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Rabies in China: recommendations for control

Bulletin of the World Health Organization, 1992-01, Vol.70 (4), p.443-450 [Peer Reviewed Journal]

1992 INIST-CNRS ;COPYRIGHT 1992 World Health Organization ;ISSN: 0042-9686 ;EISSN: 1564-0604 ;PMID: 1394776 ;CODEN: BWHOA6

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Title:
Rabies in China: recommendations for control
Author: KUREISHI, A ; XU, L. Z ; WU, H ; STIVER, H. G
Subjects: Adolescent ; Adult ; Aged ; Animals ; Biological and medical sciences ; Bites and Stings - complications ; Bites and Stings - therapy ; Child ; Child, Preschool ; China - epidemiology ; Dog Diseases - prevention & control ; Dogs ; Female ; Health Education ; Hematemesis - etiology ; Human viral diseases ; Humans ; Infectious diseases ; Male ; Medical sciences ; Middle Aged ; Prevention ; Rabies ; Rabies - complications ; Rabies - epidemiology ; Rabies - prevention & control ; Rabies Vaccines ; Rural Population ; Viral diseases ; Viral diseases of the nervous system
Is Part Of: Bulletin of the World Health Organization, 1992-01, Vol.70 (4), p.443-450
Description: Reviewed are the results of 15 years' experience with rabies at You-An Infectious Disease Hospital, Beijing, China. The purpose of the study was to determine whether there are any epidemiological or clinical features of rabies that are unique to China and which might be important in developing a strategy to control it. During the period under study, 64 patients with rabies were admitted to You-An Hospital. Exposure to dogs was associated with 61 cases, two involving the handling of dog carcasses that were being prepared for meals. All of the exposures occurred in rural areas, and none of the patients received adequate prophylaxis. Patients with proximal sites of exposure and with severe injuries developed rabies after short incubation periods (P less than 0.05, and P less than 0.02, respectively). Failed vaccination was also associated with a short incubation period (P less than 0.05). Haematemesis occurred in 20 patients and was associated with shorter incubation periods (P less than 0.02), facial exposure sites (P = 0.021), and severe injuries (P = 0.047). A strategy to control rabies in China should include efforts to educate the public about handling the carcasses of stray dogs, in addition to the currently recommended strategy of controlling the dog population and of vaccinating domesticated animals.
Publisher: Genève: Organisation mondiale de la santé
Language: English
Identifier: ISSN: 0042-9686
EISSN: 1564-0604
PMID: 1394776
CODEN: BWHOA6
Source: Geneva Foundation Free Medical Journals
MEDLINE
PubMed Central

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Rabies in China: recommendations for control

1992 INIST-CNRS ;COPYRIGHT 1992 World Health Organization ;ISSN: 0042-9686 ;EISSN: 1564-0604 ;PMID: 1394776 ;CODEN: BWHOA6

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