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Strengthening Rabies Eradication in Bali, Indonesia - TCP INS 3504










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    Article
    Assessing bait acceptance of local dogs, oral rabies vaccination success and human contact risk in Bali, Indonesia 2023
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    The objective of this study was to identify the preferred bait of local dogs in Bali and estimate oral rabies vaccination (ORV) success in locations with varying geographic and demographic conditions. In addition, an evaluation of potential direct and indirect contact with the placebo sachet contents was conducted. The study was a randomized controlled trial conducted in two pilot areas of Bali using imported and hand-made baits. All dogs were offered a single bait containing a sachet of blue-dyed water using the “hand-out and retrieve” technique. Several methods were used to determine the likelihood of contact with the placebo vaccine. Comparing ORV with capture-vaccinate-release (CVR) methods, field officers were given Google Forms questions to answer. Statistical analysis was performed using univariate contingency table testing, followed by the development of a multiple logistic regression (MLR) model. With 96.9% acceptance, intestine was the most popular bait for local dogs in Bali, and egg bait came in second (81.1%). However, the egg bait was 95.2% effective in releasing the vaccine in the oral cavity, followed by the intestine at 82.6%. 6.1% of surveyed households had direct contact with a dog that had recently consumed a vaccine bait. A survey among field officers also indicated that they preferred ORV over CVR, as the former is more suitable for vaccinating inaccessible dogs and less stressful for the teams and the animals. In Bali, both a locally-made intestine bait and an industrially-produced egg-flavored bait were readily taken up by local dogs. There is a small risk that people can come into contact with dogs previously offered a bait; hence, only vaccines with a high safety profile should be used. ORV can replace the currently used CVR method for vaccinating free-roaming dogs as a complementary tool to increase vaccination coverage.
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    Immunogenicity of Oral Rabies Vaccine Strain SPBN GASGAS in Local Dogs in Bali, Indonesia 2023
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    Dog-mediated rabies is endemic in much of Indonesia, including Bali. Most dogs in Bali are free-roaming and often inaccessible for parenteral vaccination without special effort. Oral rabies vaccination (ORV) is considered a promising alternative to increase vaccination coverage in these dogs. This study assessed immunogenicity in local dogs in Bali after oral administration of the highly attenuated third-generation rabies virus vaccine strain SPBN GASGAS. Dogs received the oral rabies vaccine either directly or by being offered an egg-flavored bait that contained a vaccine-loaded sachet. The humoral immune response was then compared with two further groups of dogs: a group that received a parenteral inactivated rabies vaccine and an unvaccinated control group. The animals were bled prior to vaccination and between 27 and 32 days after vaccination. The blood samples were tested for the presence of virus-binding antibodies using ELISA. The seroconversion rate in the three groups of vaccinated dogs did not differ significantly: bait: 88.9%; direct-oral: 94.1%; parenteral: 90.9%; control: 0%. There was no significant quantitative difference in the level of antibodies between orally and parenterally vaccinated dogs. This study confirms that SPBN GASGAS is capable of inducing an adequate immune response comparable to a parenteral vaccine under field conditions in Indonesia.
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    Brochure, flyer, fact-sheet
    Towards zero human deaths from dog-mediated rabies by 2030
    FAO's support to member countries on rabies control
    2024
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    This report showcases some examples of FAO’s endeavours in assisting countries across Africa, Asia and the Middle East in combating rabies through the holistic One Health approach. It is our aspiration that this report serve as a source of inspiration and as a catalyst for sustained action, motivating FAO, its Members and collaborative partners to continue their dedicated efforts to combat rabies. Let us stand united, committed to achieve the common vision of “zero by 30”.

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