Estimating human rabies mortality in the United Republic of Tanzania from dog bite injuries

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cg.coverage.countryTanzania
cg.coverage.iso3166-alpha2TZ
cg.coverage.regionAfrica
cg.coverage.regionEastern Africa
cg.creator.identifierEric M. Fèvre: 0000-0001-8931-4986
cg.identifier.doihttps://doi.org/10.1590/s0042-96862002000400009en
cg.journalBulletin of the World Health Organizationen
cg.subject.ilriEPIDEMIOLOGYen
cg.subject.ilriZOONOTIC DISEASESen
dc.contributor.authorCleaveland, S.en
dc.contributor.authorFèvre, Eric M.en
dc.contributor.authorKaare, M.T.en
dc.contributor.authorColeman, P.G.en
dc.date.accessioned2013-07-03T05:25:38Zen
dc.date.available2013-07-03T05:25:38Zen
dc.identifier.urihttps://hdl.handle.net/10568/32864
dc.titleEstimating human rabies mortality in the United Republic of Tanzania from dog bite injuriesen
dcterms.abstractThe objective of this paper is to make quantitative predictions about the magnitude of underreporting of human rabies deaths in the United Republic of Tanzania. Human rabies deaths were estimated by using a series of probability steps to calculate the likelihood of rabies developing after the bite of a suspected rabid dog, incorporating field data on the incidence of animal bite injuries, the accuracy of rabies recognition, the distribution of bite wounds, and post-exposure treatment. Findings Predicted human rabies mortality was estimated to be (a) 1499 deaths per year (95% confidence interval 891–2238), equivalent to an annual incidence of 4.9 (2.9–7.2) deaths/100 000, when active surveillance data on bite incidence were used, and (b) 193 deaths per year (32–409), corresponding to an annual incidence of 0.62 (0.1–1.32) deaths/100 000, when national bite statistics were used. The annual mean number of rabies deaths officially recorded for the same period was 10.8 (7.7–14.0). Conclusion In the United Republic of Tanzania, cases of rabies in humans have been greatly underreported. Dog bite injuries are an accessible source of epidemiological data that may be used to estimate the public health burden of rabies and to monitor epidemiological trends in developing countries.en
dcterms.accessRightsOpen Access
dcterms.bibliographicCitationBulletin of the World Health Organization;80 (4): 304-310en
dcterms.extentp. 304-310en
dcterms.issued2002
dcterms.languageen
dcterms.publisherFapUNIFESP (SciELO)en
dcterms.subjectrabies [zoonoses]en
dcterms.subjectmortalityen
dcterms.subjectepidemiologyen
dcterms.subjectdogsen
dcterms.subjectbitesen
dcterms.subjectmonitoringen
dcterms.subjectstatistical methodsen
dcterms.subjectrisken
dcterms.subjecthuman populationen
dcterms.typeJournal Article

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