[The point on human rabies in Senegal from 1986 to 2005]

S A Diop1, N M Manga, N M Dia

  • 1Service des maladies infectieuses Ibrahima-Diop-Mar, centre hospitalier national universitaire de Fann, BP 5035, Dakar, Sénégal. sylvieaudreydiop@yahoo.fr

Insights

Rabies hospitalizations in Senegal averaged 3 cases annually, primarily affecting children and teenagers. Underreporting of rabies cases was significant, with an estimated 4 non-reported cases for every reported case.

Area of Science:

  • Epidemiology
  • Infectious Diseases
  • Public Health

Context:

  • This study analyzes rabies hospitalizations in Senegal from 1986 to 2005.
  • Data was collected from an infectious diseases clinic, documenting 54 cases over two decades.
  • Patients originated from various regions, with a concentration in Dakar, Thiès, and Fatick.

Purpose:

  • To describe the epidemiological characteristics of rabies hospitalizations in Senegal.
  • To identify the primary vectors and affected demographics.
  • To assess healthcare-seeking behaviors and reporting rates for rabies.

Summary:

  • A total of 54 patients were hospitalized for rabies, with a median age of 19, predominantly affecting children and teenagers (53.7%).
  • Stray dogs were the main vector (75%), with bites mainly on extremities. Most patients did not seek timely medical attention.
  • The furious form of rabies was universal, with an average incubation period of 45 days and hospital stay of 6 days.

Impact:

  • Highlights a substantial underreporting of rabies cases, with a 1:4 ratio of reported to unreported cases.
  • Underscores the critical need for improved rabies surveillance and public awareness, especially in rural and suburban areas.
  • Informs public health strategies for rabies prevention and control in Senegal.

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