A prospective study on the incidence of dog bites and management in a rural Cambodian, rabies-endemic setting

Ponsich Aurélia, Goutard Flavie, Sorn San, Tarantola Arnaud. 2016. A prospective study on the incidence of dog bites and management in a rural Cambodian, rabies-endemic setting. Acta Tropica, 160 : 62-67.

Quartile : Q2, Sujet : TROPICAL MEDICINE / Quartile : Q2, Sujet : PARASITOLOGY

Résumé : Rabies circulates intensely in Cambodia, mainly affecting rural populations. We conducted a prospective study to estimate the baseline incidence of potentially infective dog bites in rural villages of Siem Reap province, Cambodia. The study was conducted in a convenience sample of 844 families totaling 1,779 persons in four villages. The study collected data in a total of 802.3 person-years. Trained village health workers (VHW) exhaustively documented consecutive dog bites at the end of each month. Between May 15th and November 15th, 2011, a total of 40 attacks (43 bites; 1.07 bites per attack) were notified by 39 persons (50% female; one suffered two distinct incidents) to VHW. The all-age attack rate for bites over this 6-month period was 2.3% (CI95%: 1.7% − 3.1%), with a global incidence rate estimated at 4.84 bites/100 person-years (CI95%: 3.5–6.6). The mean age in bite victims was 20.8 ± 18.9 years (median 12.5; interquartile range 6-36; range 1 − 63). The dog was identified in 39 (97.5%) of cases, being the household dog in 9 (22.5%) of cases. Bites were classified as severe (WHO Category III − broken skin with bleeding) in 33 (82.5%) of cases with a severe dog bites incidence estimated at 4/100 person-years (CI95%: 2.8–5.6). The bites involved the hand or face in 1 (2.5%) case each (both Category III). In 20 incidents (50%), only rice was applied to the wounds. There were no suspected or confirmed human rabies deaths during the study period but one dog died after biting (2 others were lost to follow-up and 14 were put down by their owner). Our study documented an extremely high incidence of dog bites in of rural Cambodian adults and children. Adapted control policies for canine vaccination are urgently needed.

Mots-clés Agrovoc : rage, chien, morsure, transmission des maladies, zone rurale, Enquête pathologique, contrôle de maladies, maladie de l'homme, épidémiologie, gestion du risque

Mots-clés géographiques Agrovoc : Cambodge, Asie

Mots-clés libres : Rabies, Cambodia, Asia, Dog bite, Rural, Incidence, Prospective

Classification Agris : L73 - Maladies des animaux
L72 - Organismes nuisibles des animaux
000 - Autres thèmes

Champ stratégique Cirad : Axe 4 (2014-2018) - Santé des animaux et des plantes

Auteurs et affiliations

• Ponsich Aurélia, Institut Pasteur du Cambodge (KHM)
• Goutard Flavie, CIRAD-ES-UPR AGIRs (THA)
• Sorn San, NAVRI (KHM)
• Tarantola Arnaud, Institut Pasteur du Cambodge (KHM)

Source : Cirad-Agritrop (https://agritrop.cirad.fr/580416/)

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