Proceedings of The 2nd International Conference on Rabies in West Africa (RIWA) (Madina, 2017)


Outbreak of rabies at Nyive in the Ho Municipality, Volta Region, Ghana, 2013

Cite this: Pan African Medical Journal - Conference Proceedings. Dec 2017; 5(5): 7. doi:10.11604/pamj.cp.2017.5.7.527

Submitted: 11 Dec 17   Accepted: 11 Dec 17   Published: 13 Dec 17

Key words: Rabies, outbreak, Nyive Community, vaccination, Volta Region, Ghana

© Esther Amemor et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at:

Corresponding author: Esther Amemor, Veterinary Services Department, Ho, Volta Region, Ghana (

This abstract is published as part of the proceedings of The 2nd International Conference on Rabies in West Africa (RIWA)(GHANA, )

Outbreak of rabies at Nyive in the Ho Municipality, Volta Region, Ghana, 2013

Esther Amemor1,2,&, Ruben Nusenu2, Christine Adjei2, John Tampuori3, Atsu Seaker-Kwaku3, Christopher Kankpetinge3, Ebenezer Afari1, Chima Ohuabunwo1, Frederick Wurapa1, Samuel Sackey1


1Ghana Field Epidemiology and Laboratory Training Program, Department of Epidemiology School of Public Health, University of Ghana, Legion, Accra, Ghana, 2Veterinary Services Department, Ghana, 3Ghana Health Service, Accra, Ghana



&Corresponding author
Esther Amemor, Veterinary Services Department, Ho, Volta Region, Ghana




Introduction: rabies is a viral zoonotic disease caused by lyssavirus of the family Rhabdoviridea, characterized by acute encephalitis. Worldwide, 55,000 rabies deaths occur annually with 56% occurring in Africa and 44% in Asia. Humans get infected with rabies through contact with the saliva of an infected animal (bite, scratches, licks on broken skin and mucous membranes). We investigated a suspected outbreak of rabies in Nyive Community in the Ho Municipality of Volta Region, Ghana, to confirm exposure, perform descriptive epidemiology, contain the outbreak and help implement control and preventive measures, where possible using the one-health approach.


Methods: a cross-sectional study was conducted from 29th of April to 2nd May 2013. Active case search was conducted in the community to obtain a line list of case patients. The index case was a 26 years old lady who was bitten by a dog on the 19 March 2013 and died on the 20 April 2013 after developing furious rabies.


Results: a line list of eight patients was generated. There was one human death giving a Case Fatality of 1 (12.50%) of 8 patients. Sixty-three percent (5/8) patients were males. The median age of patients was 30.5 years. The youngest was 1.5 years old. Public health response leads to vaccination of two thousand pets and 5 persons against rabies in the community.


Conclusion: there was an outbreak of rabies in Nyive Community. Public education was organized on rabies both in the community and on air. Yearly vaccination of pets against rabies was recommended in the area.



















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.

Country: GHANA

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 (