Qualitative Study of Stakeholder Perceptions Related to Requirements for Elimination of Dog Rabies in Sri Lanka by 2025

Rabies has been eliminated in some Asian countries including Japan, Singapore, Maldives, and Hong Kong. Sri Lanka is close to joining that group:  human rabies cases declined from 288 in 1975 to 23 in 2017, due largely to intradermal post-exposure prophylaxis. The weakest link in rabies elimination in Sri Lanka is inconsistent prevention at the source due in part to insufficient institutional capacity to achieve the goal of 70% dog vaccination coverage.Obstacles to rabies control identified through focus groups and in-depth interviews with stakeholders, government officials, non-government agents, and community residents include  insufficient motivation for disease reporting and development of a clear protocol for disease reporting by the public, lack of awareness in some areas of the importance of disease reporting exacerbated by logistical issues, uneven vaccination coverage due to insufficient communication regarding government vaccination campaigns, and incomplete implementation of government policies. Other issues included a need for more responsible dog ownership and better understanding of rabies disease risks amongst dog owners. Dog-associated factors included the need for improved understanding of drivers of variation in dog population size, for lower sterilization cost to owners, and for monitoring of post-surgical complications.An integrated national dog rabies monitoring and reporting system based on effective partnerships among relevant institutions plus additional decentralized dog rabies diagnosis laboratories plus additional local veterinary and medical government staff are needed

An Appropriate Guideline for Participatory GIS: A Result from the Experience of Joint Management of Protected Area Project in Thailand

This study aims to examine the effectiveness of the Participatory Geographic Information System (PGIS) process as implemented through the Joint Management of Protected Areas (JoMPA) project. This article analyzes the process of local land use planning using PGIS through demarcation of special use zones. This was demonstrated to be a crucial process in the implementation of conservation projects. Implementation of PGIS involves several operational steps, brought together in this study using the method of action research. It is based on collaborative participation by stakeholders in the local area, leading all stakeholders to effective co-management of resources. The means of PGIS is also discussed here as a set of key tools, comprising geo-information acquisition and analysis tools. They are used mainly as participatory and interactive tools for communication and decision-making in collaborative planning or public meetings. The results of this implementation indicated that villagers could clearly understand the boundaries of land use areas, and the community regulations to facilitate practical co-management of land use by all local stakeholders. In addition, this study evaluates intensities of participation in 3 dimensions: facilitation, mediation and empowerment. This integrated approach including participatory local land use planning with PGIS is useful to identify problems in protected areas and also to develop strategies and solutions in partnership with local communities and external stake-holders, that together lead to a co-management approach for protected areas

Impact of Residential Concentration of PM2.5 Analyzed as Time-Varying Covariate on the Survival Rate of Lung Cancer Patients: A 15-Year Hospital-Based Study in Upper Northern Thailand

Air pollutants, especially particulate matter (PM) ≤ 2.5 µm (PM2.5) and PM ≤ 10 µm (PM10), are a major concern in upper northern Thailand. Data from a retrospective cohort comprising 9820 lung cancer patients diagnosed from 2003 to 2018 were obtained from the Chiang Mai Cancer Registry, and used to evaluate mortality and survival rates. Cox proportional hazard models were used to identify the association between the risk of death and risk factors including gender, age, cancer stage, smoking history, alcohol-use history, calendar year of enrollment, and time-updated PM2.5, PM10, NO2 and O3 concentrations. The mortality rate was 68.2 per 100 persons per year of follow-up. In a multivariate analysis, gender, age, cancer stage, calendar year of enrollment, and time-varying residential concentration of PM2.5 were independently associated with the risk of death. The lower the annually averaged PM2.5 and PM10 concentrations, the higher the survival probability of the patient. As PM2.5 and PM10 were factors associated with a higher risk of death, lung cancer patients who are inhabitant in the area should reduce their exposure to high concentrations of PM2.5 and PM10 to increase survival rates