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ProMED翻訳情報(370回) ~全世界における狂犬病の現状~




Date: Fri 17 Apr 2015       Source: Global Alliance for Rabies Control [edited]



160 people die of rabies every day, says major new study



A global study on canine rabies, published today (16 Apr 2015), has found that 160 people die every single day from the disease. The report is the 1st study to consider the impact in terms of deaths and the economic costs of rabies across all countries. Even though the disease is preventable, the study says that around 59 000 people die every year of rabies transmitted by dogs.



The multi-author study, by the Global Alliance for Rabies Control’s Partners for Rabies Prevention Group, also shows that annual economic losses because of the disease are around USD 8.6 billion, mostly due to premature deaths, but also because of spending on human vaccines, lost income for victims of animal bites and other costs.



“This ground-breaking study is an essential step towards improved control and eventual elimination of rabies,” says Professor Louis Nel,Executive Director of the Global Alliance for Rabies Control (GARC).”An understanding of the actual burden helps us determine and advocate for the needed to tackle this fatal disease.”

この革新的な研究は狂犬病の抑制を向上し、結果的に根絶するために必要不可欠なステップである、と世界狂犬病抑制連合(GARC)執行役員のLouis Nel教授は話している。現実的負担の理解は、この致死的な病気に取り組むことが必要であることを決断しまた賛同することに役立つ。


Led by Dr Katie Hampson of the University of Glasgow, the study is the 1st to estimate the impact of canine rabies and the extent of control efforts in every country in the world. Dr Hampson explains, “The breadth of data used in this study, from surveillance reports to epidemiological study data to global vaccine sales figures, is far greater than ever analysed before, allowing this more detailed output.”

グラスゴー大学のKatie Hampson博士主導によるその研究は、犬狂犬病の影響及び世界中のすべての国における狂犬病の抑制活動の広がりについて推定する初めての研究である。Dr Hampson はこう説明している、この研究に使用されたデータの範囲は、疫学調査報告から世界のワクチン販売数に至り、以前に分析されたものよりはるかに広範囲であり、このより詳細な結果を出している。


The study finds that overwhelmingly the greatest risk of canine rabies is in the poorest countries; the death rate (deaths per 100 000 people) is highest in countries in sub-Saharan Africa, while India has the highest number of fatalities, with over 20 000 human deaths annually. The proportion of dogs vaccinated is far below that necessary to control the disease across almost all countries of Africa and Asia.



Rabies is close to 100 percent fatal, but it is also almost 100 percent preventable, and the best, most cost-effective way of preventing canine rabies is by vaccinating dogs. This needs to be supplemented by improving access to human vaccines.



According to the report, this One Health approach to eliminating rabies deaths, with collaboration between the human and animal health sectors, can save many lives and significantly reduce the burden on vulnerable economies. Indeed, the countries that have invested most in dog vaccination are the ones where human deaths from the disease have been virtually eliminated.



The study also emphasises that reporting systems are fundamental to rabies elimination, to monitor and assess the success of prevention efforts. “No one should die of rabies, and GARC and its partners will continue to work together using a One Health approach towards global rabies elimination,” concludes Professor Nel.



This is an unnecessary zoonotic disease from which we do not need to suffer.