Türkiye'deki Sahipsiz Sokak Köpekleri: Kuduz Hastalığının Eliminasyonuna Yönelik Bir Sağlık İhtiyaç Analizi Önerisi

Year 2024, Volume: 8 Issue: 1, 16 - 22, 30.04.2024

Ömer Faruk Sönmez

https://doi.org/10.34084/bshr.1427893

Abstract

Bu derleme, Türkiye'de kuduz hastalığının eliminasyonunu amaçlayan ve ülkenin artan sahipsiz sokak köpek nüfusuna odaklanan bir Sağlık İhtiyaç Analizi önerisi sunmaktadır. Kentsel alanlarda sahipsiz sokak köpeklerinin sayısındaki artışa ve kuduz bulaşı ve köpek saldırıları da dahil olmak üzere ilgili halk sağlığı risklerine dikkat çekilmektedir. Sahipsiz sokak köpeklerinin kontrolsüz artan nüfusu, yaşam koşulları ve aşılanma durumları hakkında sistematik veri toplamanın önemini ve bu hayvan popülasyonunu ve ilişkili riskleri yönetmek için etkili stratejilere duyulan ihtiyacı vurgulanmaktadır. Sağlık ihtiyaç analizi metodolojisi Bergen modeli ile bir paydaş konsorsiyumu ile iş birliğini içermekte ve Cavanagh ve Chadwick'in 5 aşamalı sağlık ihtiyaç analizi çerçevesi ve Stevens & Gillam’ın Sağlık ihtiyaç analizi yürütme yaklaşımları gibi çerçeve ve yaklaşımları kullanmaktadır. Derlemede epidemiyolojik veri üretimine, sağlık ihtiyaçlarının belirlenip sınıflandırılmasına, önceliklendirilmesine ve ulusal stratejik kuduz eliminasyon planının geliştirilmesine odaklanan üç iş paketi halinde yapılandırılmış ayrıntılı bir metodolojinin ana hatlarını çizmektedir. Konsorsiyum oluşturma, veri mevcudiyeti, paydaş katılımı ve kültürel duyarlılık gibi zorluklar tartışılmakta ve Sağlık ihtiyaç analizinin Türkiye'de kuduz ve başıboş köpek yönetiminin ele alınmasındaki etkisi ve önemi vurgulanmaktadır.

Keywords

Kuduz Eliminasyonu, sahipsiz sokak köpeği, Sağlık İhtiyaç Analizi, Konsorsiyum iş birliği

Stray Dogs in Türkiye: A Health Needs Assessment Proposal for Rabies Elimination

Abstract

This review article presents a comprehensive proposal for a Health Needs Assessment (HNA) aimed at eliminating rabies in Türkiye, with a focus on the country's growing population of stray dogs. It highlights the increasing numbers of unowned dogs in urban areas and the associated public health risks, including rabies transmission and dog attacks. The review emphasizes the importance of systematic data collection on the population, living conditions, and vaccination status of stray dogs, and the need for effective strategies to manage these animals. The proposed HNA involves collaboration with a consortium of stakeholders and utilizes frameworks and approaches such as Cavanagh and Chadwick’s 5-stage HNA framework and Stevens & Gillam’s approaches for conducting an HNA. The review outlines a detailed methodology structured into three work packages, focusing on epidemiological data production, identifying unmet health needs, and developing a national strategic rabies elimination plan. It discusses challenges such as consortium formation, data availability, stakeholder engagement, and cultural sensitivity, highlighting the impact and importance of the HNA in addressing rabies and stray dog management in Türkiye.

Keywords

Rabies Elimination, Stray Dogs, Health Needs Assessment, Consortium Collaboration

