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Two Decades of Human Rabies in Brazil: Epidemiological Trends, Emerging Risks and Treatment Challenges.
Raquel Gomes Catozo1, Cesar Martin Leyva Molina2, Amanda Lopes da Silva1
1Universidade de São Paulo, Faculdade de Medicina, Laboratório de Virologia, São Paulo, São Paulo, SP, Brasil.
Human rabies in Brazil has shifted from dogs to bats, posing new public health challenges. Despite vaccination, bat-transmitted rabies remains a significant threat, necessitating improved surveillance and accessible post-exposure prophylaxis (PEP).
Area of Science:
- Epidemiology
- Public Health
- Infectious Diseases
Background:
- Rabies remains a significant public health concern in Brazil.
- Canine rabies transmission has decreased due to vaccination programs.
- Emerging risks from wildlife reservoirs, particularly bats, are a growing concern.
Purpose of the Study:
- To analyze trends in human rabies cases in Brazil from 2001 to 2025.
- To identify changes in transmission sources and affected populations.
- To evaluate challenges in rabies prevention and treatment, including post-exposure prophylaxis (PEP).
Main Methods:
- Retrospective analysis of human rabies cases using surveillance data, literature, and public health reports.
- Focus on transmission sources, demographic shifts, and PEP effectiveness.
- Data spans from 2001 to 2025.
Main Results:
- 188 human rabies cases reported (average 7.52/year), concentrated in northern/northeastern Brazil.
- Bats emerged as the primary transmission source, followed by dogs and non-human primates.
- Most cases were fatal; PEP administration was often delayed or incomplete, limiting effectiveness.
Conclusions:
- The shift to bat-mediated rabies requires enhanced surveillance and targeted prevention.
- Ensuring accessible post-exposure prophylaxis (PEP) is crucial.
- Strengthening public health interventions in high-risk areas is vital for rabies control in Brazil.
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