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Rabies And Treatment Following Dog Bites: Knowledge Among Adults Residing In A Semi-Urban Medical Officer Of Health Area In Sri Lanka
Abstract
Introduction: Rabies is a zoonotic disease that is endemic in Sri Lanka and the main vector of human rabies is the dog. The county invests a huge portion of its annual health budget to prevent this deadly disease. The treatment following dog bite has an important place in the prevention of human rabies, which consists of the provision of first aid and Post Exposure Therapy (PET). The objective of the study was to describe knowledge on human rabies and treatment following dog bites (TFDB) and their associated factors among persons aged 20-59 years in a semiurban Medical Officer of Health area in Sri Lanka
Method- A community-based cross-sectional study was carried out among a random sample of 340 participants, aged 20-59 years in a semi-urban Medical Officer of Health area, Sri Lanka by using probability proportionate to the population size cluster sampling technique. Data were collected by using a pre-tested interviewer-administered questionnaire by two trained pre intern doctors and analyzed using SPSS 22 software.
Results- Response rate was 94.7% (322/340). The mean age was 38.1 years (SD=11.2 years).Of the participants, 94% were Sinhalese (n=303): 87% Buddhists (n=280); 74.2% married (n=239); 64.6% employed (n=208); 82% lived in own house (n=264) with a median income of Rs. 38,000.00 (IQR=Rs. 38,000/=). Only 11.5% (n=37) were dog owners.
Overall knowledge on rabies was good in 64.9%, (n=209): 70.8% (n=228) knew the route of entry of virus but < 45% knew cat & bat are also reservoirs. The factors associated with good knowledge on rabies were Sinhala (OR=3.4, 95% CI- 1.3 -8.9,p=0.01); having higher level of education (OR=18.7, 95% CI- 9.7 -35.8 ,p<0.001), being employed (OR=2.3, 95% CI- 1.4 -3.6 p<0.001), having a higher income level (OR=4.8, 95% CI- 2.9 -7.9, p<0.001);owning dog (OR=2.7, 95% CI- 1.6 -4.4, p<0.001).
Overall knowledge on treatment following dog bite was good in 61.2 %,(n=197):89.6%,(n=288) on first aid but < 30% knew the importance of noticing offending dog’s health, observability, and what to do if a dog is suspected to have rabies. The factors associated with knowledge on the treatment following dog bite were: ever-married(OR=1.7, 95% CI- 1.1 -3.2, p=0.02); having a higher level of education (OR=13.3, 95% CI- 7.5-23.5, p<0.001); having a higher level of monthly income (OR=3.0, 95% CI-1.9 -4.8, p<0.001); being employed (OR=2.2, 95% CI- 1.4 -3.5, p<0.001); owning a dog (OR=27.7, 95% CI-3.7 -205.0, p<0.001).
Conclusions and Recommendations: The majority of the study participants had good overall knowledge of rabies and treatment following a dog bite. In general, knowledge on non-canine reservoirs of rabies and treatment following dog bites on specific events were deficient. There is a need to give holistic knowledge with regard to rabies as well as treatment following a dog bite to the general public.
Keywords—rabies, treatment following dog bites, knowledge, Sri Lanka
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Clark ML, Kumar P. Kumar and Clark’s Clinical Medicine. 2017.
World Health Organization. WHO expert consultation on rabies: third report. Vol. 1012. World Health Organization; 2018.
Vithanarachchi S, Rodrigo P. Responsible pet ownership: knowledge, attitudes and practices of victimized patients attended the rabies control unit of the national hospital of Sri Lanka. 2012;
Pan American Health Organization Resolution CD49. R9. Elimination of neglected diseases and other poverty-related infections. 2009;
Knobel DL, Cleaveland S, Coleman PG, Fèvre EM, Meltzer MI, Miranda MEG, et al. Re-evaluating the burden of rabies in Africa and Asia. Bulletin of the World health Organization. 2005;83:360–8.
Sudarshan M, Madhusudana S, Mahendra B, Rao N, Narayana DA, Rahman SA, et al. Assessing the burden of human rabies in India: results of a national multi-center epidemiological survey. International Journal of Infectious Diseases. 2007;11(1):29–35.
Kumarapeli V, Awerbuch-Friedlander T. Human rabies focusing on dog ecology—A challenge to public health in Sri Lanka. Acta tropica. 2009;112(1):33–7.
Pinidiyapathirage M, Wimalaratne O. Appropriateness of rabies post-exposure treatment received by patients presenting to an anti-rabies treatment unit: P574. Clinical Microbiology & Infection. 2006;12.
Blanton JD, Palmer D, Dyer J, Rupprecht CE. Rabies surveillance in the United States during 2010. Journal of the American Veterinary Medical Association. 2011;239(6):773–83.
World Health Organization. Strategic framework for elimination of human rabies transmitted by dogs in the South-East Asia region. 2012;
Ministry of Health, Sri Lanka. PUBLIC HEALTH VETERINARY SERVICES [Internet]. 2021. Available from: http://www.rabies.gov.lk/english/
Ministry of Health, Sri Lanka. Protocol for anti Rabies post exposure therapy (PET). 2019.
Lwanga SK, Lemeshow S, World Health Organization. Sample size determination in health studies: a practical manual. World Health Organization; 1991.
Matibag GC, Kamigaki T, Kumarasiri PV, Wijewardana TG, Kalupahana AW, Dissanayake DA, et al. Knowledge, attitudes, and practices survey of rabies in a community in Sri Lanka. Environmental health and preventive medicine. 2007;12(2):84–9.
Damboragama SN. Study of health seeking behavior of dog bite victims and a comparison of the effectiveness of different interventions on canine immunization coverage in four PHI areas in Colombo district. PGIM, University of Colombo.; 1999.
Wickramasinghe, WADCH. Rabies post exposure treatment: Cost reduction through responsible pet ownership. 2010.
Jayawardena DMS. Knowledge attitude and practices regarding human rabies and factors associated with knowledge among grade 10 students in Nugegoda educational Division ine). PGIM, University of Colombo.; 2012.
Chang M-W, Brown R, Nitzke S. Scale development: factors affecting diet, exercise, and stress management (FADESM). BMC Public Health. 2008;8(1):1–7.
Wasay M, Malik A, Fahim A, Yousuf A, Chawla R, Daniel H, et al. Knowledge and attitudes about tetanus and rabies: a population-based survey from Karachi, Pakistan. Journal of the Pakistan Medical Association. 2012;62(4):378.
Ali A, Ahmed EY, Sifer D. A study on knowledge, attitude and practice of rabies among residents in Addis Ababa, Ethiopia. Ethiopian Veterinary Journal. 2013;17(2):19–35.
Gönen I, Soysal A, Topuzoğlu A, Bakir M. Clinical knowledge and attitudes of Turkish physicians toward rabies caused by animal bites. Japanese journal of infectious diseases. 2011;64(5):382–90.
Bellana MRE. Selected factors affecting timely post exposure prophylaxis of human rabies at Colombo South Teaching Hospital. [Internet]. Available from: PGIM University of Colombo
Singh U, Choudhary S. Knowledge, attitude, behavior and practice study on dog-bites and its management in the context of prevention of rabies in a rural community of Gujarat. Indian Journal of Community Medicine. 2005;30(3):81.
Harischandra PL, Gunesekera A, Janakan N, Gongal G, Abela-Ridder B. Sri Lanka takes action towards a target of zero rabies death by 2020. WHO South-East Asia Journal of Public Health. 2016;5(2):113
DOI: http://dx.doi.org/10.52155/ijpsat.v28.1.3407
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