dog bites in humans and estimating human rabies mortality in rabies endemic areas of bhutan在人类和狗咬估计人类狂犬病死亡率在狂犬病流行地区的不丹.pdfVIP

Dog Bites in Humans and Estimating Human Rabies Mortality in Rabies Endemic Areas of Bhutan 1,2 1 3 1 4 3 Tenzin , Navneet K. Dhand , Tashi Gyeltshen , Simon Firestone , Chhimi Zangmo , Chimi Dema , 5 1 Rawang Gyeltshen , Michael P. Ward * 1The Faculty of Veterinary Science, University of Sydney, Camden, Australia, 2 Regional Livestock Development Centre, Gelephu, Bhutan, 3 Phuentsholing General Hospital, Phuentsholing, Bhutan, 4 Jigme Dorji Wangchuk National Referral Hospital, Thimphu, Bhutan, 5 Gelephu Regional Referral Hospital, Gelephu, Bhutan Abstract Background: Dog bites in humans are a public health problem worldwide. The issues of increasing stray dog populations, rabies outbreaks, and the risk of dogs biting humans have been frequently reported by the media in Bhutan. This study aimed to estimate the bite incidence and identify the risk factors for dog bites in humans, and to estimate human deaths from rabies in rabies endemic south Bhutan. Methods: A hospital-based questionnaire survey was conducted during 2009–2010 among dog bites victims who visited three hospitals in Bhutan for anti-rabies vaccine injection. Decision tree modeling was used to estimate human deaths from rabies following dog bite injuries in two rabies endemic areas of south Bhutan. Results: Three hundred and twenty four dog bite victims were interviewed. The annual incidence of dog bites differed between the hospital catchment areas: 869.8 (95% CI: 722.8–1022.5), 293.8 (240–358.2) and 284.8 (251.2–323) per 100,000 people in Gelephu, Phuentsholing and Thimphu, respectively. Males (62%) were more at risk than females (P,0.001). Children aged 5–9 years wer