scholarly journals Compliance of anti-rabies vaccine among dog bite victims in an urban slum of Chennai: a cross sectional study

2018 ◽  
Vol 5 (4) ◽  
pp. 1487
Author(s):  
Shivasakthimani R. ◽  
Vinoth Gnana Chellaiyan D. ◽  
Ravivarman G. ◽  
Murali R.
Keyword(s):  
Mortality Rate ◽  
Compliance Rate ◽  
Health Centre ◽  
Urban Slum ◽  
Cross Sectional Study ◽  
Rabies Vaccine ◽  
Sectional Study ◽  
Dog Bite ◽  
Cross Sectional ◽  
Dog Bites

Background: Among infectious disease, rabies has the highest case fatality rate. The major problem of rabies is attributable to its dog-mediated transmission which is an impending threat to more than 3.3 billion people. Poor compliance of vaccine increases the mortality rate due to rabies. The present study attempts to ascertain pattern of dog bite and compliance to post exposure prophylaxis.Methods: This cross sectional study was carried out in Primary Health Centre in an urban slum of Chennai in Tamil Nadu. The study included 301 dog bite victims residing in urban slum with wound categories II & III (as per WHO). A pretested, semi-structured questionnaire was used for data collection. Data was analysed with SPSS-IBM (version 21.0). Chi-square test was applied.Results: Mean (SD) age of study participants was 28 (±16.3) years. Males were 176 (58.5%) and females were 125 (41.5%). Among the bites, pet dog bites were 140 (46.5%), and stray dog bites were 161 (53.5%). Majority of the bites 161 (53.5%) were unprovoked, category II bites were 216 (28.2%).Compliance up to 3 dose was found in 213(70.8%). Association was found between site of the dog bite and compliance of anti- rabies vaccine (p=0.021).Conclusions: Despite the availability of costless vaccines in public health care system, the compliance rate is only moderate. Health education about the vaccination after dog bite needs to be imparted among the community to reduce the rabies related mortality rate.

scholarly journals Awareness about rabies among general population and treatment seeking behaviour following dog-bite in rural Puducherry: a community based cross-sectional study

2018 ◽  
Vol 5 (6) ◽  
pp. 2557 ◽  
Author(s):  
Yuvaraj Krishnamoorthy ◽  
Vijayageetha M. ◽  
Sonali Sarkar
Keyword(s):  
First Aid ◽  
Cross Sectional Study ◽  
Rabies Vaccine ◽  
Wound Management ◽  
Treatment Seeking ◽  
Sectional Study ◽  
Dog Bite ◽  
Community Based ◽  
Cross Sectional ◽  
Adequate Knowledge

Background: India contributes to one-third of rabies death globally. Despite the efforts taken by government, Rabies incidence in India has been constant for over a decade. Hence, there is need to assess the awareness and treatment-seeking behaviour which will help to plan strategies to prevent rabies related deaths. The objective of the study was to assess the awareness about rabies among general population and to determine the treatment-seeking behaviour and adherence to anti-rabies vaccine among victims of dog-bite in rural PuducherryMethods: Community based cross-sectional study was conducted during November 2016 in rural Puducherry. 386 individuals were covered in four villages. Information on socio-demographic characteristics and awareness regarding rabies, treatment-seeking behaviour and adherence to anti-rabies vaccine among dog-bite victims was collected using pre-tested questionnaire.Results: Among 386 participants, 244 (63.2%) were in the age group 31-60 years, 259 (67.1%) were females, 103 (26.7%) had no formal-education. About 68% were found to have adequate knowledge regarding rabies but only 49.5% were aware of local wound-management and 237 (61.4%) showed a positive attitude towards vaccination following scratches/lick over abraded skin. Among 27 (6.9%) with history of dog-bite in last one-year, 17 (62.9%) had taken first-aid measures. All 27 (100%) had visited hospital out of which 24 (88.8%) adhered to vaccination schedule.Conclusions: Although two-thirds of the study populations were found to have adequate knowledge regarding rabies, half of them had no knowledge regarding first-aid measures. Although all dog bite victims visited hospital, some did not adhere to the schedule mainly due to negligence. Hence, there is need to create awareness regarding wound management and post-exposure immunization.

