Lead: Once rabies is 100% dead, it is currently preventable. This vaccine has become one of the important measures to prevent rabies. So the question is: Is the rabies vaccine really used as much as possible? Is there any abuse of rabies vaccine in China? How to use the vaccine scientifically and reasonably? Xiao Bian is also very confused, so here reprinted the blog post of Professor Yan Jiaxin, a well-known expert in the field of rabies virus research, hoping to be able to throw a brick and jade, answer questions!
Looking back at history, China used 4 million rabies vaccines in 1996 to control the number of rabies deaths to 159 a year. In 10 years, in 2006-2007, the annual use of rabies vaccine in China has increased by 4-5 times, reaching nearly 20 million, but the death toll has increased 15-20 times, more than 3,000 people a year.
Is the rabies vaccine really used as much as possible?
Is there any abuse of rabies vaccine in China?
How to use the vaccine scientifically and reasonably?
How to use good steel on the blade?
1 Is there any abuse of rabies vaccine in China?
The highest peak of recorded rabies in China occurred in the early 1980s, and the annual death toll of rabies in the country exceeded 7,000 (1981). In 1996, the number of rabies deaths in the country had dropped to a minimum of 159, and the national rabies vaccine was about 4 million.
Since then, China’s rabies deaths and vaccination rates have risen all the way for more than a decade. In 2007, a total of 3,303 people died of canine diseases in the country . In 2008, China's batch of rabies vaccines issued by the state (listed for approval) reached a record 19.47 million .
Once upon a time, the domestic media had widely reported on Professor Yan’s view that there was a large amount of abuse of rabies vaccine in China! At that time, there were widespread controversies, and some newspapers, including the Health News, also had a “rebuttalâ€. But as time goes on, more and more CDC experts are beginning to agree with me. The "Health News" later published relevant science articles by Professor Yan.
People in the CDC system have a mindset: to control infectious diseases, the more the vaccine is played, the better! To fight in advance, even if you are not sick, you must fight! Everyone wants to fight, if necessary, repeatedly, fight! Do a good job! For polio, measles, hepatitis B and other human-transmitted infectious diseases, it makes sense to do so. Vaccination can at least reduce the source of infection. But for rabies, this idea and practice are completely wrong. For infectious diseases such as polio, measles, hepatitis B and other human beings, it makes sense to do so. Vaccination can at least reduce the source of infection. But for rabies, this idea and practice are completely wrong.
The main vector of human rabies is dogs, not humans. In China, almost no one is infected with rabies. Therefore, the rabies vaccine is currently giving more to the dog in China, and it should be suitable for people. It should only be given to those who are indeed likely to be infected, otherwise it will be pure waste and will not play a role in reducing the source of infection.
2 Can you vaccinate against rabies?
Many CDC vaccinators are Mingzhe:
If I dissuaen you from rabies vaccination, if something goes wrong - if rabies has a problem, it is a big problem of human life - that may be my responsibility; and "the one who refuses" will come out to me. The safest, I will never have to bear any responsibility: if something goes wrong, it is not your own problem that is the problem of the vaccine manufacturer.
Besides, the rabies vaccine is very profitable, and the money sent to the door is not profitable, and it is better to earn less.
3 I hope that vaccinators will improve their ability to judge whether they are vaccinated and increase their publicity.
People who have only seen CDC have been vigorously promoting the circumstances under which rabies vaccine should be administered. For the first time, experts from China's CDC recently began publicizing the circumstances under which rabies vaccine should not be vaccinated. That is, in the "Wuhan Evening News", there was a very striking headline:
Recently, the number of rabies vaccines has soared. CDC experts say that most people do not need to fight.
In this report, the case of the experts from Wuhan CDC fully proves that the majority of people who come to Wuhan CDC to vaccinate against rabies do not need to be vaccinated.
Then? How to measure the level of a CDC rabies vaccination person? It is not to see if he is "not to refuse", but to see if he can be confident and unambiguous in determining under what circumstances he is not vaccinated at all.
Finally, regardless of the existence of human rabies vaccine abuse in China? The answer is no longer self-evident! For the sake of the people, I hope that more experts in the field, vaccinators, and dogs will have a comprehensive and correct knowledge of the circumstances under which rabies vaccines are not needed. "Rabies Zero By 30 (realization of rabies in 2030) Death)" Work together!
Attached to the 2017 rabies day interpretation (full text transferred to Professor Yan Science Network blog)
Http://blog.sciencenet.cn/blog-347754-1077861.html
September 28 this year is the 11th World Rabies Day.
The theme of World rabies day 2017 is: Rabies: Zero by 30. (zero death from rabies in 2030)
On December 10, 2015, the World Health Organization (WHO) and the Office International Des Epizooties (OIE), together with the Food and Agriculture Organization of the United Nations (FAO) and the Global Alliance for Rabies Control (GARC), held a joint meeting in Geneva, Switzerland. , initiated a plan to eliminate dog-derived human rabies worldwide by 2030. This move marks the first time that the human and animal health departments have come together to adopt a common strategy to conquer this terrible but still largely neglected disease. This is a new and important milestone in the global elimination of rabies.
