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The financial challenge to keep a large area free
from rabies the EU example
Conrad Freuling Thomas Selhorst Thomas Müller
Friedrich-Loeffler-Institut Federal Research
Institute for Animal Health WHO CC for Rabies
Surveillance and Research OIE Reference
Laboratory for Rabies D-16868 Wusterhausen,
Germany
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ORV in Europeimplementation of programmes
1970s
1980s
1990s
2000s
Field trials
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ORV in Europevaccination areas rabies in 2006
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The EU exampleWhat if rabies freedom is achieved?
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The EU exampleHow to keep rabies freedom?

• EU recommendations
• Establishment of a vaccination belt (cordon
  sanitaire)
• 50 km buffer zone
• Vaccination strategy
• twice a year (spring / autumn)
• 30 baits / km²
• aerial distribution (95)
• complementary hand distribution (5)

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The EU exampleThe vaccination belt
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The EU exampleWhat does it cost?

• Cost estimate
• Considering maximum minimum prices for
• vaccine baits (0.45 0.9 / dose)
• fixed-wing aircrafts (1.5 4 / km²)
• helicopters (37 / km²)
• ORV monitoring (5 / km² / a)
• Rabies surveillance
• Bait-up take
• Serology
• Virus typing

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The EU exampleAnnual costs!
Vacc. area in km² min Mio max
Finland 24,380 0.98 1.63
Estonia 10,096 0.40 0.67
Latvia 14,636 0.58 0.98
Lithuania 28,000 1.12 1.87
Poland 47,156 1.88 3.16
Slovakia 4,767 0.19 0.31
Hungary 24,723 0.99 1.65
Romania 63,924 2.56 4.28
Bulgaria 18,113 0.72 1.21
Slovenia 14,372 0.57 0.96
Austria 655 0.02 0.04
total 250,822 10.04 16.82
Fixed price for aircraft (3 / km²)
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The EU exampleAnnual costs!
Price in / km² min max
Fixed-wing aircraft 1.5 9.34 16.12
Fixed-wing aircraft 4.0 10.51 17.28
helicopter 37.0 25.90 32.68
Mio
Fluctuating prices for aircraft (3 / km²)
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The EU exampleCountries contribution!

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ConclusionsWhat is the message?

• Keeping the EU rabies-free will costs Mio of /
  year
• No rabies free status for border MS
• Cost estimates also applicable for non-EU
  countries
• need for a concept on how the costs can be shared
• research is necessary to
• minimise costs
• adapt vaccination strategy
• develop cost efficient and safe new strategies
• Modelling
• field trials

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Who is gonna pay this?
Foto Adriaan Vos