Epidemiological Investigation on Rabies Deaths in Berasia Block, Bhopal

Authors

  • Brajendra Mishra Chirayu Medical College & Hospital, Bhopal

Keywords:

Rabies, Sylvatic cycle, Exposure Categorization, Post Exposure Prophylaxis

Abstract

Background: In rural area of a community block, four rabies deaths within 19 days following exposure, in spite of receiving Post exposure Prophylactic vaccination warranted epidemiological investigation and situational analysis to take up remedial measures if any.

Methodology: A detailed epidemiological study was planed. The component of the study included eco-geographical evaluation of the study area by visit, post exposure clinic-epidemiological evaluation of survivors by clinical examination and interview, verbal autopsy from the kith and kin of the four dead cases, enquiries on practice of standard protocol by health providers an health seeking behaviour of the cases/families involved through interview and immunological analysis for measuring the titers of antirabies antibodies in sera of some patients following exposure/vaccination. All the 36 cases bitten by rabid Jackal were contacted and interviewed. Family contacts of all four who died were also interviewed. Block Medical Officer of the area was also interviewed.

Result: It was found that man made alterations in eco- geographical features were leading to increase in exposure risks to sylvatic rabies. It was found that standard protocol for Post Exposure Prophylaxis was not in practice and health providers and other related agencies needed reorientation on conduct of post exposure prophylaxis. It was found that population living in high risk zone needs to be educated on immediate care to be taken after exposure and modify their own health seeking behaviour by not visiting the quacks.

References

K Park. Park’s Textbook of Preventive and Social Medicine, 20th Ed. Jabalpur- Banarsidas Bhanot.2009. p 239.

World Health Organization. WHO Tech. Report Series No. 931.WHO Consultation on Rabies 2004 Page-106; Geneva. Online: http//www.rabiesblueprint.com/IMG/pf/Link 1_trs 931_05-2 pdf.

Baltazard M, Bahmanyar M. Practical trial of Antirabies serum in people bitten by rabid wolves. Bull World health Organ 1955;13:747-772.

Fang-tao L, Shu- beng C, Guan-fuW et al Study of the protective effect primray hamaster kideny cell rabies vaccine. J. Inf dis 1986;154:1047-1018.

Fathi M, Sabeti A, Bahmanyar M. Seroprophylaxie antirabique, Chezles sujets mordus par loups enrages en Iran. Acta Med Iran.1970;13:5-9.( Gordon C. Cook and Alimuddin. I. Zumla, Manson’s Tropical Diseases, 20th Ed.China: Saunders Elsevier; 2009. p 810.

K Park. Park’s Textbook of Preventive and Social Medicine, 20th Ed. Jabalpur- Banarsidas Bhanot.2009. p 242.

World Health Organization. WHO Recomondation on Rabies post expolsure treatment and correct technique of intradermal immunization against rabies1997WHO/EMC/ZOO.96.9. Online. Available. http://wholibdoc. who.int/hq/1996/WHO_EMC_ZOO_96.6pdf

Gordon C. Cook and Alimuddin. I. Zumla, Manson’s Tropical Diseases, 20th Ed.China: Saunders Elsevier; 2009. p 808.

Downloads

Published

2012-09-30

How to Cite

1.
Mishra B. Epidemiological Investigation on Rabies Deaths in Berasia Block, Bhopal. Natl J Community Med [Internet]. 2012 Sep. 30 [cited 2024 Dec. 13];3(03):423-7. Available from: https://njcmindia.com/index.php/file/article/view/1735

Issue

Section

Original Research Articles