Rabies Vaccine Hesitancy and Deaths Among Pregnant and Breastfeeding Women — Vietnam, 2015–2016

Nguyen, Huong Thi; Tran, Cuc H.; Dang, Anh Duc; Tran, Huong G.T.; Vu, Thi Bich Hau; Pham, Thach Ngoc; Nguyen, Hoang V.; Nguyen, Anh Minh; Pieracci, Emily G.; Tran, Duong Nhu

doi:10.15585/mmwr.mm6708a4

Cited by 7 publications

(4 citation statements)

References 6 publications

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“…Dimaano et al [2] reported that in the Philippines, 92% of patients did not seek a proper medical consultation, and only 22.5% of patients received PEP, largely for cost reasons; Wallace et al [24] reported that 20.8% of patients received PEP in Haiti, and Ren et al [18] reported that only 1.1% of patients finished the full PEP regimen in China. An important public health task is to promote the safety and effectiveness of PEP in preventing rabies, with all its consequences, among all exposed persons [25].…”

Section: Discussionmentioning

confidence: 99%

Epidemiological Features of Human Cases After Bites/Scratches From Rabies-suspected Animals in Zenica-Doboj Canton, Bosnia and Herzegovina

Uzunović

Skomorac

Basić

et al. 2019

J Prev Med Public Health

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Objectives: To determine the epidemiological features of patients and animals after bites/scratches from rabies-suspected animals in Zenica-Doboj Canton, Bosnia and Herzegovina. Methods: Data from all patients (and the causative animals) admitted to the Antirabies Service of the Institute for Health and Food Safety Zenica in the 2009-2017 period were analyzed, including age, sex, anatomical site of the bite/scratch, animal type (stray/owned/wildlife), veterinary observations of the animal, and whether antirabies post-exposure prophylaxis (PEP) was indicated and/or administered. Results: In total, 1716 patients were admitted. Bites/scratches were most frequently recorded during April and May (n=181, 10.5% and n=163, 9.5%, respectively). The persons admitted were mostly from the Zenica municipality (n=1278, 74.5%; incidence: 11.55/ 1000), which is 66.6% urbanized. Males were more frequently represented (n=1089, 63.6%). The patients were mostly 50-64 and 25-49 years of age (n=425, 24.7% and n=390, 22.7%, respectively). Dog bites were the most common cause (n=1634, 95.1%, of which n=1258, 77.0% were caused by stray dogs). PEP was indicated for 997 (58.1%) patients. Only 340 (19.9%) animals underwent veterinary observations (3.1% of stray and 76.1% of owned animals). The largest number of injuries were presented at lower extremities, 1044 (60.8%) cases. Conclusions: Zenica-Doboj Canton is a rabies-free region. Due to the high rate of stray animals not undergoing veterinary observations, the non-existence of a unique dog registry, and the consequent lack of information about stray animals in terms of number, vaccination, neutering, and euthanasia, there is an urgent need for improving the prevention and control of rabies within the One Health framework.

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Section: Discussionmentioning

confidence: 99%

Epidemiological Features of Human Cases After Bites/Scratches From Rabies-suspected Animals in Zenica-Doboj Canton, Bosnia and Herzegovina

Uzunović

Skomorac

Basić

et al. 2019

J Prev Med Public Health

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“…According to study a by Yurachai et al , 34 rabies infection affects children more compared with other age groups. 24 This corresponds to a WHO report, stating that 40% of rabies victims are children ages 4–15 ( https://www.who.int/news-room/fact-sheets/detail/rabies ). Other studies in Yemen and Iran reported similar findings, with nearly 40% of the individuals exposed to rabies infection falling in this age group.…”

Section: Discussionmentioning

confidence: 85%

“…According to study a by Yurachai et al ,34 rabies infection affects children more compared with other age groups 24. This corresponds to a WHO report, stating that 40% of rabies victims are children ages 4–15 (https://www.who.int/news-room/fact-sheets/detail/rabies).…”

Section: Discussionmentioning

confidence: 91%

“…Disagreements were resolved through discussion to reach a consensus. Eleven articles were removed for the following reasons: they did not meet the objective (n=4),17–20 they were not primary/original research articles (n=4),21–24 the full article could not be retrieved (n=2)25 26 and they were duplicates (n=1),27 leaving a total of eight articles for proceeding with the quality appraisal. The PRISMA flow chart is presented in figure 1.…”

Section: Resultsmentioning

confidence: 99%

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Rabies in Southeast Asia: a systematic review of its incidence, risk factors and mortality

et al. 2023

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ObjectiveRabies is a neglected zoonotic disease that can infect all mammals, including humans. We aimed to summarise the current knowledge of the incidence, risk factors and mortality of rabies in Southeast Asia.DesignSystematic review based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020.Data sourcesScopus, Web of Science and PubMed were searched from 1 January 2012 to 21 February 2023.Eligibility criteriaOriginal English language articles published between 2012 and 2023 were included.Data extraction and synthesisNine independent reviewers extracted data and assessed the risk of bias. The quality appraisal of included articles was carried out using the Mixed Methods Appraisal Tool.ResultsA total of eight articles were included in this analysis. In Vietnam, the incidence of rabies ranged from 1.7 to 117.2 per 100 000 population. The cumulative incidence in Sarawak was estimated at 1.7 per 100 000 population. In Indonesia, 104 human rabies cases were reported from 2008 to 2010, while in Thailand, a total of 46 rabies cases were reported in Thailand from 2010 to 2015. In the Philippines, the incidence of rabies ranged from 0.1 to 0.3 per 100 000 population. An increased risk of rabies virus infection was associated with a high population density, illiteracy, seasonal patterns and dog butchers. The case fatality rate was 100%.ConclusionThis study included research from Southeast Asia, which may not represent rabies infection in other regions or continents. In addition, the role of publication bias should be acknowledged as grey literature was not included. The occurrence of rabies in Southeast Asia is due to the high number of unvaccinated stray and pet dogs, working hazards (dog butchers in Vietnam), the unavailability of the rabies vaccine in rural regions and misinformation about the significance of seeking treatment after dog bites.PROSPERO registration numberCRD42022311654.

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Passive Immunity in Rabies Prophylaxis

Rupprecht¹,

Yager

Newhouse

2020

Rabies and Rabies Vaccines

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Rabies Vaccine Hesitancy and Deaths Among Pregnant and Breastfeeding Women — Vietnam, 2015–2016

Cited by 7 publications

References 6 publications

Epidemiological Features of Human Cases After Bites/Scratches From Rabies-suspected Animals in Zenica-Doboj Canton, Bosnia and Herzegovina

Epidemiological Features of Human Cases After Bites/Scratches From Rabies-suspected Animals in Zenica-Doboj Canton, Bosnia and Herzegovina

Rabies in Southeast Asia: a systematic review of its incidence, risk factors and mortality

Passive Immunity in Rabies Prophylaxis

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