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Enhanced surveillance program for rabies control in Tanzania



This program introduces an enhanced surveillance approach using Integrated Bite Case Management (IBCM) as a strategy to detect rabid animals, with risk assessment of bite patients triggering epidemiological investigations. The project focuses on five regions in Tanzania: Mara, Arusha, Morogoro, Lindi and Mtwara.

The overarching aim is to deliver a cost-effective, epidemiologically robust surveillance package which can guide and sustain the elimination of rabies from Tanzania

Aims:
  • Increase case detection and improve patient care
  • Improve post-exposure prophylaxis (PEP) use
  • Provide early detection of rabid animal cases
  • Guide the national control programme
  • Develop a replicable package for scaling up IBCM using best practice and a proven cost-effective template for verifying and sustaining rabies freedom
Location of study region and health facilities

Mara region


1. Number of bite patients in Mara region


1.1 Reported bite patients in Mara region
Reporting of bites assessed as high risk (red bars) and low risk (grey bars) and investigations of biting animals (black line) in Mara region. Data in the shaded red area may not be up to date.
Download regional data
Reporting of bites assessed as high risk (red bars) and low risk (grey bars). Data in the shaded red area may not be up to date.
Download district data

1.2 Location of high risk bites and deaths in Mara region
There are 7 human deaths missing village information, and therefore ward was used instead. 330 high risk bite patients are missing ward information.

1.3 Number of high and low risk bites and number of deaths in Mara region

2. Number of human deaths and confirmed animal cases in Mara region

2.1 Human deaths in Mara region
Date and location of reported human deaths reported in Mara region
Download data

2.2 Confirmed animal cases in Mara region (LFT positive)
Date, location and animal type for LFT-positive animals reported in Mara region
Download data

3. PEP administration in Mara region




A. Number of first, second and third dose vaccinations delivered in Mara region by year, with shortages of PEP shown by red bars. B. Number of intradermal and intramuscular vaccinations delivered in Mara region by year.
Download vaccine dose data
Download vaccine route data
Number of first, second and third dose vaccinations delivered by year, with shortages of PEP shown by red bars.
Number of intradermal and intramuscular vaccinations delivered by year

3.1 PEP completion by vaccine route and year
Note: Three doses required for intradermal, and four doses for intramuscular


4. Number of animal investigation in Mara region


4.1 Reported animal investigations in Mara region
Number of animal investigations categorised as suspect (red) and healthy (grey) in Mara region. Data in the shaded red area may not be up to date.
Download regional data

Number of animal investigations categorised as suspect (red) and healthy (grey). Data in the shaded red area may not be up to date.
Download district data

4.2 Location of animal investigations and confirmed cases in Mara region
There are 23 confirmed animal cases missing a village, and therefore ward was used instead. For 5 confirmed animal case ward was also missing. 479 animal investigations are missing ward information.

4.3 Number of healthy and suspicious animal investigations and number of confirmed animal cases in Mara region

Lindi region


1. Number of bite patients in Lindi region


1.1 Reported bite patients in Lindi region
Reporting of bites assessed as high risk (red bars) and low risk (grey bars) and investigations of biting animals (black line) in Lindi region. Data in the shaded red area may not be up to date.
Download regional data
Reporting of bites assessed as high risk (red bars) and low risk (grey bars). Data in the shaded red area may not be up to date.
Download district data

1.2 Location of high risk bites and deaths in Lindi region
There are 3 human deaths missing village information, and therefore ward was used instead. 142 high risk bite patients are missing ward information.
1.3 Number of high and low risk bites and number of deaths in Lindi region

2. Number of human deaths and confirmed animal cases in Lindi region

2.1 Human deaths in Lindi region
Date and location of reported human deaths reported in Lindi region
Download data

2.2 Confirmed animal cases in Lindi region (LFT positive)
Date, location and animal type for LFT-positive animals reported in Lindi region
Download data

