The rabies epidemic on Flores Island, Indonesia (1998-2003).

dc.contributor.authorWindiyaningsih, Caeciliaen_US
dc.contributor.authorWilde, Henryen_US
dc.contributor.authorMeslin, Francois Xen_US
dc.contributor.authorSuroso, Thomasen_US
dc.contributor.authorWidarso, H Sen_US
dc.date.accessioned2009-05-27T18:32:57Z
dc.date.available2009-05-27T18:32:57Z
dc.date.issued2004-11-14en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractFlores is an isolated previously rabies-free Indonesian island which has been experiencing a canine rabies outbreak which resulted in at least 113 human deaths. It started with the importation of three dogs from rabies endemic Sulawesi in September of 1997. Local authorities responded with massive killing of dogs starting in early 1998. Approximately 70% of the dogs, in the district where rabies had been introduced, were killed during that year, yet canine rabies still exists on Flores at this time (June 2004). Approximately 50 percent of dog bite cases and human deaths were in children under 15 years of age. Between 1998 and the end of 2002, 3,389 post-exposure rabies treatments were provided and none of the treated subjects died. Almost all patients were given the Thai Red Cross intradermal rabies postexposure treatment regimen using tissue culture rabies vaccine. A small but unknown number of patients with very severe exposures also received equine rabies immune globulin. This occurrence indicates that even massive culling of the dog population, without an intensive vaccination campaign of the survivors, will not arrest an outbreak even if it occurs on a small island.en_US
dc.description.affiliationMinistry of Health, CDC&EH, Indonesia.en_US
dc.identifier.citationWindiyaningsih C, Wilde H, Meslin FX, Suroso T, Widarso HS. The rabies epidemic on Flores Island, Indonesia (1998-2003). Journal of the Medical Association of Thailand. 2004 Nov; 87(11): 1389-93en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/39369
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAnimalsen_US
dc.subject.meshDisease Outbreaks --prevention & controlen_US
dc.subject.meshDisease Vectorsen_US
dc.subject.meshDogsen_US
dc.subject.meshHumansen_US
dc.subject.meshIndonesia --epidemiologyen_US
dc.subject.meshRabies --epidemiologyen_US
dc.titleThe rabies epidemic on Flores Island, Indonesia (1998-2003).en_US
dc.typeJournal Articleen_US
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