Epidemiological pattern of dog bites and the occurrence of rabies in humans within Srinagar district of Kashmir Valley, India

•West zone had recorded the highest number of cases, then the south zone, followed by the north zone and the east zone.•Majority victims were males followed by females.•Most of them belonged to 30–40 year old group, followed by 20–30, 1–20 and so on.•The majority of cases had category 3 bites accord...

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Published in:Comparative immunology, microbiology and infectious diseases Vol. 73; p. 101556
Main Authors: Thahaby, Namera, Akand, Afzal Hoque, Hamdani, Shabeer Ahmed, Bhat, Abdul Hai, Hussain, Syed Akram, Shiekh, Islamuddin, Shubeena, Sheikh
Format: Journal Article
Language:English
Published: Elsevier Ltd 01-12-2020
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Summary:•West zone had recorded the highest number of cases, then the south zone, followed by the north zone and the east zone.•Majority victims were males followed by females.•Most of them belonged to 30–40 year old group, followed by 20–30, 1–20 and so on.•The majority of cases had category 3 bites according to WHO classification.•The majority people were illiterate and belonging to lower sections of society and their lack of complete perception might decipher into higher mortality linked to rabies. Men’s dominant ally, best defense defendant, therefore, the pre-eminent peril detector, dogs became a threat for the humanity inflicting a fatal disease of rabies. Dog bites and open garbage dumps became additional and apparent and are serious and sometimes underestimated public health dilemma in the Kashmir region. The aesthetic, primarily health care and psycho-sociological consequences of trauma caused by a dog bites repeatedly burden the standard of lifetime pertaining to the affected persons and their family. The present study was carried in Srinagar district. Diverse sampling plan / data collection strategies were formulated to fulfill the set of objectives. To assess the epidemiological pattern, secondary source of information viz. Shri Maharaja Hari Singh hospital, which shouldered the relevant cases, was utilized. Further, people perception of the subject was assessed using a predesigned interview schedule from respondents selected by appropriate methods. West zone had recorded the highest number of cases (28.95 %), then the south zone, followed by the north zone and the east zone. Majority victims were males (74.27 %) followed by females (25.72 %) [χ2 = 4.442, p = 0.219). Most of them belonged to 30−40 (26.88 %) year old groups, followed by 20−30 (22.36 %), 10−20 (16.03 %) and so on. The time of exposure of victims was evening (62.90 %) [χ2 = 30.342, p = 0.001]. The bulk number of cases had bite on legs (56.60 %). Majority had category 3 bites (70.16 %) and the majority had received immunoglobin (82.85 %) [χ2 = 29.56, p = 0.001]. The summer season (29.30 %) had also recorded the highest number of cases followed by autumn season (27.82 %) irrespective of each determinant. The Anti rabies clinic of SMHS has also recorded two rabies deaths during this period. The majority people (72.50 %) were illiterate and belonging to lower sections of society. About all those diseases that attack humans, rabies is an example of the best known in Srinagar. Its notoriety is peculiar when assessed on its influence medially, on humans who are belonging to the susceptible divisions of the society due to lack of discernment. The lack of complete perception might decipher into higher mortality linked to rabies.
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ISSN:0147-9571
1878-1667
DOI:10.1016/j.cimid.2020.101556