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Integrated Community‐Based Reporting and Field Diagnostics for Improved Rabies Surveillance in Rural Laikipia, Kenya


Abstract Rabies vaccination in domestic dog populations has increased globally in a bid to protect human health. Surveillance efforts, however, are inconsistent in endemic regions such as in sub‐Saharan Africa, due to fragmented reporting and limited diagnostic capacity for suspected cases, limiting successful monitoring and evaluation of vaccination campaigns. Here, we conducted a pilot study aiming to strengthen rabies surveillance by combining community‐based surveillance with field‐based diagnostic testing in pastoral and agro‐pastoral communities in central Kenya; communities which are frequently marginalised from health systems. During the 6‐month pilot study, there were 14 alerts of suspected rabid dogs in the community, of which eight were tested and five diagnostically confirmed as rabid. Two positive samples processed successfully for whole genome sequencing indicated that the rabies variant circulating in central Kenya during the study period belonged to the Africa 1b subclade, which is similar to variants identified in eastern Kenya and Tanzania, suggesting regional transmission. This pilot study indicates that rabies continues to circulate in the region and that community‐based surveillance, when combined with enhanced diagnostic testing, can help alleviate underreporting and guide vaccination campaigns.
Authors Christian O. Odinga , Lian F. Thomas ORCID , Evalyne N. Wambugu , Adam W. Ferguson ORCID , Eric M. Fèvre ORCID , Andrew D. Gibson ORCID , James M. Hassell ORCID , Dishon Muloi ORCID , Suzan Murray ORCID , Andrea Surmat , Peter M. Mwai , Roșie Woodroffe ORCID , Dedan Ngatia University of WyomingORCID , P B Gathura ORCID , John Waitumbi ORCID , Katherine E. L. Worsley‐Tonks University of WyomingORCID
Journal Info Wiley | Zoonoses and Public Health
Publication Date 12/2/2024
ISSN 1863-1959
TypeKeyword Image article
Open Access closed Closed Access
DOI https://doi.org/10.1111/zph.13193
KeywordsKeyword Image Disease Surveillance (Score: 0.46203095) , Health Surveillance (Score: 0.41103008)