Human rabies in Tianjin, China
| Autor: | Matthew L. Boulton, Eden V. Wells, Y. Liu, Xiexiu Wang, Yangyi Zhang, Joshua L. Clayton, JoLynn P. Montgomery |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male China medicine.medical_specialty Adolescent Rabies Poison control Occupational safety and health Young Adult Dogs Environmental health Health care Epidemiology Injury prevention medicine Animals Humans Bites and Stings Dog Diseases Child Aged business.industry Public health Public Health Environmental and Occupational Health General Medicine Middle Aged medicine.disease Regimen Rabies Vaccines Child Preschool Population Surveillance Female business |
| Zdroj: | Journal of Public Health. 34:505-511 |
| ISSN: | 1741-3850 1741-3842 |
| DOI: | 10.1093/pubmed/fds041 |
| Popis: | Background Human rabies has recently re-emerged as a significant public health threat in Tianjin, China. Methods Using surveillance data compiled by the Tianjin Centers for Disease Control and Prevention, we describe 60 cases of human rabies reported from 2005 to 2011 in the municipality of Tianjin, China. Results All 60 cases of human rabies resulted in death. Cases were primarily male (80%), middle aged (mean 40.6 years), and exposed to rabies in a rural setting (82%). Most exposures were associated with dog bites (93%) and no animal had a history of rabies vaccination; no cases were laboratory confirmed. Fifteen percent of patients sought medical attention for their wound, and none received a complete regimen of WHO-recommended post-exposure prophylaxis (PEP). Conclusions These findings suggest the need for China’s public health authority to improve animal rabies surveillance and control strategies through laboratory case confirmation, more rapid response to potential exposures with provision of appropriate PEP, and education to the public and to health care providers on identifying and reducing rabies risk. |
| Databáze: | OpenAIRE |
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