rabies in maharashtra by dr pradip awate
DESCRIPTION
Rabies Surveillance In Maharashtra, APCRICON 2013 PUNETRANSCRIPT
Current Status of Current Status of Animal Bites in Animal Bites in
MaharashtraMaharashtra
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APCRICON 2013
Maharashtra - ProfilePopulation 11,23,72,972
Districts 35
Population Density 370 /Km2
Urban Population 50,827,531 (45.23%)
Tribal Population Approx 10 million (Approx 10%)
Total Primary Health Centers 1816
Rural Hospitals/Sub district hospitals etc
445
District Hospitals,Gen Hospitals & Women Hospital
37
Subcenters 105807/7/2013 2APRICON 2013
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As per the popular myth about KingShivaji's beloved pet dog "Waghya“, afterdeath of Maharaj, out of grief he jumpedinto the burning chitaah (pyre) of ShivajiMaharaj and end up his journey of life.
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•India has approx.2.5 million dogs.•Dog : Human :: 1:36•Approximately 1.5 million bites/year.• India reports 20,000 rabies deaths.•36% of Global burden.
But there is Twist in thestory…..!!!
Love getting Sour.
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• Rabies is one of the oldest recognized diseasesaffecting humans.
• One of the most important zoonotic diseases inIndia.
• It has been recognized in India since the Vedicperiod (1500–500 BC).
• It is described in the ancient Indianscripture Atharvaveda, wherein –
Yama, the mythical God of Death, has beendepicted as attended by 2 dogs as his constantcompanions, the emissaries of death
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जलतषृा
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Economical Aspect of
Dog bite….?
Surveillance of Animal BitesSurveillance of Animal BitesData Source
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IDSP
CBHI
Hospital data on DHIS -2
Annual Dog Bites - Maharashtra
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163733
238219
208841
Year 2010 Year 2011 Year 2012
Source - IDSP2.7 Dog bites/1000 per annum.
Year Cases Deaths
2011 80889 7
2012 82274 8
2013 (upto May)
39348 5
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•Mumbai Population – 1,24,78,447• Dog bites /1000 per annum – 6.6
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Pune Population- 3,115,431
11523
12840 12731
6364
1516
21
6
0
5
10
15
20
25
0
2000
4000
6000
8000
10000
12000
14000
2010 2011 2012 2013(Up to May)
Dogbites Deaths7/7/2013 APRICON 2013 13
Dog bite -4/1000
Surveillance Improvement
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49
4058
6259
7
1657
3294
1 402
3651
Yr 2010 Yr 2011 Yr 2012
AURANGABAD BULDHANA WASHIM
Division Wise Dog bites
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A'bad, 8243, 4%Akola, 17349, 8%
Nasik, 65380, 32%
Latur, 10770, 5%Nagpur, 14321, 7%
K'pur, 27090, 13%
Pune, 46588, 22%
Thane, 18487, 9%
Rabies Deaths – Hospital Data
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8
40
26
41
2009-10 2010-11 2011-12 2012-13
Source –DHIS2& Manual reporting
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Source -Suraweera W, et al. (2012)
Under IDSP – Only Dog bite data is collected. No • Under IDSP – Only Dog bite data is collected. No data collection of Rabies deaths.
• No system to capture other animal bites (e.g. Wolves ) which are common in tribal belt.
• Reporting from municipal areas is lacking.(Mumbai has > 80,000 dog bites/year)
• No reporting from private sector.• Reporting from urban areas ???• Rabies not Notifiable Disease.
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State Plan of Rabies Control• Strengthening of Surveillance of human & animal• Strengthening of Surveillance of human & animal
rabies.• Coordination with Animal Husbandry dept to
identify Rabies foci.• Immunization of pet dogs .• Reproduction control of stray dogs• increased access of safe and effective rabies
vaccine (State has highest number of anti rabiesvaccination last year)
• Public awareness about Rabies Prevention &Control.(65% rabies victims took traditionaltreatment - Suraweera W, et al -2012)
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In the realm of science, luck is only granted to those who are
prepared.
-Louis Pasteur
A Day will come when our beloved Tomy will
say…..
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