog species at interfaces were the risk factors for seropositivity to rabies virus infection in dogs. A percentage of the previously vaccinated dogs remained unimmunized and some unvaccinated dogs were seropositive. Evidence of community engagement and multi-coordinated implementation of One Health in Moshi serves as an example of best practice in tackling zoonotic diseases using multi-level government e orts. The district-level establishment of the One Health rapid response team (OHRRT), implementation of a carefully structured routine vaccination campaign, improved health education, and the implementation of barriers between domestic animals and wildlife at the interfaces are necessary to reduce the burden of rabies in Moshi and communities with similar profiles. en_US
dc.language.iso en en_US
dc.publisher International Journal Environmental Research and Public Health en_US
dc.subject human-animal interaction; One Health; rural community; rabies; wildlife; zoonosis en_US
dc.title Ecological and Epidemiological Findings Associated with Zoonotic Rabies Outbreaks and Control in Moshi, Tanzania, 2017–2018 en_US
dc.type Article en_US
dc.url 10.3390/ijerph16162816 en_US


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