Rabies Surveillance System in Iran: History, Structures, and Achievements

Authors

  • Erfani, H MD, Centre for Communicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran
  • Eybpoosh, S Assistant Professor of Epidemiology, Department of Epidemiology and Biostatistics, Research Centre for Emerging and Reemerging infectious diseases, Pasteur Institute of Iran, Tehran, Iran
  • Ghaderi, E Assistant Professor of Epidemiology, Zoonoses Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
  • Hajibagheri, K Assistant Professor of Tropical Medicine and Infectious Disease, Zoonoses Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
  • Jahanbakhsh, F Assistant Professor of Virology, Department of Rabies, Pasteur Institute of Iran, Tehran, Iran
  • Keypour, M MSc in Microbiology, Department of Epidemiology and Biostatistics, Research Centre for Emerging and Reemerging infectious diseases, Pasteur Institute of Iran, Tehran, Iran
  • Khodabandehloo, M Associate Professor of Medical Virology, Cellular and Molecular Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
  • Moradi, GH Associate Professor of Epidemiology, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
  • Mostafavi, E Professor of Epidemiology, Department of Epidemiology and Biostatistics, Research Centre for Emerging and Reemerging infectious diseases, Pasteur Institute of Iran, Tehran, Iran
  • Rahmani, KH Assistant Professor of Epidemiology, Liver and Digestive Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran
  • Shirzadi, M Associate Professor of Infectious Disease, Centre for Communicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran
  • Zeinali, M DVM, PhD, Expert in Zoonoses surveillance, Centre for Communicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran
Abstract:

Background and Objectives: The purpose of this study was to present a summary of the rabies surveillance program in humans in the country, its achievements and its strengths and weaknesses.   Methods: This study was a review of the country's plan for surveillance and control of rabies in humans. The sources of information included the data, reports, documents, and published guidelines. The viewpoints of stakeholders and experts were also reviewed in this study.   Results: Since rabies is a zoonotic disease, its effective management requires a good collaboration between several organizations. Moreover, because Iran is located in an endemic region, there is a need for the development of regional and international cooperation for the success of disease prevention, control and management. Animal services for biting and rabies control are provided free of charge in more than 700 centers in the country. Major achievements of the program include timely preventive treatment for animal bite cases, knowledge of the geographical distribution of the disease, identification of high-risk provinces, and decreasing the percentage of human deaths.   Conclusion: The program has performed well for rabies secondary prevention. Some aspects of the program, however, still need to be improved, including improvement of educational programs targeting general population and high-risk groups, animal bite prevention, vaccination of domestic dogs, controlling the population of stray dogs, rabies control in wild animals, and proper waste collection and disposal.  

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Journal title

volume 16  issue 1

pages  38- 47

publication date 2020-06

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