Fifty Years of the National Rabies Control Program in Brazil under the One Health Perspective

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Autor(es): dc.contributorGeorgetown University-
Autor(es): dc.contributorFederal University of Rio de Janeiro-
Autor(es): dc.contributorPAHO/WHO (Ret.)-
Autor(es): dc.contributorChungbuk National University-
Autor(es): dc.contributorNiteroi-
Autor(es): dc.contributorFortaleza Municipal Health Department-
Autor(es): dc.contributorMinistry of Health-
Autor(es): dc.contributorPAHO/WHO-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorFUNASA (Fundacao SESP)/Ministry of Health (Ret.)-
Autor(es): dc.creatorSchneider, Maria Cristina-
Autor(es): dc.creatorMin, Kyung-Duk-
Autor(es): dc.creatorRomijn, Phyllis Catharina-
Autor(es): dc.creatorDe Morais, Nelio Batista-
Autor(es): dc.creatorMontebello, Lucia-
Autor(es): dc.creatorManrique Rocha, Silene-
Autor(es): dc.creatorSciancalepore, Sofia-
Autor(es): dc.creatorHamrick, Patricia Najera-
Autor(es): dc.creatorUieda, Wilson-
Autor(es): dc.creatorCâmara, Volney de Magalhães-
Autor(es): dc.creatorLuiz, Ronir Raggio-
Autor(es): dc.creatorBelotto, Albino-
Data de aceite: dc.date.accessioned2025-08-21T19:44:31Z-
Data de disponibilização: dc.date.available2025-08-21T19:44:31Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2023-10-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.3390/pathogens12111342-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/309770-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/309770-
Descrição: dc.descriptionIn 1973, the National Rabies Program was created in Brazil through an agreement between the Ministry of Health and Agriculture. Since its beginning, it developed integrated action through access to free post-exposure prophylaxis (PEP) for people at risk, dog vaccination campaigns, a joint surveillance system, and awareness. This study aims to describe human rabies in Brazil under the One Health perspective in recent decades, including achievements in the control of dog-mediated cases and challenges in human cases transmitted by wild animals. This paper also explores possible drivers of human rabies in the Northeast Region with half of the cases. The first part of this study was descriptive, presenting data and examples by periods. Statistical analysis was performed in the last period (2010–2022) to explore possible drivers. Dog-mediated human cases decreased from 147 to 0, and dog cases decreased from 4500 to 7. A major challenge is now human cases transmitted by wild animals (bats, non-human primates, and wild canids). Most current human cases occur in municipalities with a tropical and subtropical moist broadleaf forest biome and a Gini index higher than 0.5. In the multivariable analysis, an association with temperature was estimated (OR = 1.739; CI95% = 1.181–2.744), and primary healthcare coverage (OR = 0.947; CI95% = 0.915–0.987) was identified as a protector. It is possible to significantly reduce the number of dog-mediated human rabies cases through the efforts presented. However, Brazil has wildlife variants of the rabies virus circulating. The association of human cases with higher temperatures in the Northeast is a concern with climate change. To reduce human cases transmitted by wild animals, it is important to continue distributing free PEP, especially in remote at-risk areas in the Amazon Region, and to increase awareness.-
Descrição: dc.descriptionDepartment of Global Health School of Health Georgetown University-
Descrição: dc.descriptionInstitute of Collective Health Studies Federal University of Rio de Janeiro-
Descrição: dc.descriptionPAHO/WHO (Ret.)-
Descrição: dc.descriptionCollege of Veterinary Medicine Chungbuk National University-
Descrição: dc.descriptionPESAGRO-RIO Niteroi-
Descrição: dc.descriptionFortaleza Municipal Health Department, Ceará-
Descrição: dc.descriptionSecretaria de Vigilancia em Saúde e Ambiente Ministry of Health-
Descrição: dc.descriptionPAHO/WHO-
Descrição: dc.descriptionDepartment of Zoology and Botany São Paulo State University (Ret.)-
Descrição: dc.descriptionFUNASA (Fundacao SESP)/Ministry of Health (Ret.)-
Descrição: dc.descriptionDepartment of Zoology and Botany São Paulo State University (Ret.)-
Idioma: dc.languageen-
Relação: dc.relationPathogens-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectBrazil-
Palavras-chave: dc.subjectcontrol-
Palavras-chave: dc.subjectdog-
Palavras-chave: dc.subjectprevention-
Palavras-chave: dc.subjectrabies-
Palavras-chave: dc.subjectrisk-
Palavras-chave: dc.subjectwildlife-
Título: dc.titleFifty Years of the National Rabies Control Program in Brazil under the One Health Perspective-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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