Rabies in Morocco: A Preventable Tragedy Demanding Pragmatic Action.

Authors

  • FatimaZahra Boutaleb Hassan II University of Casablanca (https://ror.org/001q4kn48), Laboratory of Biotechnology, Agri-Food, Materials and Environment

DOI:

https://doi.org/10.63095/NBSEH.25.635500

Keywords:

Rabies, Morocco, One Health, Prevention, Zero by 30

Abstract

Rabies continues to claim lives. Despite progress in vaccination and in the surveillance and control plans already established, this disease still causes about 59,000 human deaths each year, nearly 95% of which occur in sub-Saharan Africa — notably in Nigeria, Tanzania, Ethiopia and the Democratic Republic of Congo — and in South and South-East Asia, including India, Bangladesh, Cambodia and the Philippines. This article focuses particularly on the situation in Morocco, where the persistence of the disease remains worrying, especially in rural communities where children are often attacked by stray dogs that have never been vaccinated. Every single death from rabies should not be regarded as an inevitable outcome, but rather as evidence that prevention has failed. To reverse this trend, efforts must concentrate on large-scale dog vaccination, on ensuring universal access to post-exposure care, and on implementing humane and compassionate strategies for the control of stray animal populations. Lasting progress will depend on embracing the “One Health” approach, recognizing the close interconnection between human, animal and environmental wellbeing, and thus aligning national action with the global ambition to eliminate dog-mediated rabies by 2030 — the “Zero by 30” goal.

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References

WHO (World Health Organization)., 2025, Rabies. World Health Organization – South-East Asia Regional Office. Available online at: https://www.who.int/southeastasia/health-topics/rabies (accessed 29 September 2025).

Koopmans, M., Wilbrink, B., Conyn, M., Natrop, G., van der Nat, H., Vennema, H., Meijer, A., van Steenbergen, J., Fouchier, .R, Osterhaus, A., & Bosman, A., 2024, Transmission of H7N7 avian influenza A virus to human beings during a large outbreak in commercial poultry farms in the Netherlands. Lancet 363(9409), 587-93. www.doi.org/10.1016/S0140-6736(04)15589-X

Ripani, A., Mérot, J., Bouguedour, R., & Zrelli, M., 2017, Review of rabies situation and control in the North African region with a focus on Tunisia. Revue Scientifique et Technique 36(3), 831-838. https://doi.org/10.20506/rst.36.3.2718

Darkaoui, S., Fassi Fihri, O., El Harrak, M., Nadir, M., Aboulfidaa, N., Bouslikhane, M., & Cliquet, F., 2017, Control of dog-mediated human rabies in North Africa: a review of current efforts and challenges facing Morocco. Frontiers in Veterinary Science 4, Article 78. https://doi.org/10.3389/fvets.2017.00078

Tligui, N., Bouziani, N., Khayli, M., & Fassi-Fihri, O., 2020, Épidémiologie de la rage au Maroc et programmes de lutte contre la maladie. Bulletin de l'Académie Vétérinaire de France 173(1), 111-116. Available online at : https://www.persee.fr/doc/bavf_0001-4192_2020_num_173_1_12952 (accessed 29 September 2025).

MSPS (Ministère de la Santé et de la Protection Sociale)., 2022, Bulletin d’épidémiologie et de santé publique – BESP 2022 (N° 80). Direction de l’Épidémiologie et de Lutte contre les Maladies (DELM) / Organisation mondiale de la Santé. Available online at : https://www.sante.gov.ma/Publications/Bullten_pidmiologique/BESP%2080%20-%20DELM%20.pdf (accessed 29 September 2025).

Cleaveland, S., Lankester, F., Townsend, S., Lembo, T., & Hampson, K., 2014, Rabies control and elimination: A test case for One Health. Veterinary Record 175(8), 188–193. https://doi.org/10.1136/vr.g4996

WHO (World Health Organization), FAO (Food and Agriculture Organization of the United Nations), OIE (World Organization for Animal Health), & GARC (Global Alliance for Rabies Control), 2018, Zero by 30: The Global Strategic Plan to end human deaths from dog-mediated rabies by 2030. Available online at : https://www.woah.org/fileadmin/Home/eng/Media_Center/docs/Zero_by_30_FINAL_online_version.pdf (accessed 29 September 2025).

Ashwini, M. A., Pattanaik, A., & Mani, R. S., 2024, Recent updates on laboratory diagnosis of rabies. Indian Journal of Medical Research 159(1), 48-61. www.doi.org/10.4103/ijmr.ijmr_131_23

Hemachudha, T., Laothamatas, J., & Rupprecht, C. E., 2002, Human rabies: a disease of complex neuropathogenetic mechanisms and diagnostic challenges. The Lancet Neurology 1(2), 101-109. https://doi.org/10.1016/S1474-4422(02)00041-8

FAO (Food and Agriculture Organization of the United Nations), 2025, 2 October, Rabies, One Health and ICT: Spotlight on SIRVERA & GARC tools. FAO. Available online at : https://www.fao.org/one-health/highlights/rabies-one-health-and-ict/en (accessed 29 September 2025).

