Oral rabies vaccination: a national perspective on program development and implementation

Abstract

Persistence of unique rabies virus variants in a diverse array of terrestrial carnivores and insectivorous bats makes rabies control in the US. a complcx task The public health systcm in the U.S. ic effective in keeping human deaths near zcro each year in the face of cnzootic wildlife rabies, hut the annual cost of coexistence with the Jk. is high, exceeding $300 million. In addition, each year tens of thousands of people are impacted by anxiety, fear, and trauma associated with potential or actual rabies exposure to themselves and their domestic animals. Exclusion, proper storage and disposal of garbage, and removal of problem animals are often effective alternatives to address wildlife rabies threats at specific sites; however, oral rabies vaccination (ORV) is the only currently available technique that shows promise for wildlife rabies control on a broad geographic and species scale. In this paper, we discuss progress toward using ORV to contain specific terrestrial rabies vhs variants in the U.S. and planning towards coordinated national efforts to explore the elimination of terrestrial variants of rabies vhs in the U.S.