LESSONS LEARNT FROM RABIES CONTROL PROGRAMMES IN VIETNAM
LESSONS LEARNT FROM RABIES CONTROL PROGRAMMES IN VIETNAM
How can we work together better and get more? § Legislation/Planning Development § Implementation Animal Health LINKING/ Epi COLLABORAT ION Human Health Lab
Legislation/Planning Development
Legislation MARD-MOH Joint Circular for coordinating prevention and control of zoonotic diseases
NATIONAL PROGRAMME ON RABIES CONTROL TOWARD RABIES ELIMINATION, 2017 - 2021 § Prime Minister’s Decision No. 193/QĐ-TTg, 13/02/2017 approving the national programme § Implementing: § MARD & MOH § Relevant ministries Multi-sectoral consultative meeting on the development of the National Programme
Implementation
§ Sharing information, joint investigation at all levels. § Collaboration (DAH/NCVD, NIHE and GDPM) § Training workshop on the implementation of the Circular 16, outbreak investigation. § Scientific seminars to share experiences on Rabies control and prevention; joint organisation of the World Rabies Day. § Jointly developed and submitted the National Programme for Rabies control and prevention for 2017 - 2021.
§ Awareness: § Joint development and implementation of materials
DIAGNOSTICS § Animal – Human Health collaboration § NIHE § NCVD § US CDC
Vaccination for vet. staff Post-vaccination antibody testing Human health experts (NIHE) to train animal health staff at NCVD
Laboratory training 10 -13/03/2015 US CDC experts (Dr. Lilia and Dr MA) Sample preparation
Integrated Bite Case Management (IBCM) Detect Respond Prevent
IBCM Detect Animal exposure at health care facility Rabies suspect animal in community Respond Post-Exposure Prophylaxis (PEP) Investigation (community and animal) 1. Identify additional bite victims 2. Animal capture and assessment 3. Quarantine or euthanasia and diagnostic testing 4. Reporting of test results Prevent Additional exposures by humanely removing animals Additional human deaths by identifying additional bite victims Unnecessary PEP use
IBCM: Detect Animal exposure at health care facility Daily reporting from preventative center to sub-DAH Rabies suspect animal in community Reporting from the community to sub-DAH
IBCM: Respond PEP at health care facility Wound treatment PEP series Investigation (community and animal)
IBCM: Respond Investigation (community and animal) 1. Identify additional bite victims 2. Animal capture and assessment 3. 1. Quarantine 2. Euthanasia and diagnostic testing Report outcome from investigation
IBCM: Respond Investigation (community and animal) 1. Identify additional bite victims 2. Animal capture and assessment 3. § Quarantine § Euthanasia and diagnostic testing Report outcome from investigation
IBCM: Respond Investigation (community and animal) 1. Identify additional bite victims 2. Animal capture and assessment 3. § Quarantine § Euthanasia and diagnostic testing Report outcome from investigation Signs of rabies = euthanasia Healthy = quarantine for 10 days
IBCM: Respond Investigation (community and animal) 1. Identify additional bite victims 2. Animal capture and assessment 3. § Quarantine § Euthanasia and diagnostic testing Report outcome from investigation
IBCM: Respond Investigation (community and animal) 1. Identify additional bite victims 2. Animal capture and assessment 3. § Quarantine § Euthanasia and diagnostic testing Report outcome from investigation
IBCM Cycle Report Outcome ~7 - 14 Days Detection Responses
Wild life surveillance
Future collaboration § Continue to implement/extend IBCM § Strengthen collaboration between human and animal laboratories, central and regional labs. § Sharing animal samples to NIHE and CDC
Acknowledgements • • DAH NIHE GDPM Phu Tho CDC-VN CDC-PRB Cat Tien NP
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