Rabies in Latin America.
OBJECTIVE
To review and discuss the available literature for rabies control in Latin America.


METHODS
A literature search was conducted in PubMed through October 2008. Articles in English, Spanish and Portuguese were reviewed.


RESULTS
Recent reports indicate that the region is close to achieve the goal of eliminating human rabies transmitted by dogs even though there are some isolated cases reported. However, insectivorous and vampire bats continue to expose humans and animals. These cases have been reported with increasing frequency.


CONCLUSIONS
Many challenges to the successful eradication of canine and non-canine rabies have been identified: among these are issues related to vaccine supply, the increase in transmission of canine rabies in certain areas, the presence of bat rabies in geographically inaccessible areas and lack of active action at local level. New strategies for systems information, networking and education are needed. Effective decentralization, adequate reallocation of resources, constant active surveillance, active local community participation and aggressive health education, might be some of the strategies that could prove to be helpful. More investment (funding and resources) and a very strong political commitment are needed to be able to eradicate this deadly disease.
Ruiz
Marco
M
Department of Medicine, Section of Infectious Diseases and Geriatrics, Louisiana State University School of Medicine, 136 South Roman Street, New Orleans, LA 70112, USA.
Chávez
Carlo Briones
CB
D000818:Animals; D002685:Chiroptera / Q000821:virology; D004285:Dogs; D006801:Humans; D007843:Latin America / Q000453:epidemiology; D011818:Rabies / Q000453:epidemiology* / Q000517:prevention & control* / Q000635:transmission*