Cargando…

Quantifying the interconnectedness between poverty, health access, and rabies mortality

The global 2030 goal set by the World Organization for Animal Health (WOAH), the World Health Organization (WHO), and the Food and Agriculture Organization (FAO), to eliminate dog-mediated human rabies deaths, has undeniably been a catalyst for many countries to re-assess existing dog rabies control...

Descripción completa

Detalles Bibliográficos
Autores principales: Taylor, Emma, George, Katy, Johnson, Emily, Whitelegg, Hannah, Prada, Joaquin M., Horton, Daniel L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10118163/
https://www.ncbi.nlm.nih.gov/pubmed/37079553
http://dx.doi.org/10.1371/journal.pntd.0011204
_version_ 1785028749687783424
author Taylor, Emma
George, Katy
Johnson, Emily
Whitelegg, Hannah
Prada, Joaquin M.
Horton, Daniel L.
author_facet Taylor, Emma
George, Katy
Johnson, Emily
Whitelegg, Hannah
Prada, Joaquin M.
Horton, Daniel L.
author_sort Taylor, Emma
collection PubMed
description The global 2030 goal set by the World Organization for Animal Health (WOAH), the World Health Organization (WHO), and the Food and Agriculture Organization (FAO), to eliminate dog-mediated human rabies deaths, has undeniably been a catalyst for many countries to re-assess existing dog rabies control programmes. Additionally, the 2030 agenda for Sustainable Development includes a blueprint for global targets which will benefit both people and secure the health of the planet. Rabies is acknowledged as a disease of poverty, but the connections between economic development and rabies control and elimination are poorly quantified yet, critical evidence for planning and prioritisation. We have developed multiple generalised linear models, to model the relationship between health care access, poverty, and death rate as a result of rabies, with separate indicators that can be used at country-level; total Gross Domestic Product (GDP), and current health expenditure as a percentage of the total gross domestic product (% GDP) as an indicator of economic growth; and a metric of poverty assessing the extent and intensity of deprivation experienced at the individual level (Multidimensional Poverty Index, MPI). Notably there was no detectable relationship between GDP or current health expenditure (% GDP) and death rate from rabies. However, MPI showed statistically significant relationships with per capita rabies deaths and the probability of receiving lifesaving post exposure prophylaxis. We highlight that those most at risk of not being treated, and dying due to rabies, live in communities experiencing health care inequalities, readily measured through poverty indicators. These data demonstrate that economic growth alone, may not be enough to meet the 2030 goal. Indeed, other strategies such as targeting vulnerable populations and responsible pet ownership are also needed in addition to economic investment.
format Online
Article
Text
id pubmed-10118163
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-101181632023-04-21 Quantifying the interconnectedness between poverty, health access, and rabies mortality Taylor, Emma George, Katy Johnson, Emily Whitelegg, Hannah Prada, Joaquin M. Horton, Daniel L. PLoS Negl Trop Dis Research Article The global 2030 goal set by the World Organization for Animal Health (WOAH), the World Health Organization (WHO), and the Food and Agriculture Organization (FAO), to eliminate dog-mediated human rabies deaths, has undeniably been a catalyst for many countries to re-assess existing dog rabies control programmes. Additionally, the 2030 agenda for Sustainable Development includes a blueprint for global targets which will benefit both people and secure the health of the planet. Rabies is acknowledged as a disease of poverty, but the connections between economic development and rabies control and elimination are poorly quantified yet, critical evidence for planning and prioritisation. We have developed multiple generalised linear models, to model the relationship between health care access, poverty, and death rate as a result of rabies, with separate indicators that can be used at country-level; total Gross Domestic Product (GDP), and current health expenditure as a percentage of the total gross domestic product (% GDP) as an indicator of economic growth; and a metric of poverty assessing the extent and intensity of deprivation experienced at the individual level (Multidimensional Poverty Index, MPI). Notably there was no detectable relationship between GDP or current health expenditure (% GDP) and death rate from rabies. However, MPI showed statistically significant relationships with per capita rabies deaths and the probability of receiving lifesaving post exposure prophylaxis. We highlight that those most at risk of not being treated, and dying due to rabies, live in communities experiencing health care inequalities, readily measured through poverty indicators. These data demonstrate that economic growth alone, may not be enough to meet the 2030 goal. Indeed, other strategies such as targeting vulnerable populations and responsible pet ownership are also needed in addition to economic investment. Public Library of Science 2023-04-20 /pmc/articles/PMC10118163/ /pubmed/37079553 http://dx.doi.org/10.1371/journal.pntd.0011204 Text en © 2023 Taylor et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Taylor, Emma
George, Katy
Johnson, Emily
Whitelegg, Hannah
Prada, Joaquin M.
Horton, Daniel L.
Quantifying the interconnectedness between poverty, health access, and rabies mortality
title Quantifying the interconnectedness between poverty, health access, and rabies mortality
title_full Quantifying the interconnectedness between poverty, health access, and rabies mortality
title_fullStr Quantifying the interconnectedness between poverty, health access, and rabies mortality
title_full_unstemmed Quantifying the interconnectedness between poverty, health access, and rabies mortality
title_short Quantifying the interconnectedness between poverty, health access, and rabies mortality
title_sort quantifying the interconnectedness between poverty, health access, and rabies mortality
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10118163/
https://www.ncbi.nlm.nih.gov/pubmed/37079553
http://dx.doi.org/10.1371/journal.pntd.0011204
work_keys_str_mv AT tayloremma quantifyingtheinterconnectednessbetweenpovertyhealthaccessandrabiesmortality
AT georgekaty quantifyingtheinterconnectednessbetweenpovertyhealthaccessandrabiesmortality
AT johnsonemily quantifyingtheinterconnectednessbetweenpovertyhealthaccessandrabiesmortality
AT whitelegghannah quantifyingtheinterconnectednessbetweenpovertyhealthaccessandrabiesmortality
AT pradajoaquinm quantifyingtheinterconnectednessbetweenpovertyhealthaccessandrabiesmortality
AT hortondaniell quantifyingtheinterconnectednessbetweenpovertyhealthaccessandrabiesmortality