TY  - JOUR
PY  - 2013//
TI  - Survey of animal bite injuries and their management for an estimate of human rabies deaths in N'Djaména, Chad
JO  - Tropical medicine and international health
A1  - Frey, J.
A1  - Mindekem, R.
A1  - Kessely, H.
A1  - Doumagoum Moto, D.
A1  - Naïssengar, S.
A1  - Zinsstag, J.
A1  - Schelling, E.
SP  - 1555
EP  - 1562
VL  - 18
IS  - 12
N2  - 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>
LA  - en
SN  - 1360-2276
UR  - http://dx.doi.org/10.1111/tmi.12202
ID  - ref1
ER  -