One health for dog-mediated rabies elimination in Asia: a collection of local experiences.

Chapter 20 (Page no: 248)

Conclusions.

This concluding chapter builds on the take-home message that the editors asked each chapter author to provide, as well as the take-home messages home from two international meetings in autumn 2022 when writing this book. These two events are the Rabies in the Americas conference (Mexico, October 2022) and the World One Health Congress (Singapore, November 2022), where rabies was among the most represented diseases. These include the need for collaboration from social scientists, communication specialists, and economics and policy experts; the adoption of a collaborative, intersectoral One Health approach; structured conversational processes to create a safe, welcoming environment where it is possible to increase awareness on why and how to eliminate rabies, connect and share multiple ideas and perspectives, generate novel solutions and encourage collective action; the inclusion of rabies stakeholders at all levels of society from the international to the local and non-traditional ones (religious leaders and traditional healers); consider animal welfare regarding dog culling to control rabies; investment to finance mass dog vaccination and post-exposure prophylaxis; the role of dog behaviour and ecology in rabies transmission; population control; waste management; DNA sequencing tools and genomic techniques; implementation of cost-effective, post-exposure prophylaxis (PEP)-saving measures to benefit both national health systems and at-risk communities and mandatory pet dog registration.

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