Behavioral and structural barriers to accessing human post-exposure prophylaxis and other preventive practices in Arequipa, Peru, during a canine rabies epidemic

PLoS Neglected Tropical Diseases
Ricardo Castillo-NeyraV. A. Paz-Soldan


A canine rabies epidemic started in early 2015 in Arequipa, Peru and the rabies virus continues to circulate in the dog population. Some city residents who suffer dog bites do not seek care or do not complete indicated post-exposure prophylaxis (PEP) regimens, increasing the risk of human rabies. The objectives of our study are to qualitatively assess knowledge about rabies, and preventive practices, such as rabies vaccine administration, following a dog bite. We conduct eight focus group discussions in peri-urban and urban communities with 70 total participants. In our results, we observe low awareness of rabies severity and fatality, and different practices following a dog bite, depending on the community type: for example, whereas participants in the urban communities report cleaning the wound with hydrogen peroxide rather than soap and water, participants in peri-urban areas cover the wound with herbs and hair from the dog that bit them. Misconceptions about rabies vaccines and mistreatment at health centers also commonly prevent initiating or completing PEP. We identify important behavioral and structural barriers and knowledge gaps that limit evidence-based preventive strategies against rabies and may threaten successful ...Continue Reading


Aug 2, 2000·Journal of Clinical Microbiology·S KasempimolpornV Sitprija
Jul 30, 2002·The Lancet Infectious Diseases·Charles E RupprechtThiravat Hemachudha
Jul 10, 2003·Lancet Neurology·Thiravat HemachudhaCharles E Rupprecht
Apr 25, 2007·Proceedings of the National Academy of Sciences of the United States of America·Katie HampsonAndy Dobson
Nov 26, 2008·PLoS Neglected Tropical Diseases·Katie HampsonSarah Cleaveland
Oct 12, 2010·Journal of Global Infectious Diseases·Humphrey D MazigoLadslaus L Mnyone
Mar 1, 2007·Environmental Health and Preventive Medicine·Gino C MatibagHiko Tamashiro
Oct 13, 2011·Advances in Preventive Medicine·Gyanendra Gongal, Alice E Wright
Nov 18, 2011·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Laurel C Austin, Baruch Fischhoff
Sep 18, 2012·Global Journal of Health Science·Asabe Adamu DzikwiJarlath Udoudo Umoh
Jan 5, 2013·Journal of Infection and Public Health·Mrudu HerbertSelvi Thangaraj
Mar 19, 2013·Antiviral Research·Stephanie ShwiffAaron Anderson
Apr 5, 2013·The Journal of Sexual Medicine·Eli ColemanAlexis Light
May 16, 2013·PLoS Neglected Tropical Diseases·Wudu Temesgen JemberuSefinew Alemu
Jun 27, 2013·Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences·Marco Antonio Natal VigilatoMarcos Antonio Espinal
Jul 24, 2013·Revista chilena de infectología : órgano oficial de la Sociedad Chilena de Infectología·UNKNOWN Programa Nacional de Prevención y Control de la infección por VIH/SIDACarolina Peredo Couratier
May 3, 2014·Social Science & Medicine·Ohid YaqubJoanna Chataway
Apr 17, 2015·PLoS Neglected Tropical Diseases·Katie HampsonUNKNOWN Global Alliance for Rabies Control Partners for Rabies Prevention
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