著者

井上 智 費 昌勇

出版者

獣医疫学会

雑誌

獣医疫学雑誌 (ISSN:13432583)

巻号頁・発行日

vol.18, no.1, pp.11-17, 2014-07-20 (Released:2015-01-07)

参考文献数

21

被引用文献数

3 3

---

Taiwan has been considered canine rabies free for 52 years after the elimination of endemic dog rabies in 1961. However, three ferret-badgers (Melogale moschata) were confirmed as rabies and reported to OIE by Taiwan government on July 17, 2013. This was the first rabies positive during rabies test under the surveillance of animals from 1999 in Taiwan. Through inter-ministerial collaboration by the Rabies Control Central Epidemic Command Center established on August 1, 2013, there have been no human infections reported according to the increased health education, vaccination of dogs and cats, and the use of preand postexposure prophylaxis in humans. Interestingly, rabies virus isolated from Taiwan ferret badgers has been a distinct lineage within the group of lineages from Asia, phylogeographically. It was also reported that the most recent common ancestor was originated 91-113 years ago. This was a strong impact for the consideration of a rabies free status in Japan. The last case of indigenous human and animal rabies in Japan was reported in 1956 and 1957, respectively, and, since then, there has been no report about animal rabies. Until now, under the Rabies Prevention Law (MHLW, 1950), the Infectious Diseases Control Law (MHLW, 1998) and the Domestic Animal Infectious Diseases Control Law (MAFF, 1951) substantive efforts to prevent rabies have been adopted by the central and local governments, veterinarians, and physicians (e.g. registration and control of stray dogs, rabies diagnosis in suspected cases, appropriate PEP for human, import and export quarantine of animals, notification system for the importation of animals, rabies vaccination of dogs). However, three imported human cases were reported. In 1970, a college student suffered from rabies in Tokyo after a trip to Nepal where he had been bitten by a stray dog. Two patients returned from the Philippines were coincidentally reported in Kyoto and Yokohama in November 2006 after a 36-year absence (http://idsc.nih.go.jp/iasr/28/325/tpc325.html). Two cases in 2006 were dealt in accordance with The Guideline for Rabies in 2001 (MHLW) in terms of the initial response and medical practice. This guideline played a successful role in those two cases and was result of the follow-up amendment and drill of measures and contingency plan had been deemed because of any inappropriate public health response or delay at an early stage of rabies cases, even in doubt, leading to unnecessary, excessive social anxiety. In addition, the Guideline for Rabies Control in Japan 2013 was come out focusing on an action plan after the confirmation of rabid animals. In reaction to the outbreak of rabies in ferret-badgers in Taiwan, the Guideline for Animal Rabies Survey was also reported on March 2014 for the capacity building of rabies diagnosis and report system on animal rabies in the local government of Japan.

著者

井上 智 兼子 千穂 好井 健太朗 堀田 明豊 費 昌勇

出版者

獣医疫学会

雑誌

獣医疫学雑誌 (ISSN:13432583)

巻号頁・発行日

vol.22, no.1, pp.8-14, 2018-07-20 (Released:2019-01-04)

参考文献数

17

被引用文献数

1

---

Rabies is a typical zoonosis directly transmitted to neural tissues by bites and shows acute progressive encephalomyelitis due to lyssaviruses. “One Health” is a key word for the control and prevention of rabies. Bats are the principal reservoir hosts for most lyssaviruses, but rabies lyssavirus (RABV) was successfully distributed among the meso-carnivores in the world represented by canids, raccoons, skunks, mongooses, ferret badgers and as much as only bats of the New World. In Japan rabies has not been reported from 1958, except three human imported cases of 1970 and 2006. The imported animal rabies from endemic countries was often reported in Europe and the United States, even after the eradication of the indigenous dog rabies. In Taiwan wildlife rabies of ferret badgers was suddenly reported in 2013 after canine rabies free for 52 years, and also a new lyssavirus was found from Japanese house bats in 2016 and 2017. These facts were a strong impact and urged reconsidering of a rabies free status in Japan. “The National Guideline for Rabies Control, 2001” was established in 2001 for the administrative measures and report system of rabies in the local government, and the action plan was also come out in 2013 as “The National Guideline on Rabies Countermeasures, 2013” for the risk management after found rabid animals in Japan. In reaction to the wildlife rabies in Taiwan “The Guideline for Animal Rabies Survey” was developed in 2014. In this article recent rabies in the world was overviewed focused on the etiological agents and the disease burden to the public health. The avail of rabies management with indispensable animal surveillance in Japan was also discussed on a view of veterinary epidemiology as well as a value of the medical and veterinary cooperation.