icawc 2015 - luke gamble - mission rabies

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Mission Rabies Backing Winners, Saving Lives!!! Luke Gamble MRCVS

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Page 1: ICAWC 2015 - Luke Gamble - Mission Rabies

Mission Rabies

Backing Winners, Saving Lives!!!

Luke Gamble MRCVS

Page 2: ICAWC 2015 - Luke Gamble - Mission Rabies
Page 3: ICAWC 2015 - Luke Gamble - Mission Rabies
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Rabies

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Rabies

Please click the following link to view the video https://youtu.be/nOrWIFPMHJo

Page 8: ICAWC 2015 - Luke Gamble - Mission Rabies

It is estimated

at least

1 child dies from rabies

Every 10 minutes

WHY

Page 9: ICAWC 2015 - Luke Gamble - Mission Rabies

Over 99% of human

cases

are caused by dog

bites

Page 10: ICAWC 2015 - Luke Gamble - Mission Rabies

Animal Welfare for Human Welfare

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Page 12: ICAWC 2015 - Luke Gamble - Mission Rabies

Please click the following link to view the video https://youtu.be/quUaxIFyvnU

Page 13: ICAWC 2015 - Luke Gamble - Mission Rabies

• Establish need in targeted area (rabies baseline incidence / children / adults / livestock losses / dog bites / access to PEP / wildlife / dog population survey)

• Determine strategy for implementation – solid science + public engagement – static + mobile vaccination team approach depending on country/culture/land-type

• Deliver proof of concept – ONE KEY AREA – 70% vaccination – show it can be done, sponsors/policy makers back winners

• Establish ongoing rabies response / surveillance (dedicated teams, respond to notifications with ring-fenced vaccination)

• Present to policy makers

• Expand programme regionally / nationally

Steps of Elimination

EFFECT CHANGETO

Page 14: ICAWC 2015 - Luke Gamble - Mission Rabies

WHEN VACCINATING

• Get the community behind you• Do the job safely and well• Prove you’ve done it• Make sure you’ve done enough!

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Page 16: ICAWC 2015 - Luke Gamble - Mission Rabies

Winning Over The Community

Is KEY

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HOW TO VACCINATE

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• Sex

• Ownership

• Reproductive

status

• BCS

• Skin condition

• Microchip

• Photograph

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Page 24: ICAWC 2015 - Luke Gamble - Mission Rabies

Global application

Page 25: ICAWC 2015 - Luke Gamble - Mission Rabies

Overview• Vaccination

• Rabies cases

• Survey data

• Surgery

45

30

30

30

45

• Vaccination

• Rabies cases

• Survey data

• Surgery

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Methods

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Post Vaccination Survey

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Post ABC Survey

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70%

Less than 70%

Page 31: ICAWC 2015 - Luke Gamble - Mission Rabies

SurveillanceSuspected rabies case

Reported to response team

CaptureIsolation

Sample testing

Register of all exposed people

Isolation/euthanasia of exposed animals

Canine vaccination

Central mapping of rabies cases

Targeted community education + awareness

Human bite victim case follow-up

RE

SP

ON

SE

Page 32: ICAWC 2015 - Luke Gamble - Mission Rabies

Africa2 projects

Asia5 Projects

Africa2 projects

Page 33: ICAWC 2015 - Luke Gamble - Mission Rabies

Asia

Haryana State, India

Goa State,India

Ranchi City, India

Negombo,Sri Lanka

Truck Training

Haryana State, India

Goa State,India

Negombo,Sri Lanka

Truck Training

Page 34: ICAWC 2015 - Luke Gamble - Mission Rabies

• Permanent Vaccination Team

• Average 2669 vaccinations/month

• Over 70% coverage achieved

in 36 of 55 wards

Page 35: ICAWC 2015 - Luke Gamble - Mission Rabies

• 278 schools covered

• 92,496 students and teachers targeted

• Community Reach – 15,574

• UPDATE - 2 rabies canine cases confirmed in 2015 (compared with 5 rabies cases in 4 months, Dec 2013-Feb 2014)

Page 36: ICAWC 2015 - Luke Gamble - Mission Rabies

Asia

Haryana State, India

Goa State,India

Ranchi City, India

Negombo,Sri Lanka

Truck Training

Haryana State, India

Negombo,Sri Lanka

Truck Training

Ranchi City, India

Page 37: ICAWC 2015 - Luke Gamble - Mission Rabies

• Systematic vaccination of the state

• 2013 – 5,374 dogs vaccinated

• 2014 – 21,685 dogs vaccinated20,414 sterilised

• 2015 – 60,031 dogs vaccinated

Page 38: ICAWC 2015 - Luke Gamble - Mission Rabies

• 1035 schools covered

• 99,028 students and teachers targeted

• Community Reach – 3205

Page 39: ICAWC 2015 - Luke Gamble - Mission Rabies

Asia

Haryana State, India

Goa State,India

Ranchi City, India

Negombo,Sri Lanka

Truck Training

Haryana State, India

Goa State,India

Truck Training

Ranchi City, India

Page 40: ICAWC 2015 - Luke Gamble - Mission Rabies

• Launched February 2015

• Partnership with Dogstar Foundation

• Focused 5000 vaccination drive

• Aim to sensitise government to robust methodology for National application

• 5300 vaccinations

Negombo, Sri Lanka

Page 41: ICAWC 2015 - Luke Gamble - Mission Rabies

AsiaHaryana State, India

Goa State,India

Ranchi City, India

Negombo,Sri Lanka

Truck Training

Goa State,India

Negombo,Sri Lanka

Truck Training

Ranchi City, India

Page 42: ICAWC 2015 - Luke Gamble - Mission Rabies

Haryana State,India

• India National Rabies Control Programme

Page 43: ICAWC 2015 - Luke Gamble - Mission Rabies

Blantyre, Malawi

Nwoya,UgandaAfrica Nwoya,Uganda

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Malawi

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• Week 1 - 9405

• Week 2 – 11320

• Week 3 – 7371

• Week 4 - 7120

May 2015

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Next steps

• Government estimate of 73,000 now believed to be inaccurate

• Based on dog:human ratio 14:1 (Gsel 2012) – rural dog population estimate is <25000

• MR currently planning surveys

• SYSTEMATIC VACCINATION– July – Kunthembwe EPA

Rural trial site (known rabies hotspot)

Kabuthu Village

June 2015Ntodo EPA4,254 dogs vaccinated

Page 47: ICAWC 2015 - Luke Gamble - Mission Rabies

• 71 schools covered

• 65,882 students and teachers targeted

• Community Reach – 957

Page 48: ICAWC 2015 - Luke Gamble - Mission Rabies

Blantyre, Malawi

Nwoya,UgandaAfrica

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• Koch Goma sub-county, bordering Murchison Falls National Park

• High number of reported rabies cases over the past years

• Proof of concept in rural area

• Average 73% coverage through static point alone

Page 50: ICAWC 2015 - Luke Gamble - Mission Rabies

Total Dogs Vaccinated: 236,631Rabies Education: 331,624

AND WE’VE ONLY JUST GOT STARTED!

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ROCK ON!!!!