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Survey of animal bite injuries and their management for an estimate of human rabies deaths in N ’Djaména, C had

2013; Wiley; Volume: 18; Issue: 12 Linguagem: Inglês

10.1111/tmi.12202

1365-3156

Jennifer A. Frey, Rolande Mindekem, Hamit Kessely, Daugla Doumagoum Moto, S. Naïssengar, Jakob Zinsstag, Esther Schelling,

Viral Infections and Outbreaks Research

Abstract Objective To estimate the annual human rabies incidence as a baseline prior to mass dog vaccination campaigns in N'D jaména, C had. Methods Survey of animal bites, involving 50% of all healthcare providers in N'D jaména, from September 2008 to April 2009. Of 86 people exposed to a suspected rabid animal, 50% received post‐exposure vaccination and a further 8% had their wound cleaned. We estimated annual incidence of bites from suspected rabid animals of 12.9/100 000 and an incidence of 0.7 human rabies deaths/100 000, resulting in 7 estimated deaths (95% confidence interval 4–10 deaths) per year in N'D jaména. 14% of bite victims sought help from veterinarians. Conclusions Closer cooperation between physicians and veterinarians warrants more effective rabies control. The high proportion (42%) of potentially exposed people without post‐exposure vaccination or wound treatment necessitates urgent attention.