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Related Experiment Videos

Dog bites in Bosnia

A Croft1, R Archer

  • 1Headquarters Multinational Division Southwest (Rear), Divulje Barracks Split.

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|July 1, 1997
PubMed
Summary

British troops in Bosnia experienced 62 animal bites, with 28 requiring rabies vaccination. Effective rabies prevention and clear protocols are crucial for primary care in endemic areas.

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Area of Science:

  • Veterinary Public Health
  • Epidemiology
  • Travel Medicine

Background:

  • Rabies is a significant zoonotic disease globally, posing risks to healthcare providers and military personnel in endemic regions.
  • Bosnia-Herzegovina is enzootic for rabies, presenting a specific hazard to multinational forces.
  • British military and medical personnel on overseas missions face increased rabies exposure risks.

Purpose of the Study:

  • To document the incidence of animal bites and rabies post-exposure prophylaxis (PEP) among British forces in Bosnia.
  • To provide recommendations for managing rabies risks in primary care and field settings.
  • To inform pre-deployment training regarding local rabies threats.

Main Methods:

  • Utilized routine data from the Army's epidemiological database (ARRC 97).
  • Assessed the administration of rabies vaccine and immune globulin as indicators of PEP.
  • Reviewed data from the first six months of the peace enforcement mission.

Main Results:

  • 62 animal bites were reported between December 1995 and May 1996.
  • 28 unprovoked bites necessitated rabies vaccination.
  • 10 severe bites also received rabies immune globulin (RIG), with total PEP costs of US$6914.00.

Conclusions:

  • Rabies prevention has substantial human and resource implications.
  • Primary care staff require robust support for clinical decisions regarding rabies PEP.
  • Clear protocols, prompt reporting of bites, and updated pre-deployment threat assessments are essential for effective rabies surveillance in missions to rabies-enzootic areas.

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