终结狂犬病:一个流行病学和全球公共卫生问题

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摘要

狂犬病自古以来就是一个公共卫生问题,每年至少造成5.9万人死亡,几乎都是通过狗咬伤传播的。它对发展中国家,主要是非洲和亚洲的发展中国家产生了相当大的经济影响。世界卫生组织启动了消除狂犬病工作,将其作为到2030年底将人类狂犬病发病率降至零的全球目标。西欧和北美的一些国家采取了控制狂犬病的消灭战略,并在家养狗中实现了消灭。消除狂犬病的目标是可以实现的,但需要大量资源来解决个人和卫生当局面临的这一全球卫生问题,并遵循世卫组织关于犬类大规模疫苗接种的指导方针,以及提高公众对狂犬病及其流行病学的认识。
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Ending Rabies as an Epidemiologic and Global Public Health Problem
Rabies remains a public health problem since ancient times and kills at least 59,000 annually, almost all transmitted via dog bites. It creates considerable economic impacts on developing countries, primarily in Africa and Asia. The World Health Organization has launched the elimination of rabies, as a global goal in the reduction of human rabies prevalence to zero cases by the end of 2030. Several countries, in Western Europe and North America, have adopted an elimination strategy for controlling rabies and have achieved elimination in the domestic dog population. The goal of elimination of rabies is achievable and would require substantial resources addressing this global health problem on individuals and health authorities, following WHO guidelines on the mass vaccination of dogs as well as increasing public awareness about rabies and its epidemiology.
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