Rabies Surveillance In Maharashtra, APCRICON 2013 PUNE

1. Current Status ofCurrent Status of
Animal Bites inAnimal Bites in
MaharashtraMaharashtra
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APCRICON
2013

2. Maharashtra - Profile
Population 11,23,72,972
Districts 35
Population Density 370 /Km2
Urban Population 50,827,531 (45.23%)
Tribal Population Approx 10 million (Approx 10%)
Total Primary Health Centers 1816
Rural Hospitals/Sub district
hospitals etc
445
District Hospitals,Gen Hospitals &
Women Hospital
37
Subcenters 10580
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4. As per the popular myth about King
Shivaji's beloved pet dog "Waghya“, after
death of Maharaj, out of grief he jumped
into the burning chitaah (pyre) of Shivaji
Maharaj and end up his journey of life.
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5. •India has approx.2.5 million
dogs.
•Dog : Human :: 1:36
•Approximately 1.5 million
bites/year.
• India reports 20,000 rabies
deaths.
•36% of Global burden.
But there is Twist in the
story…..!!!
Love getting Sour.
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7. • Rabies is one of the oldest recognized diseases
affecting humans.
• One of the most important zoonotic diseases in
India.
• It has been recognized in India since the Vedic
period (1500–500 BC).
• It is described in the ancient Indian
scripture Atharvaveda, wherein –
 Yama, the mythical God of Death, has been
depicted as attended by 2 dogs as his constant
companions, the emissaries of death
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जलतृषा

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Economical
Aspect of
Dog bite….?

9. Surveillance of Animal BitesSurveillance of Animal Bites
Data Source
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IDSP
CBHI
Hospital data on DHIS -
2

10. Annual Dog Bites - Maharashtra
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163733
238219
208841
Year 2010 Year 2011 Year 2012
Source - IDSP
2.7 Dog bites/1000 per
annum.

11. Year Cases Deaths
2011 80889 7
2012 82274 8
2013
(upto
May)
39348 5
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•Mumbai Population – 1,24,78,447
• Dog bites /1000 per annum – 6.6

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Pune Population- 3,115,431

13. 11523
12840 12731
6364
15
16
21
6
0
5
10
15
20
25
0
2000
4000
6000
8000
10000
12000
14000
2010 2011 2012 2013(Up to May)
Dogbites Deaths
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Dog bite -4/1000

14. Surveillance Improvement
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49
4058
6259
7
1657
3294
1 402
3651
Yr 2010 Yr 2011 Yr 2012
AURANGABAD BULDHANA WASHIM

15. Division Wise Dog bites
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A'bad, 8243, 4%
Akola, 17349, 8%
Nasik, 65380, 32%
Latur, 10770, 5%
Nagpur, 14321, 7%
K'pur, 27090, 13%
Pune, 46588, 22%
Thane, 18487, 9%

16. Rabies Deaths – Hospital Data
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8
40
26
41
2009-10 2010-11 2011-12 2012-13
Source –DHIS2& Manual reporting

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Source -Suraweera W, et al. (2012)

18. Under IDSP – Only Dog bite data is collected. No• Under IDSP – Only Dog bite data is collected. No
data collection of Rabies deaths.
• No system to capture other animal bites (e.g.
Wolves ) which are common in tribal belt.
• Reporting from municipal areas is lacking.
(Mumbai has > 80,000 dog bites/year)
• No reporting from private sector.
• Reporting from urban areas ???
• Rabies not Notifiable Disease.
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19. State Plan of Rabies Control
• Strengthening of Surveillance of human & animal• Strengthening of Surveillance of human & animal
rabies.
• Coordination with Animal Husbandry dept to
identify Rabies foci.
• Immunization of pet dogs .
• Reproduction control of stray dogs
• increased access of safe and effective rabies
vaccine (State has highest number of anti rabies
vaccination last year)
• Public awareness about Rabies Prevention &
Control.(65% rabies victims took traditional
treatment - Suraweera W, et al -2012)
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In the realm of
science, luck is
only granted to
those who are
prepared.
-Louis Pasteur

21. A Day will come when
our beloved Tomy will
say…..
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