Pal, Pushkar Bahadur. Situation analysis of rabies in Nepal. Doctoral Degraee(Bio-Veterinary Sciences). Kasetsart University. Office of the University Library. : Kasetsart University, 2021.
Abstract:
A retrospective study was conducted to understand the epidemiology and community knowledge of rabies in Nepal. The study used Animal rabies surveillance data (2005-2017) and human rabies surveillance data (2008-2017). It was found that 2771 suspected cases were reported to Central Veterinary Laboratory, out of which 1302 were positive for rabies. Dog-bites caused a considerable majority of cases. According to geographical classification, the Eastern Development Zone recorded the highest number of rabies in animals. Terai Region recorded the highest rabies cases in animals according to the geo-ecological classification. The temporal analysis revealed that incidents of rabies were found throughout the year, and there was a high number of cases recorded from 2005 to 2007. In contrast, the cases were relatively stable until 2013. Further, a higher number of cases were recorded in recent years during the months of the dog breeding cycle. A total of 482 human deaths were recorded due to canine mediated rabies in Nepal between 2008 to 2017. Pearsons correlation analysis showed that the dog bites cases and PEP use increased significantly every year, while the cases of human deaths decreased. A cross-sectional study on community knowledge, awareness, and practices about rabies revealed that many respondents had minimal knowledge, attitude, and practices towards rabies. At the same time, limited respondents having higher education and social status had good knowledge, attitude, and practice about rabies. Lastly, this study suggested the area bordering India in the Terai region is at the highest risk for rabies in Nepal, while there is also a significant risk of re-emergence in the mountainous regions. In conclusion, active surveillance of sylvatic and urban rabies, community awareness, and stray dog population management should be initiated as soon as possible to contain rabies in Nepal.
Kasetsart University. Office of the University Library