WHO (World Health Organization)., 2023, A compendium of indicators for monitoring and evaluating progress of the road map for neglected tropical diseases 2021–2030. Available online at : https://www.who.int/publications/i/item/9789240010352 (accessed 29 September 2025).

WHO (World Health Organization), 2018, August 28, New global strategic plan to eliminate dog-mediated rabies by 2030. WHO Newsroom Commentaries. Available online at : https://www.who.int/news/item/28-08-2018-new-global-strategic-plan-to-eliminate-dog-mediated-rabies-by-2030 (accessed 29 September 2025).

GARC (Global Alliance for Rabies Control)., 2025, World Rabies Day 2025: Act now. Global Alliance for Rabies Control. Retrieved October 2025. Available online at : https://rabiesalliance.org/world-rabies-day (accessed 29 September 2025).

El Harch, I., Benmmamar, S., Lahmadi, K., Ouezzani Chahdi, O., El Fakir, S., & Sbiti, M., 2025, Epidemiological profile of human rabies in Morocco: A national study over a 7-year period. Annals of Epidemiology and Public Health 8(2), 1129. Available online at : https://meddocsonline.org/ (accessed 29 September 2025).

Aghmir, A., 2025, Lutte contre la rage et contrôle de la population canine errante : état des lieux, actions stratégiques et perspectives d’éradication. Ministère de l’Intérieur, Direction Générale des Collectivités Territoriales (DGCT), Direction des Services Publics Locaux (DSPL), en collaboration avec l’Organisation mondiale de la Santé animale (WOAH) et l’Institut Zooprophylactique Expérimental des Vénéties (IZSVe). Available online at : https://rr-africa.woah.org/app/uploads/2025/05/5.2.AGHMIR.pdf (accessed 29 September 2025).

Metz, S., 2025, May 18, Morocco unveils policies it hopes bolster the care and management of stray dogs. AP News. Available online at : https://apnews.com/article/morocco-stray-dogs-neuter-rabies-fifa-d8452e6aa0005e0cd71462ab7daf9bf5 (accessed 29 September 2025).

Mahdi, Z., El Bouri, H., Charif, F., Bousgheïri, F., Gourinda, A., Sammoud, K., & Najdi, A., 2025, Policy recommendations for managing stray dogs in Morocco. Eastern Mediterranean Health Journal 31(8), 509–515. https://doi.org/10.26719/2025.31.8.509

Jackson, A. C., 2011, Update on rabies. Research and Reports in Tropical Medicine, 31-43. https://doi.org/10.2147/RRTM.S16013

Schwartz, M., 2022, The Pasteurian contribution to the history of vaccines. Comptes Rendus. Biologies 345(3), 93–107. https://doi.org/10.5802/crbiol.83

Wunner W.H., Briggs D.J., 2001, Rabies in the 21st Century. PLOS Neglected Tropical Diseases 4(3), e591. https://doi.org/10.1371/journal.pntd.0000591

Hemachudha, T., Laothamatas, J., & Rupprecht, C. E., 2002, Human rabies: A disease of complex neuropathogenetic mechanisms and diagnostic challenges. The Lancet Neurology 1(2), 101–109. https://doi.org/10.1016/S1474-4422(02)00041-8

Hampson, K., Coudeville, L., Lembo, T., Sambo, M., Kieffer, A., Attlan, M., Barrat, J., Blanton, J. D., Briggs, D. J., Cleaveland, S., Costa, P., Freuling, C. M., & Hiby, E., 2015, On behalf of the Global Alliance for Rabies Control Partners for Rabies Prevention., 2015, Estimating the global burden of endemic canine rabies. PLoS Neglected Tropical Diseases 9(4), e0003709. https://doi.org/10.1371/journal.pntd.0003709

Luo, D.-S., Harazim, M., Maufrais, C., Bonas, S., Martinkova, N., Lalis, A., Nakouné, E., Adjogoua, E. V., Douno, M., Kadjo, B., López-Roig, M., Pikula, J., Shi, Z.-L., & Dacheux, L., 2025, Broad geographical circulation of a novel vesiculovirus in bats in the Mediterranean region. PLoS Neglected Tropical Diseases 19(6), e0013172. https://doi.org/10.1371/journal.pntd.0013172

World Health Organization (WHO), 2025, Rabies. Global Health Observatory (GHO) – Neglected tropical diseases. Available online at : https://www.who.int/data/gho/data/themes/topics/topic-details/GHO/rabies (accessed 29 September 2025).

