Spatial inequality hides the burden of dog bites and the risk of dog-mediated human rabies
| Autor: | Julianna Shinnick, Sergio Recuenco, Ricardo Castillo-Neyra, Micaela De la Puente-León, Michael J. Levy, Amparo M. Toledo |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Urban Population 0302 clinical medicine Surveys and Questionnaires Zoonoses Health care Peru Bites and Stings Dog Diseases purl.org/pe-repo/ocde/ford#3.03.09 [http] Dog-Mediated Human Rabies education.field_of_study Articles Middle Aged Infectious Diseases Spatial inequality Geography Epidemiological Monitoring Female Post-Exposure Prophylaxis Dog Bites purl.org/pe-repo/ocde/ford#3.03.06 [https] Adult Risk Rabies 030231 tropical medicine Population MEDLINE 03 medical and health sciences Dogs Virology Environmental health medicine Animals Humans education Rabies transmission Socioeconomic status Demography business.industry Outbreak Patient Acceptance of Health Care Spatial Inequality medicine.disease Rabies Vaccines Socioeconomic Factors Parasitology Health Facilities business |
| Zdroj: | Am J Trop Med Hyg CONCYTEC-Institucional Consejo Nacional de Ciencia Tecnología e Innovación Tecnológica instacron:CONCYTEC |
| DOI: | 10.1101/2020.02.07.20020727 |
| Popis: | Since its reintroduction in 2015, rabies has been established as an enzootic disease among the dog population of Arequipa, Peru. Given the unknown rate of dog bites, the risk of human rabies transmission is concerning. Our objective was to estimate the rate of dog bites in the city and to identify factors associated with seeking health care in a medical facility for wound care and rabies prevention follow-up. To this end, we conducted a door-to-door survey with 4,370 adults in 21 urban and 21 periurban communities. We then analyzed associations between seeking health care following dog bites and various socioeconomic factors, stratifying by urban and peri-urban localities. We found a high annual rate of dog bites in peri-urban communities (12.4%), which was 2.6 times higher than that in urban areas (4.8%). Among those who were bitten, the percentage of people who sought medical treatment was almost twice as high in urban areas (39.1%) as in peri-urban areas (21.4%). Copyright © 2020 by The American Society of Tropical Medicine and Hygiene |
| Databáze: | OpenAIRE |
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