Published Date: 2013-09-16 18:04:32
Subject: PRO/AH/EDR> Rabies – Nepal (02): (JA) canine, human
Archive Number: 20130916.1948559
RABIES – NEPAL (02): (JAJARKOT), CANINE, HUMAN
A ProMED-mail post
ProMED-mail is a program of the
International Society for Infectious Diseases
Date: Sun 15 Sep 2013
Source: The Himalayan Times [edited]
3 people died of rabies [virus] infection after being bitten by stray dogs in the district recently. The deceased were a 53-year-old father and his 22-year-old daughter of Dhime VDC-1 and a 48-year-old man of Dhime VDC-5.
More than 24 villagers have been suffering from the disease after being bitten by stray dogs at Dhime and Jagatipur VDCs. The patients died due to shortage of anti-rabies vaccine at the District Hospital.
The stock of vaccine has run out, and the hospital has demanded more vaccine from the Regional Health Office, said Dhir Jung Shah, Assistant Chief of the District Public Health Office, Jajarkot.
Safe, effective vaccines can be used for pre-exposure immunization (PEP). This is recommended for travellers spending a lot of time outdoors, especially in rural areas, being involved in activities such as bicycling, camping, or hiking as well as for long-term travellers and expatriates living in areas with a significant risk of exposure. Pre-exposure immunization is also recommended for people in certain high-risk occupations such as laboratory workers dealing with live rabies virus and other rabies-related viruses (lyssaviruses), and people involved in any activities that might bring them professionally or otherwise into direct contact with bats, carnivores, and other mammals in rabies-affected areas. As children are considered at higher risk because they tend to play with animals and may receive more severe bites, or may not report bites, their immunization could be considered if living in or visiting high risk areas.
Comment: It is very important for all travelers to India & its neighboring countries to take PrEP against Rabies, since we have a very high incidence of stray dogs and a lack of easy availability of Rabies Immunoglobulin that is recommended for all Category 3 bites as per WHO