Table 1.
Examples of recent emergence or re-emergence of canine rabies, documenting what is known or estimated about the site and date of incursion, how long it took to implement a response and what type of intervention was implemented. d = days, w = weeks, m = months, y = years and NA refers to unknown information.
Location of outbreak | Epidemiological history prior to outbreak | Estimated date of incursion | Date of detection (time between incursion and detection) | Suspected source of incursion | Site of incursion | Response and date (time between detection and response) | Outcome | Time between sampling and FAT results | Sources |
---|---|---|---|---|---|---|---|---|---|
Central Java, Indonesia | No detected cases for at least 10 y | Aug–Sep 1985 | Sep 1985 | Dog/s transported from neighbouring endemic West Java | Wonogiri district, South East of Central Java | Mass vaccination, culling and movement control of dogs, cats and monkeys began ∼Nov/Dec 1985 (2–3 m) | Outbreak controlled, but few cases reported >1 y later | NA | Waltner-Toews et al. [24] |
Terengganu, East Malaysia | Rabies eliminated in 1950s | NA | Dec 1995 | Dog on fishing boat | Coastal villages | NA | NA | NA | Loke et al. [34] |
Flores, East Nusa Tengarra, Indonesia | Naive group of islands | Sep 1997 | Nov 1997 (2 m) | 3 dogs on fishing boat from Butung (Buton) Island, Sulawesi | Larantuka, town on eastern tip | Culling began early 1998 (<4 m); vaccination began 2001 (>3 y) | Endemic | >14 d for dogs | Bingham [35]; Windiyaningsih et al. [11]; Scott-Orr et al. [36] |
Maluku Islands, Indonesia | NA | NA | Aug 2003 | Dogs imported for meat trade from other Indonesian islands; Sulawesi (A.A.G. Putra pers. comm.) | NA | NA | Endemic | NA | ProMED-mail [20] |
3 neighbouring districts in Eastern Bhutan | Rabies eliminated in early 1990s | May 2005 | May 2005 (<1 m) | Neighbouring endemic India | Gongza village, Toetsho sub district, Tanshiyangtse district | Vaccination began 2005 (<6 m); impounding began Mar 2006 (10 m); no culling as Bhuddist; no mass vaccination | Controlled by Nov 07 | NA | Tenzin et al. [27] |
Limpopo province, South Africa | No detected cases since 1981 but region endemic |
Aug 05 earliest human case | Feb 06 (>6 m) | Southern Zimbabwe or Mozambique | Vhembe district, bordering southern Zimbabwe | Central point vaccination intensified in Feb 06 (<1 m). Infrastructure already in place, ∼40% coverage in preceding years | NA | NA | Cohen et al. [37] |
Bhutan-Chhukha district | Rabies eliminated in early 1990s | Late 2007 | Jan 2008 (1–3 m) | Neighbouring endemic India | Southern villages of Dala subdistrict | Culling began Mar 2008 (6 w); no mass vaccination | Controlled by Jul 2008 | NA | Tenzin et al. [10] |
Bali, Indonesia | Naive island | Apr 2008 | Nov 2008 (7 m) | Dog on fishing boat from Sulawesi (N. Dibia, pers. comm.) | Ungasan village, Badung regency, southern peninsula | Localised control began Dec 08 (1 m); island-wide vaccination began Oct 2010 (2 y) | Continuing island-wide vaccination with considerable reduction in incidence | 3 d for dogs (A.A.G. Putra pers. comm.) | Knobel and Hiby [38]; Putra et al. [39]; Susilawathi et al. [9] |
Nias, Indonesia | Naive island | Medic official bitten Dec 2009 | Medic official diagnosed with rabies Mar 2010 (>3 m) | NA | NA | Emergency dog vaccination and culling began Mar 2010 (<1 m); intermittent control measures to date but funds obtained and capacity being mobilized; planned mass vaccination in mid 2012 (2.5 y) | Endemic | NA | http://st284015.sitekno.com/article/30848/endemic-rabies-in-nias-island.html; http://www.civas.net/content/two-people-died-rabies-nias |
Summary | Island and continental settings including areas where previously eliminated and without a rabies history | Time to detection <1–7 m | Human mediated transport by boat, possibly by vehicle on land, and perhaps local dog movement in Bhutan | Nearby islands or from neighbouring provinces/countries | Initial response <1–6 m; time to mass vaccination <1 m to 3 y (or still awaiting) | Variable: a few outbreaks controlled or eliminated, while others became endemic | 3–14 d (very limited data) |