Les hommes ont oublié cette vérité. Mais tu ne dois pas l'oublier, dit le renard. Tu deviens responsable pour toujours de ce que tu as apprivoisé.
Le Petit Prince, chap. 21

Tuesday, 1 January 2013

Rabies in India

M.K. Sudarshan, S.N. Madhusudana, B.J. Mahendra, N.S.N. Rao, D.H. Ashwath Narayana, S. Abdul Rahman, F.-X. Meslin, D. Lobo, K. Ravikumar & Gangaboraiah. 2007. Assessing the burden of human rabies in India: results of a national multi-center epidemiological survey. International Journal of Infectious Diseases, 11, 29—35

Objective: Human rabies has been endemic in India since time immemorial, and the true incidence of the disease and nationwide epidemiological factors have never been studied. The main objectives of the present study were to estimate the annual incidence of human rabies in India based on a community survey and to describe its salient epidemiological features.
Methods: The Association for Prevention and Control of Rabies in India (APCRI) conducted a national multi-center survey with the help of 21 medical schools during the period February-August 2003. This community-based survey covered a representative population of 10.8 million in mainland India. Hospital-based data were also obtained from the 22 infectious diseases hospitals.
A separate survey of the islands of Andaman, Nicobar, and Lakshadweep, reported to be free from rabies, was also undertaken.
Results: The annual incidence of human rabies was estimated to be 17 137 (95% CI 14 109-20 165). Based on expert group advice, an additional 20% was added to this to include paralytic/atypical forms of rabies, providing an estimate of 20 565 or about 2 per 100 000 population. The majority of the victims were male, adult, from rural areas, and unvaccinated. The main animals responsible for bites were dogs (96.2%), most of which were stray. The most common bite sites were the extremities. The disease incubation period ranged from two weeks to six months.

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