An evaluation of Brazil's surveillance and prophylaxis of canine rabies between 2008 and 2017.

PLoS Neglected Tropical Diseases
Julio A BenavidesKatie Hampson

Abstract

An effective surveillance system is critical for the elimination of canine rabies in Latin America. Brazil has made substantial progress towards canine rabies elimination, but outbreaks still occurred in the last decade in two states. Brazil uses a health information system (SINAN) to record patients seeking post-exposure prophylaxis (PEP) following contact with an animal suspected of having rabies. This study evaluated: (i) whether SINAN can be reliably used for rabies surveillance; (ii) if patients in Brazil are receiving appropriate PEP and (iii) the benefits of implementing the latest World Health Organization (WHO) recommendations on PEP. Analysing SINAN records from 2008 to 2017 reveals an average of 506,148 bite-injury patients/year [range: 437k-545k] in the country, equivalent to an incidence of 255 bite-injuries/100,000 people/year [range: 231-280]. The number of reports of bites from suspect rabid dogs generally increased over time. In most states, records from SINAN indicating a suspect rabid dog do not correlate with confirmed dog rabies cases reported to the Regional Information System for Epidemiological Surveillance of Rabies (SIRVERA) maintained by the Pan American Health Organization (PAHO). Analyses showed tha...Continue Reading

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Citations

Sep 12, 2020·Viruses·Julio A BenavidesDaniel G Streicker
Jun 5, 2020·Wellcome Open Research·Kirstyn BrunkerKatie Hampson
May 22, 2021·PLoS Neglected Tropical Diseases·Brinkley RaynorRicardo Castillo-Neyra
Jul 13, 2021·Frontiers in Public Health·Victor BastosLivia Medeiros Neves Casseb

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Software Mentioned

SINAN
raster
SIRVERA
R

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