dc.contributor.author |
Fasina, Folorunso Oludayo
|
|
dc.contributor.author |
Mtui-Malamsha, Niwael
|
|
dc.contributor.author |
Mahiti, Gladys R.
|
|
dc.contributor.author |
Sallu, Raphael
|
|
dc.contributor.author |
OleNeselle, Moses
|
|
dc.contributor.author |
Rubegwa, Bachana
|
|
dc.contributor.author |
Makonnen, Yilma J.
|
|
dc.contributor.author |
Kafeero, Fred
|
|
dc.contributor.author |
Ruheta, Martin
|
|
dc.contributor.author |
Nonga, Hezron Emmanuel
|
|
dc.contributor.author |
Swai, Emmanuel S.
|
|
dc.contributor.author |
Makungu, Selemani
|
|
dc.contributor.author |
Killewo, Japhet
|
|
dc.contributor.author |
Otieno, Edward G.
|
|
dc.contributor.author |
Lupindu, Athumani M.
|
|
dc.contributor.author |
Komba, Erick
|
|
dc.contributor.author |
Mdegela, Robinson
|
|
dc.contributor.author |
Assenga, Justine K.
|
|
dc.contributor.author |
Bernard, Jubilate
|
|
dc.contributor.author |
Hussein, Mohamed
|
|
dc.contributor.author |
Marandu, Walter
|
|
dc.contributor.author |
Warioba, James
|
|
dc.contributor.author |
Kaaya, Eliona
|
|
dc.contributor.author |
Masanja, Pius
|
|
dc.contributor.author |
Francis, Gundelinda
|
|
dc.contributor.author |
Kessy, Violet M.
|
|
dc.contributor.author |
Savy, Janique
|
|
dc.contributor.author |
Choyo, Hija
|
|
dc.contributor.author |
Ochieng, Justus
|
|
dc.contributor.author |
Hoogesteijn, Almira L.
|
|
dc.contributor.author |
Fasina, Margaret M.
|
|
dc.contributor.author |
Rivas, Ariel L.
|
|
dc.date.accessioned |
2020-11-04T05:21:28Z |
|
dc.date.available |
2020-11-04T05:21:28Z |
|
dc.date.issued |
2020-06 |
|
dc.description.abstract |
OBJECTIVES : Hoping to improve health-related effectiveness, a two-phase vaccination against rabies was
designed and executed in northern Tanzania in 2018, which included geo-epidemiological and economic
perspectives.
METHODS : Considering the local bio-geography and attempting to rapidly establish a protective ring
around a city at risk, the
first phase intervened on sites surrounding that city, where the population
density was lower than in the city at risk. The second phase vaccinated a rural area.
RESULTS : No rabies-related case has been reported in the vaccinated areas for over a year postimmunisation;
hence, the campaign is viewed as highly cost-effective. Other metrics included: rapid
implementation (concluded in half the time spent on other campaigns) and the estimated cost per
protected life, which was 3.28 times lower than in similar vaccinations.
CONCLUSIONS : The adopted design emphasised local bio-geographical dynamics: it prevented the
occurrence of an epidemic in a city with a higher demographic density than its surrounding area and it
also achieved greater effectiveness than average interventions. These interdisciplinary, policy-oriented
experiences have broad and immediate applications in settings of limited and/or time-sensitive
(expertise, personnel, and time available to intervene) resources and conditions. |
en_ZA |
dc.description.department |
Nursing Science |
en_ZA |
dc.description.department |
Veterinary Tropical Diseases |
en_ZA |
dc.description.librarian |
am2020 |
en_ZA |
dc.description.sponsorship |
The United States Agency for International Development (USAID) – OSRO/GLO/507/USA on Global Health Security Agenda for the control of zoonosis in Africa. |
en_ZA |
dc.description.uri |
http://www.elsevier.com/locate/ijid |
en_ZA |
dc.identifier.citation |
Fasina, F.O., Mtui-Malamsha, N., Mahiti, G.R. et al. 2020, 'Where and when to vaccinate? Interdisciplinary design and
evaluation of the 2018 Tanzanian anti-rabies campaign', International Journal of Infectious Diseases, vol. 95, pp. 352-360. |
en_ZA |
dc.identifier.issn |
1201-9712 (print) |
|
dc.identifier.issn |
1878-3511 (online) |
|
dc.identifier.other |
10.1016/j.ijid.2020.03.037 |
|
dc.identifier.uri |
http://hdl.handle.net/2263/76685 |
|
dc.language.iso |
en |
en_ZA |
dc.publisher |
Elsevier |
en_ZA |
dc.rights |
© 2020 The Author(s).
This is an open access article under the CC BY-NC-ND license. |
en_ZA |
dc.subject |
Rabies |
en_ZA |
dc.subject |
Vaccination |
en_ZA |
dc.subject |
One health |
en_ZA |
dc.subject |
Geo-epidemiology |
en_ZA |
dc.subject |
Human health |
en_ZA |
dc.subject |
Health economics |
en_ZA |
dc.subject |
Dogs (Canis familiaris) |
en_ZA |
dc.title |
Where and when to vaccinate? Interdisciplinary design and evaluation of the 2018 Tanzanian anti-rabies campaign |
en_ZA |
dc.type |
Article |
en_ZA |