Case pattern of urban human rabies in Liberia: a descriptive and categorical
analysis of age, gender and spatial distribution in Monrovia, Liberia, August
- December, 2010
Ayodeji Olarinmoye1,2,3,&, Fahnboah Dakinah2,4, Babasola Olugasa1,2
1Centre for Control and Prevention of Zoonoses, University of Ibadan, Ibadan, Nigeria, 2Department of Veterinary Public Health and Preventive Medicine, University of Ibadan, Ibadan, Nigeria, 3Engineer Abdullah Bugshan, Research Chair for Growth Factors and Bone Regeneration (GFBR), King Saudi University, Riyadh, Saudi Arabia, 4Rabies Referral Clinic, 16th Street, Monrovia, Liberia
Ayodeji Olarinmoye, Department of Veterinary Public Health and Preventive Medicine, University of Ibadan, Ibadan, Nigeria
rabies is designated by the World Health Organization as a neglected disease in West Africa. Very few human cases have been reported in published literature on post-conflict in Liberia. We investigated the presence of dog-bite victims (DBV) and rabies involvement in Moronvia, Liberia.
a retrospective study of the records of the only Referral Clinic for Human Rabies (RCHR) post-exposure management and treatment of dog bite injuries in Monrovia, the capital city of Liberia over a 5 month period (August - December 2010) was conducted in this study. Data retrieved were classified into suspected, probable and confirmed cases based on the WHO guidelines. A descriptive and categorical analysis of age, gender and spatial distribution were computed to describe the occurrence of the disease. Thematic map of the distribution was designed using ArcGIS 10.1.
a total of 138 DBV were presented to the RCHR over the 5 month period. On
the average, it took 11.5 days (51.7) before a DBV was presented for treatment
at the clinic. About 104 of the human patients were considered probable cases
of rabies. Human Diploid Cell Strain (HDCS) vaccine was used to vaccinate
88 of the patients in post-exposure prophylaxis. Classical rabies signs, including
hydrophobia, delirium and fatal outcome were observed in 6 cases.
these findings provided evidence of high incidence of urban rabies in post-conflict Liberia. There is a critical need for more effective and efficient collaboration and humanitarian response in support of canine and human rabies control in Liberia.
The 2nd International Conference on Rabies in West Africa (RIWA) (Madina)
Rabies in West Africa, a forum to coordinate regular meeting among governments and stakeholders in one-health, was inaugurated in December, 2012 to link Anglophone and Francophone West African countries in the surveillance and control of rabies. It aims to disseminate progress reports on rabies surveillance and control activities in West Africa. Its first conference was jointly sponsored by the Federal Ministry of Health, Nigeria and the University of Ibadan Centre for Control and Prevention of Zoonoses. The 2nd conference was held concurrently with the 20th Congress of the Ghana Veterinary Medical Association. The scientific programme included 2 lead papers, 9 symposia and a roundtable discussion. The presented papers which focused on: (i) knowledge, attitude and practices among native community stakeholders; (ii) clinical detection and outbreak investigations; (iii) national laboratory diagnostic activities and vaccination records; (iv) wildlife infection study; and (v) spatial or spatio-temporal distribution of dog bite victims with suspected, probable and confirmed rabies exposures from three countries namely, Ghana (7); Nigeria (4) and Liberia (1). The conference gave consensus report that rabies has remained a neglected disease in West Africa and therefore deserves one-health approach for its control and prevention alongside a stepwise eradication in domestic dogs and humans.
Dates: 28 Oct 14 - 31 Oct 14
Venue: Institute of Local Government Studies
Organizers: The Society for Rabies in West Africa
Contact person: Professor Albert B. Ogunkoya (firstname.lastname@example.org)