Rabies Vaccine Hesitancy and Deaths Among Pregnant and Breastfeeding Women — Vietnam, 2015–2016
| Autor: | Thach Pham, Duong N. Tran, Huong Tran, Huong T T Nguyen, Cuc H. Tran, Anh Duc Dang, Thiem Dinh Vu, Anh N K Nguyen, Emily G. Pieracci, Hoang V Nguyen |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty Pediatrics Health (social science) Epidemiology Rabies Health Toxicology and Mutagenesis medicine.medical_treatment education 030231 tropical medicine Breastfeeding 03 medical and health sciences 0302 clinical medicine Rabies vaccine Dogs Health Information Management Pregnancy medicine Animals Humans 030212 general & internal medicine Full Report Bites and Stings Post-exposure prophylaxis business.industry Public health Vaccination General Medicine medicine.disease Breast Feeding Rabies Vaccines Vietnam Female Pregnant Women business Post-Exposure Prophylaxis Breast feeding medicine.drug |
| Zdroj: | Morbidity and Mortality Weekly Report |
| ISSN: | 1545-861X 0149-2195 |
| Popis: | Human rabies deaths are preventable through prompt administration of postexposure prophylaxis (PEP) with rabies immune globulin and rabies vaccine after exposure to a rabid animal (1); there are no known contraindications to receiving PEP (1,2). Despite widespread availability of PEP in Vietnam, in 2015 the Ministry of Health (MoH) received reports of pregnant and breastfeeding women with clinically diagnosed rabies. MoH investigated factors associated with these rabies cases. MoH found that, during 2015-2016, among 169 cases reported in Vietnam, two probable cases of rabies were reported in breastfeeding mothers and four in pregnant women, all of whom had been bitten by dogs. All six patients died. Three of the four pregnant women had cesarean deliveries. One of the three newborns died from complications believed to be unrelated to rabies; the fourth pregnant woman contracted rabies too early in pregnancy for the fetus to be viable. Two of the patients sought care from a medical provider or traditional healer; however, none sought PEP after being bitten. In each case, families reported the patient's fear of risk to the fetus or breastfed child as the primary barrier to receiving PEP. These findings highlight the need for public health messaging about the safety and effectiveness of PEP in preventing rabies among all persons with exposures, including pregnant and breastfeeding women. |
| Databáze: | OpenAIRE |
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