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Rabies Free Philippines 2020 Inform, Educate and Empower People through Responsible Pet Ownership and Vaccinations

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Rabies Free Philippines 2020Inform, Educate and Empower People through Responsible Pet Ownership and Vaccinations

“Combating rabies may be a difficult task but

certainly not an impossible one. The fight to

save human and animal lives and health

can be done, especially with a strong

commitment to cooperate among public

and private partners and the communities

at all levels.”Secretary of Health Enrique T. Ona

MD, FPCS, FACS

Did you know that 200 to 300 Filipinos die of rabies each year?

Rabies accounts for about 55,000 deaths worldwide every year, and majority of the fatalities are children.

56% in Asia 43.6% in Africa

Rabies cannot be cured, but it is preventable.

“mordedura de la muerte” (Bite of

Death)Rabies is caused by a virus

that infects the central nervous system. A patient

may die within

three to five days.Dr. Raffy Deray, program manager for rabies at the Department of Health’s National Center for Disease Prevention and Control

STOP THE VIRUS IN ITS TRACKS!!! A Tool for Prevention and Education Initiatives

a dynamic, ongoing process designed to reduce risk factors and promote protective factors for individuals, families and communities

Levels are complementary and when used together produce a synergy that results in greater effectiveness than would be possible by implementing any single activity.

Courtesy of http://www.co.washington.or.us/HHS/prevention-matters.cfm

AIM FOR ZERO RABIES PHILIPPINES

“No Unnecessary Deaths from

Rabies”

Source: Infectious Diseases Office, National Center for Disease Prevention and Control, Department of Health and Bureau of Animal Industry, Department of Agriculture, Philippines

POOCHES ON THE CATWALK

Paris Hilton: “I have 35 pets.”

Beyond Cuteness: Mass Dumping of Bundle of Furs in the UKhttp://www.dailymail.co.uk/femail/article-2036339/Hundreds-miniature-pooches-abandoned-owners-bought-fashion-accessories.html

Dogs Trust, UK’s largest dog welfare charity — revealed the last year had seen more than 400 so-called handbag dogs being dumped at their doors, a 44 per cent increase. 

Why? Largely because the dogs’ owners became bored with them, much as a child gets bored with a new toy. 

Fashion accessories bought out of whim, only to find they can’t cope with them or afford them.

Picture with Caption LayoutCaption

http://pawsphilippines.weebly.com/admission-and-rehoming-11-reasons-paws-cannot-adopt-your-pet.html

Abandonment of a pet is a criminal offense under the Amended Animal Welfare Act (RA 10631)

Adequate sustenance (food and water)

Proper shelter

Medical Care (up-to-date vaccines, annual check-up, "no right to own a dog if you can't take him to a VET")

Daily enrichment (play, socialize, training) and daily exercises

Spay/Neuter

A Pet is a LIFETIME COMMITMENT

SPAY/NEUTER

Sterilization is a method of population control

Disease Control (such as rabies, leptospirosis, scabies, fungal infections)

contact PAWS at 4751688, or send an email [email protected]

Responsible Pet Ownership

(PAWS)

PER RECOMMENDATIONS OF THE VACCINATION GUIDELINES GROUP (VGG) OF THE WORLD SMALL ANIMAL VETERINARY ASSOCIATION (WSAVA)

Vaccines should not be given needlessly. Core vaccines should not be given any more frequently than every three years after the 12 month booster injection following the puppy/kitten series, because the duration of immunity (DOI) is many years and may be up to the lifetime of the pet.

DOH: The public is advised to bring their pet dogs for anti-rabies vaccination when they reach three months of age and yearly thereafter

COLLABORATIVE EFFORT(REPUBLIC ACT NO. 9482 “Anti-Rabies Act of 2007”)

Department of Health

Availability and Supply of DOH pre-qualified human AntiRabies vaccines, Health Education, Surveillance, Barbs and Euthanasia drugs

Department of Agriculture

Improve animal Rabies laboratory diagnostic capabilities, field personnel training and IEC

Department of Education

Rabies Education Program in the curriculum, assist mass dog immunization campaigns

Local Government Units (LGUs)

Immunization, registration and dog tags, Dog Impounding, No electrocution as a form of euthanasia, appointment of veterinarians in provinces, cities annd municipalities, pet shops on rabies and RPO, collection of fines under section 11 of RA 9482

NGOs and Academe

community mobilization, health education with information dissemination, surveillance and reporting

Section 11 of RA 9482 on PENALTIES

No dog registration and immunization against Rabies: fined Php 2,000

Responsibility for vaccination of dog and individuals bitten by their dog

Refusal to put dog under observation: fined Php 10,000

Refused dog observation and non-payment for medical expenses of bitten person: fined Php 25,000

No leash outside the house: fined Php 500 per incident

Return of impounded dog to owner: fined Php 500 to 1,000

Dog meat trading: fined Php 5,000 per dog and imprisonment of 1-4 years

Electrocution of dogs: fined not < Php 5,000 per act with imprisonment of 1-4 years

Alien violators: deportation after service of sentence without further proceedings

http://media-cache ec0.pinimg.com/736x/a3/cb/7b/a3cb7b786648556c644a180db4f10283.jpg

According to Secretary Ona,

Department of Health, together with its partners and allies are determined, more than ever to eradicate the disease and avert mortality

From enacting policies (Republic Act 9482, known as The Anti-Rabies Act of 2007) to implementing different collaborative activities by public and private sector partners; to involving the communities – all these aimed at reducing the public’s risk and deaths resulting to rabies.

The Manual of Operations presents appropriate and practical guidelines for the prevention and control of rabies that were designed to be easy to understand and more importantly, administer.

