A prospective study on the incidence of dog bites and management in a rural Cambodian, rabies-endemic setting
Rabies circulates intensely in Cambodia, mainly affecting rural populations. We conducted a prospective study to estimate the baseline incidence of potentially infective dog bites in rural villages of Siem Reap province, Cambodia. The study was conducted in a convenience sample of 844 families totaling 1,779 persons in four villages. The study collected data in a total of 802.3 person-years. Trained village health workers (VHW) exhaustively documented consecutive dog bites at the end of each month. Between May 15th and November 15th, 2011, a total of 40 attacks (43 bites; 1.07 bites per attack) were notified by 39 persons (50% female; one suffered two distinct incidents) to VHW. The all-age attack rate for bites over this 6-month period was 2.3% (CI95%: 1.7% − 3.1%), with a global incidence rate estimated at 4.84 bites/100 person-years (CI95%: 3.5–6.6). The mean age in bite victims was 20.8 ± 18.9 years (median 12.5; interquartile range 6-36; range 1 − 63). The dog was identified in 39 (97.5%) of cases, being the household dog in 9 (22.5%) of cases. Bites were classified as severe (WHO Category III − broken skin with bleeding) in 33 (82.5%) of cases with a severe dog bites incidence estimated at 4/100 person-years (CI95%: 2.8–5.6). The bites involved the hand or face in 1 (2.5%) case each (both Category III). In 20 incidents (50%), only rice was applied to the wounds. There were no suspected or confirmed human rabies deaths during the study period but one dog died after biting (2 others were lost to follow-up and 14 were put down by their owner). Our study documented an extremely high incidence of dog bites in of rural Cambodian adults and children. Adapted control policies for canine vaccination are urgently needed.
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Subjects: | L73 - Maladies des animaux, L72 - Organismes nuisibles des animaux, 000 - Autres thèmes, rage, chien, morsure, transmission des maladies, zone rurale, Enquête pathologique, contrôle de maladies, maladie de l'homme, épidémiologie, gestion du risque, http://aims.fao.org/aos/agrovoc/c_6416, http://aims.fao.org/aos/agrovoc/c_2352, http://aims.fao.org/aos/agrovoc/c_940, http://aims.fao.org/aos/agrovoc/c_2329, http://aims.fao.org/aos/agrovoc/c_6699, http://aims.fao.org/aos/agrovoc/c_28665, http://aims.fao.org/aos/agrovoc/c_2327, http://aims.fao.org/aos/agrovoc/c_29198, http://aims.fao.org/aos/agrovoc/c_2615, http://aims.fao.org/aos/agrovoc/c_37934, http://aims.fao.org/aos/agrovoc/c_4073, http://aims.fao.org/aos/agrovoc/c_666, |
Online Access: | http://agritrop.cirad.fr/580416/ http://agritrop.cirad.fr/580416/1/ActaTrop2016_Rage_AVSF_AGIRs_IPC.pdf |
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dig-cirad-fr-5804162024-01-28T23:27:51Z http://agritrop.cirad.fr/580416/ http://agritrop.cirad.fr/580416/ A prospective study on the incidence of dog bites and management in a rural Cambodian, rabies-endemic setting. Ponsich Aurélia, Goutard Flavie, Sorn San, Tarantola Arnaud. 2016. Acta Tropica, 160 : 62-67.https://doi.org/10.1016/j.actatropica.2016.04.015 <https://doi.org/10.1016/j.actatropica.2016.04.015> A prospective study on the incidence of dog bites and management in a rural Cambodian, rabies-endemic setting Ponsich, Aurélia Goutard, Flavie Sorn, San Tarantola, Arnaud eng 2016 Acta Tropica L73 - Maladies des animaux L72 - Organismes nuisibles des animaux 000 - Autres thèmes rage chien morsure transmission des maladies zone rurale Enquête pathologique contrôle de maladies maladie de l'homme épidémiologie gestion du risque http://aims.fao.org/aos/agrovoc/c_6416 http://aims.fao.org/aos/agrovoc/c_2352 http://aims.fao.org/aos/agrovoc/c_940 http://aims.fao.org/aos/agrovoc/c_2329 http://aims.fao.org/aos/agrovoc/c_6699 http://aims.fao.org/aos/agrovoc/c_28665 http://aims.fao.org/aos/agrovoc/c_2327 http://aims.fao.org/aos/agrovoc/c_29198 http://aims.fao.org/aos/agrovoc/c_2615 http://aims.fao.org/aos/agrovoc/c_37934 Cambodge Asie http://aims.fao.org/aos/agrovoc/c_4073 http://aims.fao.org/aos/agrovoc/c_666 Rabies circulates intensely in Cambodia, mainly affecting rural populations. We conducted a prospective study to estimate the baseline incidence of potentially infective dog bites in rural villages of Siem Reap province, Cambodia. The