BMC Infectious Diseases (Aug 2018)

Vaccination demonstration zone successfully controls rabies in Guangxi Province, China

  • Xian-Kai Wei,
  • Yi Xiong,
  • Xiao-Ning Li,
  • Min Zheng,
  • Yan Pan,
  • Xiao-Xia He,
  • Jing-Jing Liang,
  • Cheng Liu,
  • Yi-Zhi Zhong,
  • Lian-Bin Zou,
  • Lie-Feng Zheng,
  • Jian-Gang Guo,
  • Chang-Ting Li,
  • Sheng-Bin Huang,
  • Jia-Zhong Gan,
  • Zhen-Mu Meng,
  • Jian Yang,
  • Hai-Bo Tang,
  • Qi Liu,
  • Ting Rong Luo

DOI
https://doi.org/10.1186/s12879-018-3301-8
Journal volume & issue
Vol. 18, no. 1
pp. 1 – 7

Abstract

Read online

Abstract Background Guangxi is the province most seriously affected by rabies virus (RABV) in China. Those most affected by RABV each year are people in rural areas, where dogs are the main cause of human infection with the virus. Methods In this study, we established a rabies vaccination demonstration program that included eradication, core, and peripheral areas. This program was implemented for 9 years and comprised three stages: 12 counties in the first stage (2008–2010), 21 counties in the second stage (2011–2013), and then extending to all counties of Guangxi Province in the third stage (2014–2016). The program included a dog vaccination campaign, surveillance of clinically healthy dogs who may be potential RABV carriers, monitoring anti-RABV antibody titers in vaccinated dogs, and compiling and reporting statistics of human rabies cases. Results The target effectiveness was achieved in the eradication, core, and peripheral areas in all three stages. The vaccination demonstration program successfully promoted RABV vaccination of domestic dogs throughout Guangxi Province by drawing upon the experience gained at key points. Compared with a vaccination coverage rate of 39.42–46.85% in Guangxi Province overall during 2003–2007, this rate gradually increased to 48.98–52.67% in 2008–2010, 60.24–69.67% in 2011–2013, and 70.09–71.53% in 2014–2016, thereby meeting World Health Organization requirements. The total cases of human rabies in the province decreased from 602 in 2004 to 41 cases in 2017. Conclusions The present pilot vaccination program obviously increased the rabies vaccination and seroconversion rates, and effectively reduced the spread of rabies from dogs to humans as well as the number of human rabies cases, thus successfully controlling rabies in Guangxi.

Keywords