印度东北部农村地区的狂犬病:病例报告强调 "一体健康 "方法的紧迫性

IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES
Parimala Mohanty , Prasanta Kumar Boro , Samira Heydtmann , Salome Durr , Harish Kumar Tiwari
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引用次数: 0

摘要

犬媒狂犬病是印度的地方病。尽管有预防死亡的干预措施,但印度仍是狗咬狂犬病死亡率最高的国家。我们介绍了印度东北部郊区城镇一名 59 岁男子被狗咬伤后死亡的案例研究。通过这个案例研究,我们调查了社区和卫生专业人员的各种疏忽和疏漏,这些疏忽和疏漏导致狂犬病在印度肆虐。我们通过采访死亡者的妻子、亲属、邻居、报告咬伤病例的医院/疗养院、地区快速反应小组(RRT)、兽医和动物卫生部官员,并通过疾病爆发报告中记录的信息,调查了死亡的相关情况。虽然被咬动物没有接种疫苗,其主人也没有限制其行动,但医院工作人员和公共当局的反应却迟缓而不充分。本案例研究提醒人们注意印度由狗引起的狂犬病的复杂性,呼吁通过确保 "一体健康 "方法(包括教育、提供接触后预防 (PEP) 和犬用狂犬病疫苗、促进负责任的养狗行为以及跨部门合作)来制定解决狗咬人问题的整体方案。此外,通过有效的数据交换加强沟通渠道,并鼓励医疗保健、兽医和公共卫生部门之间发挥协同作用,对于最大限度地发挥狂犬病预防和控制干预措施的影响也是不可或缺的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Rabies in rural northeast India: A case report emphasising the urgency of the One Health approach

Dog-mediated rabies is endemic in India. The country records the highest mortality due to dog-bite-related rabies despite the availability of interventions to prevent deaths. We present a case study of the death of a 59-year-old man in a suburban town of Northeast India after a dog bite from an owned pup. Through this case study, we investigate various omissions and commissions in communities and health professionals that make rabies rampant in India. The circumstances surrounding the death were investigated by interviewing the wife, relatives, neighbour, the hospital/nursing home where the bite case was reported, the district Rapid Response Team (RRT), and the Veterinary and Animal Health Department Officer and through the information recorded in the disease outbreak report. While the biting animal was not vaccinated and had no restriction over its movement imposed by the owners, the response of the hospital staff and public authorities was delayed and inadequate. A poignant reminder of the complexities surrounding dog-mediated rabies in India, this case study calls for a holistic protocol to address dog bites through ensuring the One Health approach encompassing education, provision of post-exposure prophylaxis (PEP) and canine rabies vaccines for dogs, promotion of responsible dog ownership, and intersectoral collaboration. Moreover, strengthening communication channels through effective data exchange and encouraging synergy among healthcare, veterinary, and public health sectors is indispensable to maximize the impact of rabies prevention and control interventions.

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来源期刊
One Health
One Health Medicine-Infectious Diseases
CiteScore
8.10
自引率
4.00%
发文量
95
审稿时长
18 weeks
期刊介绍: One Health - a Gold Open Access journal. The mission of One Health is to provide a platform for rapid communication of high quality scientific knowledge on inter- and intra-species pathogen transmission, bringing together leading experts in virology, bacteriology, parasitology, mycology, vectors and vector-borne diseases, tropical health, veterinary sciences, pathology, immunology, food safety, mathematical modelling, epidemiology, public health research and emergency preparedness. As a Gold Open Access journal, a fee is payable on acceptance of the paper. Please see the Guide for Authors for more information. Submissions to the following categories are welcome: Virology, Bacteriology, Parasitology, Mycology, Vectors and vector-borne diseases, Co-infections and co-morbidities, Disease spatial surveillance, Modelling, Tropical Health, Discovery, Ecosystem Health, Public Health.
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