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The Rabies Situation inWestern Europe
Alexander I. Wandeler
OLF, CFIA
Ottawa, Canada
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Western Europe Eastern Europe Central Asia Middle East Far East Asia
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The Rabies Situation inWestern Europe
• Comments to the history of rabies in
Western Europe
• The questionnaire survey covering 2005
and 2006
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The spread of fox rabies in Europe
From Wachendörfer and Frost, 1992
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Prevalence Periodicity and Control
from Wandeler, 1991
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from U. Müller & U. Breitenmoser, 2004
100
% 100
80
60
40
20
100
80
60
40
20
80
60
40
20
0
A B C h = 2.5 km
h = 10 km
h = 30 km
1970197 5
19801970
197 51980
1970197 5
19801985
19841984
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Questionnaire Survey ResultsRabies in 2005 and 2006
• Questionnaire composed of easy queries
and of difficult questions
• 16 completed questionnaires received
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Questionnaire Survey ResultsRabies in 2005 and 2006
• Rabies a notifiable disease in all countries
yes nono answer
human legislation 9 5 2
animal legislation 15 1 0
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Animals examined in 2005 and 2006
2005 2006
neg pos neg pos
dogs + cats 1009 0 662 0other domestic animals 851 1 505 0
foxes 30859 39 20475 5
raccoon dogs 403 0 130 0
other wildlife 2910 2 2192 0
bats 1427 28 1099 30
total 37259 70 25860 35
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Questionnaire Survey ResultsPresence of Rabies in 2005 and 2006
• Rabies in dogs and cats: none• Rabies in foxes: 1 country (Germany)
1 case in Austria 1 case in Denmark = EBL
• Rabies in raccoon dogs: none• Rabies in bats: 4 countries (Germany Denmark Netherlands
France)
Bulk of examinations: Germany and Austria
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Rabies cases in foxes in 2005 and 2006Source: Rabies Bulletin Europe
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Rabies cases in bats 2000 to 2006Source: Rabies Bulletin Europe
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Rabies in Humans
2005: 1 case in UK (dog) 4 cases in Germany (organ transplant)
2006: none
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Post Exposure Prophylaxis
2005 2006
Austria 558
Belgium 128 115
Denmark 94 85
France 5284
UK 398 445
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Dogs – Dog Rabies Control
2005 2006 human: dog % vaccinated
Austria 620,000 13:1 24.8
Belgium 1,040,000 1,040,000 (10:1) 5.38
France 8,700,000 8,700,000 7.5:1 ?
Germany 5,000,000 5,000,000 20:1 ?
Luxembourg 32,000 35,000 14:1 71.5
UK 6,500,000 6,500,000 8:1
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Fox Rabies Control
area covered (km2)Campaigns
per yearbait
density2005 2006 2007
Austria 12,620 11,212 11,212 2 25
France 4,300 0 0 2 20
Germany 26,420 23,290 11,500 3 30
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Conclusions
• Fox rabies has practically disappeared from Western Europe
• Cats and dogs have not become a significant reservoir
• Rabies did not establish itself in raccoon dog populations
• Bat rabies is widespread
• Quality of surveillance is variable
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Conclusions
• Vaccination coverage of dogs is variable
• Fox vaccination campaigns are gradually being abandoned
• Human post exposure prophylaxis (PEP) is adequate
• There is still a high number of PEPs administered
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Thank you for your attention