Monitoring and evaluation are essential to track progress toward the ‘Zero by 30’ goal. These indicators are compiled by the United Against Rabies Forum using the best available data. While they provide a useful overview, they are not comprehensive and may reflect data availability rather than the true global situation.
Objective 1
WHO promotes the use of intradermal administration of modern cell culture rabies vaccines (with a potency of >2.5IU per intramuscular dose) for PEP. Intradermal administration offers an equally safe and efficacious alternative to intramuscular vaccination. Intradermal vaccination reduces the volume of vaccine used by 60-80%, is less costly and has the potential to mitigate vaccine shortages. Additionally, any remainder of a vial can be used for PrEP.
Number of countries
The WOAH Reference Laboratory Network for Rabies (RABLAB) emphasises the importance of using approved, high-quality dog rabies vaccines that meet international standards in terms of efficacy, safety, and sterility.
Number of countries
Oral rabies vaccination can offer an alternative method for vaccinating hard-to-reach dog populations (e.g. free-roaming dogs).
Number of countries
Adequate vaccination coverage generally implies >70% in the free-roaming dog population. However, this could also be demonstrated with lower vaccination rates that lead to interruption of transmission.
Number of countries
These are internationally recognised/designated institutions that can provide support with technical and scientific expertise, training, and capacity building.
Number of countries
These are internationally recognised/designated institutions that can provide support with technical and scientific expertise, training, and capacity building.
List of countries
Objective 2
Notifiable disease in humans is a disease that requires health providers to report cases to public health officials. Notifiable disease in animals means a disease listed by the Veterinary Authority, and that, as soon as detected or suspected, should be brought to the attention of this Authority, in accordance with national regulations. Standard rabies case definitions should be disseminated widely by national health and veterinary services.
Number of countries
References
The collection, analysis, publication, and dissemination of key health indicator data form a core part of WHO’s mandate. Article 64 of the WHO constitution states that each Member shall provide statistical and epidemiological reports in a manner to be determined by the Health Assembly.
Number of countries
WOAH Members have an obligation to submit information on their animal health situation, and rabies is included in the list of notifiable diseases to WOAH.
Numbof countries
The collection, analysis, publication, and dissemination of key health indicator data form a core part of WHO’s mandate. Article 64 of the WHO constitution states that each Member shall provide statistical and epidemiological reports in a manner to be determined by the Health Assembly. WOAH Members have an obligation to submit information on their animal health situation, and rabies is included in the list of notifiable diseases to WOAH.
Number of countries
United Against Rabies Roadmap score can be based on a Stepwise Approach to Rabies Elimination (SARE) assessment or the international WHO/WOAH milestones.
Number of countries
References
This equates to United Against Rabies Forum Roadmap score of 3.
List of countries
This equates to United Against Rabies Forum Roadmap score of 4.
List of countries
This equates to United Against Rabies Forum Roadmap score of 4 or above.
List of countries
Objective 3
This requires the country to have a national strategic plan finalised and validated by (at minimum) the Ministry of Health and the Ministry of Agriculture (or equivalent Competent Authorities) and accessible for external stakeholders to consult (e.g. online).
Number of countries
References
This point of contact should be nominated by either the Ministry of Health or Ministry of Agriculture (or equivalent Competent Authorities) and a recognised contact point for rabies discussions within the country. A repository of dedicated rabies points of contact is maintained by WHO and WOAH, and stakeholders can contact globalrabiescoordinator@woah.org for further details.
Number of countries
Gavi-eligible countries can apply for support to invest in human rabies vaccines for PEP. Funding will be available for vaccine procurement and associated supplies. Rabies immunoglobulins (RIG) and dog vaccines are not covered by this programme.
List of countries
References
