Community based surveillance implemented in Haiti

In 2013, the Haiti Animal Rabies Surveillance Program (HARSP) was initiated in pilot areas. This is a community-based animal rabies surveillance program involves both active community bite investigation and passive animal rabies investigation. In its first two years, over 750 biting animals were investigated and over 100 were diagnosed as rabid (mainly by laboratory testing, but also by clinical observation). This represented an 18-fold increase in reporting of rabid animals compared to the three years before the program was implemented was achieved. Dogs were the most frequent rabid animal (90%), and testing and observation of dogs was able to rule out rabies in 61% of animals investigated.

In the first two years, as well as over 600 bite victims that reported to the program, and an additional 364 bite victims who had not sought medical care were identified during the course of investigations, leading to more people receiving PEP for suspected and confirmed rabid bites. Subsequently the program has been evaluated for its importance in reducing PEP costs.

For more details see:
Wallace et al (2016) Establishment of a Canine Rabies Burden in Haiti through the Implementation of a Novel Surveillance Program.

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Wallace et al. 2015

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