Where and when to vaccinate? Interdisciplinary design and evaluation of the 2018 Tanzanian anti-rabies campaign
Objectives: Hoping to improve health-related effectiveness, a two-phase vaccination against rabies was designed and executed in northern Tanzania in 2018, which included geo-epidemiological and economic perspectives. Methods: Considering the local bio-geography and attempting to rapidly establish a...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-06-01
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| Series: | International Journal of Infectious Diseases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1201971220301697 |
| _version_ | 1811326055377534976 |
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| author | Folorunso O. Fasina Niwael Mtui-Malamsha Gladys R. Mahiti Raphael Sallu Moses OleNeselle Bachana Rubegwa Yilma J. Makonnen Fred Kafeero Martin Ruheta Hezron E. Nonga Emmanuel Swai Selemani Makungu Japhet Killewo Edward G. Otieno Athumani M. Lupindu Erick Komba Robinson Mdegela Justine K. Assenga Jubilate Bernard Mohamed Hussein Walter Marandu James Warioba Eliona Kaaya Pius Masanja Gundelinda Francis Violet M. Kessy Janique Savy Hija Choyo Justus Ochieng Almira L. Hoogesteijn Margaret M. Fasina Ariel L. Rivas |
| author_facet | Folorunso O. Fasina Niwael Mtui-Malamsha Gladys R. Mahiti Raphael Sallu Moses OleNeselle Bachana Rubegwa Yilma J. Makonnen Fred Kafeero Martin Ruheta Hezron E. Nonga Emmanuel Swai Selemani Makungu Japhet Killewo Edward G. Otieno Athumani M. Lupindu Erick Komba Robinson Mdegela Justine K. Assenga Jubilate Bernard Mohamed Hussein Walter Marandu James Warioba Eliona Kaaya Pius Masanja Gundelinda Francis Violet M. Kessy Janique Savy Hija Choyo Justus Ochieng Almira L. Hoogesteijn Margaret M. Fasina Ariel L. Rivas |
| author_sort | Folorunso O. Fasina |
| collection | DOAJ |
| description | Objectives: Hoping to improve health-related effectiveness, a two-phase vaccination against rabies was designed and executed in northern Tanzania in 2018, which included geo-epidemiological and economic perspectives. Methods: Considering the local bio-geography and attempting to rapidly establish a protective ring around a city at risk, the first phase intervened on sites surrounding that city, where the population density was lower than in the city at risk. The second phase vaccinated a rural area. Results: No rabies-related case has been reported in the vaccinated areas for over a year post-immunisation; hence, the campaign is viewed as highly cost-effective. Other metrics included: rapid implementation (concluded in half the time spent on other campaigns) and the estimated cost per protected life, which was 3.28 times lower than in similar vaccinations. Conclusions: The adopted design emphasised local bio-geographical dynamics: it prevented the occurrence of an epidemic in a city with a higher demographic density than its surrounding area and it also achieved greater effectiveness than average interventions. These interdisciplinary, policy-oriented experiences have broad and immediate applications in settings of limited and/or time-sensitive (expertise, personnel, and time available to intervene) resources and conditions. |
| first_indexed | 2024-04-13T14:43:48Z |
| format | Article |
| id | doaj.art-eb082e8e74944ea2afdb4ffd974a76db |
| institution | Directory Open Access Journal |
| issn | 1201-9712 |
| language | English |
| last_indexed | 2024-04-13T14:43:48Z |
| publishDate | 2020-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Infectious Diseases |
| spelling | doaj.art-eb082e8e74944ea2afdb4ffd974a76db2022-12-22T02:42:50ZengElsevierInternational Journal of Infectious Diseases1201-97122020-06-0195352360Where and when to vaccinate? Interdisciplinary design and evaluation of the 2018 Tanzanian anti-rabies campaignFolorunso O. Fasina0Niwael Mtui-Malamsha1Gladys R. Mahiti2Raphael Sallu3Moses OleNeselle4Bachana Rubegwa5Yilma J. Makonnen6Fred Kafeero7Martin Ruheta8Hezron E. Nonga9Emmanuel Swai10Selemani Makungu11Japhet Killewo12Edward G. Otieno13Athumani M. Lupindu14Erick Komba15Robinson Mdegela16Justine K. Assenga17Jubilate Bernard18Mohamed Hussein19Walter Marandu20James Warioba21Eliona Kaaya22Pius Masanja23Gundelinda Francis24Violet M. Kessy25Janique Savy26Hija Choyo27Justus Ochieng28Almira L. Hoogesteijn29Margaret M. Fasina30Ariel L. Rivas31Food and Agriculture Organization of the United Nations, Dar es Salaam, United Republic of Tanzania; Corresponding author at: FAO ECTAD Tanzania & Department of Veterinary Tropical Diseases, University of Pretoria, Pretoria, South Africa.Food and Agriculture Organization of the United Nations, Dar es Salaam, United Republic of TanzaniaMuhimbili University of Health and Allied Sciences, United Republic of Tanzania; One Health Central and Eastern Africa, Eastern Africa, United Republic of TanzaniaFood and Agriculture Organization of the United Nations, Dar es Salaam, United Republic of TanzaniaFood and Agriculture Organization of the United Nations, Dar es Salaam, United Republic of TanzaniaFood and Agriculture Organization of the United Nations, Dar es Salaam, United Republic of TanzaniaFood and Agriculture Organization of the United Nations, Dar es Salaam, United Republic of TanzaniaFood and Agriculture Organization of the United Nations, Dar es Salaam, United Republic of TanzaniaMinistry of Livestock and Fisheries, Dodoma, United Republic of TanzaniaMinistry of Livestock and Fisheries, Dodoma, United Republic of TanzaniaMinistry of Livestock and Fisheries, Dodoma, United Republic of TanzaniaMinistry