ECTAD's support to rabies control and elimination programmes in Indonesia_Final.pptx

Rabies facts
Rabies in Indonesia
How can rabies infections be prevented?
What are ECTAD doing?
What's next?

1. March 2019 FAO ECTAD Indonesia ECTAD's support to rabies control and elimination programmes in Indonesia

2. Outline Rabies facts Rabies in Indonesia How can rabies infections be prevented? What are ECTAD doing? What’s next?

3. Rabies is 99% fatal , but 100% vaccine preventable Rabies facts…

4. 99% of human cases result from dog bites Rabies facts…

5. Rabies facts… One death every 10 minutes worldwide

6. Rabies facts… 4 of 10 deaths are in children

7. Rabies in Indonesia Name of island / area Province Year Flores island East Nusa Tenggara 1997 Ambon island Maluku 2003 Seram island Maluku 2003 Halmahera island North Maluku 2005 Morotai island North Maluku 2005 Ketapang district West Kalimantan 2005 Buru island Maluku 2006 Bali island Bali 2008 Bengkalis island Riau 2009 Rupat island Riau 2009 Nias island North Sumatera 2010 Larat island Maluku 2010 Dawera island Maluku 2012 Kisar island Maluku 2012 Ketapang district West Kalimantan 2015 Sumbawa island West Nusa Tenggara 2019 26/34 province in Indonesia are rabies endemic areas First reported rabies case was in horse in Jakarta (1884) First human cases was reported in 1894

8. The number of rabies cases in humans and animals in Indonesia Rabies in Indonesia…

9. How can rabies infections be prevented? Dogs vaccination…

10. How can rabies infections be prevented… Avoid dog bites…

11. How can rabies infections be prevented… Bite case management

12. What are ECTAD doing? Support Indonesian government to prevent, control and eradicate rabies…

13. Support the Development of Rabies Eradication National Guidelines'

14. Support the Implementation of Rabies Control and Eradication Strategies Mass dog vaccination (MDV) Training of field officers Support the implementation of MDV One Health approach implementation: Integrated bite case management (IBCM) Rapid response Dog population management (DPM) Public awareness

15. Mass dog vaccination (MDV) in Bali Annual MDV across the island has been implemented by local government with the support from central government and FAO since 2011 (aiming for 70% vaccination coverage of the 500,000 Bali dog population) Additional strategies to increase coverage: Sweeping vaccination: puppies and roaming dogs Emergency vaccination: as a response to rabies cases Pilot vaccination in Gianyar R2 R3 R4 R5 R6 R7 R8 R9 R10 Island-wide Vaccination R1

16. A-Teams On the front-line of eradicating rabies from Bali and remote rural areas are the vaccination teams, known as the “A-Teams” 1 vaccinator, 1 recorder, 4 dog catchers The teams search villages and remote mountainous areas for roaming dogs The A-teams work in addition to center point and house to house vaccination during the MDV campaign Vaccinated dogs are marked by red collars

17. The development of the Rabies Vaccination Campaign (RVC): data management apps

18. 2010 2012 2008 2009 2015 2017

19. Dog vaccination training in other areas

20. IBCM was first established in Bali in 2011 IBCM is a protocol to enhance networking among different sectors (animal health and public health) and promote coordination of rabies control activities IBCM  became a One Health network between animal and public health sectors in managing and responding bite cases One Health approach: Integrated Bite Case Management (IBCM)

21. Advantages of IBCM Improved coordination and communication in the field level Increased response to bite cases Increased sample submission to animal health laboratory Improved human case management Improved surveillance activities of suspect rabid animals

22. One Health pilot to identify sustainable strategies for strengthening capacities for One Health-focused, effective and sustainable prevention and control of targeted zoonoses and emerging infectious diseases (EIDs)

23. Key points to take away from this flow chart: Intimate collaboration between three ministries Active communication and data sharing

24. Dog population management (DPM) DPM program was piloted in several villages in Bali Focus on community empowerment and educating communities on the risk of rabies and available control and prevention measures Promote responsible dog ownership, supported by village health workers and backed up by local law enforcement The results showed that increased public engagement and awareness of rabies risk in the community, fostered daily dialogue with the veterinary and public health and lead to increased dog vaccination coverage

25. Dog population management activities in Bali

26. Public Awareness : Elementary students   Communities  Culture and religion group

27. ECTAD’s contribution for Southeast Asian countries Training of vaccination and dog catching team in Vietnam (2014) Singapore (2019)

28. Options to enhance rabies control in the future Increased puppy vaccination (involving private practitioners and IVMA) Oral rabies vaccination for roaming dogs/ hard to catch dogs Increased community involvement Expand the DPM and responsible dog ownership to the whole of Indonesia Children Declaration for Indonesia to be Free of Rabies by 2030, at World Rabies Day, 2019

29. Thank you..