@article{ref1,
title="Survey of animal bite injuries and their management for an estimate of human rabies deaths in N'Djaména, Chad",
journal="Tropical medicine and international health",
year="2013",
author="Frey, J. and Mindekem, R. and Kessely, H. and Doumagoum Moto, D. and Naïssengar, S. and Zinsstag, J. and Schelling, E.",
volume="18",
number="12",
pages="1555-1562",
abstract="OBJECTIVE: To estimate the annual human rabies incidence as a baseline prior to mass dog vaccination campaigns in N'Djaména, Chad. METHODS: Survey of animal bites, involving 50% of all healthcare providers in N'Djaména, from September 2008 to April 2009. Of 86 people exposed to a suspected rabid animal, 50% received post-exposure vaccination and a further 8% had their wound cleaned. We estimated annual incidence of bites from suspected rabid animals of 12.9/100 000 and an incidence of 0.7 human rabies deaths/100 000, resulting in 7 estimated deaths (95% confidence interval 4-10 deaths) per year in N'Djaména. 14% of bite victims sought help from veterinarians. CONCLUSIONS: Closer cooperation between physicians and veterinarians warrants more effective rabies control. The high proportion (42%) of potentially exposed people without post-exposure vaccination or wound treatment necessitates urgent attention.<p /><p>Language: en</p>",
language="en",
issn="1360-2276",
doi="10.1111/tmi.12202",
url="http://dx.doi.org/10.1111/tmi.12202"
}