Global rabies burden declined 69% since 1990, but children and low-income regions lag

Rabies kills approximately 59,000 people annually, with disproportionate impact on children under 15 in low-resource settings where post-exposure prophylaxis access is limited.

For thirty years, humanity has steadily pushed one of its oldest and most lethal diseases toward the margins — yet rabies persists precisely where the margins are widest. A sweeping analysis of global health data from 1990 to 2021 confirms that a 69 percent decline in incidence is real and hard-won, but also that the remaining burden falls almost entirely on the world's poorest regions, its youngest children, and its oldest adults. The disease has become less a biological inevitability than a map of where prevention reaches and where it does not — a quiet testament to the unfinished work of eq

Global rabies burden declined 69% since 1990, but children and low-income regions lag

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