study was conducted in a convenience sample of 844 families totaling 1,779 persons in four villages. The study collected data in a total of 802.3 person-years. Trained village health workers (VHW) exhaustively documented consecutive dog bites at the end of each month. Between May 15th and November 15th, 2011, a total of 40 attacks (43 bites; 1.07 bites per attack) were notified by 39 persons (50% female; one suffered two distinct incidents) to VHW. The all-age attack rate for bites over this 6-month period was 2.3% (CI95%: 1.7% − 3.1%), with a global incidence rate estimated at 4.84 bites/100 person-years (CI95%: 3.5–6.6). The mean age in bite victims was 20.8 ± 18.9 years (median 12.5; interquartile range 6-36; range 1 − 63). The dog was identified in 39 (97.5%) of cases, being the household dog in 9 (22.5%) of cases. Bites were classified as severe (WHO Category III − broken skin with bleeding) in 33 (82.5%) of cases with a severe dog bites incidence estimated at 4/100 person-years (CI95%: 2.8–5.6). The bites involved the hand or face in 1 (2.5%) case each (both Category III). In 20 incidents (50%), only rice was applied to the wounds. There were no suspected or confirmed human rabies deaths during the study period but one dog died after biting (2 others were lost to follow-up and 14 were put down by their owner). Our study documented an extremely high incidence of dog bites in of rural Cambodian adults and children. Adapted control policies for canine vaccination are urgently needed. article info:eu-repo/semantics/article Journal Article info:eu-repo/semantics/acceptedVersion http://agritrop.cirad.fr/580416/1/ActaTrop2016_Rage_AVSF_AGIRs_IPC.pdf text Cirad license info:eu-repo/semantics/openAccess https://agritrop.cirad.fr/mention_legale.html https://doi.org/10.1016/j.actatropica.2016.04.015 10.1016/j.actatropica.2016.04.015 info:eu-repo/semantics/altIdentifier/doi/10.1016/j.actatropica.2016.04.015 info:eu-repo/semantics/altIdentifier/purl/https://doi.org/10.1016/j.actatropica.2016.04.015 |
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L73 - Maladies des animaux L72 - Organismes nuisibles des animaux 000 - Autres thèmes rage chien morsure transmission des maladies zone rurale Enquête pathologique contrôle de maladies maladie de l'homme épidémiologie gestion du risque http://aims.fao.org/aos/agrovoc/c_6416 http://aims.fao.org/aos/agrovoc/c_2352 http://aims.fao.org/aos/agrovoc/c_940 http://aims.fao.org/aos/agrovoc/c_2329 http://aims.fao.org/aos/agrovoc/c_6699 http://aims.fao.org/aos/agrovoc/c_28665 http://aims.fao.org/aos/agrovoc/c_2327 http://aims.fao.org/aos/agrovoc/c_29198 http://aims.fao.org/aos/agrovoc/c_2615 http://aims.fao.org/aos/agrovoc/c_37934 http://aims.fao.org/aos/agrovoc/c_4073 http://aims.fao.org/aos/agrovoc/c_666 L73 - Maladies des animaux L72 - Organismes nuisibles des animaux 000 - Autres thèmes rage chien morsure transmission des maladies zone rurale Enquête pathologique contrôle de maladies maladie de l'homme épidémiologie gestion du risque http://aims.fao.org/aos/agrovoc/c_6416 http://aims.fao.org/aos/agrovoc/c_2352 http://aims.fao.org/aos/agrovoc/c_940 http://aims.fao.org/aos/agrovoc/c_2329 http://aims.fao.org/aos/agrovoc/c_6699 http://aims.fao.org/aos/agrovoc/c_28665 http://aims.fao.org/aos/agrovoc/c_2327 http://aims.fao.org/aos/agrovoc/c_29198 http://aims.fao.org/aos/agrovoc/c_2615 http://aims.fao.org/aos/agrovoc/c_37934 http://aims.fao.org/aos/agrovoc/c_4073 http://aims.fao.org/aos/agrovoc/c_666 |
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L73 - Maladies des animaux L72 - Organismes nuisibles des animaux 000 - Autres thèmes rage chien morsure transmission des maladies zone rurale Enquête pathologique contrôle de maladies maladie de l'homme épidémiologie gestion du risque http://aims.fao.org/aos/agrovoc/c_6416 http://aims.fao.org/aos/agrovoc/c_2352 http://aims.fao.org/aos/agrovoc/c_940 http://aims.fao.org/aos/agrovoc/c_2329 http://aims.fao.org/aos/agrovoc/c_6699 http://aims.fao.org/aos/agrovoc/c_28665 http://aims.fao.org/aos/agrovoc/c_2327 http://aims.fao.org/aos/agrovoc/c_29198 http://aims.fao.org/aos/agrovoc/c_2615 http://aims.fao.org/aos/agrovoc/c_37934 http://aims.fao.org/aos/agrovoc/c_4073 http://aims.fao.org/aos/agrovoc/c_666 L73 - Maladies des animaux L72 - Organismes nuisibles des animaux 000 - Autres thèmes rage chien morsure transmission des