One Health Rabies Control

in Indonesia

The Emergency Centre for Transboundary Animal Disease

The Food and Agriculture Organization of the United Nations
Presentation • Why is rabies important?
• What has FAO been doing to support
Outline rabies control in Indonesia?
• One Health rabies control in
Indonesia
• What can cities/municipalities do to
support rabies control?
• Rabies has a significant impact on lives and
livelihoods in developing countries
• The poor and marginalized communities are most
heavily impacted
• Rabies is 99% fatal, but 100% vaccine preventable
• 4 of 10 deaths of rabies are in children
• The economic impact of rabies is enormous at USD
8.6 billion annually, 6% of that is due to livestock
losses
• Rabies is a model disease for One Health approach

Why is rabies important?

FAO supported the Government of Indonesia to control
rabies:
• Support the development of national rabies elimination
guidelines
• Support the implementation of rabies control strategies
• Mass dog vaccination (MDV)
• Oral rabies vaccination (ORV)
• Integrated bite case management (IBCM)
• Dog population management (DPM)
• Public awareness

What is FAO doing?

 - FAO has worked with several technical ministries to
implement an integrated zoonoses and emerging
infectious diseases (EIDs) prevention and control
program, particularly rabies

- FAO supports the GoI to improve capacities and

technical skills across sectors to rapidly detect,
response and reporting cases

- The program resulted in an estimated benefit-

cost ratio (BCR) of between 6.56 and 14.35,
means that every USD 1 invested, the
program generates USD 6.56-14.35 benefits

One Health rabies control

One Health rabies control: IBCM
• IBCM was first established in Bali in 2011
• IBCM is a One Health protocol to enhance networking
among different sectors (animal-wildlife health and
public health) in managing and responding bite cases
• IBCM improved:
• Coordination and communication between sectors
• Response to bite cases
• Sample submission to animal health laboratory
• Human case management
• Surveillance activities
What can cities/municipalities do to
support rabies control?
Community Increased community
engagement involvement

Emergency Provide emergency funds

funds for new rabies outbreak

Dog Expand the DPM,

including local regulation
Population on responsible dog
Management ownership
Thank you…