190 likes | 321 Views
The burden of animal bites among humans and control measures in Mubende district. Asiimwe Grace Karimu, F. Monje , D. Mugabi , H. Mulondo , C. Odong , H. Kazoora , T. Odoch, C. Ohuobunwo, K. Ssemogerere. Presentation outline. Introduction Methods Results Discussions Conclusion
E N D
The burden of animal bites among humans and control measures in Mubende district Asiimwe Grace Karimu, F. Monje, D. Mugabi, H. Mulondo, C. Odong, H. Kazoora , T. Odoch, C. Ohuobunwo, K. Ssemogerere
Presentation outline • Introduction • Methods • Results • Discussions • Conclusion • Recommendations
Introduction • Humans acquire rabies through bites by infected animals. • Domestic dogs are most important source of infection to humans with more than 95% of human cases • Although human rabies encephalitis remains untreatable the infection is preventable • In 2010, Uganda reported 12,718 cases and 203 deaths from rabies with 82 (0.6%) cases from Mubende district. • About 23% of land covered by forests
Objective General objective. • To describe the burden of animal bites in humans and possible control measures Specific objectives • Describe the burden of animal bite cases by person place and time • Identify possible control measures in place
Methods • Cross sectional study design • Abstracted data from HMIS 031 registers at Mubende regional referral hospital (MRRH) and Veterinary department records. • Conducted community survey from selected subcounties. • Data analysed using Epi info version 5.3.1 software
R Veterinary Records Medical records
Results • In 2010 and 2011,563 patients reported animal bites from 15 subcounties to MRRH with less than 1% first reporting to vet. • Majority of the bites were due to dogs 540 (96%) • Others; cats 12 (2.1%), jackals 5 (0.9%), goats 3 (0.5%), humans 3 (0.5%).
Results… • Patients aged 3 months to 84 years. • Females 293 (52%) most affected. • Only 541 (96.1%) patients treated with post exposure rabies vaccine • Only 125 (23.1%) of the patients received the recommended 2-3 vaccine doses. • March and August with high incidences
Results … • Children (10 - 19yrs) more prone to animal bites. • School going children most affected • Stray dogs seen in communities visited • Stray dog bites common. • Weak departmental collaboration (Hospital, medical and veterinary dep'ts)
Community survey –Nabingola s/c • Only 28% of the respondents had knowledge on rabies
Conclusions • Animal bites and human rabies in Mubende primarily due to stray dogs. • Post exposure prophylaxis is currently inadequate. • Limited community knowledge on rabies • Irregular control strategies
Recommendations • District recruit Veterinary staff • MAAIF provide vaccines to district for mass vaccination of pets • Vet Sensitise communities/schools on rabies • Training of VHT to report on zoonoses. • Killing any stray dogs in the community • Strengthening the bond between Health and Veterinary dep'ts (One Health) in the district
Public health action Sensitisation of communities on rabies • Kasambya subcounty • Kiyuni subcounty
Acknowledgement • Mubende district local government • MRRH • MUK-COVAB • MAAIF • AFENET • USAID - RESPOND