Rabies Exposures, Post-Exposure Prophylaxis and Deaths in a Region of Endemic Canine Rabies
Publication Date
November 25, 2008
Journal
PLOS Neglected Tropical Diseases
Authors
Katie Hampson, Andy Dobson, Magai Kaare, Jonathan Dushoff, et al
Volume
2
Issue
11
Pages
e339
DOI
https://dx.plos.org/10.1371/journal.pntd.0000339
Publisher URL
http://journals.plos.org/plosntds/article?id=10.1371%2Fjournal.pntd.0000339
PubMed
http://www.ncbi.nlm.nih.gov/pubmed/19030223
PubMed Central
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2582685
Europe PMC
http://europepmc.org/abstract/MED/19030223
Web of Science
000261807900006
Scopus
65649126015
Mendeley
http://www.mendeley.com/research/rabies-exposures-postexposure-prophylaxis-deaths-region-endemic-canine-rabies
Events
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Mendeley | Further Information

{"title"=>"Rabies exposures, post-exposure prophylaxis and deaths in a region of endemic canine rabies", "type"=>"journal", "authors"=>[{"first_name"=>"Katie", "last_name"=>"Hampson", "scopus_author_id"=>"35617491900"}, {"first_name"=>"Andy", "last_name"=>"Dobson", "scopus_author_id"=>"7202943634"}, {"first_name"=>"Magai", "last_name"=>"Kaare", "scopus_author_id"=>"6506250620"}, {"first_name"=>"Jonathan", "last_name"=>"Dushoff", "scopus_author_id"=>"55748313900"}, {"first_name"=>"Matthias", "last_name"=>"Magoto", "scopus_author_id"=>"35206106100"}, {"first_name"=>"Emmanuel", "last_name"=>"Sindoya", "scopus_author_id"=>"35206525100"}, {"first_name"=>"Sarah", "last_name"=>"Cleaveland", "scopus_author_id"=>"6602122886"}], "year"=>2008, "source"=>"PLoS Neglected Tropical Diseases", "identifiers"=>{"issn"=>"1935-2735", "scopus"=>"2-s2.0-65649126015", "sgr"=>"65649126015", "pui"=>"354590659", "isbn"=>"1935-2735 (Electronic)\\r1935-2727 (Linking)", "pmid"=>"19030223", "doi"=>"10.1371/journal.pntd.0000339"}, "id"=>"aa863798-0d40-3b9e-a771-94a31d04ea84", "abstract"=>"BACKGROUND: Thousands of human deaths from rabies occur annually despite the availability of effective vaccines following exposure, and for disease control in the animal reservoir. Our aim was to assess risk factors associated with exposure and to determine why human deaths from endemic canine rabies still occur. METHODS AND FINDINGS: Contact tracing was used to gather data on rabies exposures, post-exposure prophylaxis (PEP) delivered and deaths in two rural districts in northwestern Tanzania from 2002 to 2006. Data on risk factors and the propensity to seek and complete courses of PEP was collected using questionnaires. Exposures varied from 6-141/100,000 per year. Risk of exposure to rabies was greater in an area with agropastoralist communities (and larger domestic dog populations) than an area with pastoralist communities. Children were at greater risk than adults of being exposed to rabies and of developing clinical signs. PEP dramatically reduced the risk of developing rabies (odds ratio [OR] 17.33, 95% confidence interval [CI] 6.39-60.83) and when PEP was not delivered the risks were higher in the pastoralist than the agro-pastoralist area (OR 6.12, 95% CI 2.60-14.58). Low socioeconomic class and distance to medical facilities lengthened delays before PEP delivery. Over 20% of rabies-exposed individuals did not seek medical treatment and were not documented in official records and <65% received PEP. Animal bite injury records were an accurate indicator of rabies exposure incidence. CONCLUSIONS: Insufficient knowledge about rabies dangers and prevention, particularly prompt PEP, but also wound management, was the main cause of rabies deaths. Education, particularly in poor and marginalized communities, but also for medical and veterinary workers, would prevent future deaths.", "link"=>"http://www.mendeley.com/research/rabies-exposures-postexposure-prophylaxis-deaths-region-endemic-canine-rabies", "reader_count"=>165, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>4, "Librarian"=>2, "Student > Doctoral Student"=>11, "Researcher"=>39, "Student > Ph. D. Student"=>27, "Student > Postgraduate"=>10, "Student > Master"=>38, "Other"=>12, "Student > Bachelor"=>11, "Lecturer"=>3, "Lecturer > Senior Lecturer"=>2, "Professor"=>5, "Unspecified"=>1}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>4, "Librarian"=>2, "Student > Doctoral Student"=>11, "Researcher"=>39, "Student > Ph. D. Student"=>27, "Student > Postgraduate"=>10, "Student > Master"=>38, "Other"=>12, "Student > Bachelor"=>11, "Lecturer"=>3, "Lecturer > Senior Lecturer"=>2, "Professor"=>5, "Unspecified"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>3, "Agricultural and Biological Sciences"=>60, "Business, Management and Accounting"=>2, "Veterinary Science and Veterinary Medicine"=>18, "Earth and Planetary Sciences"=>1, "Economics, Econometrics and Finance"=>4, "Environmental Science"=>7, "Biochemistry, Genetics and Molecular Biology"=>2, "Nursing and Health Professions"=>2, "Mathematics"=>2, "Medicine and Dentistry"=>48, "Physics and Astronomy"=>1, "Social Sciences"=>10, "Immunology and Microbiology"=>5}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>48}, "Social Sciences"=>{"Social Sciences"=>10}, "Physics and Astronomy"=>{"Physics and Astronomy"=>1}, "Mathematics"=>{"Mathematics"=>2}, "Unspecified"=>{"Unspecified"=>3}, "Environmental Science"=>{"Environmental Science"=>7}, "Earth and Planetary Sciences"=>{"Earth and Planetary Sciences"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>4}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>5}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>60}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>2}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>2}, "Veterinary Science and Veterinary Medicine"=>{"Veterinary Science and Veterinary Medicine"=>18}}, "reader_count_by_country"=>{"United States"=>3, "Mali"=>1, "Japan"=>1, "Brazil"=>1, "United Kingdom"=>4, "South Africa"=>1, "Chile"=>1, "Switzerland"=>1, "India"=>2, "Spain"=>1}, "group_count"=>12}

