Risk factors for dog bites in Moiben Sub-county, Uasin Gishu county, Kenya


  • Philip Kipchoge Tuwei Department of Veterinary Services, Bungoma County, Kenya
  • Stephen Mwaura Kariuki Department of Medical Laboratory Sciences, Mount Kenya University, Eldoret, Kenya; Institute of Tropical Medicine and Infectious Disease (ITROMID), Jomo Kenyatta University of Agriculture and Technology (JKUAT) Nairobi, Kenya




Dog confinement, Risk factors, Rabies, Human rabies, Moiben sub-county


Background: Rabies virus still causes human and animal deaths around the world. Human rabies is transmitted by an infected canine. If rabies-infected person is not treated within 48 hours, the virus could move to the central nervous system and cause irreversible cell damage that could be fatal. The aim of this study was to establish risk factors for dog bites in Moiben Sub-county, and whether there is a significant association between dog bite frequency and those risk factors.

Methods: A total of 339 respondents were selected from a total of 1152 households using multistage sampling, simple random sampling and systematic sampling methods. The head of the household responded to interviewer-administered questionnaires. Data was analyzed using SPSS version 22 of 2013. Associations were tested using chi square test and any associations reported at critical p-value of 0.05 and 95% confidence interval.

Results: This Study found more children <15 years bitten by dogs (351/643, 54.6%, X²=26.3, p<0.01) than any other age bracket. There were significantly more males bitten compared with female victims (334/643, 51.9%, X²=10.3, p=0.03). Strangers were bitten in larger numbers than family members (512/643, 79.6%, X²= 7.11, p=0.03). The unconfined dogs bit people than the partially confined dogs (487/643, 75.7%, X²=12.9, p=0.01). Most people were bitten during the wet season than in dry season (437/643, 67%, X²=18.8, p=0.01).

Conclusions: The risk factors with significant association in dog bites in Moiben Sub-coounty were age and sex of the residents, dog confinement and seasons of the year. We recommend that the County government of Uasin Gishu controls the movement of dogs by enforcing the existing confinement policy and movement permits made mandatory for anyone intending to move a dog from one place to another. Free educational vaccination campaigns should be provided in order to attain 75% dog vaccination coverage. 

Author Biographies

Philip Kipchoge Tuwei, Department of Veterinary Services, Bungoma County, Kenya

Senior Veterinary Officer

Department of Veterinary Services, Bungoma County, Kenya.

Stephen Mwaura Kariuki, Department of Medical Laboratory Sciences, Mount Kenya University, Eldoret, Kenya; Institute of Tropical Medicine and Infectious Disease (ITROMID), Jomo Kenyatta University of Agriculture and Technology (JKUAT) Nairobi, Kenya

Lecturer, Medical School, Departpment of Medical Laboratory Sciences and Department of Public Health


Salome D, Naïssengar S, Rolande M, Colette D, Niezgoda N, Kuzmin I, et al. Rabies diagnosis in developing countries. Prev Vet Med. 2008;2(3):67-71.

Control C for D. Rabies: Exposure to Virus. National Centre for Infectious Disease; 2011.

Linda S, Keen A. Rabies. Index of lecture notes medical microbiology, University of Cape Town. Med Microbiol. 1995;9:67-72.

Borus P. Rabies: The emergencies of a microbial threat. East Africa Med J. 1996;73(1).

Finke S, Conzelmann K. Replication strategies of rabies virus. Virus Res. 2005;111:120-31.

Wekesa P. Zoonoses challenge in Kenya. In: KVA Scientific Conference on World Rabies Day, Mombasa, Kenya; 2008: 26-27.

Preseulti J. Prevention and Treatment of Dog Bites: Advisory Committee on Immunization Practices; 2001.

Hemachudha T. Human rabies: Neuropathogenesis, diagnosis, and management. Lancet Neurol. 2013;12:498.

Nanyingi M., Kikuvi M, Akhwale W, Omolo J. Spatio-temporal epidemiology of dog bites injuries at Kakamega Provincial Hospital, Kenya. Khwisero District Veterinary Office, Kenya. Pubmed Publ; 2010: 65.

Kitala P, McDermott J, Kyule M, Gathuma J, Perry B, Wanndeler A. Dog ecology and demography information to the planning of rabies control in Machakos district. Prev Vet Med. 2005;48(4):231-60.

Killic B, Semin S, Konakc S. Rabies suspected bites post exposture prophylaxis at health district in turkey. Int J Infect Dis. 2009;10(3):248-56.

Kongkaew W, Coleman P, Pfeiffer D, Antarasena C, Thiptara A. Vaccination coverage and epidemiological parameters of the owned-dog population in Thungsong district Thailand. South Vet Res Dev Center, Thail. 2004;65:105-15.

Omemo P. Community-based Rabies Control in Kenya: FAO-Animal Protection and Health. Glob Alliance. 2012;321:4-5.

WHO. Rabies Vaccines WHO Position Paper (1), Weekly Epidemiological Records; 2008.

Schiller B. China cracks down on rabid dog menace. Toronto Star Mag. 2007;3:6-7.

Tenzin P, Dhand N, Gyeltshen T, Firestone S, Zangmo C. Dog Bites in Humans and Estimating Human Rabies Mortality in Rabies Endemic Areas of Bhutan. PLoS Negl Trop Dis. 2011;5(11):e1391.

WHO. Guidelines for Rabies Control. Biomed Control 19th Ed.; 2009.

Dugan, Emily. Why scientist s fear for the future of the Asian vulture. United Kingdom Indep 2008 issue. 2008.

(WSPA) WS for the P of A. Surveying Roaming Dog Populations: Guidelines on Methodology; 2007.

Agarwal N, Reddajah V. Epidemiology of dog bites community based study in India. Trop Dr. 2004;34:76-8.

Belotto A, Leanes L, Schneider M, Tamayo H, Correa E. Overview of rabies in the Americas. Virus Res. 2005;111:5-12.

WHO. Strategies for the Control and Elimination of Rabies in Asia. Report of a WHO Inter-Regional Consultation; 2001.

Coetzee P, Nel L. Emerging epidemic dog rabies in coastal South Africa: a molecular epidemiological analysis. Virus Res. 2007;126:186–95.




How to Cite

Tuwei, P. K., & Kariuki, S. M. (2017). Risk factors for dog bites in Moiben Sub-county, Uasin Gishu county, Kenya. International Journal Of Community Medicine And Public Health, 4(12), 4401–4405. https://doi.org/10.18203/2394-6040.ijcmph20175311



Original Research Articles