CMC (Centre Marocain pour la Citoyenneté), 2025, 9 août, Chiens errants : symptôme d’un espace public abandonné au Maroc. L’Observateur du Maroc et d’Afrique (LODJ). Available online at : https://www.lodj.ma/Chiens-errants-symptome-d-un-espace-public-abandonne-au-Maroc_a140943.html (accessed 29 September 2025).

UKHSA (UK Health Security Agency), 2025, June 18, Rabies case confirmed following contact with animal abroad. GOV.UK. Available online at : https://www.gov.uk/government/news/rabies-case-confirmed-following-contact-with-animal-abroad (accessed 29 September 2025).

WHO (World Health Organization), FAO (Food and Agriculture Organization of the United Nations), OIE (World Organization for Animal Health), & GARC (Global Alliance for Rabies Control)., 2019. World Rabies Day 2019: Rabies – Vaccinate to eliminate. United Against Rabies collaboration celebrates one year of progress towards zero human rabies deaths by 2030. Available online at : https://www.who.int/news/item/28-09-2019-world-rabies-day-2019-rabies-vaccinate-to-eliminate (accessed 29 September 2025).

Moore, S. M., 2019, Rabies: current preventive strategies. Veterinary Clinics: Small Animal Practice 49(4), 629-641. https://doi.org/10.1016/j.cvsm.2019.02.014

Azalu, W. W., Jemberu, W. T., Taye, B. W., Abebe, W. M., & Mekonnen, S. A., 2025, Health and Economic Burden of Rabies in Northwest Ethiopia. PharmacoEconomics Open 9, 959–971. https://doi.org/10.1007/s41669-025-00601-2

MSPS (Ministère de la Santé et de la Protection Sociale)., 2018, Programme national de lutte contre la rage. Direction de l’Épidémiologie et de Lutte contre les Maladies (DELM), Service des Maladies Épidémiques. Available online at : https://www.sante.gov.ma/Documents/2018/09/Rage%20JMLR%202018.pdf (accessed 29 September 2025).

Morvan, J., 2018, October 4; updated 2024, March 27, La rage continue de se propager au Maroc. Available online at : https://mesvaccins.net/web/news/12958-la-rage-continue-de-se-propager-au-maroc (accessed 29 September 2025).

Royaume du Maroc, 1993, 10 septembre, Dahir n° 1-89-230 du 22 rebia I 1414 portant promulgation de la loi n° 24-89 édictant des mesures de police sanitaire vétérinaire à l’importation d’animaux, de denrées animales, de produits d’origine animale, de produits de multiplication animale et de produits de la mer et d’eau douce. Bulletin Officiel du Royaume du Maroc. Available online at : https://www.mpm.gov.ma/wps/wcm/connect/bace5290-e798-4ffa-baec-44341fe0b4be/14_n%C2%B01-89-130.pdf?MOD=AJPERES (accessed 29 September 2025).

WHO (World Health Organization) & CRSR (Centre for Rabies Surveillance and Research). (2025, June 25). Alleged human rabies case linked to Morocco. Rabies Bulletin Europe. Available online at : https://www.who-rabies-bulletin.org/news/alleged-human-rabies-case-linked-morocco (accessed 29 September 2025).

Boyd, R., 2025, June 18, Woman dies of rabies in Yorkshire after contact with dog in Morocco. The Guardian. Available online at : https://www.theguardian.com/uk-news/2025/jun/18/person-dies-of-rabies-in-yorkshire-after-contact-with-dog-in-morocco (accessed 29 September 2025).

FAO (Food and Agriculture Organization of the United Nations), 2022, September 28, World Rabies Day 2022: One Health, Zero Deaths. FAO in Viet Nam. Available online at: https://www.fao.org/vietnam/news/detail-events/zh/c/1606480/ (accessed 29 September 2025).

Rabies remains a deadly zoonosis, although it can be entirely prevented through vaccination and public health measures. Every year, an estimated 59,000 people worldwide still lose their lives to this disease. In Morocco, rural children are particularly exposed, as unvaccinated stray dogs continue to be a major source of bites and infection. The persistence of such cases reflects gaps in vaccination coverage and in the accessibility of post-exposure treatment within public health systems. To achieve the international target of “Zero human deaths from dog-mediated rabies by 2030,” locally adapted strategies must be implemented. These actions should be guided by the integrated “One Health” idea, recognizing the interdependence of human, animal and environmental health. Only through coordinated public action, strong community engagement and lasting political will can rabies finally be brought under control.

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Published

2025-11-02

How to Cite

Boutaleb, F. (2025). Rabies in Morocco: A Preventable Tragedy Demanding Pragmatic Action. Natural Built Social Environment Health, 1(6), 102–120. https://doi.org/10.63095/NBSEH.25.635500

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