LESSONS LEARNT FROM RABIES CONTROL PROGRAMMES IN VIETNAM

1. LESSONS LEARNT FROM RABIES CONTROL PROGRAMMES IN VIETNAM

3. How can we work together better and get more? • Legislation/Planning Development • Implementation

4. Legislation/Planning Development

5. Legislation MARD-MOH Joint Circular for coordinating prevention and control of zoonotic diseases

6. NATIONAL PROGRAMME ON RABIES CONTROL TOWARD RABIES ELIMINATION, 2017 - 2021 • Prime Minister’s Decision No. 193/QĐ-TTg, 13/02/2017 approving the national programme • Implementing: • MARD & MOH • Relevant ministries Multi-sectoral consultative meeting on the development of the National Programme

7. Implementation

8. Sharing information, joint investigation at all levels. • Collaboration (DAH/NCVD, NIHE and GDPM) • Training workshop on the implementation of the Circular 16, outbreak investigation. • Scientific seminars to share experiences on Rabies control and prevention; joint organisation of the World Rabies Day. • Jointly developed and submitted the National Programme for Rabies control and prevention for 2017 - 2021.

9. Awareness: • Joint development and implementation of materials

10. DIAGNOSTICS • Animal – Human Health collaboration • NIHE • NCVD • US CDC

11. Vaccination for vet. staff Post-vaccination antibody testing Human health experts (NIHE) to train animal health staff at NCVD

12. Laboratory training 10-13/03/2015 US CDC experts (Dr. Lilia and Dr MA) Sample preparation

13. Integrated Bite Case Management (IBCM) Detect Respond Prevent

14. IBCM Detect • Animal exposure at health care facility • Rabies suspect animal in community Respond • Post-Exposure Prophylaxis (PEP) • Investigation (community and animal) • Identify additional bite victims • Animal capture and assessment • Quarantine or euthanasia and diagnostic testing • Reporting of test results Prevent • Additional exposures by humanely removing animals • Additional human deaths by identifying additional bite victims • Unnecessary PEP use

15. IBCM: Detect • Animal exposure at health care facility • Daily reporting from preventative center to sub-DAH • Rabies suspect animal in community • Reporting from the community to sub-DAH

16. IBCM: Respond • PEP at health care facility • Wound treatment • PEP series • Investigation (community and animal)

17. IBCM: Respond • Investigation (community and animal) • Identify additional bite victims • Animal capture and assessment • Quarantine • Euthanasia and diagnostic testing • Report outcome from investigation

18. IBCM: Respond • Investigation (community and animal) • Identify additional bite victims • Animal capture and assessment • Quarantine • Euthanasia and diagnostic testing • Report outcome from investigation

19. IBCM: Respond • Investigation (community and animal) • Identify additional bite victims • Animal capture and assessment • Quarantine • Euthanasia and diagnostic testing • Report outcome from investigation • Signs of rabies = euthanasia • Healthy = quarantine for 10 days

20. IBCM: Respond • Investigation (community and animal) • Identify additional bite victims • Animal capture and assessment • Quarantine • Euthanasia and diagnostic testing • Report outcome from investigation

21. IBCM: Respond • Investigation (community and animal) • Identify additional bite victims • Animal capture and assessment • Quarantine • Euthanasia and diagnostic testing • Report outcome from investigation

22. IBCM Cycle Report Outcome ~7 - 14 Days Detection Responses

23. Wild life surveillance

24. Future collaboration • Continue to implement/extend IBCM • Strengthen collaboration between human and animal laboratories, central and regional labs. • Sharing animal samples to NIHE and CDC

25. Acknowledgements • DAH • NIHE • GDPM • Phu Tho • CDC-VN • CDC-PRB • Cat Tien NP