Awareness of rabies and response to dog bites in a Bangladesh community.

Awareness of rabies and response to dog bites in a Bangladesh community.
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DOI:
10.1002/vms3.30
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发表时间:
2016-08
影响因子:
1.7
通讯作者:
Ahmed BN
Ahmed BN
中科院分区:
农林科学3区
文献类型:
--
作者:
Ghosh S;Chowdhury S;Haider N;Bhowmik RK;Rana MS;Prue Marma AS;Hossain MB;Debnath NC;Ahmed BN

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社区对狂犬病的认识和寻求治疗的行为对于预防和控制人类和动物疾病至关重要。我们开展了一项研究,以探索孟加拉国西南部Satkhira Sadar地区人们对狂犬病的认识、他们对狗的态度以及治疗狗咬伤的相关做法。在接受调查的3200户家庭中,大多数答复者听说过狂犬病(73%),并且高度认识到狗咬伤是狂犬病的主要原因(86%),狂犬病可以通过接种疫苗预防(85%)。然而,59%的被狗咬伤者首先向传统治疗师寻求治疗,而不是去医院,29%的人接种了狂犬病疫苗,2%的人用肥皂和水进行了适当的伤口清洗,而4.8%的人没有采取任何措施。所有受害者均未接受狂犬病免疫球蛋白(RIG)注射。在应答者中,5.2%的人报告至少有一名家庭成员有狗咬伤史,11.8%的人报告前一年有家畜被狗咬伤史。家庭成员较多(OR: 1.13, 95% CI: 1.07-1.2)、养宠物狗(OR: 2.1, 95% CI: 1.4-3.2)和照顾或喂养社区狗(OR: 2.1, 95% CI: 1.4-2.9)的HHs显示被狗咬伤的风险增加。在被咬伤者中,3.6% (n = 6)人死亡,15.8% (n = 60)动物死亡。作为犬类种群管理(DPM)措施,56%的人倾向于绝育,其余的人倾向于杀狗。应通过额外的教育和认识规划以及在孟加拉国提供更好的暴露后预防措施,改善应答者目前寻求治疗的行为。我们建议扩大全国大规模犬类疫苗接种和预防狂犬病预防措施,以减轻孟加拉国狂犬病病例和狗咬伤的负担。
Community awareness regarding rabies and treatment seeking behaviours are critical both for the prevention and control of the disease in human and animals. We conducted a study to explore people's awareness about rabies, their attitudes towards dogs and practices associated with treating dog bites in Satkhira Sadar, a south‐western sub‐district of Bangladesh. Of the total 3200 households (HHs) surveyed, the majority of the respondents have heard about rabies (73%) and there was a high level of awareness that dog bite is the main cause of rabies (86%), and that rabies can be prevented by vaccination (85%). However, 59% of the dog bite victims first seek treatment from traditional healers instead of visiting the hospitals, 29% received the rabies vaccine, 2% practiced proper wound washing with soap and water, while 4.8% have not taken any measures. None of the victims have received rabies immunoglobulin (RIG). Of the respondents, 5.2% reported a history of dog bite in at least one family member, and 11.8% reported a history of dog bite in domestic animals during the previous year. The HHs having a higher number of family members (OR: 1.13, 95% CI: 1.07–1.2), having a pet dog (OR: 2.1, 95% CI: 1.4–3.2) and caring or feeding a community dog (OR: 2.1, 95% CI: 1.4–2.9) showed an increased risk of getting a dog bite. Among the bite victims, 3.6% (n = 6) humans and 15.8% (n = 60) animals died. As a measure for dog population management (DPM), 56% preferred sterilization while the rest preferred killing of dogs. The current treatment seeking behaviours of the respondents should be improved through additional education and awareness programme and better availability for the provision of post‐exposure prophylaxis in Bangladesh. We recommend scaling up national mass dog vaccination and DPM to reduce the burden of rabies cases and dog bites in Bangladesh.
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