Epidemiological Analysis of Cases of Animal Bite Injuries at Rabies Prevention Centers Affiliated with Iranshahr University of Medical Sciences
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Keywords

Epidemiology, Animal bite, Dogs, Humans, Iranshahr

Abstract

Objective: Among the oldest common viral diseases between humans and animals, Rabies is still one of the greatest threats to public health in the 21st century, particularly in developing countries, where it is an increasing problem. This study was conducted to determine the epidemiological patterns of animal bites in Iranshahr, southeast of Iran during the years of 2019 to 2021.

Methods: In this descriptive study we were conducted to analyze the epidemiological characteristics of 6085 animal bites reported to the rabies prevention centers of Iranshahr University of Medical Sciences between April 2019 and March 2021. A demographic profile (age, gender, occupation, and nationality), the type of the attacking animal (a dog, a cat, or another type of animal), the year and month of the bite, as well as the state of the injury and treatment, were collected. Data analysis using SPSS version 19 at a significant level (P-value ≤ 0.05), ArcGIS version 10.8.2, and Excel 2019 were used to generate frequency distributions, descriptive statistics, and the distribution map of animal bites.

Results: The mean age of the injured was 25.22±20.1 years. Out of 6085 animal bite cases, 4071 cases (66.9%) were males and the rest were women. Regarding the residential area, 4083 (67.1%) related to rural areas and 38% of the victims were under 19 years old. Dogs made up the majority of animal biting cases (89.8%), followed by cats (5.2%). Also, the spring season was reported with the highest share of bites (30.8 percent). The cumulative incidence of animal bites during the time period was 151/100,000 population, which was the lowest during the first year of the COVID-19 pandemic (131/100,000), and the highest during the three years in Rask City (253/100,000). A total of 14 cases of suspected animals were sampled, of which 8 cases were confirmed as animal rabies-positive by the Pasteur Institute of Iran.

Conclusions: School-aged children and adolescents were most likely to be bitten by dogs, suggesting educational programs should target these age groups. Furthermore, confirmed cases of rabies in animals are also alarming for other organizations involved in the rabies program, which require control programs that include relocating stray dogs and vaccinating owners' dogs.

https://doi.org/10.15167/2421-4248/jpmh2024.65.4.3246
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References

Nyasulu PS, Weyer J, Tschopp R, Mihret A, Aseffa A, Nuvor SV, et al. Rabies mortality and morbidity associated with animal bites in Africa: A case for integrated rabies disease surveillance, prevention and control: A scoping review. BMJ Open. 2021;11(12):e048551. 10.1136/bmjopen-2020-048551.

Bay V, Jafari M, Shirzadi MR, Bagheri A, Asl IM. Trend and epidemiological patterns of animal bites in Golestan province (Northern Iran) between 2017 and 2020. PLoS One. 2021;16(5 May):e0252058. 10.1371/journal.pone.0252058.

Savu AN, Schoenbrunner AR, Politi R, Janis JE. Practical Review of the Management of Animal Bites. Plast Reconstr Surg - Glob Open. 2021;9(9):E3778. 10.1097/GOX.0000000000003778.

Rahmanian V, Shakeri H, Jahromi AS, Shakeri M, Khoubfekr H, Hatami I. Epidemiological characteristic of animal bite and direct economic burden of rabies vaccination in the southern of Iran. Am J Anim Vet Sci. 2020;15(4):245–51. 10.3844/ajavsp.2020.245.251.

Khoubfekr H, Jokar M, Rahmanian V, Blouch H, Shirzadi MR, Bashar R. Fatal cases in pediatric patients after post-exposure prophylaxis for rabies: A report of two cases. Asian Pac J Trop Med. 2024;17(1):39–42. 10.4103/1995-7645.390169.

Bilal A. Rabies is a Zoonotic Disease: A Literature Review. Occup Med Heal Aff. 2021;9(2).

Acharya KP, Acharya N, Phuyal S, Upadhyaya M, Steven L. One-health approach: A best possible way to control rabies. One Heal. 2020;10:100161. 10.1016/j.onehlt.2020.100161.

Delam H, Eidi A, Keshtkaran Z, Soufı O, Rezaei B, Bazrafshan M-R. Incidence rate of animal bites in southern Iran during 2015-2019 using Cochrane-Armitage trend test. J Acute Dis. 2023;12(1):29. 10.4103/2221-6189.369076.

