1. LESSONS LEARNT FROM RABIES CONTROL PROGRAMMES IN VIETNAM

3. How can we work together better and get more?
Legislation/Planning Development
Implementation
LINKING/
COLLABORATION
Animal Health
Lab
Human Health
Epi

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

9. Awareness:
Joint development and implementation of materials

10. Animal – Human Health collaboration
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. US CDC experts (Dr. Lilia and Dr MA)
Laboratory training
10-13/03/2015
US CDC experts (Dr. Lilia and Dr MA)
Sample preparation

13. Integrated Bite Case Management (IBCM)
Detect
Respond
To achieve these goals, an integrated approach is needed.
Detection stars at an animal bite/person getting PEP
Response is the PEP treatment
IBCM encompasses the following components, Detect, Respond, and Prevent
Prevent

14. IBCM Detect Respond Prevent Identify additional bite victims
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
IBCM encompasses the following components, Detect, Respond, and Prevent

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
~ Days
Detection
Responses

23. Wild life surveillance

24. Continue to implement/extend IBCM
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