Oct 16, 2013 - One in six persons [1] receiving some form of antirabies post-exposure prophylaxis (PEP) following a bite from a potentially rabid dog shows ...
Re: Only a sixth of animal bite victims in India get antirabies treatment ...
1 of 2
http://hinari-gw.who.int/whalecomwww.bmj.com/whalecom0/content/3...
This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. Find out more here
Helping doctors make better decisions
16 October 2013 Sir, One in six persons [1] receiving some form of antirabies post-exposure prophylaxis (PEP) following a bite from a potentially rabid dog shows that - despite progress in reducing yearly rabies deaths to around 20,000 (estimated incidence of 1.9 per 100,000 in. 2003) [2] - much remains to be done to control human rabies in India. Sadly, other countries lag further behind. Cambodia is another highly rabies-endemic country where an estimated 810 human lives were lost to rabies in 2007 for an estimated incidence of 5.8/100,000 (95% CI 2.8-11.5) [3]. Over the past six years, the human population has increased, no canine vaccination has been implemented and very few more centers offer post-exposure prophylaxis (PEP) in the form of vaccine and immunoglobulin. We estimate that the 14.9 million-strong Cambodian population may suffer at least 700,000 dog bites annually (Institut Pasteur du Cambodge, manuscript in preparation). In 2012, a little over 22,000 (2.9%) Cambodians are known to have received PEP, of which 20,610 (est. 93.7%) received PEP at the Institut Pasteur du Cambodge (IPC) in Phnom Penh (Institut Pasteur du Cambodge, manuscript in preparation). Research is ongoing at IPC's epidemiology and virology units to identify the best and most cost-effective approaches to the primary (dog bite) and secondary (PEP) prevention of human rabies in Cambodia and beyond, providing assistance to the Cambodian population and the authorities as they strive to honor their ASEAN commitment to eliminate canine rabies by 2020 [4]. 1 Travasso C. Only a sixth of animal bite victims in India get antirabies treatment. BMJ 2013;347:f6040–f6040. doi:10.1136/bmj.f6040 2 Sudarshan MK, Madhusudana SN, Mahendra BJ, et al. Assessing the burden of human rabies in India: results of a national multicenter epidemiological survey. Int J Infect Dis 2007;11:29–35. doi:10.1016/j.ijid.2005.10.007 3 Ly S, Buchy P, Heng NY, et al. Rabies situation in Cambodia. PLoS Negl Trop Dis 2009;3:e511. doi:10.1371/journal.pntd.0000511 4 ASEAN. Joint Statement of the 3rd ASEAN Plus Three Health Ministers Meeting. Manila, Philippines: : ASEAN 2008. www.asean.org/archive/ADS2008.pdf (accessed 16 Oct2013). Competing interests: None declared Arnaud Tarantola, Medical Epidemiologist Sowath Ly, Sotheary In, Vincent Deubel, Philippe Buchy Rabies Prevention Group, Institut Pasteur du Cambodge Click to like: 0 + BMJ Group
Privacy and Cookie Policy Website T & Cs Revenue Sources HighWire Press Feedback Help
11/11/2013 13:37
Re: Only a sixth of animal bite victims in India get antirabies treatment ...
2 of 2
http://hinari-gw.who.int/whalecomwww.bmj.com/whalecom0/content/3...
© 2013 BMJ Publishing Group Ltd
11/11/2013 13:37
