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This article explores the future of rabies control in Europe and how models can help inform vaccine strategies. Topics discussed include cost-effective vaccine strategies, the spread of raccoon dog rabies, vaccinating to protect borders, optimum vaccine strategies in endemic and rabies-free areas, and the effectiveness of emergency vaccine strategies. The importance of examining economics and testing new strategies in the field is also highlighted. Current models are presented as a way to address these questions.
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What is the future of rabies control in Europe?How models can help GC Smith, HH Thulke, AR Fooks, M Artois, DW Macdonald, D Eisinger, T Selhorst
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Reduced cost vaccine strategy ? • Baits are expensive • EU fund greater proportion or will less baits work? • Current bait density = 70% immunity • Recent work suggests 60% = 1/3 reduction in baits • This needs to be tested in the field.
Raccoon dog rabies ? • Raccoon dogs spreading west • Raccoon dog density increasing • Raccoon dogs make rabies epizootic more intense (equivalent to increasing fox density) • If no hibernation (climate change): rabies harder to control • Is a new vaccine strategy required? • Examine cost effectiveness.
Vaccinate to protect border ? • Push vaccination across all of Asia (wildlife rabies) • Stop at some border • Not consider politics • Do need to examine economics !
Optimum vaccine strategy ? Rabies endemic Rabies free
Optimum vaccine strategy ? Rabies endemic Rabies free
Optimum vaccine strategy ? Rabies endemic Rabies free
Best emergency vaccine strategy ? • EU recommendation • 25-50km radius of vaccination • Increased fox density &Increased raccoon dog density • Emergency strategy effectively untried • Theoretical density limit where vaccine works.
Best emergency vaccine strategy ? • EU recommendation • 25-50km radius of vaccination • Increased fox density &Increased raccoon dog density • Emergency strategy effectively untried • Theoretical density limit where vaccine works • What is the limit? Do we exceed it anywhere?
Conclusion • Is a new vaccine strategy required? • Examine economics of rabies control • Test any new strategy in the field • Is current emergency strategy OK? • What is the density limit for vaccination ? • Current models can answer these questions