![Page 1: The burden of animal bites among humans and control measures in Mubende district](https://reader035.vdocuments.net/reader035/viewer/2022062520/568161df550346895dd1f065/html5/thumbnails/1.jpg)
The burden of animal bites among humans and control measures in
Mubende district
Asiimwe Grace Karimu, F. Monje, D. Mugabi, H. Mulondo, C. Odong, H. Kazoora , T. Odoch, C. Ohuobunwo, K.
Ssemogerere
![Page 2: The burden of animal bites among humans and control measures in Mubende district](https://reader035.vdocuments.net/reader035/viewer/2022062520/568161df550346895dd1f065/html5/thumbnails/2.jpg)
Introduction
Methods
Results
Discussions
Conclusion
Recommendations
Presentation outline
![Page 3: The burden of animal bites among humans and control measures in Mubende district](https://reader035.vdocuments.net/reader035/viewer/2022062520/568161df550346895dd1f065/html5/thumbnails/3.jpg)
Humans acquire rabies through bites by infected animals.
Domestic dogs are most important source of infection to
humans with more than 95% of human cases
Although human rabies encephalitis remains untreatable
the infection is preventable
In 2010, Uganda reported 12,718 cases and 203 deaths
from rabies with 82 (0.6%) cases from Mubende district.
About 23% of land covered by forests
Introduction
![Page 4: The burden of animal bites among humans and control measures in Mubende district](https://reader035.vdocuments.net/reader035/viewer/2022062520/568161df550346895dd1f065/html5/thumbnails/4.jpg)
General objective. To describe the burden of animal bites in
humans and possible control measures Specific objectives Describe the burden of animal bite cases by
person place and time Identify possible control measures in place
Objective
![Page 5: The burden of animal bites among humans and control measures in Mubende district](https://reader035.vdocuments.net/reader035/viewer/2022062520/568161df550346895dd1f065/html5/thumbnails/5.jpg)
Cross sectional study design Abstracted data from HMIS 031 registers at
Mubende regional referral hospital (MRRH) and Veterinary department records.
Conducted community survey from selected subcounties.
Data analysed using Epi info version 5.3.1 software
Methods
![Page 6: The burden of animal bites among humans and control measures in Mubende district](https://reader035.vdocuments.net/reader035/viewer/2022062520/568161df550346895dd1f065/html5/thumbnails/6.jpg)
R
Veterinary Records
Medical records
![Page 7: The burden of animal bites among humans and control measures in Mubende district](https://reader035.vdocuments.net/reader035/viewer/2022062520/568161df550346895dd1f065/html5/thumbnails/7.jpg)
In 2010 and 2011, 563 patients reported animal bites from 15 subcounties to MRRH with less than 1% first reporting to vet.
Majority of the bites were due to dogs 540 (96%)
Others; cats 12 (2.1%), jackals 5 (0.9%), goats 3 (0.5%), humans 3 (0.5%).
Results
![Page 8: The burden of animal bites among humans and control measures in Mubende district](https://reader035.vdocuments.net/reader035/viewer/2022062520/568161df550346895dd1f065/html5/thumbnails/8.jpg)
Bage
za
Buku
ya
Butor
ogo
Kalwan
a
Kasam
bya
Kassa
nda
Kigand
a
Kigan
do
Kiten
ga
Kitum
bi
Kiyuni
Madud
u Mtc
Myanzi
Nabing
oola
0
10
20
30
40
50
60
70
80
39.8
12.117.8
14.2
75.2
Incidence per 10,000 population
Sub county
Inci
denc
e pe
r10,
000p
opul
atio
nIncidence of animal bites reported to MRRH 2010- 2011
![Page 9: The burden of animal bites among humans and control measures in Mubende district](https://reader035.vdocuments.net/reader035/viewer/2022062520/568161df550346895dd1f065/html5/thumbnails/9.jpg)
Patients aged 3 months to 84 years.
Females 293 (52%) most affected.
Only 541 (96.1%) patients treated with post exposure rabies vaccine
Only 125 (23.1%) of the patients received the recommended 2-3 vaccine doses.
March and August with high incidences
Results…
![Page 10: The burden of animal bites among humans and control measures in Mubende district](https://reader035.vdocuments.net/reader035/viewer/2022062520/568161df550346895dd1f065/html5/thumbnails/10.jpg)
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 0
5
10
15
20
25
30
35
40
45
1417
32
40 39
20102011
Months
No.
of
anim
al b
ites
repo
rted
.No. of animal bites reported in 2010 and 2011
![Page 11: The burden of animal bites among humans and control measures in Mubende district](https://reader035.vdocuments.net/reader035/viewer/2022062520/568161df550346895dd1f065/html5/thumbnails/11.jpg)
0 – 9 10 -19 20 - 29 30 - 39 40 - 49 50 – 59 60 - 69 70 - 79 80 - 89 0
5
10
15
20
25
30 28.3
Percentage cases
Age group
Perc
enta
ge o
f an
imal
bite
sPercentage of animal bite cases by age groups
![Page 12: The burden of animal bites among humans and control measures in Mubende district](https://reader035.vdocuments.net/reader035/viewer/2022062520/568161df550346895dd1f065/html5/thumbnails/12.jpg)
Interviewing dog bite patient
![Page 13: The burden of animal bites among humans and control measures in Mubende district](https://reader035.vdocuments.net/reader035/viewer/2022062520/568161df550346895dd1f065/html5/thumbnails/13.jpg)
Children (10 - 19yrs) more prone to animal bites.
School going children most affected Stray dogs seen in communities visited Stray dog bites common. Weak departmental collaboration (Hospital,
medical and veterinary dep'ts)
Results …
![Page 14: The burden of animal bites among humans and control measures in Mubende district](https://reader035.vdocuments.net/reader035/viewer/2022062520/568161df550346895dd1f065/html5/thumbnails/14.jpg)
Community survey –Nabingola s/c
Only 28% of the respondents had knowledge on rabies
![Page 15: The burden of animal bites among humans and control measures in Mubende district](https://reader035.vdocuments.net/reader035/viewer/2022062520/568161df550346895dd1f065/html5/thumbnails/15.jpg)
Animal bites and human rabies in Mubende primarily due to stray dogs.
Post exposure prophylaxis is currently inadequate.
Limited community knowledge on rabies Irregular control strategies
Conclusions
![Page 16: The burden of animal bites among humans and control measures in Mubende district](https://reader035.vdocuments.net/reader035/viewer/2022062520/568161df550346895dd1f065/html5/thumbnails/16.jpg)
District recruit Veterinary staff MAAIF provide vaccines to district for mass
vaccination of pets Vet Sensitise communities/schools on rabies Training of VHT to report on zoonoses. Killing any stray dogs in the community Strengthening the bond between Health and
Veterinary dep'ts (One Health) in the district
Recommendations
![Page 17: The burden of animal bites among humans and control measures in Mubende district](https://reader035.vdocuments.net/reader035/viewer/2022062520/568161df550346895dd1f065/html5/thumbnails/17.jpg)
Sensitisation of communities on rabies
Public health action
Kasambya subcounty Kiyuni subcounty
![Page 18: The burden of animal bites among humans and control measures in Mubende district](https://reader035.vdocuments.net/reader035/viewer/2022062520/568161df550346895dd1f065/html5/thumbnails/18.jpg)
Mubende district local government
MRRH
MUK-COVAB
MAAIF
AFENET
USAID - RESPOND
Acknowledgement