scholarly journals A cross sectional study to assess the diagnostic and management practices of general practitioners regarding tuberculosis in an urban slum of Mumbai, Maharashtra

2017 ◽  
Vol 4 (7) ◽  
pp. 2548
Author(s):  
G. B. Sawase ◽  
S. M. Achrya ◽  
R. R. Shinde
Keyword(s):  
Management Practices ◽  
Health Centre ◽  
Significant Proportion ◽  
Urban Slum ◽  
Drug Regimen ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Private Practitioners ◽  
Field Practice

Background: India has large and growing private medical sector and it is observed that Private Practitioners are generally the first point of contact for significant proportion of patients with tuberculosis. Hence the present study was carried out to assess the diagnostic and management practices for tuberculosis among the private practitioners in an urban slum area. Methods: A cross sectional study was conducted in the field practice area of Urban Health Centre attached to the teaching hospital and medical college. A total of 76 Private Practitioners practising in the field practice area were contacted, explained the purpose and benefits of the study, 67 private practitioners gave consent for involvement in the study. A semi structured and pretested questionnaire was used to interview the private practitioners. Data was analyzed by using SPSS software version 17.0. Results: Among 67 Private Practitioners in the area only 19 (28.4%) doctors mentioned that they diagnose TB patients in their clinic and start the diagnosed TB patients on treatment. Persistent cough (97%), fever (86.5%), weight loss (58.2%) were the most common symptoms of TB identified by these doctors. The mean duration for suspecting TB mentioned was 3.79 weeks. Chest x-ray was the most common (85.1%) investigation advised. HRZE was the drug regimen of choice whereas few doctors gave various anti-TB drugs including 2nd line drugs like kanamycin, PAS, cycloserine to their patients. Conclusions: In present study showed majority of the private practitioners are neither updated nor very particular about the diagnosis and correct regimen of anti TB therapy. A few doctors also used 2nd line anti-TB drugs drugs like kanamycin, PAS, cycloserine to their patients which shows the likely irrational use of the few available anti-tuberculosis drugs, which may favour the emergence and spread of drug resistance.  

scholarly journals Comparative study on dog bite and rabies in livestock and pet animal with their management in Faridpur sadar upazilla Veterinary hospital

2018 ◽  
Vol 5 (2) ◽  
pp. 215-224
Author(s):  
Md Aftabuddin Rumi ◽  
Md Saiful Bari ◽  
Md Harisul Abid ◽  
Golam Rabbani ◽  
Mohammad Belayet Hossain
Keyword(s):  
Risk Factors ◽  
Cross Sectional Study ◽  
Rabies Vaccine ◽  
Sectional Study ◽  
Dog Bite ◽  
Rabies Case ◽  
Cross Sectional ◽  
Animal Source ◽  
Potential Risk Factors ◽  
Veterinary Hospital

A cross-sectional study was carried out from 13th January to 15thMarch 2015 in the Upazilla Veterinary Hospital of the Sadar Upazilla under Faridpur District to estimate the dog bites, rabies, and their management in different livestock and pet animals registered for treatment. A prototype questionnaire was used to obtain the necessary information from the owners of the animals observed. Out of the total 170 animals diagnosed and treated based on gross lesion and history, 24, 13, 133 were cattle, dogs, and goats, respectively. The proportion positive of dog bite cases was 17.4% in cattle, 20.5% in goats, and 8.3% in dogs. Among the dog bitten animals, 77.8% were Category-III (single or multiple transdermal bites or scratches, licks on broken skin) bite. The prevalence of rabies in dog bitten animals was 2.50% in dogs, 0.8% in goats and no rabies case was recorded in cattle. Post-rabies vaccine was used in 46.4%, 100% and 75.0% dog-bitten goats, cattle and dogs, respectively. The occupation and literacy of the owner, types of cattle, animal’s age, and animal source etc. showed a considerable difference in prevalence. However, none of the association was statistically significant. This baseline study might be extended with a required number of samples to identify potential risk factors for the occurrence of rabies in different animals.Res. Agric., Livest. Fish.5(2): 215-224, August 2018

scholarly journals Knowledge about first aid, wound management and vaccination for the cases of dog bite: a cross-sectional study among the students of a management and technology institute in western Uttar Pradesh

