Estimating human rabies mortality in the United Republic of Tanzania from dog bite injuries

The objective of this paper is to make quantitative predictions about the magnitude of underreporting of human rabies deaths in the United Republic of Tanzania. Human rabies deaths were estimated by using a series of probability steps to calculate the likelihood of rabies developing after the bite o...

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Main Authors: Cleaveland, S., Fèvre, Eric M., Kaare, M.T., Coleman, P.G.
Format: Journal Article
Language:Inglés
Published: FapUNIFESP 2002
Subjects:
Online Access:https://hdl.handle.net/10568/32864
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author Cleaveland, S.
Fèvre, Eric M.
Kaare, M.T.
Coleman, P.G.
author_browse Cleaveland, S.
Coleman, P.G.
Fèvre, Eric M.
Kaare, M.T.
author_facet Cleaveland, S.
Fèvre, Eric M.
Kaare, M.T.
Coleman, P.G.
author_sort Cleaveland, S.
collection Repository of Agricultural Research Outputs (CGSpace)
description The objective of this paper is to make quantitative predictions about the magnitude of underreporting of human rabies deaths in the United Republic of Tanzania. Human rabies deaths were estimated by using a series of probability steps to calculate the likelihood of rabies developing after the bite of a suspected rabid dog, incorporating field data on the incidence of animal bite injuries, the accuracy of rabies recognition, the distribution of bite wounds, and post-exposure treatment. Findings Predicted human rabies mortality was estimated to be (a) 1499 deaths per year (95% confidence interval 891–2238), equivalent to an annual incidence of 4.9 (2.9–7.2) deaths/100 000, when active surveillance data on bite incidence were used, and (b) 193 deaths per year (32–409), corresponding to an annual incidence of 0.62 (0.1–1.32) deaths/100 000, when national bite statistics were used. The annual mean number of rabies deaths officially recorded for the same period was 10.8 (7.7–14.0). Conclusion In the United Republic of Tanzania, cases of rabies in humans have been greatly underreported. Dog bite injuries are an accessible source of epidemiological data that may be used to estimate the public health burden of rabies and to monitor epidemiological trends in developing countries.
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spelling CGSpace328642025-12-08T10:29:22Z Estimating human rabies mortality in the United Republic of Tanzania from dog bite injuries Cleaveland, S. Fèvre, Eric M. Kaare, M.T. Coleman, P.G. rabies [zoonoses] mortality epidemiology dogs bites monitoring statistical methods risk human population The objective of this paper is to make quantitative predictions about the magnitude of underreporting of human rabies deaths in the United Republic of Tanzania. Human rabies deaths were estimated by using a series of probability steps to calculate the likelihood of rabies developing after the bite of a suspected rabid dog, incorporating field data on the incidence of animal bite injuries, the accuracy of rabies recognition, the distribution of bite wounds, and post-exposure treatment. Findings Predicted human rabies mortality was estimated to be (a) 1499 deaths per year (95% confidence interval 891–2238), equivalent to an annual incidence of 4.9 (2.9–7.2) deaths/100 000, when active surveillance data on bite incidence were used, and (b) 193 deaths per year (32–409), corresponding to an annual incidence of 0.62 (0.1–1.32) deaths/100 000, when national bite statistics were used. The annual mean number of rabies deaths officially recorded for the same period was 10.8 (7.7–14.0). Conclusion In the United Republic of Tanzania, cases of rabies in humans have been greatly underreported. Dog bite injuries are an accessible source of epidemiological data that may be used to estimate the public health burden of rabies and to monitor epidemiological trends in developing countries. 2002 2013-07-03T05:25:38Z 2013-07-03T05:25:38Z Journal Article https://hdl.handle.net/10568/32864 en Open Access FapUNIFESP Bulletin of the World Health Organization;80 (4): 304-310
spellingShingle rabies [zoonoses]
mortality
epidemiology
dogs
bites
monitoring
statistical methods
risk
human population
Cleaveland, S.
Fèvre, Eric M.
Kaare, M.T.
Coleman, P.G.
Estimating human rabies mortality in the United Republic of Tanzania from dog bite injuries
title Estimating human rabies mortality in the United Republic of Tanzania from dog bite injuries
title_full Estimating human rabies mortality in the United Republic of Tanzania from dog bite injuries
title_fullStr Estimating human rabies mortality in the United Republic of Tanzania from dog bite injuries
title_full_unstemmed Estimating human rabies mortality in the United Republic of Tanzania from dog bite injuries
title_short Estimating human rabies mortality in the United Republic of Tanzania from dog bite injuries
title_sort estimating human rabies mortality in the united republic of tanzania from dog bite injuries
topic rabies [zoonoses]
mortality
epidemiology
dogs
bites
monitoring
statistical methods
risk
human population
url https://hdl.handle.net/10568/32864
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