deaths from symptomatically identifiable furious rabies in india a nationally representative mortality survey死于狂犬病症状识别愤怒在印度全国代表性死亡率的调查.pdfVIP

Deaths from Symptomatically Identifiable Furious Rabies in India: A Nationally Representative Mortality Survey 1 1,2 3 4 5 1 Wilson Suraweera , Shaun K. Morris , Rajesh Kumar , David A. Warrell , Mary J. Warrell , Prabhat Jha *, for the Million Death Study Collaborators 1 Centre for Global Health Research (CGHR), Li Ka Shing Knowledge Institute, St. Michael’s Hospital and Dalla Lana School of Public Health, University of Toronto, Toronto, Canada, 2 Division of Infectious Diseases, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada, 3 School of Public Health, Post Graduate Institute of Medical Research and Education, Chandigarh, India, 4 Nuffield Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom, 5 Oxford Vaccine Group, Centre for Clinical Vaccinology Tropical Medicine, University of Oxford, Churchill Hospital, Oxford, United Kingdom Abstract Background: It is estimated that India has more deaths from rabies than any other country. However, existing estimates are indirect and rely on non-representative studies. Methods and Principal Findings: We examined rabies deaths in the ongoing Million Death Study (MDS), a representative survey of over 122,000 deaths in India that uses enhanced types of verbal autopsy. We estimated the age-specific mortality rates of symptomatically identifiable furious rabies and its geographic and demographic distributions. A total of 140 deaths in our sample were caused by rabies, suggesting that in 2005 there were 12,700 (99% CI 10,000 to 15,500) symptomatically identifiable furious rabies deaths in India. Most rabies deaths were in males (62%), in rural areas (91%), and in children below the age of 15 years (50%). The overall rabies mortality