2017 ◽  
Vol 5 (1) ◽  
pp. 280
Author(s):  
Anuj Singh ◽  
Medhavi Agarwal ◽  
Arun Singh ◽  
Rashmi Katyal ◽  
H. S. Joshi ◽  
...  
Keyword(s):  
Rural Areas ◽  
Uttar Pradesh ◽  
Simple Random Sampling ◽  
First Aid ◽  
Cross Sectional Study ◽  
Rabies Vaccine ◽  
Wound Management ◽  
Sectional Study ◽  
Dog Bite ◽  
Cross Sectional

Background: About half the world’s population is living in countries/territories where dog rabies still exists and is potentially exposed to rabies. In 2005 there were 12,700 symptomatically identifiable furious rabies deaths in India; taken as a whole 1.1 deaths per lac population; mostly in males (62%), in rural areas (91%), and in children below the age of 15 years (50%). The aims and objectives of the study were to ascertain the knowledge about the first aid and vaccination measures and to assess the awareness about management, dressing and suturing of wound following dog bite among students of a management college in the Western Uttar Pradesh. Methods: A cross sectional study was conducted in a professional institute of Bareilly district selected by simple random sampling between August 2016- January2017, data was collected with the help of a questionnaire related to the assessment of knowledge regarding wound management. Results: 96% believe in proper wound management of animal bite, 37% think dressing of wound is necessary, 40% think immediate suturing of wound is important, where as 90% study subjects were aware of Anti-rabies vaccine. Conclusions: Awareness assessment about the wound management is almost satisfactory. Since, majority of subjects know the right measure of first-aid and believe in proper wound management after dog bite along with the knowledge about anti-rabies vaccine. 

scholarly journals Trends and differences in sexual practices and sexually transmitted infections in men who have sex with men only (MSMO) and men who have sex with men and women (MSMW): a repeated cross-sectional study in Melbourne, Australia

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e037608
Author(s):  
Mario Martín-Sánchez ◽  
Richard Case ◽  
Christopher Fairley ◽  
Jane S Hocking ◽  
Catriona Bradshaw ◽  
...  
Keyword(s):  
Health Centre ◽  
Cross Sectional Study ◽  
Sexual Practices ◽  
Sectional Study ◽  
Anal Sex ◽  
Cross Sectional ◽  
Men And Women ◽  
Sexually Transmitted ◽  
Receptive Anal Sex ◽  
Sex With Men

ObjectivesIn the 2010s, there has been an increase in sexually transmitted infections (STI) in men who have sex with men (MSM) in Australia, and since 2015 also in urban heterosexuals. Men who have sex with both men and women (MSMW) have characteristics that may differ from both men who have sex with men only (MSMO) and heterosexual men. We aimed to compare the sexual practices and the trends in HIV/STI positivity between MSMO and MSMW.DesignRepeated cross-sectional study.SettingA sexual health centre in Melbourne, Australia.ParticipantsMSM aged 18 years and above who attended the Melbourne Sexual Health Centre for the first time between 2011 and 2018. This includes 12 795 MSMO and 1979 MSMW.Primary outcome measuresDemographic characterics, sexual practices and HIV/STI positivity.ResultsCompared with MSMW, MSMO were more likely to practice anal sex and to have condomless receptive anal sex with casual male partners, and less likely to have a current regular relationship. Over the 8-year period, there was an increase in condomless receptive anal sex with casual male partners for both groups (MSMO: from 46.2% to 63.3%, ptrend <0.001; MSMW: from 41.3% to 57.9%, ptrend=0.011). Syphilis positivity increased in MSMO (from 5.5% to 7.9%, ptrend=0.012) and MSMW (from 0.9% to 6.4%, ptrend=0.004) and HIV remained stable. Gonorrhoea increased among MSMO from 2011 to 2014 (from 6.7% to 9.6%, ptrend=0.002), and remained stable from 2015 to 2018. MSMO had higher odds of testing positive for gonorrhoea (adjusted OR (aOR) 1.36, 95% CI 1.13 to 1.64), chlamydia (aOR 1.39, 95% CI 1.16 to 1.67), syphilis (aOR 1.74, 95% CI 1.37 to 2.22) and HIV (aOR 4.60, 95% CI 2.43 to 8.70) than MSMW.ConclusionsMSMW have overall lower condomless sex and lower HIV/STI positivity. In the last years, changes in sexual practices in MSM have affected both MSMW and MSMO leading to an increased STI risk.

