ArticleTropical medicine and infectious disease2017
The Importance of a Participatory and Integrated One Health Approach for Rabies Control: The Case of N'Djaména, Chad.
Article in Tropical medicine and infectious disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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Who cites it
22 citing papers in PubMed, 41 citations in OpenAlex.
- Experiences of piloting integrated bite case management in Zaria Metropolis, Nigeria.Frontiers in tropical diseases · 2026Article
- The return of human rabies: A foretold case in Latin America Through the Lens of One Health.medRxiv : the preprint server for health sciences · 2026Article
- Geospatial Tracking of a Rabies Outbreak in the Eastern Cape Province, South Africa, Using Molecular Data.Transboundary and emerging diseases · 2026Article
- Comparing vaccination coverage and dog population demographics among four pilot dog rabies vaccination strategies in Uganda.Frontiers in veterinary science · 2025Article
- Combining genomics and epidemiology to investigate a zoonotic outbreak of rabies in Romblon Province, Philippines.Nature communications · 2024Article
- Implementing a One Health Approach to Rabies Surveillance: Lessons From Integrated Bite Case Management.Frontiers in tropical diseases · 2022Article
- One Health Surveillance for Rabies: A Case Study of Integrated Bite Case Management in Albay Province, Philippines.Frontiers in tropical diseases · 2022Article
- Rabies Elimination in Rural Kenya: Need for Improved Availability of Human Vaccines, Awareness and Knowledge on Rabies and Its Management Among Healthcare Workers.Frontiers in public health · 2022Article
- Factors Limiting the Appropriate Use of Rabies Post-exposure Prophylaxis by Health Professionals in Brazil.Frontiers in veterinary science · 2022Article
- Incidence and seroprevalence of rabies virus in humans, dogs and other animal species in Africa, a systematic review and meta-analysis.One health (Amsterdam, Netherlands) · 2021Review
- How geographic access to care shapes disease burden: The current impact of post-exposure prophylaxis and potential for expanded access to prevent human rabies deaths in Madagascar.PLoS neglected tropical diseases · 2021Article
- One-health approach: A best possible way to control rabies.One health (Amsterdam, Netherlands) · 2020Review
- Rabies vaccination strategies in the Netherlands in 2018: a cost evaluation.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2020Article
- Volunteer based approach to dog vaccination campaigns to eliminate human rabies: Lessons from Laikipia County, Kenya.PLoS neglected tropical diseases · 2020Article
- One Health in Practice: Using Integrated Bite Case Management to Increase Detection of Rabid Animals in Tanzania.Frontiers in public health · 2020Article
- Article
- Healthcare utilization, provisioning of post-exposure prophylaxis, and estimation of human rabies burden in Madagascar.Vaccine · 2019Article
- On the path to rabies elimination: The need for risk assessments to improve administration of post-exposure prophylaxis.Vaccine · 2019Article
- Lessons for rabies control and elimination programmes: a decade of One Health experience from Bali, Indonesia.Revue scientifique et technique (International Office of Epizootics) · 2019Review
- The importance of dog population contact network structures in rabies transmission.PLoS neglected tropical diseases · 2018Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
This study compares data on animal rabies cases from the Chadian national rabies laboratory, hosted at the Insitut de Recherche en Elevage pour le Developpement (IRED), with bite case reporting from health facilities. The data collection accompanied a mass dog vaccination intervention over two years in N'Djaména, Chad. This allowed for a comparison of the dynamics of the incidence of animal rabies cases, human bite exposure incidence and post-exposure prophylaxis (PEP) demand during a dog rabies elimination attempt. Following the mass vaccination, the monthly animal rabies incidence dropped from 1.1/10,000 dogs, as observed prior to the campaign in 2012, to 0.061/10,000 dogs in 2014. However, the PEP demand was found to be largely unaffected. The suspicion of the rabies exposure as reported by health personnel in most cases did not reflect the status of the biting animal but rather the severity of the bite wound, resulting in inappropriate PEP recommendations. In addition, the levels of reporting dead or killed animals to the rabies laboratory was found to be very low. These results reveal a profound lack of communication between health facilities and veterinary structures and the absence of an integrated bite case management (IBCM) approach. Improved communication between human health and veterinary workers is imperative to prevent human rabies deaths through the appropriate use of PEP and to further translate success in animal rabies control into cost savings for the public health sector through a lower PEP demand. Improved training of health and veterinary personnel and the sensitisation of the public are needed to achieve good IBCM practice, to increase the rate of diagnostic testing, to provide adequate and timely PEP, and to reduce the wastage of scarce vaccine resources.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.