National Rabies Elimination Program in

Bangladesh

Presented By: Dr.Ekramul Haque

Evaluator,CDC,DGHS
About Rabies
• Globally every year estimated 59,000 peoples die of rabies.
• One person die from rabies in every nine minutes of every day among
them 40% are children.
• Highest burden in Asia (56%) and Africa (45%)
• Every year estimated 2000 peoples die of rabies in Bangladesh according
report of WHO,2010.
• Globally Bangladesh ranks third position in the number of human death
from rabies.
• In South Asia, estimated 20,000 and 3000 people die from rabies
respectively in India and China.
Objective
• The Objective of National Rabies Elimination Program is
Rabies free Bangladesh by 2022.
OP level Indicators:
Human rabies Death
1.1 Human rabies death reduce to 280 by june, 2018
1.2 Human rabies death reduce to 70 by 2022
Activities of Rabies Elimination Program
• Strengthening multi-sectoral coordination and collaboration among all
stakeholders
• Updating the National Strategy and budgeted NAP for RE
• Three round campaign of mass dog vaccination will be implemented
in all districs
• Scaling up post exposure prophylaxis to ensure universal access to all
victims
• Awareness building to prevent dog bite specially children
Activities of Rabies Elimination Program
• Establishment of rabies diagnosis center for human ans National
neuroscience and for the animal in the Live stokes department
• Establishment of proper documentation, reporting, data analysis,
feedback and early worning system
• Strengthening of surveillance of rabies and animal exposure
• Capacity building for proper diagnosis and management of animal
bite and rabies cases
• Establishment of a strong system for monitoring, supervision of the
activities and a system of program evaluation
Weak Point of Programme
• Though there is existing reporting system through DHIS-2 ,No
reporting of Rabies cases from Districs level. Thus we does not know
the real number of human rabies death.
• No existing Surveillance system
• No Referance laboratory for diagnosis human rabies
• Lack of National rabies survey and dog survey
• Lack of operational research