of Livestock and Fisheries, Dodoma, United Republic of TanzaniaMuhimbili University of Health and Allied Sciences, United Republic of Tanzania; One Health Central and Eastern Africa, Eastern Africa, United Republic of TanzaniaOne Health Central and Eastern Africa, Eastern Africa, United Republic of Tanzania; Sokoine University of Agriculture, Morogoro, United Republic of TanzaniaOne Health Central and Eastern Africa, Eastern Africa, United Republic of Tanzania; Sokoine University of Agriculture, Morogoro, United Republic of TanzaniaOne Health Central and Eastern Africa, Eastern Africa, United Republic of Tanzania; Sokoine University of Agriculture, Morogoro, United Republic of TanzaniaOne Health Central and Eastern Africa, Eastern Africa, United Republic of Tanzania; Sokoine University of Agriculture, Morogoro, United Republic of TanzaniaMinistry of Livestock and Fisheries, Dodoma, United Republic of Tanzania; One Health Coordination Desk, Prime Minister's Office, Dodoma, United Republic of TanzaniaOne Health Coordination Desk, Prime Minister's Office, Dodoma, United Republic of Tanzania; Ministry of Health, Community Development, Gender, Elderly and Children, Dodoma, United Republic of TanzaniaMuhimbili University of Health and Allied Sciences, United Republic of Tanzania; One Health Central and Eastern Africa, Eastern Africa, United Republic of TanzaniaDistrict Veterinary Office, Moshi District, United Republic of TanzaniaZonal Veterinary Center, Arusha, United Republic of TanzaniaTanzania Veterinary Laboratory Agency, Dar es Salaam, United Republic of TanzaniaTanzania Veterinary Laboratory Agency, Dar es Salaam, United Republic of TanzaniaTanzania Veterinary Laboratory Agency, Dar es Salaam, United Republic of TanzaniaTanzania National Parks Authority, Same, United Republic of TanzaniaUnit of Geoinformation and Mapping, University of Pretoria, Pretoria, South AfricaFood and Agriculture Organization of the United Nations, Dar es Salaam, United Republic of TanzaniaAVRDC – The World Vegetable Center, Eastern and Southern Africa, Arusha, United Republic of TanzaniaHuman Ecology, Centro de Investigación y de Estudios Avanzados (CINVESTAV), Mérida, Yucatán, MexicoDepartment of Nursing Science, University of Pretoria, Pretoria, South AfricaCenter for Global Health, School of Medicine, University of New Mexico, Albuquerque, NM, USAObjectives: Hoping to improve health-related effectiveness, a two-phase vaccination against rabies was designed and executed in northern Tanzania in 2018, which included geo-epidemiological and economic perspectives. Methods: Considering the local bio-geography and attempting to rapidly establish a protective ring around a city at risk, the first phase intervened on sites surrounding that city, where the population density was lower than in the city at risk. The second phase vaccinated a rural area. Results: No rabies-related case has been reported in the vaccinated areas for over a year post-immunisation; hence, the campaign is viewed as highly cost-effective. Other metrics included: rapid implementation (concluded in half the time spent on other campaigns) and the estimated cost per protected life, which was 3.28 times lower than in similar vaccinations. Conclusions: The adopted design emphasised local bio-geographical dynamics: it prevented the occurrence of an epidemic in a city with a higher demographic density than its surrounding area and it also achieved greater effectiveness than average interventions. These interdisciplinary, policy-oriented experiences have broad and immediate applications in settings of limited and/or time-sensitive (expertise, personnel, and time available to intervene) resources and conditions.http://www.sciencedirect.com/science/article/pii/S1201971220301697RabiesVaccinationOne healthGeo-epidemiologyDogHuman health |
| spellingShingle | Folorunso O. Fasina Niwael Mtui-Malamsha Gladys R. Mahiti Raphael Sallu Moses OleNeselle Bachana Rubegwa Yilma J. Makonnen Fred Kafeero Martin Ruheta Hezron E. Nonga Emmanuel Swai Selemani Makungu Japhet Killewo Edward G. Otieno Athumani M. Lupindu Erick Komba Robinson Mdegela Justine K. Assenga Jubilate Bernard Mohamed Hussein Walter Marandu James Warioba Eliona Kaaya Pius Masanja Gundelinda Francis Violet M. Kessy Janique Savy Hija Choyo Justus Ochieng Almira L. Hoogesteijn Margaret M. Fasina Ariel L. Rivas Where and when to vaccinate? Interdisciplinary design and evaluation of the 2018 Tanzanian anti-rabies campaign International Journal of Infectious Diseases Rabies Vaccination One health Geo-epidemiology Dog Human health |
| title | Where and when to vaccinate? Interdisciplinary design and evaluation of the 2018 Tanzanian anti-rabies campaign |
| title_full | Where and when to vaccinate? Interdisciplinary design and evaluation of the 2018 Tanzanian anti-rabies campaign |
| title_fullStr | Where and when to vaccinate? Interdisciplinary design and evaluation of the 2018 Tanzanian anti-rabies campaign |
| title_full_unstemmed | Where and when to vaccinate? Interdisciplinary design and evaluation of the 2018 Tanzanian anti-rabies campaign |
| title_short | Where and when to vaccinate? Interdisciplinary design and evaluation of the 2018 Tanzanian anti-rabies campaign |
| title_sort | where and when to vaccinate interdisciplinary design and evaluation of the 2018 tanzanian anti rabies campaign |
| topic | Rabies Vaccination One health Geo-epidemiology Dog Human health |
| url | http://www.sciencedirect.com/science/article/pii/S1201971220301697 |
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