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The Global Rinderpest Eradication Programme
(GREP)
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The Global Rinderpest Eradication
Programme (GREP) is a time-bound programme to eliminate rinderpest
from the world by the year 2010. Strategies have been devised and
programmes implemented to reduce the clinical incidence of
rinderpest to zero. Elimination of disease and infection will be
confirmed by statistically valid active disease surveillance programmes.
The Global Rinderpest Eradication Programme
has shown that: 
1. National rinderpest campaigns
have been successful
2. Rinderpest is now confined to defined foci in Eastern Africa,
South and West Asia
3. An outbreack of rinderpest outside the known endemic foci should
be treat Emergency
4. Mass vaccination of national/regional herds is no longer necessary
5. GREP strategy everywhere should emphasise:
Rinderpest eradication by 2010
- Why action is now more Important than ever
Within the next decade there is a very real prospect
that rinderpest will become, like smallpox in humans, a disease
of the past. Today, as we enter a new millennium, progress made
by the Global Rinderpest Eradication Programme (GREP), has limited
the disease to a small number of sites in eastern Africa, South
Asia and the Middle East. But the spectre of cattle plague, with
its devastating epidemics of the past, continues to be a threat
as long as these few small areas harbour rinderpest. So, intensified
action for these remaining pockets of rinderpest infection is being
promoted and co-ordinated by FAO under GREP.
Background
The control of rinderpest to the point we are at today has been
a remarkable triumph for veterinary science and national commitment
but it has not been achieved without setbacks. As recently as the
1980s, rinderpest raged across Africa, and this occurred at a time
when the disease was thought to have been beaten after a very successful
international vaccination campaign through the 1960s and 1970s.
But with hindsight, the campaign stopped too soon and, from small
remaining pockets of infection, the disease escaped. Countries were
not prepared, the cattle vulnerable and the cattle plague spread
rapidly, just as it had nearly a century before, when the majority
of domestic cattle and susceptible wildlife were killed in a broad
swathe across sub-Saharan Africa. A similar pattern of rinderpest
epidemics was also experienced in Asia in the 1980s when the disease
spread back from South Asia to borders of Europe. The lesson of
these events is that near eradication is not good enough.
Is complete eradication possible?
YES. The world is on course to total eradication by 2010 as long
as commitment is sustained complacency is the enemy.
What remains to be done?
The last few foci of the disease must be located, contained and
eliminated. Where there are suspicions that the disease could be
lurking, these must be verified and dealt with. This needs innovative
community-based programmes in remote and insecure areas. The means
are available, all we need to do is apply them.
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RINDERPEST
ZONES OF RISK
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And if we stop
now?
Apart from the waste of all the effort and money over the years,
the risk of the disease spreading back with its inevitable devastating
effect on livestock farming, food security, rural incomes and international
trade is too great to contemplate.
The cost of continuing?
It is estimated that about US$ 12 million could be enough to eradicate
disease from the last four foci. Compare this to the US$ 2 billion
estimated total loss from the outbreaks in Africa alone in the 1980s,
and with the estimated US$ 100 million spent each year world-wide
on vaccination, money that could be saved by total eradication of
the disease.
How is total eradication to be achieved?
The internationally accepted OIE Pathway is a timetable for the
route to eradication.
Who benefits from a world free from rinderpest?
Ultimately everyone benefits through greater global food security,
enhanced international trade, and conservation of wildlife.
The wildlife connection
Rinderpest can pass between wildlife and cattle but once the disease
is eliminated from cattle it dies out naturally in wildlife. Eradication
of rinderpest, thus, serves to safeguard the wildlife heritage as
well as rural livelihoods dependent on it.
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IMMEDIATE CHALLENGES
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1- To define, contain and eliminate
the last foci of rinderpest persistence
2- To remove doubts about rinderpest persistence
3- To persuade uncommitted countries to endorse GREP
4- To strengthen rinderpest surveillance and emergency preparedness
5- To ensure cessation of unnecessary mass vaccination
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SUMMARY
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Eliminating rinderpest
from the world will help to improve food security and the
livelihood of the rural poor. In this sense, the battle against
rinderpest is also the fight against poverty. It can be done,
but a last effort is needed to ensure that the job is finished
through true commitment of all involved.
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INTENSIFIED GREP
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The Global Rinderpest
Eradication Programme (GREP) Technical Consultation and EMPRES
Expert Consultation held in Rome in September/October 1998
reviewed the progress made in rinderpest eradication and endorsed
the view of the GREP Secretariat that a more vigorous approach
is required if global freedom is to be attained by the year
2010. Experts unanimously endorsed the need for an Intensified
GREP to complement the existing activities and focus on
clarifying any remaining areas of uncertainty and elimination
of the last remaining foci of persisting infection in the
shortest possible time.
GREP commenced throughout the world in the 1980s with mass
immunisation campaigns which extended control to a point where,
as described below, the remaining foci of endemicity are few,
distinct and isolated. The internationally agreed procedure
to verify eradication (the OIE Pathway) commences with the
cessation of rinderpest vaccination once a country is satisfied
that it has experienced no clinical rinderpest disease for
two years. Many countries that were affected in the 1980s
no longer experience rinderpest and have either ceased, or
intend to cease, vaccination and have entered on the OIE Pathway
or are expected to do so in the near future. For example,
for Africa, the Pan-African Rinderpest Campaign (PARC) strategy
is for all countries to declare provisional freedom from rinderpest
for either the whole country or for zones of countries in
which foci of infection persist. Similarly for Asia, all countries
east of Pakistan are being advised to cease vaccination and
embark on the OIE Pathway, as Indian and Bhutan have already
done, and several countries in the Near East are similarly
ceasing vaccination. As a result most of the world's cattle
and buffalo population will soon become completely susceptible
to rinderpest. This period of increasing vulnerability is
unavoidable if global eradication is to be achieved and the
transition period to final eradication requires careful management.
Accordingly, the EMPRES Expert Consultation of October 1998
advised that the continuing presence of a few foci of rinderpest
in parts of Africa, West and South Asia can not be regarded
simply as matters of national or local concern. Such foci
now pose a grave risk to the world cattle population and their
prompt and assured elimination calls for a concerted international
action involving national governments, the donor community,
non-governmental organisations and the international community.
Appropriate financial and other supportive commitments are
now sought to be directed at the single objective of eliminating
the residual foci of rinderpest in the world within the next
five years.
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