maladies zone rurale Enquête pathologique contrôle de maladies maladie de l'homme épidémiologie gestion du risque http://aims.fao.org/aos/agrovoc/c_6416 http://aims.fao.org/aos/agrovoc/c_2352 http://aims.fao.org/aos/agrovoc/c_940 http://aims.fao.org/aos/agrovoc/c_2329 http://aims.fao.org/aos/agrovoc/c_6699 http://aims.fao.org/aos/agrovoc/c_28665 http://aims.fao.org/aos/agrovoc/c_2327 http://aims.fao.org/aos/agrovoc/c_29198 http://aims.fao.org/aos/agrovoc/c_2615 http://aims.fao.org/aos/agrovoc/c_37934 http://aims.fao.org/aos/agrovoc/c_4073 http://aims.fao.org/aos/agrovoc/c_666 Ponsich, Aurélia Goutard, Flavie Sorn, San Tarantola, Arnaud A prospective study on the incidence of dog bites and management in a rural Cambodian, rabies-endemic setting |
description |
Rabies circulates intensely in Cambodia, mainly affecting rural populations. We conducted a prospective study to estimate the baseline incidence of potentially infective dog bites in rural villages of Siem Reap province, Cambodia. The study was conducted in a convenience sample of 844 families totaling 1,779 persons in four villages. The study collected data in a total of 802.3 person-years. Trained village health workers (VHW) exhaustively documented consecutive dog bites at the end of each month. Between May 15th and November 15th, 2011, a total of 40 attacks (43 bites; 1.07 bites per attack) were notified by 39 persons (50% female; one suffered two distinct incidents) to VHW. The all-age attack rate for bites over this 6-month period was 2.3% (CI95%: 1.7% − 3.1%), with a global incidence rate estimated at 4.84 bites/100 person-years (CI95%: 3.5–6.6). The mean age in bite victims was 20.8 ± 18.9 years (median 12.5; interquartile range 6-36; range 1 − 63). The dog was identified in 39 (97.5%) of cases, being the household dog in 9 (22.5%) of cases. Bites were classified as severe (WHO Category III − broken skin with bleeding) in 33 (82.5%) of cases with a severe dog bites incidence estimated at 4/100 person-years (CI95%: 2.8–5.6). The bites involved the hand or face in 1 (2.5%) case each (both Category III). In 20 incidents (50%), only rice was applied to the wounds. There were no suspected or confirmed human rabies deaths during the study period but one dog died after biting (2 others were lost to follow-up and 14 were put down by their owner). Our study documented an extremely high incidence of dog bites in of rural Cambodian adults and children. Adapted control policies for canine vaccination are urgently needed. |
format |
article |
topic_facet |
L73 - Maladies des animaux L72 - Organismes nuisibles des animaux 000 - Autres thèmes rage chien morsure transmission des maladies zone rurale Enquête pathologique contrôle de maladies maladie de l'homme épidémiologie gestion du risque http://aims.fao.org/aos/agrovoc/c_6416 http://aims.fao.org/aos/agrovoc/c_2352 http://aims.fao.org/aos/agrovoc/c_940 http://aims.fao.org/aos/agrovoc/c_2329 http://aims.fao.org/aos/agrovoc/c_6699 http://aims.fao.org/aos/agrovoc/c_28665 http://aims.fao.org/aos/agrovoc/c_2327 http://aims.fao.org/aos/agrovoc/c_29198 http://aims.fao.org/aos/agrovoc/c_2615 http://aims.fao.org/aos/agrovoc/c_37934 http://aims.fao.org/aos/agrovoc/c_4073 http://aims.fao.org/aos/agrovoc/c_666 |
author |
Ponsich, Aurélia Goutard, Flavie Sorn, San Tarantola, Arnaud |
author_facet |
Ponsich, Aurélia Goutard, Flavie Sorn, San Tarantola, Arnaud |
author_sort |
Ponsich, Aurélia |
title |
A prospective study on the incidence of dog bites and management in a rural Cambodian, rabies-endemic setting |
title_short |
A prospective study on the incidence of dog bites and management in a rural Cambodian, rabies-endemic setting |
title_full |
A prospective study on the incidence of dog bites and management in a rural Cambodian, rabies-endemic setting |
title_fullStr |
A prospective study on the incidence of dog bites and management in a rural Cambodian, rabies-endemic setting |
title_full_unstemmed |
A prospective study on the incidence of dog bites and management in a rural Cambodian, rabies-endemic setting |
title_sort |
prospective study on the incidence of dog bites and management in a rural cambodian, rabies-endemic setting |
url |
http://agritrop.cirad.fr/580416/ http://agritrop.cirad.fr/580416/1/ActaTrop2016_Rage_AVSF_AGIRs_IPC.pdf |
work_keys_str_mv |
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