Rabies is an anthropozoonosis that presents approximately 100% lethality and expensive preventive assistance. Many human post-exposure anti-rabies treatments indicated for people at risk of exposure to rabies virus, usually due to some aggression by a mammalian animal, are instituted annually. This study aimed to evaluate the initial care of post-exposure prophylaxis of human rabies in Belo Horizonte between 2007 and 2016, involving accidents with domestic cats. It was found 71.1% agreement between the treatments instituted by health services and the protocol of the Ministry of Health. Treatments classified as insufficient totaled 18.3% and excessive, 10.6%. The animals were healthy in 68% and observable in 68.4% of the cases. Treatments involving the use of anti-rabies vaccine totaled 87.7%. The most frequent treatment adopted by the health services was observing the animals associated with the human anti-rabies vaccination in 56.7% of the cases. Imperfections in the filling of the notifications must be revised to enable improvements for future analyses. As for human prophylactic anti-rabies care, forming a multidisciplinary health team including veterinarians would be well on the way to improving the service offered.
Article history The objective of this study was to analyze the spatiotemporal distribution of 193 autochthonous cases that were confirmed as hantavirus cardiopulmonary syndrome (HCPS) from 1998 to 2007 and its association with landscape configuration in the Cerrado region of Minas Gerais, Brazil. Among the 193 autochthonous cases, the probable sites of infection (PSI) of 129 cases (66.8%) were geoprocessed. We then evaluated the association between the HCPS cases and landscape variables through a multivariate analysis of the main components. Particularly, the mesoregion of Triângulo Mineiro/Alto Paranaíba had 130 autochthonous cases (67.3%). In addition, the chance of conglomeration of cases in municipalities located in this mesoregion was greater than that in other mesoregions. HCPS cases were positively associated with the increase in the area of planted pastures and natural forests in the Cerrado region. Rice, beans, maize, and sugar cane cultivations were less associated with HCPS. We concluded that the changes in the Cerrado ecosystem due to agricultural activities propitiate the maintenance of rodent populations and HCPS virus reservoirs. Additional training for health professionals for early diagnosis and reduction of the causes of the disease must be carried out in the endemic areas of Minas Gerais.
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