Review Article

Report of the First Meeting of the Middle East and Eastern Europe Rabies Expert Bureau, Istanbul, Turkey (June 8-9, 2010)

Table 1

Rabies epidemiology and management in the 7 countries represented at MEEREB.

CroatiaEgyptGeorgiaIranSerbiaTurkeyUkraine

Main reservoir(s)FoxDogDog, jackal, wolfDog, wolf, fox, jackalFoxDog, fox, jackalDog, fox

Main vector(s)Dog, catDogDog, catDogDog, catDogCat, dog

Human population (estimates)*~4,500,000~80,500,000~4,600,000~76,900,000~7,300,000~77,800,000~45,500,000

Number of human rabies cases reported between 2000–2009 [1999–2009 for Turkey]0880906202129

Human rabies cases reported in 2009**08062026

Estimated human rabies incidence per million (2009)**0.991.300.020.0250.13

Number of PEP (2009)1,750~200,00028,055130,5311,609178,25021,000

PEP incidence per million people (2009)**388~2,4856,1001,7002202,290461

PEP vaccination regimen4 doses IM (Zagreb 2-1-1)
Rarely: 5 doses IM (Essen)
6 doses IM at days 0, 3, 7, 14, 28, 90 6 doses IM at days 0, 3, 7, 14, 28, 90 5 doses IM at days 0, 3, 7, 14, 28 5 doses IM at days 0, 3, 7, 14, 28 5 doses IM at days 0, 3, 7, 14, and 21 or 28 6 doses IM at days 0, 3, 7, 14, 28, 90

Type of rabies Immunoglobulin usedHRIG (locally produced)HRIG (private sector)ERIG (public sector)
HRIG (private sector)
HRIG (public sector)HRIG (locally produced)ERIG (public sector)
HRIG (private sector)
ERIG (locally produced)

Number of PrEP in 2009200 (population at risk)N.a.***Vets (on a voluntary basis)N.a. (population at risk)51 (population at risk)991 (population at risk)N.a. (population at risk)

Figures reported by MEEREB participants.
*July 2010 estimates—The World Fact Book—https://www.cia.gov/library/publications/the-world-factbook/.
**Calculated from data reported by participants for the population mentioned.
***N.a.: data not available.