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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Public Library of Science
2023
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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 |
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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 |
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