Rabies in maharashtra by dr pradip awate

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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