Effects of Rabies Elimination Program on Rabies Cases in Bali, 2008–2015

Rabies is zoonotic disease that can be fatal to the infected host. Indonesia has reported cases in Bali in 2008, since when the government has been taking action to eliminate the disease with a strategy of vaccination of dogs as its main focus. This research aims to describe rabies cases in dogs and humans and to measure the effects of the rabies elimination program in Bali during the period 2008–2015.Data covering this period are collected from the Livestock and Animal Health Service Bali, Human Health Service Bali, and Disease Investigation Center Kota Denpasar. The study design is an observational, ecological investigation analyzed with the Poisson panel method.The results of the analysis show that there were no significant changes in the mean and proportion of rabies cases in dogs by dog vaccination, area coverage of dog vaccination, dog depopulation or dog density. The factors of rabies cases in dogs, depopulation in dogs, dog bites, anti-rabies vaccines administered to bitten humans, and the ratio of humans to dogs were not associated with the occurrence of rabies cases in human.In conclusion, the rabies elimination program in Bali has not been successful in eliminating the prevalence of the disease. Vaccine data, which may be causally relevant, were not analyzed. Therefore, it is suggested that the efficacy of the vaccine used be assessed.