Translations:Advanced Field Epi:Manual 1 - Disease Control and Eradication Programs/136/en

Example: Rabies in Bali

When the current rabies outbreak in Bali began in 2008, the island had no policies for rabies post-exposure prophylaxis (PEP), no dog bite surveillance, no rabies diagnostic facilities and no vaccination program for dogs. In subsequent years the Indonesian government provided PEP for humans and vaccines for dogs, diagnostic testing was established at the Disease Investigation Centre in Denpasar and surveillance was implemented of dogs that died or were killed either as part of culling programs or that were showing neurological signs. Culling of unconfined dogs was instituted in some areas but was found to be counter-productive because people reacted strongly by hiding or moving dogs to avoid culls and replacing dogs that had been culled.