A study of human rabies cases admitted in infectious disease hospital KGMU, Lucknow, North India

Authors

  • Khalid Mohammad Department of Community Medicine, Era’s Lucknow Medical College, Lucknow, Uttar Pradesh, India
  • Pratibha Gupta Department of Community Medicine, Era’s Lucknow Medical College, Lucknow, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20184571

Keywords:

Rabies, Hydrophobia, Anti rabies vaccines, Dog bite, Post exposure treatment

Abstract

Background: Rabies is only communicable disease of man that is always fatal but easily preventable disease, if animal bites are appropriately and timely managed. It is estimated that India continues to report every year 25,000 to 30,000 human rabies deaths. The objective of this study was to describe the clinic epidemiological characteristics of human rabies.

Methods: Analysis of the records of probable rabies cases admitted into the Infectious Diseases Hospital, KGMU, Lucknow during 2010-2014.

Results: Total 490 human rabies cases were admitted during study period. Majority (63.26%) of the victims were between 12-60 years of age. Males constituted 83.47% of cases and victims from rural areas were 92.65%. Principal biting animal was dog (94.29%). Majority of the cases (77.96%) were not vaccinated. Most of the cases (93.47%) left against medical advice within 24 hours after admission.

Conclusions: Rabies is a major health problem in this part of India. The data indicates that there is still much to do for mitigation of this menace and the crux of the problem is the epidemiological trend has not changed much. Hence, there is an immediate and urgent need to educate the community and health workers about the importance of immediate and adequate post-exposure treatment. Prevention strategies are critical to better manage rabies in these endemic areas.

Author Biographies

Khalid Mohammad, Department of Community Medicine, Era’s Lucknow Medical College, Lucknow, Uttar Pradesh, India

Department of Community Medicine,  Assistant Professor

Pratibha Gupta, Department of Community Medicine, Era’s Lucknow Medical College, Lucknow, Uttar Pradesh, India

Department of Community Medicine, Professor

References

Knobel DL, Cleaveland S, Coleman PG, Fevre EM, Meltzer MI, Miranda ME, et al. Re-evaluating the burden of rabies in Africa & Asia. Bull World Health Organ. 2005;83(5):360-8.

Wilde H. Rabies 1996. Int J Infect Dis. 1997;1(3):135-42.

WHO, Health Situation in South-East Asia Region 1994-1997,Regional office for SEAR, New Delhi, 1999.

Sudarshan MK. Assesing Burden of rabies in India: WHO sponsored national multicentric rabies survey, 2003. Ind J Com Med. 2005;30(3):100-1.

Singh US, Choudhary SK. Knowledge, attitude, behaviour and practice study on dog bite and its management in the context of prevention of rabies in a rural community of Gujarat. Ind J Com Med 2005;30(3):81-83.

Sudarshan MK, Mahendra BJ, Madhusudana SN, Ashwoath Narayana DH, Rahman A, Rao NS, et al. An epidemiological study of animal bites in India: result of a WHO sponsored national multi-centricrabies survey. J Commun Dis. 2006;38(1):32-9.

World Health Organization. WHO expert consultation on rabies. WHO Tech Rep Ser. 2005;931:88.

Jackson AC, Warrell MJ, Rapprecht CE, Ertl HCJ, Dietzschold B, O’Reilly M, et al. Management of rabies in human. Cin Infect Dis. 2003;36(1):60-3.

Center for Disease Control and Prevention- United States, 1999: Recommendations of Advisory Committee on Immunization Practices (ACIP). MMWR Morb Mortal Wkly Rep. 1999;48(1):1-21.

WHO expert committee on rabies. World Health Organ Tech Rep Ser. 1992;824:1-84.

Lakhanpal U, Sharma RC. An epidemiological study of human rabies cases. J Epidemiol. 1985;14:614-6.

Roy A. Lethal silver haired bat rabies virus infection can be prevented by opening the blood –brain barrier. J Virol. 2004;81(15):7993-8.

Zaheer Md., Zaidi SAH, Sinha SN. A clinico- epidemiological study of animal bites with reference to rabies. Indian J Pub Hlth. 1970;14:122-8.

Chowdhury JR, Modak KK. Report on rabies in West Bengal. J Indian Med Association. 1981;81:69-74.

Haque MS, Yesmin T, Islam MM. Epidemiological characteristics of human rabies at infectious disease hospital, Dhaka. Bangladesh J Child Health. 2011;35(3):102-7.

Ghosh A. Study of dog bite rabies cases at Communicable Disease Center (CDC) B.R. Ambedkar hospital, Agartala, Tripura during 1995 to 2000. APRICON 2004. 6th National Conference on Rabies; 2000: 42-47.

Arvind, Pal D. Human rabies cases in Kolkata with its application to post prophylaxis. Indian J Amin Res. 2010;44(4):241-7.

Rahman M, Salimuzzamn M, Alam MB, Rouf MA, Hossain MJ, Rahman MR. Human rabies in Bangladesh- A study of 684 cases. J Med. 2007;8:3-6.

Chhabra M, Ichhpujani RL, Tewari KN, LalS.Human Rabies in Delhi. Indian J Paediatr. 2004;71(3):217-20.

Mahendra BJ, Sudarshan MK, Madhusudana SN. Post exposure prophylaxis with purified vero cell rabies vaccine during pregnancy-safety and immunogenicity. J Commun Dis. 1999;31:229-36.

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Published

2018-10-25

How to Cite

Mohammad, K., & Gupta, P. (2018). A study of human rabies cases admitted in infectious disease hospital KGMU, Lucknow, North India. International Journal Of Community Medicine And Public Health, 5(11), 4795–4798. https://doi.org/10.18203/2394-6040.ijcmph20184571

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Original Research Articles