Factors Associated with Risk Exposure to Human Rabies among Mammal Bite Cases in Mukah Division, Sarawak, East Malaysia

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL
Nik Nairan Abdullah, Mohammad Syafiq Hassan, Khalid Ibrahim
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引用次数: 0

Abstract

INTRODUCTION: Rabies is a neglected disease. Before the epidemic of rabies in Sarawak in July 2017, surveillance of mammal bites was not well implemented throughout the state. Our objective was to determine the prevalence of mammal bites in the Mukah Division and the factors that are associated with the risk of exposure to human rabies. MATERIALS AND METHODS: This is a cross-sectional study that used data from reported cases of mammal bites in Mukah Division, Sarawak, from 2018–2019. A universal sampling method was used, and 457 cases of mammal bites were included in the analysis. Data was analysed using single logistic regression and multiple logistic regression. RESULTS: The prevalence of mammal bites in Mukah Division was 0.35% with a cumulative incidence of 354 per 100 000 population. Age group 0-14 years old (AOR 6.49, 95%CI 1.26-33.53), free-roaming pet (AOR 2.93, 95% 1.36-6.28) and stray mammals (AOR 10.88, 95% CI 5.05-23.48) were found to be significantly associated with risk exposure to human rabies in Mukah Division in the final model. CONCLUSION: Health awareness and education should be emphasized to the community and medical personnel on the identified risk factors so that rabies infection can be prevented.
东马来西亚沙捞越穆卡区哺乳动物咬伤病例中暴露于人类狂犬病风险的相关因素
狂犬病是一种被忽视的疾病。在2017年7月砂拉越狂犬病流行之前,全州没有很好地实施哺乳动物咬伤监测。我们的目的是确定穆卡区哺乳动物咬伤的发生率以及与暴露于人类狂犬病风险相关的因素。材料和方法:这是一项横断面研究,使用了2018-2019年沙捞越Mukah地区报告的哺乳动物咬伤病例数据。采用通用抽样方法,对457例哺乳动物咬伤病例进行分析。数据分析采用单逻辑回归和多元逻辑回归。结果:该区哺乳动物咬伤发生率为0.35%,累计发病率为354人/ 10万人;最终模型发现0-14岁年龄组(AOR 6.49, 95%CI 1.26-33.53)、自由漫游宠物(AOR 2.93, 95% 1.36-6.28)和流浪哺乳动物(AOR 10.88, 95%CI 5.05-23.48)与Mukah地区人类狂犬病暴露风险显著相关。结论:应加强社区和医务人员对危险因素的健康意识和教育,预防狂犬病感染。
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来源期刊
International Medical Journal Malaysia
International Medical Journal Malaysia Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
73
期刊介绍: International Medical Journal Malaysia (IMJM) is the official journal of the Kulliyyah (Faculty) of Medicine, International Islamic University Malaysia. It serves primarily as a forum for education and intellectual discourse for health professionals namely in clinical medicine but covers diverse issues relating to medical ethics, professionalism as well as medical developments and research in basic medical sciences. It also serves the unique purpose of highlighting issues and research pertaining to the Muslim world. Contributions to the IMJM reflect its international and multidisciplinary readership and include current thinking across a range of specialties, ethnicities and societies.
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