Assessing the burden of human rabies in India: results of a national multi-center epidemiological survey.

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