Rabies Control

IACIB is acting as coordinator of Bangladesh Anti Rabies Association (BARA) and has observed 3rd World Rabies Day on 28 September 2009. IACIB has planned to work on rabies control by advocacy meeting, Training, IEC campaign, Killing of street dogs, vaccination of pet dogs and sterilization of dog etc. For these activities support is needed. IACIB also participated in international conference on Neglected Tropical Diseases (NTDs).

Background:

Rabies, a viral disease infects dog, cat, fox, jackal, mongoose, cattle in Bangladesh. It is 100% fatal but equally preventable and most neglected tropical diseases that affect hardcore poor people. More than 85% rabies patients are from rural areas, more than 95% are due to dog bite and mostly children aged between 6-15 years.

According to a report of Infectious Disease Hospital ( IDH), Dhaka, in 2006, more than 2000 die from Rabies and more than 300000 people are animal bitten yearly, though gross under reported.

In Bangladesh only Nerve Tissue vaccine (NTV) was available at government level, which is relatively ineffective with post vaccinal neuro-paralytic effect. In 2006, WHO advised to phase out the NTV replacing by Tissue Culture Vaccine (TCV). It is urgent for the government to take necessary steps to prevent unexpected death from Rabies any more and to take elimination program.

Prof. Dr. Moazzem Hossain, Director Disease Control, Directorate General of Health Services (DGHS), who is also the Chairman BARA has recently in May 2010 identified Rabies as one of the major public health problems and taken all necessary steps to prevent and control rabies in the country with active involvement of BARA in the following activities :

1. On 20 May 2010: A meeting at Local Government division with Ministry of Local Government and Rural Development (LGRD), Ministry of Health & Family Welfare (MOH&FW) and Ministry of Live Stock Department (LSD) and BARA were held under the chairmanship of Secretary Ministry of LGRD. Two important committees: National Steering Committee (NSC) and Technical Working Group (TWG) were formed in this meeting.

2. A series of workshop with experts of three ministries (Health, LGRD and LSD) and BARA members were held for finalization of two guidelines: National Guidelines for Prevention and Control of Rabies and Guidelines for Rabies Prophylaxis and ID Vaccination. The guidelines were finalized and printed.

3. On 11July 2010: ARV (TCV) at IDH, Dhaka was started with simultaneous training of doctors, nurses and vaccinators on prevention and control of rabies and ID vaccination. Subsequently the doctors, nurses and vaccinators were given TOT training from all 7 divisions of the country to start ID TCV in all divisions with help of BARA experts.

4. On 24 July 2010: Consultative meeting with Divisional Directors, Directors of Medical College Hospitals, Chief Health Officers of City Corporations, Metrons of Medical College Hospitals located at 7 divisional head quarters, Senior Consultants of all Infectious Disease Hospitals of the country was held at Dhaka to start the ID TCV at all divisional level.

5. On 25 July 2010: Press briefing with Print and Electric media on Rabies control activities in Bangladesh with the introduction of TCV in place of NTV.

6. On 11 August 2010: First NSC meeting was held at MOH&FW presided over by Hon’ble Minister, MH&FW Prof. A.F.M. Ruhal Haque. National guidelines & introduction of user’s fee were approved in the meeting.

7. On 15 August 2010: First Advocacy meeting at Raipura upozila under Narsingdi district were held to conduct one pilot study on Animal Birth Control (ABC) jointly with BARA.

8. On 19 and 20 September 2010: Training on ABC by chemical sterilization using EsterilSol at Dhaka and Paratuli union of Raipura upozila under Narsingdi district were held.

9. On 28 September 2010: 4th World Rabies Day at all 64 districts in the country were held for the first time in Bangladesh.

10. On 18 October 2010: Advocacy Meeting at Cox’s Bazar ( a tourist zone) was held to implement another pilot rabies project by BARA.

11. On 11 November 2010: Consultative meeting was held at Dhaka on Implementation of Rabies Control Program by using ID TCV in the whole country, where concerned stakeholders from all division, medical college hospitals, City Corporations and all districts attended.

12. Pilot study for rabies control was conducted by BARA experts on ABC by both surgical and chemical method with Dog survey, orientation meeting etc at Raipura in the island with six union surrounded by Meghna River.

13. Solmaid High School, Badda, Dhaka was taken on pilot basis for school based health education in Dhaka for rabies control among school students by BARA from 14th December 2010 for six months.

14. KAP study on rabies and pet animals were conducted among school students and general population.

15. Brain tissue of suspected cattle and dog were collected for molecular study of rabies by BARA and Oita University, Japan.

16. A study on efficacy of IDTCV is ongoing following introduction of IDTCV from 11 July 2010

A baseline survey was conducted on October in 2010 in Solmaid High School, Badda, Dhaka. It was conducted to realize the existing condition of the students on rabies knowledge and awareness. The survey was conducted with class 4, 5, 6, 7 and 8 by random sampling method on 50 students including 24 male and 26 female. The survey was with some basic questions on rabies related knowledge and awareness.

Please donate for Rabies control and Animal Birth Control in Bangladesh