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In conclusion, our findings demonstrate the wider benefits of integrating IBCM into national policy in the
Philippines. If implemented effectively, IBCM has the potential to guide judicious PEP administration,
thereby improving cost-effectiveness and allowing the reallocation of funds to the animal health sector for
dog vaccination - the most effective way to eliminate rabies. Moreover, IBCM can provide more accurate
data on the circulation of rabies to inform control through mass dog vaccination and help achieve and
[30]
maintain rabies elimination .
DECLARATIONS
Acknowledgments
We would like to thank all staff and officials at the Provincial Health Office, Regional Animal Disease
Diagnostic Laboratory, Animal Bite Treatment Centers and their affiliated hospitals or Municipal Health
Offices, Provincial Veterinary Office, Municipal Agricultural Offices, local veterinarians, and local
government officials in the province of Oriental Mindoro. We are extremely grateful for their support,
collaboration, and assistance in implementing IBCM, collecting data, and being advocacy champions for
our research project. In particular, we would like to extend our gratitude to Dr. Alfredo Manglicmot,
Andrew Peregrine Arellano, Dr. Dave Christopher Viñas, and Eric Dilag. This work was funded by the
Medical Research Council (MR/R025649/1), the Philippines Council for Health Research and Development
and Wellcome (207569/Z/17/Z, 224520/Z/21/Z). SM is funded by a University of Edinburgh Chancellor’s
Fellowship. CS was funded by the joint University of Glasgow and University of Edinburgh doctoral
training programme in One Health. This manuscript is based on Chapter 4 of the first author’s (CS)
doctoral dissertation (Swedberg, 2023), written under the supervision of KH.

Authors’ contributions
Conceptualization, methodology, writing - original draft, formal analysis, visualization: Swedberg C
Project administration, supervision, conceptualization, methodology, writing - original draft, formal
analysis, funding acquisition: Hampson K
Project administration, methodology, investigation, funding acquisition: Miranda MEG
Conceptualization, methodology: Bautista C
Investigation: Anderson D, Maniszewska K
Investigation, resources, project administration: Basa-Tulio M, Cruz VDD, Maestro J, Manalo D,
Manzanilla DR, Pablo-Abarquez S, Telmo SVM, Yuson M
Supervision, writing - review and editing: Chng NR, Mazeri S, Mellanby RJ
Data curation, investigation: Kundegorski M
Writing - review and editing, project administration: Quiambao B
Writing - review and editing: Trotter C

Availability of data and materials
De-identified data and R programming code to replicate analyses are provided via the GitHub repository:
https://github.com/boydorr/OrMin_IBCM_decision_tree.

Financial support and sponsorship
This work was funded by the Medical Research Council (MR/R025649/1), the Philippines Council for
Health Research and Development and Wellcome (207569/Z/17/Z, 224520/Z/21/Z). Mazeri S is funded by a
University of Edinburgh Chancellor’s Fellowship. Swedberg C was funded by the joint University of
Glasgow and University of Edinburgh doctoral training programme in One Health.