What are the main criteria for the strategy?

A vaccination strategy is defined as a long-term, continuous plan of action designed to achieve a particular goal (see section, ideally rabies elimination. From a manager’s point of view, a vaccination strategy needs to fulfil certain requirements such as (i) state-of-the-art science and technology, (ii) effectiveness under any conditions, (iii) cost-effectiveness (minimal expense but maximum success), (v) sustainability, and finally, but very importantly (vi) principles to follow.

The criteria selected for the strategy depend on a number of factors. The first is the epidemiological situation, but equally important are the long-term efficiency of the chosen strategy and the availability of an adequate budget. If fox rabies is endemic in large areas, as a general rule a long-term, large-scale approach is the most effective strategy, and there must be a guarantee that the ORV programme can be sustained for at least six years. If long-term funding is not feasible, it is better not to start the ORV programme. If only very specific areas have been re-infected with fox rabies, swift action could bring the matter under control much more quickly and a full ORV campaign may not be necessary.

If budget constraints cause interruption to an ORV campaign, this is likely to lead to resurgence, re-introduction or further spreading of the disease. Without contingency plans to re-start the ORV programme as soon as possible to stop the further spread of rabies, all the money spent so far up to that point may have been wasted.


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Version 1 - Last updated November 2012