Table 1. Comparison of associated health parameters of two vector-borne diseases and human rabies transmitted by dogs a.
Yellow fever | Japanese encephalitis | Rabies | |
---|---|---|---|
Disease | Mild to acute viral hemorrhagic
syndrome |
Mild to severe viral encephalitis | Acute progressive viral encephalitis |
Etiology | Flavivirus | Flavivirus | Lyssavirus |
Distribution | Endemic in tropics of about
34 African and about 13 Latin American countries |
Endemic in about 24 Southeast
Asian and Western Pacific countries |
Endemic within about 150 developing
countries in the Americas, Africa, and Asia |
Transmission | Mosquito | Mosquito | Dog bite |
Case fatality | About 20–50% in severe cases | About 30% | >99.9% |
Burden | About 84,000–170,000 severe
cases |
About 68,000 cases | >15 million exposures annually |
Annual fatalities | About 29,000–60,000 estimated
deaths in Africa alone |
About 13,600–20,400 estimated
deaths |
About 25,000–159,000 estimated
deaths |
Epidemiological
occurrence |
Sylvatic cycle and urban
outbreaks |
Major outbreaks about 2–15 years,
intensified during the rainy season |
Primarily individual human cases in
rural, underserved areas |
Vaccination | One dose may be effective, with
long-term to lifelong immunity in about 99% of people |
Primary and booster doses for
childhood Expanded Programme on Immunization incorporation |
Currently, requires three or more doses
in pre- or post-exposure vaccination |
Treatment | Supportive care only | Supportive care only | No specific treatment, comfort care
only before death |
Prospect for elimination | Vaccination protects humans at
risk, but Yellow fever cannot be eliminated in nature. |
Vaccination protects humans at
risk, but Japanese encephalitis is not a candidate for elimination. |
Human rabies can be prevented by
vaccination and canine rabies can be eliminated by mass dog vaccination. |
Global Alliance
for Vaccines and Immunization (GAVI) support (by 2015) |
>$264 million USD | About $105 million USD forecast for
2015–2020 |
$0 |
aWorld Health Organization ( http://www.who.int/mediacentre/en/).