CrossRef

Scopus | Further Information

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  • {"month"=>"1", "year"=>"2019", "pdf_views"=>"12", "xml_views"=>"0", "html_views"=>"26"}
  • {"month"=>"2", "year"=>"2019", "pdf_views"=>"15", "xml_views"=>"0", "html_views"=>"43"}
  • {"month"=>"3", "year"=>"2019", "pdf_views"=>"15", "xml_views"=>"2", "html_views"=>"58"}
  • {"month"=>"4", "year"=>"2019", "pdf_views"=>"9", "xml_views"=>"0", "html_views"=>"41"}
  • {"month"=>"5", "year"=>"2019", "pdf_views"=>"28", "xml_views"=>"1", "html_views"=>"33"}
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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/915826"], "description"=>"<p>Records of patients from Serengeti and Ngorongoro districts.</p>", "links"=>[], "tags"=>["exposures", "suspected", "rabid", "animals", "corresponding", "animal-bite", "records"], "article_id"=>586270, "categories"=>["Medicine", "Computational Biology"], "users"=>["Katie Hampson", "Andy Dobson", "Magai Kaare", "Jonathan Dushoff", "Matthias Magoto", "Emmanuel Sindoya", "Sarah Cleaveland"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000339.g002", "stats"=>{"downloads"=>1, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Correlation_between_the_monthly_number_of_exposures_by_suspected_rabid_animals_and_the_corresponding_number_of_animal_bite_injury_records_during_that_month_/586270", "title"=>"Correlation between the monthly number of exposures by suspected rabid animals and the corresponding number of animal-bite injury records during that month.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2008-11-25 01:44:30"}
  • {"files"=>["https://ndownloader.figshare.com/files/915766"], "description"=>"<p>The age distribution of suspected rabies bite victims (dark gray, n = 642) compared to the population as a whole in Serengeti and Ngorongoro districts (light gray, n = 307,099).</p>", "links"=>[], "tags"=>["rabies-exposed"], "article_id"=>586217, "categories"=>["Medicine", "Computational Biology"], "users"=>["Katie Hampson", "Andy Dobson", "Magai Kaare", "Jonathan Dushoff", "Matthias Magoto", "Emmanuel Sindoya", "Sarah Cleaveland"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000339.g001", "stats"=>{"downloads"=>0, "page_views"=>1, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Age_distribution_of_rabies_exposed_individuals_/586217", "title"=>"Age distribution of rabies-exposed individuals.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2008-11-25 01:43:37"}
  • {"files"=>["https://ndownloader.figshare.com/files/915996"], "description"=>"<p>Dog = domestic dog, Mongoose = white-tailed mongoose, m = month/s, w = week/s, d = day/s. Cases 29 to 31 occurred in 2007 and are not included in statistical analyses.</p>", "links"=>[], "tags"=>["rabies"], "article_id"=>586449, "categories"=>["Medicine", "Computational Biology"], "users"=>["Katie Hampson", "Andy Dobson", "Magai Kaare", "Jonathan Dushoff", "Matthias Magoto", "Emmanuel Sindoya", "Sarah Cleaveland"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000339.t005", "stats"=>{"downloads"=>6, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Details_of_human_rabies_deaths_/586449", "title"=>"Details of human rabies deaths.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2008-11-25 01:47:29"}
  • {"files"=>["https://ndownloader.figshare.com/files/916037"], "description"=>"<p>The lower row also shows individuals bitten by animals of unknown status who have yet to be traced.</p>", "links"=>[], "tags"=>["rabies-exposed", "individuals", "attended", "received"], "article_id"=>586481, "categories"=>["Medicine", "Computational Biology"], "users"=>["Katie Hampson", "Andy Dobson", "Magai Kaare", "Jonathan Dushoff", "Matthias Magoto", "Emmanuel Sindoya", "Sarah Cleaveland"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000339.t004", "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Numbers_of_rabies_exposed_individuals_who_attended_hospital_and_received_PEP_/586481", "title"=>"Numbers of rabies-exposed individuals who attended hospital and received PEP.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2008-11-25 01:48:01"}