3. PEP administration in Lindi region




A. Number of first, second and third dose vaccinations delivered in Lindi region by year, with shortages of PEP shown by red bars. B. Number of intradermal and intramuscular vaccinations delivered in Lindi region by year.
Download vaccine dose data
Download vaccine route data
Number of first, second and third dose vaccinations delivered by year, with shortages of PEP shown by red bars.
Number of intradermal and intramuscular vaccinations delivered by year

3.1 PEP completion by vaccine route and year
Note: Three doses required for intradermal, and four doses for intramuscular


4. Number of animal investigation in Lindi region


4.1 Reported animal investigations in Lindi region
Number of animal investigations categorised as suspect (red) and healthy (grey) in Lindi region. Data in the shaded red area may not be up to date.
Download regional data

Number of animal investigations categorised as suspect (red) and healthy (grey). Data in the shaded red area may not be up to date.
Download district data

4.2 Location of animal investigations and confirmed cases in Lindi region
There are 10 confirmed animal cases missing a village, and therefore ward was used instead. For 6 confirmed animal case ward was also missing. 136 animal investigations are missing ward information.

4.3 Number of healthy and suspicious animal investigations and number of confirmed animal cases in Lindi region

Morogoro region


1. Number of bite patients in Morogoro region


1.1 Reported bite patients in Morogoro region
Reporting of bites assessed as high risk (red bars) and low risk (grey bars) and investigations of biting animals (black line) in Morogoro region. Data in the shaded red area may not be up to date.
Download regional data
Reporting of bites assessed as high risk (red bars) and low risk (grey bars). Data in the shaded red area may not be up to date.
Download district data

1.2 Location of high risk bites and deaths in Morogoro region
There are 17 human deaths missing village information, and therefore ward was used instead. 1572 high risk bite patients are missing ward information.
1.3 Number of high and low risk bites and number of deaths in Morogoro region

2. Number of human deaths and confirmed animal cases in Morogoro region

2.1 Human deaths in Morogoro region
Date and location of reported human deaths reported in Morogoro region
Download data

2.2 Confirmed animal cases in Morogoro region (LFT positive)
Date, location and animal type for LFT-positive animals reported in Morogoro region
Download data

3. PEP administration in Morogoro region




A. Number of first, second and third dose vaccinations delivered in Morogoro region by year, with shortages of PEP shown by red bars. B. Number of intradermal and intramuscular vaccinations delivered in Morogoro region by year.
Download vaccine dose data
Download vaccine route data
Number of first, second and third dose vaccinations delivered by year, with shortages of PEP shown by red bars.
Number of intradermal and intramuscular vaccinations delivered by year

3.1 PEP completion by vaccine route and year
Note: Three doses required for intradermal, and four doses for intramuscular


4. Number of animal investigation in Morogoro region


4.1 Reported animal investigations in Morogoro region
Number of animal investigations categorised as suspect (red) and healthy (grey) in Morogoro region. Data in the shaded red area may not be up to date.
Download regional data

Number of animal investigations categorised as suspect (red) and healthy (grey). Data in the shaded red area may not be up to date.
Download district data

4.2 Location of animal investigations and confirmed cases in Morogoro region
There are 31 confirmed animal cases missing a village, and therefore ward was used instead. For 18 confirmed animal case ward was also missing. 1433 animal investigations are missing ward information.

4.3 Number of healthy and suspicious animal investigations and number of confirmed animal cases in Morogoro region

Mtwara region


1. Number of bite patients in Mtwara region


1.1 Reported bite patients in Mtwara region
Reporting of bites assessed as high risk (red bars) and low risk (grey bars) and investigations of biting animals (black line) in Mtwara region. Data in the shaded red area may not be up to date.
Download regional data
Reporting of bites assessed as high risk (red bars) and low risk (grey bars). Data in the shaded red area may not be up to date.
Download district data

1.2 Location of high risk bites and deaths in Mtwara region
There are 12 human deaths missing village information, and therefore ward was used instead. 60 high risk bite patients are missing ward information.
1.3 Number of high and low risk bites and number of deaths in Mtwara region

