Evidence map›Paper›PMID 41362653›Full record

ArticleOne health (Amsterdam, Netherlands)2025

LFD implementation uncovers hidden rabies burden: Pre- and post-implementation analysis and comparison with non-implementation sites in the Philippines.

Nobuo Saito, Patricia T Lacanilao, Alyssa M Garcia, Karren L Inton, Jaira D Mauhay, Voltaire G Basinang, Lea G Fernando, Benedict T Bernardo, Roel G Dela Cruz, Arvin H Agapito and 15 more

Abstract read
In one paragraph

Article in One health (Amsterdam, Netherlands), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors.

Nobuo SaitoResearch Center for Global and Local Infectious Diseases, Oita University, Yufu, Oita, Japan.
Patricia T LacanilaoResearch Center for Global and Local Infectious Diseases, Oita University, Yufu, Oita, Japan.
Alyssa M GarciaResearch Center for Global and Local Infectious Diseases, Oita University, Yufu, Oita, Japan.
Karren L IntonResearch Center for Global and Local Infectious Diseases, Oita University, Yufu, Oita, Japan.
Jaira D MauhayResearch Center for Global and Local Infectious Diseases, Oita University, Yufu, Oita, Japan.
Voltaire G BasinangProvincial Veterinary Office of Bulacan, Malolos, Bulacan, Philippines.
Lea G FernandoProvincial Veterinary Office of Bulacan, Malolos, Bulacan, Philippines.
Benedict T BernardoMunicipal Agriculture Office of Pulilan, Pulilan, Bulacan, Philippines.
Roel G Dela CruzMunicipal Agriculture Office of Guiguinto, Guiguinto, Bulacan, Philippines.
Arvin H AgapitoCity Veterinary Office of San Jose del Monte, San Jose del Monte, Bulacan, Philippines.
Arby B BanaagCity Veterinary Office of San Jose del Monte, San Jose del Monte, Bulacan, Philippines.
Gladys M BernardoCity Veterinary Office of San Jose del Monte, San Jose del Monte, Bulacan, Philippines.
Jonarel M AndresCity Veterinary Office of San Jose del Monte, San Jose del Monte, Bulacan, Philippines.
Geraldine M San JuanMunicipal Agriculture Office of Paombong, Paombong, Bulacan, Philippines.
Edwin P TecsonProvincial Health Office of Bulacan, Malolos, Bulacan, Philippines.
Annie M BalingitProvincial Health Office of Bulacan, Malolos, Bulacan, Philippines.
Joely T OngtangcoDepartment of Agriculture, Regional Field Office III, Tarlac, Tarlac, Philippines.
Maria G LagayanaDepartment of Agriculture, Bureau of Animal Industry, Quezon City, Metro Manila, Philippines.
Jeffrey L CruzDepartment of Agriculture, Bureau of Animal Industry, Quezon City, Metro Manila, Philippines.
Shella G OridinarioDepartment of Agriculture, Bureau of Animal Industry, Quezon City, Metro Manila, Philippines.
Catalino S DemetriaResearch Institute for Tropical Medicine, Muntinlupa, Metro Manila, Philippines.
Daria L ManaloResearch Institute for Tropical Medicine, Muntinlupa, Metro Manila, Philippines.
Beatriz P QuiambaoResearch Institute for Tropical Medicine, Muntinlupa, Metro Manila, Philippines.
Kazunori KimitsukiResearch Center for Global and Local Infectious Diseases, Oita University, Yufu, Oita, Japan.
Akira NishizonoResearch Center for Global and Local Infectious Diseases, Oita University, Yufu, Oita, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Despite accumulating evidence supporting lateral flow devices (LFDs) in rabies diagnosis, their impacts of decentralizing diagnostic capacity on surveillance in endemic settings have not been systematically evaluated. Methods: We established low-resource decentralized rabies diagnostic laboratories in a target area of the Philippines, where rabies testing was previously unavailable, and evaluated both the diagnostic performance of LFD and their impacts on surveillance. Results: Using DFAT (direct fluorescent antibody test) as reference, LFDs performed at the decentralized laboratories showed a sensitivity of 97.0 % and a specificity of 98.2 %. After implementation, the monthly number of confirmed animal rabies cases in the target area increased from 2.09 to 8.65 cases, representing a 4.14-fold increase ( Conclusion: LFD-based decentralization markedly improved case detection and enabled critical outbreak responses at the local level, demonstrating its value for rabies control in endemic settings though sustained One Health approach remains a challenge following the detection of rabid animals using LFD.

Indexed as

Implementation studyLFDOne healthOutbreakTime series analysis

Identifiers

PMID41362653
PMCPMC12681732

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LicenceCC BY
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Registered trials

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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.