The Rabies Situation in Eastern Europe

1. The Rabies Situation in Eastern Europe Oldřich Matouch National Reference Laboratory for Rabies, State Veterinary Institute, Liberec, Czech Republic

2. 19 countries- area 2,5 million km2

3. Rabies control - legislation • In all countries studied: • - Rabies is given appropriate attention • - Rabies is a notifiable disease • - National Reference Laboratory for Rabies established • - Legislation in force for human and animal rabies control and prevention • - Enforcement by ministries of agriculture and health, among others

4. Data reporting • - No information about data reporting from Croatia, Hungary, Moldova and Ukraine • - 15 countries report monthly, 10 of those summarize annually • - All countries report electronically, 10 also on paper • - Reports provided to OIE and WHO, among other agencies • - Quarterly reports provided to Rabies Bulletin Europe, except Moldova

5. Rabies cases 2002-2006

6. Rabies cases 2002-2006 - total

7. Rabies cases in dogs and cats 2002 -2006

8. Number of Animals Tested 2005

9. Number of Animals Cases 2005

10. Number of Animals Tested 2006

11. Number of Animals Cases 2006

12. Other wild. Dog 5% 10% Racoon dog Cat 14% 11% Other domest. 10% Fox 50% Animal species participation on the rabies cases 2005

13. Other wild. Dog 5% 10% Racoon dog Cat 18% 9% Other domest. 8% Fox 50% Animal species participation on the rabies cases 2006

14. Bat rabies cases 2002-2006

15. Bat rabies tested 2005-2006

16. Rabies cases - 2003

17. Rabies cases - 2004

18. Rabies cases - 2005

19. Rabies cases - 2006

20. Rabies in humans - Rabies in humans is rare - All participating countries claim adequate diagnostic capacity - All countries have public education programs - During 2005 no cases of human rabies - During 2006, the Republic of Belarus reported 2 human cases Post exposure treatment - Only 12 countries provided data concerning post exposure immunization - In those countries, 41,018 people received post exposure treatment in 2005 - 26,466 people were vaccinated in 2006 - Cell culture rabies vaccines are used in all countries - Immunoglobulin (ERIG or HRIG) is used for category III exposure

21. Exposure immunization

22. Vaccination of domestic animals • - 12 countries answering the OIE questionnaire require rabies vaccination of dogs in their entire territories • - Vaccination in restricted areas is required in Albania • - Finland only requires vaccination of hunting dogs • - 10 countries have a governmental rabies vaccination programs for dogs • - Vaccination of cats is obligatory in 10 countries • - Rabies vaccination is voluntary for other animals such as cattle, sheep, and horses

23. Vaccination of domestic animals

24. Dog population structure • Only 4 countries provided quantitative data concerning dogs • 10 countries provided the number of dogs vaccinated yearly • 5,160,000 in 2005 • 4,600,000 in 2006 • Vaccination coverage varies between 75 and 95 % • Precise data concerning dog population structure is not available in most countries; the proportion of registered dogs and free-roaming or stray dogs is not tracked • Only the Czech Republic and Finland report nearly 100% dog registration, without any incidence of strays • Serbia and Montenegro reporting populations with 3% roaming, and 14% stray dogs

25. Rabies control in wildlife

26. I can’t wait for that bait!