Literature DB >> 24118491

Survey of animal bite injuries and their management for an estimate of human rabies deaths in N'Djaména, Chad.

J Frey1, R Mindekem, H Kessely, D Doumagoum Moto, S Naïssengar, J Zinsstag, E Schelling.   

Abstract

OBJECTIVE: To estimate the annual human rabies incidence as a baseline prior to mass dog vaccination campaigns in N'Djaména, Chad.
METHODS: Survey of animal bites, involving 50% of all healthcare providers in N'Djaména, from September 2008 to April 2009. Of 86 people exposed to a suspected rabid animal, 50% received post-exposure vaccination and a further 8% had their wound cleaned. We estimated annual incidence of bites from suspected rabid animals of 12.9/100,000 and an incidence of 0.7 human rabies deaths/100,000, resulting in 7 estimated deaths (95% confidence interval 4-10 deaths) per year in N'Djaména. 14% of bite victims sought help from veterinarians.
CONCLUSIONS: Closer cooperation between physicians and veterinarians warrants more effective rabies control. The high proportion (42%) of potentially exposed people without post-exposure vaccination or wound treatment necessitates urgent attention.
© 2013 John Wiley & Sons Ltd.

Entities:  

Keywords:  N'Djaména; animal bites; human deaths; human rabies incidence; post-exposure prophylaxis; rabies; wound management

Mesh:

Year:  2013        PMID: 24118491     DOI: 10.1111/tmi.12202

Source DB:  PubMed          Journal:  Trop Med Int Health        ISSN: 1360-2276            Impact factor:   2.622


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