References

• Council of Europe. European Convention for the Protection of Pet Animals. 1987. Report No.: ETS 125. Available from: https://rm.coe.int/168007a67d
• Kandır EE. Homeless Owners of the Streets. Ayrıntı Dergisi . 2014 Dec 5; 2(21).
• Aydoğdu M, Meral O. Controlling the population of stray dogs and establishing a legal infrastructure. Journal of Dokuz Eylül University Faculty of Law. 2019; 21:2129–59.
• The International Companion Animal Management Coalition (ICAM). Humane dog population management guidance. 2007.
• Four Paws Internationaş. Stray Animals: Pets Without a Home. 2023 [cited 2024 Jan 11]. Available from: https://www.four-paws.org/campaigns-topics/topics/help-for-stray-animals/stray-animals-pets-without-a-home
• World Health Organisation. WHO Expert Consultation on Rabies (WHO Technical Report Series, No. 1012). Geneva; 2018.
• World Health Organization (WHO), World Organisation for Animal Health (OIE), Food and Agriculture Organization of the United Nations (FAO). Zero by 30: the global strategic plan to end human deaths from dog-mediated rabies by 2030 . Geneva; 2018.
• TRT Haber. İstanbul’daki sahipsiz kedi-köpek sayısı açıklandı . 2017 [cited 2024 Jan 11]. Available from: https://www.trthaber.com/haber/yasam/istanbuldaki-sahipsiz-kedi-kopek-sayisi-aciklandi-311559.html
• Demircan F. Sokaktaki köpek sayısı 2 ilin nüfusunu solladı . 2008 [cited 2024 Jan 11]. Available from: https://www.hurriyet.com.tr/yerel-haberler/ankara/sokaktaki-kopek-sayisi-2-ilin-nufusunu-solladi-9891361
• Anadolu Ajansı. Başıboş sokak hayvanı popülasyonu giderek artıyor . 2023 [cited 2024 Jan 11]. Available from: https://www.aa.com.tr/tr/gundem/basibos-sokak-hayvani-populasyonu-giderek-artiyor/2934567
• Erdem AK. Özlem Zengin’in “10 yılda 60 milyon sokak köpeği olacak” iddiasını hatırlatıp, başıboş köpeklerin kontrol altına alınmasını istediler. Independent Turkish. 2021 Feb [cited 2024 Jan 11]. Available from: https://www.indyturk.com/node/319846/haber
• Hürriyet. Köpek Saldırısı Haberleri. 2024 [cited 2024 Jan 11]. Available from: https://www.hurriyet.com.tr/haberleri/kopek-saldirisi
• Buzgan T, Irmak H, Yilmaz GR, Torunoǧlu MA, Safran A. Epidemiology of human rabies in Turkey: 1992-2007. Turk J Med Sci . 2009 Jan 1; 39(4):591–7.
• Buyuk Y, Uzun I, Aybar Y, Kurnaz G, Ozaras R. Rabies in Turkey: Three human cases illustrating the importance of suspecting exposure. Wilderness Environ Med . 2007 Sep; 18(3):214–7.
• Rabies. World Organisation for Animal Health; [cited 2024 Jan 11]. Available from: https://www.woah.org/en/disease/rabies/#ui-id-1
• Kilic B, Unal B, Semin S, Konakci SK. An important public health problem: rabies suspected bites and post-exposure prophylaxis in a health district in Turkey. International Journal of Infectious Diseases. 2006 May 1;10(3):248–54.
• Koruk ST, Koruk I, Kutlu S. Where Do We Stand in the Control of Rabies? Knowledge and Practices Among Physicians in a Health District in Turkey. Wilderness Environ Med. 2011 Jun 1;22(2):151–5.
• Turkey Rabies Elimination Progress. Global Alliance for Rabies Control [cited 2024 Jan 11]. Available from: https://rabiesalliance.org/country/turkey
• Rabies Contact and Cases Statistics in Türkiye between 2008-2021 . 2021 [cited 2024 Jan 11]. Available from: https://hsgm.saglik.gov.tr/tr/dokumanlar-zoonotik.html
• Bradshaw J. Taxonomy of social need. In: McLachlan G, editor. Problems and progress in medical care : essays on current research . London: Oxford University Press; 1972. p. 71–82.
• Beckingham A, Brambleby P, Chiddle R, Doyle N, Flanagan J, Glendenning R, et al. Health needs assessment: A practical guide; Health needs assessment: A practical guide.
• Grant CG, Ramos R, Davis JL, Green BL. Community health needs assessment: A pathway to the future and a vision for leaders. Health Care Manager. 2015 Apr; 34(2):147–56.
• Stevens A, Gillam S. Health needs assessment: Needs assessment: from theory to practice. BMJ: British Medical Journal . 1998 May 5; 316(7142):1448.
• Gray-Burrows KA, Willis TA, Foy R, Rathfelder M, Bland P, Chin A, et al. Role of patient and public involvement in implementation research: a consensus study. BMJ Qual Saf . 2018 Oct 1; 27(10):858–64.
• Williams R, Wright J. Health needs assessment: Epidemiological issues in health needs assessment. BMJ : British Medical Journal . 1998 May; 316(7141):1379.
• Haugstad A. Promoting public health in Norway: A case study of NGO - public sector partnership using The Bergen Model of Collaborative Functioning. 2011 May 20.
• McQueen, D. V. & Jones, C. M. Global perspectives on health promotion effectiveness. Global Perspectives on Health Promotion Effectiveness 1–425. Springer New York, 2007.
• Coetzer A, Kidane AH, Bekele M, Hundera AD, Pieracci EG, Shiferaw ML, et al. The SARE tool for rabies control: Current experience in Ethiopia. Antiviral Res . 2016 Nov 1; 135:74–80.
• Hampson K, Coudeville L, Lembo T, Sambo M, Kieffer A, Attlan M, et al. Estimating the Global Burden of Endemic Canine Rabies. PLoS Negl Trop Dis . 2015 Apr 16; 9(4):e0003709.
• Millien MF, Pierre-Louis JB, Wallace R, Caldas E, Rwangabgoba JM, Poncelet JL, et al. Control of Dog Mediated Human Rabies in Haiti: No Time to Spare. PLoS Negl Trop Dis . 2015 Jun 25; 9(6):e0003806.
• Coetzer A, Scott TP, Amparo AC, Jayme S, Nel LH. Formation of the Asian Rabies Control Network (ARACON): A common approach towards a global good. Antiviral Res. 2018 Sep 1;157:134–9.
• Wallace R, Etheart M, Ludder F, et al. The Health Impact of Rabies in Haiti and Recent Developments on the Path Toward Elimination, 2010–2015. Am J Trop Med Hyg. 2017;97(4_Suppl):76-83.
• Klein A, Fahrion A, Finke S, et al. Further Evidence of Inadequate Quality in Lateral Flow Devices Commercially Offered for the Diagnosis of Rabies. Tropical Medicine and Infectious Disease 2020, Vol 5, Page 13. 2020;5(1):13.
• Adomako BY, Baiden F, Sackey S, et al. Dog bites and rabies in the Eastern Region of Ghana in 2013-2015: A call for a one-health approach. J Trop Med. 2018.
• Tidman R, Thumbi SM, Wallace R, et al. United Against Rabies Forum: The One Health Concept at Work. Front Public Health. 2022;10:854419.
• Cleaveland S, Thumbi SM, Sambo M, et al. Proof of concept of mass dog vaccination for the control and elimination of canine rabies. Rev Sci Tech. 2018;37(2):559-568.