HUMAN RABIES CASES

Bite and non-bite exposures inflicted by infected human could theoretically transmit rabies (NO CASES HAVE BEEN FOUND IN THE COUNTRY)

Other human-to-human cases involved corneal, liver, kidney and other organ transplants.

Rabies virus is NOT FOUND in human or animal blood and feces thus, these body fluids do not pose a risk for rabies transmission.

Lyssavirus

transdermal bite

scratch by an infected animal

infected saliva comes in direct contact with the victim’s mucosa or fresh skin lesions

inhalation of virus-containing aerosol

infected organ transplants

RABIES IN ANIMALS

Dogs are the principal reservoir of rabies in the Philippines

Incubation period of rabies in dogs vary from 10-80 days after exposure

Majority of virus excretion begins at the earliest 2-7 days shortly before or symptoms appear

TYPE OF RABIES EXPOSURE WHAT TO DO

Feeding or touching an animal

Licking of intact skin

Exposure to patient with signs and symptoms of rabies (sharing utensils)

Casual contact (talking, visiting rabies suspects) and healthcare personnel

Wash exposed skin immediately with soap and water.

No vaccine or RIG needed

Pre-exposure prophylaxis if high risk population (lab, healthcare workers)

CATEGORY 1: Rabies Exposure and Management

CATEGORY 2: Rabies Exposure and Management

TYPE OF RABIES EXPOSURE WHAT TO DO

Nibbling of uncovered skin (with or without hematoma)

Minor or superficial scratches, abrasions without bleeding, including those induced to bleed

All Category II exposures on the head and neck area are considered Category III and should be managed as such

Start vaccinations ASAP

COMPLETE VACCINATIONS if rabid, death of animal ensues animal is with s/sx of rabies or animal is not available for observation

OMIT DAY 28 DOSE if alive and healthy after 14 day observation period or biting animal died within the 14-day window but with no signs and symptoms of rabies and was FAT-negative (Fluorescent Antibody Test)

RIG not indicated (Rabies Immune Globulin) unless IMMUNOCOMPROMISED

CATEGORY 3: Rabies Exposure and ManagementTYPE OF RABIES EXPOSURE WHAT TO DO

Exposure to a rabies patient through bites, contamination of mucous membranes (eyes, oral/nasal mucosa, genital/anal mucous membrane) or open skin lesions with body fluids through splattering and mouth-to-mouth resucitation

Unprotected handling of infected carcass

Ingestion of raw infected meat

Exposure to bats

All Category II exposures on head and neck areas.

Start vaccinations and RIG (Rabies Immune Globulin) ASAP

COMPLETE VACCINATIONS if rabid, death of animal ensues animal is with s/sx of rabies or animal is not available for observation

OMIT DAY 28 DOSE if alive and healthy after 14 day observation period or biting animal died within the 14-day window but with no signs and symptoms of rabies and was FAT-negative (Fluorescent Antibody Test)

Purified Verocell Rabies Vaccine (PVRV)

Purified Chick Embryo Cell (PCEC)

Pre-Exposure Prophylaxis is rabies vaccination administered BEFORE an exposure to potentially rabid animals.

Recommended for: anyone with increased exposure to the rabies virus (laboratory workers,vets and animal handlers)

BENEFITS:

1. The need for passive immunization (RIG) is eliminated2. PEP requires booster doses only, reducing vaccination from 5 to two doses3. Protection against rabies is possible even if PEP is delayed4. Protection against inadvertent exposure to rabies is possible5. The cost of PEP is reduced

POST-EXPOSURE PROPHYLAXIS (PEP)

anti rabies treatment administered after an exposure to potentially rabid animals. It includes local wound care, administration of rabies vaccine with or without Rabies Immunoglobulin (RIG) depending on the category of exposure.

1. Wash wounds immediately and vigorously with soap/ detergent, and water, preferably for 10 minutes. 2. Apply alcohol, povidone iodine or any antiseptic.

3. Mucous membranes such as eyes, nose or mouth shall be flushed well with water.

4. Suturing of wounds should be avoided since it may inoculate the virus deeper into the wounds. Wounds may be coaptated using sterile adhesive strips. If suturing is unavoidable, it should be delayed for at least 2 hours after administration of RIG to allow diffusion of the antibody to the tissues.

5. Do not apply any ointment, cream or wound dressing to the bite wound.

6. The public should be educated in simple local wound treatment and warned not to use procedures that may further contaminate the wounds (e.g. tandok, bato, rubbing garlic on the wounds and other non-traditional practices.

7. Antimicrobials are recommended for the following conditions:a. All frankly infected woundb. All category III cat bitesc. All other category III bites that are eitherc. All other category III bites that are either deep, penetrating, multiple or extensive or located on the hand, face and genital area.

8. Anti- tetanus immunization may be given if indicated. History of tetanus immunization (TT/DPT/Td) should be reviewed. Animal bites are considered tetanus prone wounds. Completion of the primary series of tetanus immunization is required.

1. Building Healthy Public Policy - make policymakers realize the health consequences of their decisions and own responsibility for it.

2. Creating Supportive Environment - Increase accessibility of Animal Bite and Treatment Centers and Social Mobilization

3. Strengthening Community Action when setting priorities, making decisions, planning strategies, and implementing them to eliminate rabies in their respective areas

4. Developing Personal Skills - training, seminars, briefings/ orientation and provision of IEC materials

5. Re-orienting Health Services - shared responsibility among individuals, community groups, health professionals, health service institutions, and governments.

6. Strategic Activities - Rabies Awareness Month - March and World Rabies Day on September 28

RABIES HEALTH PROMOTION