1921
Volume 97, Issue 4
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

Despite the availability of proven measures to prevent the disease, rabies now kills more people in Myanmar than malaria. Although there are challenges in controlling rabies in such a large and culturally diverse country, Myanmar’s successful National Malaria Control Program demonstrates what can be achieved with sufficient political, financial, and scientific commitment. Presently, however, Myanmar lacks a comparable program to coordinate the multifaceted approach that is necessary to control rabies. The national government has invested heavily in improving access to postexposure prophylaxis, but there should also be an emphasis on other, more cost-effective strategies, particularly mass canine vaccination, which has been an essential component of successful rabies elimination programs in other countries. Continued health system strengthening is also required to improve primary health care, while decentralization of laboratory diagnostic services is needed to facilitate more timely, rational, and cost-effective use of postexposure prophylaxis.

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References

  1. Fooks AR, Banyard AC, Horton DL, Johnson N, McElhinney LM, Jackson AC, , 2014. Current status of rabies and prospects for elimination. Lancet 384: 13891399.[Crossref] [Google Scholar]
  2. Murray CJ, ., 2012. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380: 21972223.[Crossref] [Google Scholar]
  3. Belotto A, Leanes LF, Schneider MC, Tamayo H, Correa E, , 2005. Overview of rabies in the Americas. Virus Res 111: 512.[Crossref] [Google Scholar]
  4. World Health Organization, 2013. WHO Expert Consultation on Rabies: Second Report. Geneva, Switzerland: World Health Organization.
  5. Zinsstag J, , 2013. Towards a science of rabies elimination. Infect Dis Poverty 2: 22.[Crossref] [Google Scholar]
  6. World Health Organization; Regional Office for Southeast Asia,2012. Strategic Framework for Elimination of Human Rabies Transmitted by Dogs in the South-East Asia Region. New Delhi, India: World Health Organization, Regional Office for Southeast Asia.
  7. Saw YM, Win KL, Shiao LW, Thandar MM, Amiya RM, Shibanuma A, Tun S, Jimba M, , 2013. Taking stock of Myanmar’s progress toward the health-related millennium development goals: current roadblocks, paths ahead. Int J Equity Health 12: 78.[Crossref] [Google Scholar]
  8. Mu TT, Sein AA, Kyi TT, Min M, Aung NM, Anstey NM, Kyaw MP, Soe C, Kyi MM, Hanson J, , 2016. Malaria incidence in Myanmar 2005–2014: steady but fragile progress towards elimination. Malar J 15: 503.[Crossref] [Google Scholar]
  9. World Health Organization, 2015. Myanmar: WHO Statistical Profile. Available at: http://www.who.int/gho/countries/mmr.pdf. Accessed February 22, 2017.
  10. Kyi TT, , 2014. Rabies control, elimination and vaccination. Myanmar Medical Journal 56: 4449. [Google Scholar]
  11. UNICEF, 2015. Chin State Profile. Available at: http://www.unicef.org/myanmar/Chin_State_Profile_30-07-15.pdf. Accessed 1 July, 2016.
  12. World Health Organization, 2015. Strategy for Malaria Elimination in the Greater Mekong Subregion (2015–2030). Manila, Philippines: World Health Organization Regional Office for the Western Pacific.
  13. Imwong M, , 2017. The spread of artemisinin-resistant Plasmodium falciparum in the Greater Mekong Subregion: a molecular epidemiology observational study. Lancet Infect Dis 17: 491497.[Crossref] [Google Scholar]
  14. World Health Organization,2016. World Malaria Report. Geneva, Switzerland: WHO.
  15. Gongal G, Wright AE, , 2011. Human rabies in the WHO southeast Asia Region: forward steps for elimination. Adv Prev Med 2011: 383870.[Crossref] [Google Scholar]
  16. 2017. Department of Public Health, Ministry of Health and Sport, Republic of the Union of Myanmar.
  17. Fitzpatrick MC, Hampson K, Cleaveland S, Mzimbiri I, Lankester F, Lembo T, Meyers LA, Paltiel AD, Galvani AP, , 2014. Cost-effectiveness of canine vaccination to prevent human rabies in rural Tanzania. Ann Intern Med 160: 91100.[Crossref] [Google Scholar]
  18. Lembo T, Hampson K, Kaare MT, Ernest E, Knobel D, Kazwala RR, Haydon DT, Cleaveland S, , 2010. The feasibility of canine rabies elimination in Africa: dispelling doubts with data. PLoS Negl Trop Dis 4: e626.[Crossref] [Google Scholar]
  19. Tulenko K, Mogedal S, Afzal MM, Frymus D, Oshin A, Pate M, Quain E, Pinel A, Wynd S, Zodpey S, , 2013. Community health workers for universal health-care coverage: from fragmentation to synergy. Bull World Health Organ 91: 847852.[Crossref] [Google Scholar]
  20. Ly S, Buchy P, Heng NY, Ong S, Chhor N, Bourhy H, Vong S, , 2009. Rabies situation in Cambodia. PLoS Negl Trop Dis 3: e511.[Crossref] [Google Scholar]
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  • Received : 13 Mar 2017
  • Accepted : 01 May 2017

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