Rabies in Tanzania

This article is about the social and economic effects of rabies disease in Tanzania.

Context

Rabies is a fatal, preventable zoonosis that infects the central nervous system of mammals, caused by the lyssavirus.[1] It is endemic in low income countries, causing an estimated 55,000 human deaths each year with over 98% of these deaths following bites from rabid dogs.[2] It is a dangerous disease, if it is not effectively controlled. Many of the developing world arguing that the efforts for control is hampered by lack of awareness of its true impact.

Socio-economic effects

Research conducted in Tanzania estimated human rabies mortality at 1499 deaths per year, including unreported cases. There were only 193 reported cases, or 12% of the true number of people dying of rabies annually.[3]

Rabies takes an economic toll on Tanzania; costs due to rabies include medical expenses, control of infected dogs, and safety inspections in local communities. Rabies medication is also very expensive for the average Tanzanian.[4]

Prevention schemes

There have been some efforts to control rabies through vaccination of the disease sources, which include dogs and other wildlife.[5] A study done in two districts of Ngorongoro and Serengeti studied the spread pattern of rabies where wildlife plays a role in disease transmission. Findings indicated that an annual dog vaccination campaign, achieving the WHO-recommended target of 70% coverage, would have a high chance of controlling rabies in Ngorongoro and Serengeti.

References

  1. US National Library of Medicine; National Institute of Health website,https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3322764/
  2. Sambo, M., Cleaveland, S., Ferguson, H., Lembo, T., Simon, C., Urassa, H., & Hampson, K. (2013)
  3. Cleaveland, S., Fe, E. M., Kaare, M., & Coleman, P. G. (2002). Estimating human rabies mortality in the United Republic of Tanzania from dog bite injuries. Sci ELO, Public Health, 80(1).
  4. Knobel, D. L., Cleaveland, S., Coleman, P. G., Fèvre, E. M., Meltzer, M. I., Miranda, M. E. G., … Meslin, F. (2005). Re-evaluating the burden of rabies in Africa and Asia. Sci ELO, Public Health, 8862(3).
  5. Fitzpatrick, M. C., Hampson, K., Cleaveland, S., Meyers, L. A., Townsend, J. P., & Galvani, A. P. (2012). Potential for Rabies Control through Dog Vaccination in Wildlife-Abundant Communities of Tanzania, 6(8), 6–11. https://doi.org/10.1371/journal.pntd.0001796
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