scholarly journals A cross sectional study to assess the knowledge and response to dog bite among the urban and rural population of Hubballi taluk

2019 ◽  
Vol 6 (2) ◽  
pp. 539
Author(s):  
Maneesha Godbole ◽  
Anjana Ramachandra Joshi ◽  
Dattatraya D. Bant
Keyword(s):  
Management Practices ◽  
Cross Sectional Study ◽  
Wound Management ◽  
Economic Losses ◽  
Post Exposure Prophylaxis ◽  
Sectional Study ◽  
Dog Bite ◽  
Cross Sectional ◽  
Canine Rabies ◽  
Rabies Prevention

Background: Rabies is a fatal zoonotic disease of the central nervous system, most commonly caused by the bite of rabid dogs. Globally canine rabies causes 59,000 human deaths, over 3.7 million DALYs and 8.6 billion USD economic losses annually. These losses are due to a lack of knowledge about wound management and post-exposure prophylaxis. The objective of the study was to assess the knowledge and practices following dog bite and its management among the urban and rural population.Methods: A cross-sectional study was conducted in the field practice area of KIMS, Hubli. 120 households of the urban and rural locality were interviewed with a semi-structured pretested questionnaire.Results: Overall 89.16% of the study population was aware that the disease can be prevented by vaccination. 35% of the rural and 28% of the urban population believed that the disease can spread from person to person. The knowledge about the site and the number of doses of vaccine was poor among both the population. The harmful practices for treatment of bite were still prevalent among both rural (25%) and urban (8.3%) population.Conclusions: The knowledge about the dog bite management and Rabies prevention is insufficient among both populations. There are myths and misconceptions about the disease and wound management. Practices like application of harmful substances like lime, turmeric, mud are the problems hindering rabies prevention and control. Proper steps need to be taken up to control the canine rabies.

scholarly journals An epidemiological cross-sectional study to assess the socio-demographic profile and to study the prevalence of overweight and obesity among adults in an urban slum of Mumbai

2017 ◽  
Vol 4 (8) ◽  
pp. 2718
Author(s):  
Daniel A. Saji ◽  
Mahesh B. Jajulwar ◽  
Anita G. Shenoy
Keyword(s):  
Significant Relationship ◽  
Urban Slum ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
Age Group ◽  
Class Iii ◽  
Sectional Study ◽  
Cross Sectional ◽  
Obesity Epidemic ◽  
Economic Class

Background: Obesity is perhaps the most prevalent form of malnutrition. As a chronic disease, prevalent in both developed and developing countries, and affecting both children and adults. In India due urbanization and modernization people are moving into urban centres and along with increasing wealth, concerns about an obesity epidemic in India are growing. The present study was carried out to assess the demographic distribution and prevalence of overweight and obesity in adults in an urban slum. Methods: The cross sectional study includes 350 adult populations from the Shivaji Nagar (Govandi) urban slum of the Mumbai city in India and study was carried out over a period of one year from August 2014 to July 2015. Results: Our study showed that most of subjects are in the age group of 38-57. Sex distribution was relatively equal with 44% males and 56% females. Majority of the population were Muslims. Majority of the subjects (50.6%) belong to class III, (26.9%). 32.3% subjects were obese and 8.6% were overweight according to BMI (basal metabolic index) while merely 6.6% were overweight according to WHR (waist to hip ratio). Thus BMI was found to be a better indicator than WHR for measuring obesity. Conclusions: From the present study it was seen that age group of the subjects, socio economic class, and level of education had a significant relationship with BMI, whereas sex of the subjects had non-significant relationship with BMI. 

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