Amiri S, Maleki Z, Nikbakht HA, Hassanipour S, Salehiniya H, Ghayour AR, et al. Epidemiological patterns of animal bites in the Najafabad, center of Iran (2012–2017). Ann Glob Heal. 2020;86(1). 10.5334/aogh.2776.

Abdel-Kader S, Abbas IM, Abu-Zidan FM. Management of Animal Bites: A Global Perspective. In: Textbook of Emergency General Surgery: Traumatic and Non-traumatic Surgical Emergencies. Springer; 2023. p. 401–10. 10.1007/978-3-031-22599-4_26.

Shariat MS, Esmaeilzadeh N, Zerangian N, Peyman N. Epidemiological characteristics and trends of animal bites in Neyshabur, Iran: A cross-sectional study. J Acute Dis. 2023;12(6):219–25. 10.4103/2221-6189.390387.

Abbasi M, Barfar E, Hazratian T, Abbasi R. Estimating the cost of prevention and control of rabies: a case study in the northwest of Iran. Evid Based Heal Policy, Manag Econ. 2018;2(3):166–73.

Saleem SM, Quansar R, Haq I, Salim Khan SM. Imposing COVID-19 lockdown and reported dog bite cases: An experience from a tertiary antirabies center of North India. J Vet Behav. 2021;42:48–52. 10.1016/j.jveb.2021.01.007.

Nadal D, Beeching S, Cleaveland S, Cronin K, Hampson K, Steenson R, et al. Rabies and the pandemic: Lessons for One Health. Trans R Soc Trop Med Hyg. 2022;116(3):197–200. 10.1093/trstmh/trab123.

Norwood SD. The Impact of the COVID-19 Pandemic on Animal Bite Incidences in Cobb & Douglas Counties. 2023;

Parente G, Gargano T, Di Mitri M, Cravano S, Thomas E, Vastano M, et al. Consequences of COVID-19 lockdown on children and their pets: Dangerous increase of dog bites among the paediatric population. Children. 2021;8(8):620. 10.3390/children8080620.

Sarani H, Robani H, Pishkarmofrad Z, Shahsavani AR. Survey epidemiological animal bites in iranshre during 2002-2003. In: 2nd congress on epidemiology Zahedan Univ Med Sci. 2004.

Liu Q, Wang X, Liu B, Gong Y, Mkandawire N, Li W, et al. Improper wound treatment and delay of rabies post-exposure prophylaxis of animal bite victims in China: Prevalence and determinants. PLoS Negl Trop Dis. 2017;11(7):e0005663. 10.1371/journal.pntd.0005663.

Whitehouse ER, Mandra A, Bonwitt J, Beasley EA, Taliano J, Rao AK. Human rabies despite post-exposure prophylaxis: a systematic review of fatal breakthrough infections after zoonotic exposures. Lancet Infect Dis. 2023;23(5):e167–74. 10.1016/S1473-3099(22)00641-7.

Rupprecht CE, Kuzmin I V. Why we can prevent, control and possibly treat - But will not eradicate - Rabies. Future Virol. 2015;10(5):517–35. 10.2217/fvl.15.26.

Wani R, Chowdri I, Dar H. Factors influencing delay in initiating post-exposure prophylaxis for rabies prevention among animal bite victims: a cross sectional study. J Fam Med Prim Care. 2020;9(9):4751. 10.4103/jfmpc.jfmpc_890_20.

Taylor LH, Wallace RM, Balaram D, Lindenmayer JM, Eckery DC, Mutonono-Watkiss B, et al. The role of dog population management in rabies elimination-A review of current approaches and future opportunities. Front Vet Sci. 2017;4(JUL):109. 10.3389/fvets.2017.00109.

Fragoso S, Anjos C, Almeida A, Manteca X, de Sousa L. Dog bites in Portugal: Analysis of incidents, and consequences for both people and dogs. J Vet Behav. 2022;54:19–27. 10.1016/j.jveb.2022.06.005.

Overall KL, Love M. Dog bites to humans - Demography, epidemiology, injury, and risk. J Am Vet Med Assoc. 2001;218(12):1923–34. 10.2460/javma.2001.218.1923.

Essig GF, Sheehan C, Rikhi S, Elmaraghy CA, Christophel JJ. Dog bite injuries to the face: Is there risk with breed ownership? A systematic review with meta-analysis. Int J Pediatr Otorhinolaryngol. 2019;117:182–8. 10.1016/j.ijporl.2018.11.028.