  • {"files"=>["https://ndownloader.figshare.com/files/915954"], "description"=>"<p>Means of obtaining funds to pay for PEP for rabies exposed individuals of high and low socioeconomic status.</p>", "links"=>[], "tags"=>["obtaining", "funds", "pep", "rabies", "exposed", "individuals", "socioeconomic"], "article_id"=>586396, "categories"=>["Medicine", "Computational Biology"], "users"=>["Katie Hampson", "Andy Dobson", "Magai Kaare", "Jonathan Dushoff", "Matthias Magoto", "Emmanuel Sindoya", "Sarah Cleaveland"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000339.g004", "stats"=>{"downloads"=>1, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Means_of_obtaining_funds_to_pay_for_PEP_for_rabies_exposed_individuals_of_high_and_low_socioeconomic_status_/586396", "title"=>"Means of obtaining funds to pay for PEP for rabies exposed individuals of high and low socioeconomic status.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2008-11-25 01:46:36"}
  • {"files"=>["https://ndownloader.figshare.com/files/915866"], "description"=>"<p>(A) Distribution of delays till first dose of PEP. (B) Delivery delays by distance from district hospital and (C) by socioeconomic status.</p>", "links"=>[], "tags"=>["affecting", "delays", "pep"], "article_id"=>586314, "categories"=>["Medicine", "Computational Biology"], "users"=>["Katie Hampson", "Andy Dobson", "Magai Kaare", "Jonathan Dushoff", "Matthias Magoto", "Emmanuel Sindoya", "Sarah Cleaveland"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000339.g003", "stats"=>{"downloads"=>1, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Factors_affecting_delays_to_delivery_of_PEP_following_exposure_/586314", "title"=>"Factors affecting delays to delivery of PEP following exposure.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2008-11-25 01:45:14"}
  • {"files"=>["https://ndownloader.figshare.com/files/916103"], "description"=>"<p>Numbers (and percentages) of exposures are shown.</p>", "links"=>[], "tags"=>["rabies", "exposures", "serengeti", "ngorongoro"], "article_id"=>586551, "categories"=>["Medicine", "Computational Biology"], "users"=>["Katie Hampson", "Andy Dobson", "Magai Kaare", "Jonathan Dushoff", "Matthias Magoto", "Emmanuel Sindoya", "Sarah Cleaveland"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000339.t002", "stats"=>{"downloads"=>1, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Suspected_rabies_exposures_by_different_species_in_Serengeti_and_Ngorongoro_districts_/586551", "title"=>"Suspected rabies exposures by different species in Serengeti and Ngorongoro districts.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2008-11-25 01:49:11"}
  • {"files"=>["https://ndownloader.figshare.com/files/916071"], "description"=>"<p>Numbers in parentheses are rabies deaths. When the victim was bitten multiple times, the bite site closest to the head was listed.</p>", "links"=>[], "tags"=>["exposures", "deaths"], "article_id"=>586524, "categories"=>["Medicine", "Computational Biology"], "users"=>["Katie Hampson", "Andy Dobson", "Magai Kaare", "Jonathan Dushoff", "Matthias Magoto", "Emmanuel Sindoya", "Sarah Cleaveland"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000339.t003", "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Rabies_exposures_and_deaths_according_to_bite_site_and_age_of_victim_/586524", "title"=>"Rabies exposures and deaths according to bite site and age of victim.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2008-11-25 01:48:44"}
