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Rabies Philippines

Jun 02, 2018

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Char Susano
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    A Cross-Sectional

    Study on Rabies in

    Cavite

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    INTRODUCTION

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    Cont..

    Fatal.

    Found throughout the world.

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    EPIDEMIOLOGY

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    Cont.

    Generally, each virus variant is responsible for

    rabies virus transmission between members of

    the same species in a given geographic area.

    The incubation period ranges from 10 days to

    more than a year, depending on the entry site.

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    Signs and Symptoms

    Rabies infection characteristically produces a

    rapidly progressive encephalomyelitis

    early symptoms are fever, headache, and loss

    of appetite that are nonspecific. After a while

    the patient becomes restless and disoriented

    and may experience seizures.

    Hydrophobic

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    Cont.

    Coma and death usually follow 3 to 20 days

    after the onset of symptoms.

    Once symptoms have appeared, treatment is

    limited to sedatives and painkillers.

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    Rabies is primarily a disease of non-human

    animals. It is a zoonotic infection, which

    means it is passed to humans by animals. It

    appears that any mammal species can develop

    rabies.

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    The prevalence of rabies in specific animal

    species varies greatly by geographical region.

    Knowing which animals are most likely to be

    rabid in a given location is essential to

    implementing appropriate preventive and

    post exposure measures.

    Reservoirs of rabies vary throughout the

    world.

    All rabies reservoirs are also vectors of the

    virus, but not all vectors are reservoirs

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    In the Philippines, rabies continues to be a

    public health problem.

    country is one of the top 10 countries with

    rabies problem

    Animal bite cases have been increasing for thepast 5 years

    Dogs remain the principal cause

    WHO

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    Classical Diagnostic Tools and

    Techniques Animal Observation

    Histochemical Techniques and Direct

    Microscopy

    Viral Antigen Detection

    Virus Isolation and Indirect RABV detection

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    Current and Advanced Diagnostic

    Tools and Techniques Due to the innovation in molecular biology

    and biotechnology through the development

    of Polymerase Chain Reaction (PCR), Enzyme-

    Linked Immunosorbent Assay (ELISA), andChromatography, the RABV diagnostic tools

    and techniques became more advanced, cost-

    effective, time-saving, and more sensitive.

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    nucleic acid-based detection: Reverse Transcription Polymerase Chain

    Reaction (RT-PCR)

    Nested Reverse Transcription PolymeraseChain Reaction (NRT-PCR)

    TaqMan Real-Time Reverse Transcription-Polymerase Chain Reaction

    Nucleic Acid Sequence-Based Amplification

    (NASBA) Reverse Transcription Loop-Mediated

    Isothermal Amplification (RT-LAMP)

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    Protocols for RABV antigen detection have

    also advance that employs

    immunochromatography (Rapid

    Immunodiagnostic Test, RIDT) and ELISA

    (WELYSSA).

    Fluorescent Antibody Test (FAT

    Indirect Fluorescence Antibody Test (IFAT)

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    PREVENTION AND CONTROL

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    Lists: Vaccines

    Keep dogs and cats under control.

    Animal control law

    Leave stray or unknown dogs and cats alone

    Avoid wild animals even if they appear

    friendly, and do not coax a wild animal to eat

    from your hand.

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    Cont.. Do not fear wild animals, just respect and stay

    away from them.

    Do not keep wild animals as pets

    Make your property unattractive to wild

    animals

    Feed your pets indoors and keep trash cans

    tightly closed.

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    Intervention strategies of the City of

    Dasmarias: Rabies shots are given to dogs every office

    hours whole year round at the Veterinary

    Office.

    post-exposure treatment program

    Municipal Ordinance No. 2000-004

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    ISSUES AND PROBLEMS

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    Despite the establishment on various policiesto control rabies, it continues to be a

    significant cause of human and animal deaths

    not just in the Philippines, but in many parts

    of the world. ASEAN rabies experts identified

    logistics, sociocultural factors and resources as

    major roadblocks in achieving the goal of

    completely eliminating the disease by 2020.

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    Logistics rabies remains a neglected disease in most

    countries of the South-East Asian region

    perception of policymakers

    lack of support and commitment from local Chief

    Executives increasing number of dogs and cats roaming the

    streets

    lack of awareness on rabies prevention andcontrol

    lack of support from other sectors.

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    Sociocultural Philippines, the Dog Meat Eating Country

    - aside from being pet and accompanion it extendsto our stomachs, branding our country, the DogMeat Eating Country. The Bureau of Animal Industrychief noted that this trade may involve health

    issues, risking possible rabies and other bacterialinfection due to the unsanitary and inhumanehandling of the animal. During transport, the dogsfeet are tied together behind their backs and

    mouths muzzled making it impossible for them tobreathe properly, killing them, even before theyreach their destination,

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    Cont..

    Cultural beliefs- garlic and a few drops of vinegar

    - Quack doctor

    Status- It is the poorest of the population that are

    most at risk of exposure and death from rabies,

    and this segment of society is often overlooked.

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    Resources

    Another constraint of rabies control here inthe Philippines is the limited funding for

    project implementation.

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    end

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    Pasterov Zavod. [internet]. (undated). Rabies Diagnosis in Humans. Novi Sad: Pasteur Institute:National Reference Laboratory for Rabies. [cited 29 July 2014]. Available from:http://www.paster.org.rs/en/rabies-diagnosis-in-humans.html

    Yang DK, Shin EK, Oh YI, Lee KW, Lee CS, Kim SY, Lee JA, Song JY. 2012. Comparison of four diagnosticmethods for detecting rabies viruses circulating in Korea.J Vet Sci. 13(1): P 4348

    http://www.dasmarinas.gov.ph/index.php?option=com_content&view=article&id=53

    http://doh.dc.gov/service/rabies-prevention

    Tacio, H. Rabies Deadlier Than Ever. Business Mirror. March 21, 2013 Retrieved July 31 2014 fromhttp://businessmirror.com.ph/index.php/en/features/health-fitness/10987-rabies-deadlier-than-ever

    Buban C. Major roadblocks for complete elimination of rabies. Philippine Daily Inquirer. January 31,2014 Retrieved July 31 2014 from http://business.inquirer.net/162575/major-roadblocks-for-complete-elimination-of-rabies#ixzz38y2V

    The South-East Asia Dog Rabies Elimination Strategy. Retrieved July 31 2014 from http://www.rr-asia.oie.int/fileadmin/SRR_Activities/SEA_Rabies_Strategy_-_OIE_Final_Draft.pdf

    Galvez, JK. Rabies threatens dog meat eatersexperts. The Manila Times September 27, 2013Retrieved July 31 2014 from http://www.manilatimes.net/rabies-threatens-dog-meat-eaters-experts/39738/