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The burden of animal bites among humans and control measures in Mubende district

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

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The burden of animal bites among humans and control measures in Mubende district

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  1. 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

  2. Presentation outline • Introduction • Methods • Results • Discussions • Conclusion • Recommendations

  3. 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

  4. 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

  5. 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

  6. R Veterinary Records Medical records

  7. 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%).

  8. Incidence of animal bites reported to MRRH 2010- 2011

  9. 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

  10. No. of animal bites reported in 2010 and 2011

  11. Percentage of animal bite cases by age groups

  12. Interviewing dog bite patient

  13. 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)

  14. Community survey –Nabingola s/c • Only 28% of the respondents had knowledge on rabies

  15. 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

  16. 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

  17. Public health action Sensitisation of communities on rabies • Kasambya subcounty • Kiyuni subcounty

  18. Acknowledgement • Mubende district local government • MRRH • MUK-COVAB • MAAIF • AFENET • USAID - RESPOND

  19. Thank you for listening

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