National Rabies Control Programme (NRCP)

Rabies is responsible for extensive morbidity and mortality in India. The disease is endemic throughout the country. Except for Andaman & Nicobar and Lakshadweep Islands, human cases of rabies are reported from all over the country. The cases occur throughout the year. About 96% of the mortality and morbidity is associated with dog bites. Cats, wolf, jackal, mongoose and monkeys are other important reservoirs of rabies in India. Bat rabies has not been conclusively reported from the country.

Evolution of National Rabies Control Program

In the 11th five-year plan (2007–2012) Rabies control efforts in India gained momentum and the Ministry of Health and Family Welfare, Govt of India approved a “Pilot Project for the Control of Human Rabies”, for which ` 8.65 crores were allocated. For the first time, Rabies control in animals, animal birth control and vaccination of stray dogs were mentioned in this plan, as components of animal welfare to be handled by the Animal Welfare Board of India. The project was implemented by NCDC in 5 cities Delhi, Ahmedabad, Pune, Bangalore and Madurai and the project began in January 2008 and continued till 2012. The objectives of the project were prevention of human deaths due to Rabies, enhancing awareness in the general community, developing trained health manpower, strengthening diagnostic facilities, strengthening surveillance and maintenance of continuous surveillance and sensitization of other sectors. Experience gained in the pilot project indicated that strategy is feasible, reproducible, and implementable.

With the lessons learned in the pilot project, the Ministry of Health and Family Welfare approved National Rabies Control Programme (NRCP) in the 12th Five Year Plan for rollout in the entire country. During the 12th Five years plan, from 2014 to 2017, a small pilot was also taken to test the strategy of Animal Health Components in Haryana and Chennai through the Animal Welfare Board of India (AWBI) under the aegis of the Ministry of Environment, Forest and Climate Change, Govt of India. From 2017 onwards NCDC is coordinating to implement Human Health Component of National Rabies Control Program. From the financial year 2019-20 onwards, human health component activities at the State and District level are being funded by the National Health Mission’s program implementation and planning mechanism

Aim of NRCP-

To reduce mortality due to Rabies among human beings and progressively achieve the Global Target of reducing deaths due to Rabies to “Zero by the year 2030”.

Objectives:

·  To facilitate prompt management of animal bite cases in humans by appropriate post exposure prophylaxis (PEP). 

· Advocacy for states to adopt and implement Intradermal route of Post exposure prophylaxis for Animal bite Victims and Pre-exposure prophylaxis for high risk categories.

· Training of Health Care professionals on appropriate Animal bite management and Rabies Post Exposure Prophylaxis.

·  Strengthening Surveillance of animal bites and Human Rabies cases  

·  Strengthening of Network of Laboratories under NRCP for Human Rabies Diagnosis.

·  Creating awareness in the community through Advocacy & Communication and Social Mobilization.