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Working Together to Make Rabies History

September 28, 2009 marks the date of the 3rd annual World Rabies Day. The Alliance for Rabies Control, a United Kingdom charity, led in the organization of the first event to raise awareness about this deadly disease. Today the event is a partnership between numerous veterinary and human health professionals, teaching institutes, corporate industries and non-profit organizations operating at local, national and international levels.

The mission of World Rabies Day is to raise awareness about the impact of human and animal rabies, how easy it is to prevent it, and how to eliminate the main global sources. It is estimated that more than 55,000 people die from rabies every year - or put another way, one person dies from rabies every ten minutes. Although rabies has existed for centuries, it causes constant mortality month after month and year after year, rather than spectacular epidemics or pandemics. The majority of cases occur in children living in impoverished areas of Africa and Asia; most cases are the result of exposure to dogs with uncontrolled rabies. This major source of rabies in humans can be eliminated through ensuring adequate animal vaccination and control, educating those at risk, and enhancing access of those bitten to appropriate medical care. Indeed, in Latin America, the goal of eliminating dog - transmitted rabies to humans has nearly been accomplished. The number of human and canine cases has fallen by nearly 90%. Today, human rabies in Latin America is found in impoverished areas: cases transmitted by dogs occur in the poverty belts of mega-cities, and cases transmitted by vampire bats occur in remote areas of the Amazon.

Even though rabies is relatively uncommon in developed countries, it does not mean that North Americans can or should be indifferent to this disease or relax our control efforts. We continue to manipulate our environment, extend our communities into animal habitats, travel across continents, import and export materials globally, increasing our risk of potential exposure. New strains of rabies can be introduced in an area by deliberate importation of animals or by natural means such as migration of flying or terrestrial mammals.

The World Rabies Day initiative represents an excellent example of collaboration between human, veterinary, and public health communities to address a common issue and reduce suffering in both human and animal populations by preventing and/or eradicating rabies on a worldwide scale. More importantly, this initiative serves as an excellent example of how to implement the concept of "One Health", a recognition that human and animal health are inextricably linked and that a unified multi-disciplinary approach is needed to address the health challenges of the 21st century. The creation of the One Health Challenge in support of World Rabies Day reflects the desire of modern health professionals to act at the local level in order to affect our global health.

You can find further information about World Rabies Day and links to other important information about zoonotic diseases and the concept of One Health at www.worldrabiesday.org and http://www.cdc.gov/rabies.


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