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2017 ; 145
(8
): 1624-1634
Nephropedia Template TP
gab.com Text
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English Wikipedia
Knowledge, attitudes and practices regarding rabies risk in community members and
healthcare professionals: Pétionville, Haiti, 2013
#MMPMID28290915
Fenelon N
; Dely P
; Katz MA
; Schaad ND
; Dismer A
; Moran D
; Laraque F
; Wallace RM
Epidemiol Infect
2017[Jun]; 145
(8
): 1624-1634
PMID28290915
show ga
Haiti has the highest human rabies burden in the Western Hemisphere. There is no
published literature describing the public's perceptions of rabies in Haiti,
information that is critical to developing effective interventions and government
policies. We conducted a knowledge, attitudes and practices survey of 550
community members and 116 health professionals in Pétionville, Haiti in 2013 to
understand the perception of rabies in these populations. The majority of
respondents (85%) knew that dogs were the primary reservoir for rabies, yet only
1% were aware that bats and mongooses could transmit rabies. Animal bites were
recognized as a mechanism of rabies transmission by 77% of the population and 76%
were aware that the disease could be prevented by vaccination. Of 172 persons
reporting a bite, only 37% sought medical treatment. The annual bite incidence
rate in respondents was 0ˇ9%. Only 31% of bite victims reported that they started
the rabies vaccination series. Only 38% of respondents reported that their dog
had been vaccinated against rabies. The majority of medical professionals
recognized that dogs were the main reservoir for rabies (98%), but only 28%
reported bats and 14% reported mongooses as posing a risk for rabies infection.
Bites were reported as a mechanism of rabies transmission by 73% of respondents;
exposure to saliva was reported by 20%. Thirty-four percent of medical
professionals reported they would wash a bite wound with soap and water and 2ˇ8%
specifically mentioned rabies vaccination as a component of post-bite treatment.
The majority of healthcare professionals recommended some form of rabies
assessment for biting animals; 68ˇ9% recommended a 14-day observation period,
60ˇ4% recommended a veterinary consultation, and 13ˇ2% recommended checking the
vaccination status of the animal. Fewer than 15% of healthcare professionals had
ever received training on rabies prevention and 77% did not know where to go to
procure rabies vaccine for bite victims. Both study populations had a high level
of knowledge about the primary reservoir for rabies and the mode of transmission.
However, there is a need to improve the level of knowledge regarding the
importance of seeking medical care for dog bites and additional training on
rabies prevention for healthcare professionals. Distribution channels for rabies
vaccines should be evaluated, as the majority of healthcare providers did not
know where rabies vaccines could be obtained. Canine rabies vaccination is the
primary intervention for rabies control programmes, yet most owned dogs in this
population were not vaccinated.
|*Clinical Competence
[MESH]
|*Health Behavior
[MESH]
|*Health Knowledge, Attitudes, Practice
[MESH]
|Adolescent
[MESH]
|Adult
[MESH]
|Aged
[MESH]
|Aged, 80 and over
[MESH]
|Female
[MESH]
|Haiti
[MESH]
|Health Personnel/*psychology
[MESH]
|Health Services Accessibility/statistics & numerical data
[MESH]
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