Protecting children from rabies with education and pre-exposure prophylaxis: A school-based campaign in El Nido, Palawan, Philippines
Publication Date
January 02, 2018
Authors
Raffy Deray, Cesar Rivera, Shiela Gripon, Corazon Ulanday, et al
Volume
13
Issue
1
Pages
e0189596
DOI
https://dx.plos.org/10.1371/journal.pone.0189596
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0189596
Scopus
85039985394
Mendeley
http://www.mendeley.com/research/protecting-children-rabies-education-preexposure-prophylaxis-schoolbased-campaign-el-nido-palawan-ph
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Mendeley | Further Information

{"title"=>"Protecting children from rabies with education and pre-exposure prophylaxis: A school-based campaign in El Nido, Palawan, Philippines", "type"=>"journal", "authors"=>[{"first_name"=>"Raffy", "last_name"=>"Deray", "scopus_author_id"=>"56600853800"}, {"first_name"=>"Cesar", "last_name"=>"Rivera", "scopus_author_id"=>"57200162593"}, {"first_name"=>"Shiela", "last_name"=>"Gripon", "scopus_author_id"=>"57200158887"}, {"first_name"=>"Corazon", "last_name"=>"Ulanday", "scopus_author_id"=>"57200168145"}, {"first_name"=>"Maria Concepcion", "last_name"=>"Roces", "scopus_author_id"=>"56914996700"}, {"first_name"=>"Anna Charinna", "last_name"=>"Amparo", "scopus_author_id"=>"57200013001"}, {"first_name"=>"Michael", "last_name"=>"Attlan", "scopus_author_id"=>"6504138372"}, {"first_name"=>"Clarisse", "last_name"=>"Demont", "scopus_author_id"=>"52363613400"}, {"first_name"=>"Alexia", "last_name"=>"Kieffer", "scopus_author_id"=>"56958188300"}, {"first_name"=>"Mary Elizabeth", "last_name"=>"Miranda", "scopus_author_id"=>"7201497153"}], "year"=>2018, "source"=>"PLoS ONE", "identifiers"=>{"doi"=>"10.1371/journal.pone.0189596", "sgr"=>"85039985394", "pui"=>"620020371", "scopus"=>"2-s2.0-85039985394", "issn"=>"19326203", "isbn"=>"1111111111"}, "id"=>"3bf9f097-bff2-3f1b-84ee-4aaedc4f607a", "abstract"=>"Background Rabies remains endemic in the Philippines. A study was conducted in El Nido, Palawan, Philippines to: (i) detect the true incidence of animal bites in school children aged 5–14 years using active surveillance and compare these data to estimates from the existing passive surveillance system, (ii) evaluate the impact of rabies prevention education and pre-exposure prophylaxis (PrEP) on animal bite incidence, and (iii) assess the health economic impact of the interventions. Methodology and principal findings A cohort of 4,700 school children was followed-up for any suspect rabies exposures between January 2011 and December 2012. Data on animal bite incidence from the study cohort were compared to that obtained from a review of consultation records at the Animal Bite Treatment Center (ABTC). PrEP was offered to children in all 27 public elementary schools in El Nido (in January to February 2012). Teachers were given a manual for integrating rabies in the public elementary school curriculum during the school year 2012–13. Active surveillance of the cohort revealed a higher incidence of suspect rabies exposures than that from passive surveillance. Despite a decrease in the number of Category III bites, there was no significant decrease in overall bite incidence as a result of the interventions. However, there was an increase in rabies awareness among school children in all grade levels. There was also a high level of acceptability of PrEP. Children who received PrEP and subsequently were bitten only needed two booster doses for post-exposure prophylaxis, resulting in substantial cost-savings. Conclusions/significance The true burden of animal bites remains underestimated in ABTC records. PrEP is advantageous in selected population groups, i.e. school-aged children in rabies endemic areas with limited access to animal and human rabies prevention services. Educating school children is beneficial. Strengthening veterinary interventions to target the disease at source is important.", "link"=>"http://www.mendeley.com/research/protecting-children-rabies-education-preexposure-prophylaxis-schoolbased-campaign-el-nido-palawan-ph", "reader_count"=>10, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Researcher"=>2, "Student > Master"=>5, "Other"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Researcher"=>2, "Student > Master"=>5, "Other"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Medicine and Dentistry"=>3, "Pharmacology, Toxicology and Pharmaceutical Science"=>1, "Immunology and Microbiology"=>1, "Sports and Recreations"=>2, "Nursing and Health Professions"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>3}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Sports and Recreations"=>{"Sports and Recreations"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Unspecified"=>{"Unspecified"=>2}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>1}}, "group_count"=>0}

Scopus | Further Information

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