  • {"files"=>["https://ndownloader.figshare.com/files/452403"], "description"=>"<div><h3>Background</h3><p>Thousands of human deaths from rabies occur annually despite the availability of effective vaccines following exposure, and for disease control in the animal reservoir. Our aim was to assess risk factors associated with exposure and to determine why human deaths from endemic canine rabies still occur.</p><h3>Methods and Findings</h3><p>Contact tracing was used to gather data on rabies exposures, post-exposure prophylaxis (PEP) delivered and deaths in two rural districts in northwestern Tanzania from 2002 to 2006. Data on risk factors and the propensity to seek and complete courses of PEP was collected using questionnaires. Exposures varied from 6–141/100,000 per year. Risk of exposure to rabies was greater in an area with agropastoralist communities (and larger domestic dog populations) than an area with pastoralist communities. Children were at greater risk than adults of being exposed to rabies and of developing clinical signs. PEP dramatically reduced the risk of developing rabies (odds ratio [OR] 17.33, 95% confidence interval [CI] 6.39–60.83) and when PEP was not delivered the risks were higher in the pastoralist than the agro-pastoralist area (OR 6.12, 95% CI 2.60–14.58). Low socioeconomic class and distance to medical facilities lengthened delays before PEP delivery. Over 20% of rabies-exposed individuals did not seek medical treatment and were not documented in official records and <65% received PEP. Animal bite injury records were an accurate indicator of rabies exposure incidence.</p><h3>Conclusions</h3><p>Insufficient knowledge about rabies dangers and prevention, particularly prompt PEP, but also wound management, was the main cause of rabies deaths. Education, particularly in poor and marginalized communities, but also for medical and veterinary workers, would prevent future deaths.</p></div>", "links"=>[], "tags"=>["rabies", "post-exposure", "prophylaxis", "deaths", "endemic", "canine"], "article_id"=>149103, "categories"=>["Medicine", "Biological Sciences"], "users"=>["Katie Hampson", "Andy Dobson", "Magai Kaare", "Jonathan Dushoff", "Matthias Magoto", "Emmanuel Sindoya", "Sarah Cleaveland"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000339", "stats"=>{"downloads"=>3, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Rabies_Exposures_Post_Exposure_Prophylaxis_and_Deaths_in_a_Region_of_Endemic_Canine_Rabies/149103", "title"=>"Rabies Exposures, Post-Exposure Prophylaxis and Deaths in a Region of Endemic Canine Rabies", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2008-11-25 02:31:43"}
  • {"files"=>["https://ndownloader.figshare.com/files/916147"], "description"=>"<p>Lower estimates are based on successfully traced exposures determined to be from suspected rabid animals and records that indicated the bite was caused by an animal suspected to be rabid. Upper estimates include bite injuries where the status of the biting animal was not recorded and the case has not been traced.</p>", "links"=>[], "tags"=>["rabies", "exposures", "deaths", "probability", "serengeti", "ngorongoro"], "article_id"=>586591, "categories"=>["Medicine", "Computational Biology"], "users"=>["Katie Hampson", "Andy Dobson", "Magai Kaare", "Jonathan Dushoff", "Matthias Magoto", "Emmanuel Sindoya", "Sarah Cleaveland"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000339.t001", "stats"=>{"downloads"=>1, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Incidence_of_rabies_exposures_and_deaths_and_the_probability_of_developing_rabies_following_exposure_in_Serengeti_and_Ngorongoro_Districts_/586591", "title"=>"Incidence of rabies exposures and deaths and the probability of developing rabies following exposure in Serengeti and Ngorongoro Districts.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2008-11-25 01:49:51"}

PMC Usage Stats | Further Information

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Relative Metric

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