Differences in health seeking behavior of animal bite patients between urban and rural areas of Aurangabad city

Rahul R. Chopade


Background: The present study explores the variation in epidemiology and treatment seeking behavior of animal bite patients in rural and urban areas. The rural urban differences would be imperative in effective policy making, planning and implementation of preventive and control measures.

Methods: This cross-sectional study was carried out in 50 urban patients were from anti-rabies vaccination clinic of government medical college Aurangabad and 50 rural patients from areas of Paithan from January 2016 to May 2016. All patients were subjected to socio-demographic profile and detailed history of animal bites, wound toileting and treatment including both active and passive immunization.

Results: Overall, 66% were males and 34% were females. Most of the people in rural area were bitten by stray dog (42%) followed by wild animals like pig, monkey (16%) as compared with 38% of stray dog bite cases in urban areas. The commonest site of animal bites was found to be lower limb followed by upper limb, trunk and head in both areas. Maximum cases belonged to category III (84%) in rural areas followed by category I (10%). Also, most of the rural patients (46%) preferred home remedies of treatment i.e. application of oil, salt, red chilies, and turmeric paste applications as compared with 10% urban patients.

Conclusions: Our study revealed that majority of the patients from rural areas were inflicted upon by stray dogs (54%) and relied more upon home remedies thereby reporting late to government hospitals.


Health seeking behavior, Animal bite, Anti-rabies vaccine, Urban, Rural

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Osaghae DO. Animal and human bites in children. West Afr J Med. 2011;30(6):421-4.

World health organisation. WHO Expert consultation on rabies. First report, Technical Report Series 931, Genewa, Switzerland, 2005.

Sudarshan MK, Ashwath Narayana DH. A Survey of hospitals managing human rabies cases in India. Indian J Public Health. 2010;54(1):40-1.

Sudarshan MK, Madhusudana SN, Mahendra BJ, Rao NS, Ashwath Narayana DH, Rahman SA. Assessing the burden of human rabies in India: results of a National multicenter epidemiological survey. Int J Infect Dis. 2007;11:29-35.

Dzikwi AA, Ibrahim AS, Umoh JU. Knowledge, attitude and practice about rabies, among children receiving formal and informal education in Samaru, Zaria, Nigeria. Glob J Health Sci. 2012;4(5):132-9.

Mahendra BJ, Harish BR, Manjunath M, Nagaraja Goud, Anil Kumar K. A study of profile of re-exposure cases and their compliance to the Intra dermal rabies booster vaccination at the anti rabies clinic of Mandya Institute of Medical Sciences, Mandya. APCRI J. 2012;13(2):27-8.

Jairaj Singh H, Bansal R, Chaudhary S, Hanspal R, Parashar P. A comparative study of health seeking behaviour of animal bite cases in rural and urban areas of Meerut District. APCRI J. 2012;13(2):18-20.

Shetty PA, Chaturvedi S, Singh Z. Profile of animal bite cases in Pune. J Commun Dis. 2005;37(1):66-72.

Agarwal N, Reddajah VP. Epidemiology of dog bites – A community based study in India. Trop Doct. 2004;34(2):76-8.

Sudarshan MK, Mahendra BJ, Narayan DH. A community survey of dog bites, antirabies treatment, rabies and dog population management in Banglore city. J Commun Dis. 2001;33(4):245-51.

Lai P, Rawat A, Sagar A, Tiwari KN. Prevalence of dog-bites in Delhi: Knowledge and practices of residents regarding prevention and control of rabies. Health Popul Perspect Issues. 2005;28:50–7.

Agarvval N, Reddaiah VP. Knowledge, attitude and practice following dog bite: A community-based epidemiological study. Perspect Iss. 2003;26:154–61.

Jain P, Jain G. Study of general awareness, attitude, behaviour, and practice study on dog bites and its management in the context of prevention of rabies among the victims of dog bite attending the OPD services of CHC Muradnagar. J Family Med Prim Care. 2014;3:355-8.

World Health Organization. WHO Expert Committee on Rabies, Eighth Report. Geneva, World Health Organization, WHO Technical Report Series 824, 1992.