2. Number of human deaths and confirmed animal cases in Mtwara region

2.1 Human deaths in Mtwara region
Date and location of reported human deaths reported in Mtwara region
Download data

2.2 Confirmed animal cases in Mtwara region (LFT positive)
Date, location and animal type for LFT-positive animals reported in Mtwara region
Download data

3. PEP administration in Mtwara region




A. Number of first, second and third dose vaccinations delivered in Mtwara region by year, with shortages of PEP shown by red bars. B. Number of intradermal and intramuscular vaccinations delivered in Mtwara region by year.
Download vaccine dose data
Download vaccine route data
Number of first, second and third dose vaccinations delivered by year, with shortages of PEP shown by red bars.
Number of intradermal and intramuscular vaccinations delivered by year

3.1 PEP completion by vaccine route and year
Note: Three doses required for intradermal, and four doses for intramuscular


4. Number of animal investigation in Mtwara region


4.1 Reported animal investigations in Mtwara region
Number of animal investigations categorised as suspect (red) and healthy (grey) in Mtwara region. Data in the shaded red area may not be up to date.
Download regional data

Number of animal investigations categorised as suspect (red) and healthy (grey). Data in the shaded red area may not be up to date.
Download district data

4.2 Location of animal investigations and confirmed cases in Mtwara region
There are 19 confirmed animal cases missing a village, and therefore ward was used instead. For 15 confirmed animal case ward was also missing. 87 animal investigations are missing ward information.

4.3 Number of healthy and suspicious animal investigations and number of confirmed animal cases in Mtwara region

Arusha region


1. Number of bite patients in Arusha region


1.1 Reported bite patients in Arusha region
Reporting of bites assessed as high risk (red bars) and low risk (grey bars) and investigations of biting animals (black line) in Arusha region. Data in the shaded red area may not be up to date.
Note: IBCM began in Arusha in January 2023.
Download regional data
Reporting of bites assessed as high risk (red bars) and low risk (grey bars). Data in the shaded red area may not be up to date.
Note: IBCM began in Arusha in January 2023.
Download district data

1.2 Location of high risk bites and deaths in Arusha region
There were 4 recorded human deaths in Arusha between January 2023 and August 2025. 286 high risk bite patients were missing ward information.
1.3 Number of high and low risk bites and number of deaths in Arusha region

2. Number of human deaths and confirmed animal cases in Arusha region

There were no recorded deaths in Arusha between January 2023 to August 2025

2.2 Confirmed animal cases in Arusha region (LFT positive)
Date, location and animal type for LFT-positive animals reported in Arusha region
Download data

3. PEP administration in Arusha region




A. Number of first, second and third dose vaccinations delivered in Arusha region by year, with shortages of PEP shown by red bars. B. Number of intradermal and intramuscular vaccinations delivered in Arusha region by year.
Download vaccine dose data
Download vaccine route data
Number of first, second and third dose vaccinations delivered by year, with shortages of PEP shown by red bars.
Number of intradermal and intramuscular vaccinations delivered by year

3.1 PEP completion by vaccine route and year
Note: Three doses required for intradermal, and four doses for intramuscular


4. Number of animal investigation in Arusha region


4.1 Reported animal investigations in Arusha region
Number of animal investigations categorised as suspect (red) and healthy (grey) in Arusha region. Data in the shaded red area may not be up to date.
Note: IBCM began in Arusha in January 2023.
Download regional data

Number of animal investigations categorised as suspect (red) and healthy (grey). Data in the shaded red area may not be up to date.
Note: IBCM began in Arusha in January 2023.
Download district data

4.2 Location of animal investigations and confirmed cases in Arusha region
There are 19 confirmed animal cases missing a village, and therefore ward was used instead. For 15 confirmed animal case ward was also missing. 615 animal investigations are missing ward information.

4.3 Number of healthy and suspicious animal investigations and number of confirmed animal cases in Arusha region