Infection and Drug Resistance (Jul 2021)

Epidemiological Analysis of Rabies in Central China from 2013 to 2018

  • Cai L,
  • Wang L,
  • Guan X,
  • Wang L,
  • Hu X,
  • Wu Y,
  • Tong Y,
  • Wang P

Journal volume & issue
Vol. Volume 14
pp. 2753 – 2762

Abstract

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Li Cai,1,2 Lixian Wang,3 Xuhua Guan,4 Lei Wang,4 Xinyi Hu,5 Yang Wu,4 Yeqing Tong,4 Peigang Wang1 1School of Health Sciences, Wuhan University, Wuhan, 430071, People’s Republic of China; 2Wuhan Center for Disease Control and Prevention, Wuhan, 430015, People’s Republic of China; 3Xiaonan Center for Disease Control and Prevention, Xiaogan, 432100, People’s Republic of China; 4Hubei Center for Disease Control and Prevention, Wuhan, Hubei, 430079, People’s Republic of China; 5Global Study Institute, University of Geneva, Geneva, SwitzerlandCorrespondence: Peigang Wang Email [email protected] Tong Tel +8627 87652010Email [email protected]: The study aimed to timely grasp the epidemiologic status of rabies in Central China from 2013 to 2018 and provide scientific evidence for the implementation of follow-up prevention and control measures.Methods: We initiated a retrospective observational and descriptive study of bite-related injuries data and rabies disease data in Hubei province from 2013 to 2018, managed by the Center for Disease Control and Prevention.Results: A total of 2,028,691 individuals were exposed to bites from 2013 to 2018, of which 221 were diagnosed with rabies and deceased. Among those cases, the incubation periods of rabies varied from 3 days to 18,406 days, which has been shown to be statistically associated with where the infected person was exposed and whether the wound care has been conducted.Conclusion: Epidemiological studies have shown that from 2013 to 2018, the current situation of rabies in Central China is still severe. The case fatality rate keeps virtually 100%. The rural population is still the most vulnerable group to rabies, characterized by a high exposure ratio and low treatment rate as well as poor vaccination compliance. Hoewever, larger populations are warranted to validate our findings.Keywords: rabies, epidemiology, China

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