Rabies in maharashtra by dr pradip awate

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Rabies Surveillance In Maharashtra, APCRICON 2013 PUNE

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Rabies in maharashtra by dr pradip awate

  1. 1. Current Status ofCurrent Status of Animal Bites inAnimal Bites in MaharashtraMaharashtra 7/7/2013 1APRICON 2013 APCRICON 2013
  2. 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 7/7/2013 2APRICON 2013
  3. 3. 7/7/2013 APRICON 2013 3
  4. 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. 7/7/2013 4APRICON 2013
  5. 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. 7/7/2013 5APRICON 2013
  6. 6. 7/7/2013 APRICON 2013 6
  7. 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 7/7/2013 7APRICON 2013 जलतृषा
  8. 8. 7/7/2013 APRICON 2013 8 Economical Aspect of Dog bite….?
  9. 9. Surveillance of Animal BitesSurveillance of Animal Bites Data Source 7/7/2013 APRICON 2013 9 IDSP CBHI Hospital data on DHIS - 2
  10. 10. Annual Dog Bites - Maharashtra 7/7/2013 APRICON 2013 10 163733 238219 208841 Year 2010 Year 2011 Year 2012 Source - IDSP 2.7 Dog bites/1000 per annum.
  11. 11. Year Cases Deaths 2011 80889 7 2012 82274 8 2013 (upto May) 39348 5 7/7/2013 APRICON 2013 11 •Mumbai Population – 1,24,78,447 • Dog bites /1000 per annum – 6.6
  12. 12. 7/7/2013 APRICON 2013 12 Pune Population- 3,115,431
  13. 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 7/7/2013 APRICON 2013 13 Dog bite -4/1000
  14. 14. Surveillance Improvement 7/7/2013 APRICON 2013 14 49 4058 6259 7 1657 3294 1 402 3651 Yr 2010 Yr 2011 Yr 2012 AURANGABAD BULDHANA WASHIM
  15. 15. Division Wise Dog bites 7/7/2013 APRICON 2013 15 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. 16. Rabies Deaths – Hospital Data 7/7/2013 APRICON 2013 16 8 40 26 41 2009-10 2010-11 2011-12 2012-13 Source –DHIS2& Manual reporting
  17. 17. 7/7/2013 APRICON 2013 17 Source -Suraweera W, et al. (2012)
  18. 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. 7/7/2013 APRICON 2013 18
  19. 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) 7/7/2013 APRICON 2013 19
  20. 20. 7/7/2013 APRICON 2013 20 In the realm of science, luck is only granted to those who are prepared. -Louis Pasteur
  21. 21. A Day will come when our beloved Tomy will say….. 7/7/2013 APRICON 2013 21

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