The Global Burden of Disease Study¹ shows that incidence of human rabies has fallen by around 40% worldwide since 1990. Despite substantial gains in tackling this neglected disease, more than 20 000 people still die from rabies every year, mostly in Asia and Africa.² Many European countries and North America have already eliminated rabies as a public health problem through mandatory vaccination of dogs and good access to postexposure prophylaxis for human beings.³ In Latin American countries, where poverty remains widespread, 90% reductions in the incidence of human and canine rabies have been seen,⁴ achieved by strong government commitment and support from international organisations since the 1980s.

中文翻译：

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狂犬病大幅度减少，但仍有很多工作要做

全球疾病负担研究¹显示，自1990年以来，全球人类狂犬病的发病率下降了约40％。尽管在解决这一被忽视的疾病方面取得了长足的进步，但每年仍有2万多人死于狂犬病，其中大部分发生在亚洲和非洲。²许多欧洲国家和北美已经通过强制性地给狗接种疫苗以及使人有充分的接触后预防措施的机会，消除了狂犬病这一公共卫生问题。³在贫穷仍普遍存在的拉丁美洲国家，人类和犬类狂犬病的发病率已减少了90％，⁴自1980年代以来，在政府的坚定承诺和国际组织的支持下实现了。