Rabies is a very special zoonosis: rabies is not in principle transmitted from person to person. 100% of human rabies is caused by bites in animals (99% of which are dogs). Therefore, the prevention and control of human rabies almost completely depends on the prevention and control of dog rabies. Only the joint action of the medical and veterinary departments can completely solve the problem of rabies from the source.
To support this goal, the theme of 2017 World Rabies Day is:
Rabies: Zero by 30.
(zero death from rabies in 2030)
The origin of World Rabies Day:
The first World Rabies Day was September 8, 2007.
The first World Rabies Day-related activities have achieved milestone success, taking the world's rabies prevention and control work a big step forward.
This result inspired the main sponsors and organizers of the event, the Alliance for Rabies Control (ARC) and the Centers for Disease Control (CDC), and decided to formally set up on September 28 each year. World Rabies Day aims to bring together more and more partners and volunteers to make rabies a history as soon as possible.
The reason for changing the rabies day from September 8 to September 28 was to commemorate the French scientist Louis Pasteur who made the greatest contribution to the prevention and treatment of rabies by inventing the rabies vaccine. He died in September 1895. 28th.
The Rabies Control Alliance (ARC) is a UK-based charity founded in early 2006 by world-renowned rabies researchers and professionals. They actively invite collaborators from all walks of life around the world to join the World Rabies Day event. The establishment of World Rabies Day was also quickly supported by the World Organization for Animal Health (OIC), the World Health Organization (WHO) and dozens of other international and regional official and civil organizations.
The slogan of the World Rabies Day is: work together to make rabies history!
Working together to make rabies history!
The main purpose of setting up World Rabies Day is to raise awareness of rabies:
The dangers of human and animal rabies are serious, but preventing rabies is actually very easy. With the existing knowledge and technical means of human rabies epidemics (already very effective vaccines and antisera, etc.), as long as the experience of countries (or regions) that have successfully controlled rabies is fully promoted, it is entirely possible to quickly Range control and basic elimination of rabies.
Global elimination of rabies, China plans to lead Africa? !
At present, rabies has been effectively controlled in all developed countries and some developing countries (or regions) in the world, and the number of rabies deaths has remained at 0 or close to zero for many years.
Rabies is only found in countries where poverty, backwardness, social unrest or corruption!
The World Health Organization (WHO) has proposed to achieve the goal of basically eradicating rabies worldwide by 2020. Latin American countries have announced their basic goals in 2010. Many Asian developing countries, such as India, have made commitments to meet the standards on time.
As a result of several African LDCs and China, WHO has set a deadline for achieving the goal of global rabies eradication: zero human rabies deaths by 2030.
The following is the official news of the WHO website to see the current plans of countries around the world (including China) to eliminate rabies.
(According to the WHO website March 2016 "rabies epidemiological report" http://):
First, the global goal of eliminating rabies: zero human death from rabies in 2030!
In December 2015, the WHO and the World Organisation for Animal Health (OIE), in collaboration with the Food and Agriculture Organization of the United Nations and the Global Alliance for Rabies Control, launched a global framework for achieving zero deaths in human rabies by 2030.
Second, many developing countries have or plan to eliminate rabies by 2020
Canine-borne rabies has been eliminated in many Latin American countries, including Chile, Costa Rica, Panama, Uruguay, most of Argentina, Sao Paulo and Rio de Janeiro in Brazil, most of Mexico and most of Peru.
Great progress has been made in the Philippines, South Africa and Tanzania. The recent concept project produced by the Bill and Melinda Gates Foundation project under WHO leadership demonstrates joint interventions such as vaccination for dogs, improved post-exposure prophylaxis, enhanced surveillance and increased public awareness. Measures can reduce human rabies.
Many countries in the WHO South-East Asia Region have also carried out the elimination of the disease in accordance with the region's 2020 elimination targets. In 2010, Bangladesh launched a elimination program and reduced human rabies deaths by 50% between 2010 and 2013 by managing dog bites, large-scale canine vaccination and increasing free access to vaccines.
Third, China plans to lead the most backward countries in Africa and eliminate human rabies nationwide in 2025.
According to the WHO Western Pacific website (the WHO office in China) (
Http://)
• Chinese authorities expect to achieve rabies elimination nationwide by 2025.
(The Chinese authorities are forecasting national rabies elimination by 2025.)
4. Some of the least developed countries in Africa have no plans to eliminate rabies. They are looking forward to the support of people all over the world in order to achieve the grand goal of “zero death in human rabies in 2030â€!
According to the experience of countries around the world, the per capita national income of 2,000 US dollars per year has the basic economic conditions for the elimination of rabies. China should not be like the most economically underdeveloped countries in Africa in eliminating rabies. It also needs to beg the support of the people of the world.
The current representative rabies education websites on the Internet are:
1. World Rabies Day (WRD) website ()
2. Rabies Control Alliance (ARC) website ()
3. WHO website ()
4. US CDC website ()
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