Surveillance of Human-Animal Exposures and Preventative Rabies Managament

[ABDILLAH FARKHAN]

The targeted disease constructed on this video is Rabies, a deadly zoonotic infection with spillover human-animal exposure in Indonesia. This surveillance comprises an integrated approach between surveillance of human-animal bite injuries and follow-up response action to control the transmission of Rabies. Rabies is a zoonotic disease with very high fatality but it is preventable. This surveillance concept works since the stage of risk factors exposure which may affect Rabies and does not work at the stage when the patient has already become a confirmed Rabies patient.

 

[Zarni Lynn Kyaw]

As always, fantastic presentation,
The following are some of my thoughts
-Is it possible to detect every single animal bite in Indonesia? In Myanmar, it would not be possible.
-I’m glad to learn different laws and decrees of Indonesia
-I like your visualization of the data flow; it made me think about my diagram
-Onion chart is very impressive
-I assume you develop various indicators for the evaluation, and I’m very interested to learn more about those.

Thanks,
Zarni

[ABDILLAH FARKHAN]

Hi Zarni, Thank you for your inputs
One important lack in my presentation that I did not mention is about the case definition of Rabid animals presenting Rabies symptoms, so it seems we will detect every animal that has bitten. Of course, it is not possible with our current laboratory capacity and staff workload to examine every single animal and find whether the virus is present or not. Also, media and animal associations will definitely lawsuit this act. Therefore, I think it needs a very clear definition from animal health experts to select what are the criteria for rabid animals that need to be tested.
We can share our experiences with each other and make discussions if necessary.
Best.

[PREUT ASSAWAWORRARIT]

Thank you for your presentation. It is useful to record the exposure to establish the future plan for Rabies eradication. In addition to your presentation, let allow me to add some idea.
1. The case fatality rate of rabies in human is 100 percent. The incidence of rabies is extremely low (I think it might be zero) in Thailand. This issue may affect the surveillance system.
2. The incubation period is quite long. Most of cases take about 3 months to show the symptoms since they were bit. Therefore, when they were diagnosed as rabies, the index animal which carried Rabies virus may pass away.

Thank you.

[ABDILLAH FARKHAN]

Hi Preut, I really like your suggestions.
I am glad that Thailand has successfully eradicated Rabies. Unfortunately, my country is still facing Rabies problem in some provinces and it is hard to eradicate since caregiving the animal is also associated with local cultures and beliefs.

I elucidated a very limited case definition. I think I should strengthen my surveillance concept in this aspect (with definitions of confirmed, probable, and suspected).
Best.

[Author]

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