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10.5588/pha.12.0070

http://scihub22266oqcxt.onion/10.5588/pha.12.0070
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suck abstract from ncbi


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pmid26393003
      Public+Health+Action 2013 ; 3 (1 ): 85-9
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  • Haematophagous bat bites in Ecuadorian Amazon: characterisation and implications for sylvatic rabies prevention #MMPMID26393003
  • Romero-Sandoval N ; Parra C ; Gallegos G ; Guanopatín A ; Campaña MF ; Haro M ; Calapaqui S ; Moreta C ; Viteri F ; Feijoo-Cid M ; Martin M
  • Public Health Action 2013[Mar]; 3 (1 ): 85-9 PMID26393003 show ga
  • OBJECTIVE: To characterise the risk factors of haematophagous bat bites and to provide information to contribute to the prevention of rabies in Ecuador. DESIGN: Cross-sectional study based on interviews with 3518 individuals, from which two sets of variables were generated: characteristics of haematophagous bat attacks in the previous year among humans and risk factors for being bitten. METHODS: Data were analysed using multivariate logistic regression models, taking history of bat bites in the previous year as the response variable. RESULTS: In the previous year 723 (20.6%, 95%CI 19.3-21.9) of the participants declared having received haematophagous bat bites and 50.4% in the previous month, giving an incidence rate of 10.4% (95%CI 9.6-11.6) per month. Sleeping on the floor or in a hammock (adjusted odds ratio [aOR] 1.58, 95%CI 1.21-2.06), not using a protective bed net (aOR 1.25, 95%CI 1.03-1.50) and living in a dwelling with permanent openings in the structure (aOR 1.49, 95%CI 1.12-1.95) were associated with a higher probability of bat bites. Those most affected were the group aged ?12 years (age 13-19 years, aOR 0.39, 95%CI 0.32-0.48; age ?20 years, aOR 0.67, 95%CI 0.50-0.90). CONCLUSION: Primary prevention based on pre-exposure vaccination would be justifiable given the high dispersion of the population and the high incidence of bat bites. As a secondary protective measure, communities should work towards increasing the use of protective measures and putting barriers in permanent openings in their dwellings.
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