Assessment of the current rabies situation and its management in epidemic areas of southern Ethiopia

Author:

Mulugeta Yimer1,Lombamo Fantu2,Alemu Anberber3,Yohanise Meseret4,Assefa Zewdu5,Shibru Endashaw6,Beyene Mekoro3,kitila Gutu1,Getahun Garoma1,Sifer Desalegn1,Aklilu Mesfin1,Regasa Feyisa5,Deresa Asefa7

Affiliation:

1. Zoonotic Disease Research Team, Ethiopian Public Health Institute, Addis Ababa, Ethiopia

2. Department of Public Health, St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia

3. Vaccine and Diagnostics Production Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia

4. Veterinary Public Health Directorate, Ministry of Agriculture, Addis Ababa, Ethiopia

5. Public Health Emergency Management Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia

6. Public Health Emergency Management Directorate, Health Bureau of SNNP, Hawassa, Ethiopia

7. Deputy Director General Office/RTT, Ethiopian Public Health Institute, Addis Ababa, Ethiopia

Abstract

Rabies infection is almost always a 100% lethal viral disease in all mammals, including humans. Although more than 60,000 people worldwide are preventable, 2,700 people in Ethiopia die of fatal human rabies annually. The aim of this study was to generate strategic information on the extent of the burden of rabies and major response strategies in place, only to overcome and bring attention to the management of rabies outbreaks. The cross - sectional case - based study design was used to discuss the disease areas of the Southern Nations, Nationalities, and Peoples ' Regional States of Ethiopia. Data analysis revealed a total of 16 fatal human rabies and 287 suspected rabies exposures. The highest attack rate of 116.3 cases per 100,000 human subjects was reported in Tembaro woreda. As a result, 48 animal deaths of rabies have been reported, while cattle (28) have been more affected than other animal species. The lack of dog immunization, lack of community awareness of dog management, and inaccessibility and inefficiency of anti - rabies vaccines were major risk factors associated with the spread of rabies exposure between humans and animals. In conclusion, this study has clearly shown that both the existence and the high magnitude of fatal human and animal rabies are significant in the area. Multidisciplinary approach interventions to increase community awareness of dog vaccination, effective and immediate treatment of exposed individuals is recommended as a method of disease control and prevention

Publisher

International Library of Science

Subject

General Engineering

Reference16 articles.

1. 1. WHO. Rabies fact sheet.https://www.who.int/news-room/fact-sheats/detail/rabies 2019 [cited 2019 May 21].

2. 2. Takahashi-Omoe H, Omoe K, Okabe N. Regulatory systems for prevention and control of rabies, Japan. Emerging infectious diseases. 2008 Sep;14(9):1368.

3. 3. FAO, Developing a stepwise approach for rabies prevention and control. Proceedings of the FAO/GARC Workshop, November 2012, Rome, Italy. FAO Animal Production and Health Proceedings, 2013. 18.

4. 4. WHO, WHO expert consultation on rabies: Frist report, in Technical report series 2005, WHO: Geneva.

5. 5. Undurraga EA, Blanton JD, Thumbi SM, Mwatondo A, Muturi M, Wallace RM. Tool for eliminating dog-mediated human rabies through mass dog vaccination campaigns. Emerging infectious diseases. 2017 Dec;23(12):2114.

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