dc.contributor.author | Kitala, P.M | |
dc.contributor.author | McDermotta, J.J | |
dc.contributor.author | Kyule, M.N | |
dc.contributor.author | Gathuma, J.M | |
dc.date.accessioned | 2013-03-16T09:20:53Z | |
dc.date.issued | 2000 | |
dc.identifier.citation | Preventive Veterinary Medicine 44 (2000) 73-85 | en |
dc.identifier.issn | 0167-5877 | |
dc.identifier.uri | www.elsevier.nl/locate/prevetmed | |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/14235 | |
dc.description.abstract | The rabies problem in Kenya has been greatest in Machakos District where the disease has persisted endemically for over 40 years. This paper presents the results of a one-year community¬based active surveillance for rabies in six randomly selected sublocations in the district for the period 1992-1993. Approximately 860 rabid dogs per 100 000 dogs were confirmed in this study, compared to approximately 12 per 100 000 confirmed rabid dogs reported by the existing passive¬surveillance system. This active surveillance underestimated the true rabies incidence, because only 41 % (1301317) of the potential specimens could be diagnosed. Dogs accounted for 92% (179/194) of primary animaJ-rabies suspects, 80% (66/83) of secondary suspects, and 81 % of the confirmed animal-rabies cases. The annual incidence of animal-bites of humans was 234 per 100 000 people and the point estimate of human-rabies incidence per year was 25 per million people. Almost all (97%) animal-bites of humans were due to dogs.
The traditional passive-surveillance system grossly underestimated the importance of rabies as a public-health problem in Machakos District. Community-based active surveillance provides a potential cost-effective strategy for greatly improving estimates of rabies incidence and epidemiology to inform veterinary and policy decision-making. | en |
dc.language.iso | en | en |
dc.publisher | Elsevier | en |
dc.subject | Rabies | en |
dc.subject | Active surveillance | en |
dc.subject | Community-based | en |
dc.subject | Kenya | en |
dc.title | Community-based active surveillance for rabies In Machakos District, Kenya | en |
dc.type | Article | en |
local.publisher | Department of Public Health, Pharmacology and Toxicology, University of Nairobi | en |
local.publisher | Department of Population Medicine, University of Guelph, Guelph, ON. Canada | en |