Holistic application of the one health approach in the prevention and control of rabies: plausible steps towards achieving the 2030 vision in Africa.

IF 3.8 Q2 INFECTIOUS DISEASES One health outlook Pub Date : 2024-09-11 DOI:10.1186/s42522-024-00108-6
Olalekan Chris Akinsulie, Oluwawemimo Oluseun Adebowale, Ridwan Olamilekan Adesola, Olamilekan Gabriel Banwo, Ibrahim Idris, Seto Charles Ogunleye, Oluwole Fasakin, Adetolase Bakre, Ifeoluwa Peace Oladapo, Victor Ayodele Aliyu, Emily Onesai Waniwa, Oluwatobi Fasiku, Melina Joshi, Mercy Olorunshola
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Abstract

Rabies remains a significant public health challenge in Africa, primarily burdening impoverished rural communities, with children and young adults being the most vulnerable. Achieving complete elimination in the continent by 2030 requires a coordinated effort hinged on the One Health concept, external support from international organizations like the World Health Organization (WHO) and the national governments of endemic countries. Here, we reviewed the various socio-economic and ecological factors influencing the spatial distribution and molecular epidemiology of the disease. To mitigate the transmission of rabies on a global scale, and specifically in Africa, we proposed a multi-pronged approach including enhanced access to healthcare resources, cultural sensitization and massive health promotion with efforts geared towards promoting responsible dog and pet ownership and population management, effective monitoring, and mitigation of environmental changes.

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在预防和控制狂犬病中全面应用 "统一保健方法":在非洲实现 2030 年愿景的可行步骤。
狂犬病仍然是非洲公共卫生面临的一项重大挑战,主要给贫困的农村社区造成负担,其中儿童和青壮年最容易受到感染。要在 2030 年之前彻底消除非洲大陆上的狂犬病,需要在 "一个健康 "理念、世界卫生组织(WHO)等国际组织的外部支持以及狂犬病流行国家政府的协调努力下才能实现。在此,我们回顾了影响狂犬病空间分布和分子流行病学的各种社会经济和生态因素。为了在全球范围内,特别是在非洲减少狂犬病的传播,我们提出了一种多管齐下的方法,包括加强医疗保健资源的获取、文化宣传和大规模健康推广,同时努力促进负责任的养狗和宠物行为以及人口管理、有效监测和减少环境变化。
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