Establishment of a Canine Rabies Burden in Haiti through the Implementation of a Novel Surveillance Program

摘要: The Republic of Haiti is one only several countries in the Western Hemisphere which canine rabies still endemic. Estimation methods have predicted that 130 human deaths occur per year, yet existing surveillance mechanisms detected few these cases. Likewise, capacity has had limited capacity, detecting two rabid dogs on average. In 2013, initiated a community-based animal program comprised components: active community bite investigation and passive investigation. From January 2013 –December 2014, 778 suspect animals were reported for Rabies was laboratory-confirmed 70 (9%) an additional 36 cases identified based clinical diagnosis (5%), representing 18-fold increase reporting compared to three years before implemented. Dogs most frequent (90%). Testing observation ruled out 61% investigated. A total 639 victims 364 who not sought medical care during course investigations. Only 31% people with likely exposures post-exposure prophylaxis prior neglected disease in-part due lack understanding about burden. employed by this established much higher burden than previously recognized. active, investigations numerous referred appropriate care, averting potential deaths. use programs such as HARSP should be considered endemic countries.