Ending human deaths from dog-mediated rabies by 2030 (“Zero by 30”). Is this possible?

An estimated 59,000 people die from rabies each year. While this is down considerably from figures prior to 2000 (about 50%), it is still a horrifying figure.

Much can be done to prevent deaths from rabies, and this is the basis of WHO’s latest report on the elimination of human rabies. The report focusses on a collaborative approach on several fronts. These include human health, animal health and the environment.

The report highlights the importance of:

• Timely and effective post-exposure rabies prophylaxis
• Vaccination of dogs (dogs are responsible for over 99% cases)
• Raising community awareness to the issue

The report provides a good overview into regions where dog rabies is a concern.

The WHO approach is supported by a recent plea for owners to vaccinate their dogs in the Philippines. The City Veterinary Office in Cebu city had reported a major increase in dog rabies in 2024. The vet used the term “irresponsible pet owners”.

According to the Department of Health, rabies has been responsible for 160 human deaths in 2024. Dogs were responsible for 156 and cats, 10. Three were due to other animals.

Rabies is a preventable disease.

“Awareness” in travellers is much the same as in the community. Your interaction with warm blooded furry animals (particularly dogs) is top of the list.

Following the rules of not patting dogs, not picking up pussy cats and not feeding monkeys will go a long way to reducing risk. If, despite doing all the right things you unfortunately have an exposure, then it’s important to seek post-exposure prophylaxis as while attending to the wound appropriately. Urgent follow up is critical for travellers.

There is always the option of being vaccinated for rabies prior to travel and the pros and cons should be discussed with someone who has a special interest in travel medicine.