Publications by authors named "K Lushasi"

The molecular clock hypothesis assumes that mutations accumulate on an organism's genome at a constant rate over time, but this assumption does not always hold true. While modelling approaches exist to accommodate deviations from a strict molecular clock, assumptions about rate variation may not fully represent the underlying evolutionary processes. There is considerable variability in rabies virus (RABV) incubation periods, ranging from days to over a year, during which viral replication may be reduced.

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Article Synopsis
  • About 60,000 people die from rabies caused by dogs annually, highlighting the need for effective vaccination campaigns, which have been limited by low coverage levels.
  • A study in Tanzania compared team-based vaccination (annual clinics) to community-based vaccination (ongoing local management) and found the latter significantly improved vaccination coverage.
  • Community-based strategies consistently achieved higher coverage rates (49-62%) compared to team-based methods (22-46%), indicating that decentralized vaccination efforts are more effective for controlling rabies.
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Background: Rabies remains a major public health problem in low- and middle-income countries. However, human rabies deaths are rarely laboratory-confirmed or sequenced, especially in Africa. Five human rabies deaths from Tanzania and Kenya were investigated and the causative rabies viruses sequenced, with the aim of identifying implications for rabies control at individual, healthcare and societal levels.

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A lack of methods to identify individual animals can be a barrier to zoonoses control. We developed and field-tested facial recognition technology for a mobile phone application to identify dogs, which we used to assess vaccination coverage against rabies in rural Tanzania. Dogs were vaccinated, registered using the application, and microchipped.

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Abstract: Sustained vaccination coverage of domestic dog populations can interrupt rabies transmission. However, challenges remain including low dog owner participation, high operational costs associated with current (centralized and annually delivered (pulse)) approaches and high dog population turnover. To address these challenges an alternative (community-based continuous mass dog vaccination (CBC-MDV)) approach was designed.

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