Lyczak A, Tomasiewicz K, Krawczuk G, Modrzewska R
Department of Infectious Diseases, Medical Academy, Biernackiego 9, 20-089 Lublin, Poland.
Ann Agric Environ Med. 2001;8(2):131-5.
In Poland in 2000 a total of 2,221 cases of animal rabies were reported, including 1,874 (84.4%) of wild animals. The evaluation of epizootic situation in 2000 has shown a few cases of animal rabies in western provinces of Poland, so in regions where a programme aimed at oral vaccination of foxes was introduced. Most cases of animal rabies were identified in the northeastern region, as well as in eastern and central Poland. In October 2000 in Warminsko-Mazurskie province (northeastern region of Poland) rabies was responsible for the death of 59-year-old woman, bitten by a rabid cat, and refused post-exposure specific antirabies prophylaxis. Among domestic animals, the highest incidence of rabies occurred in cattle--167 cases (7.5%), cats--113 (5.1%) and dogs--61 (2.7%). In the group of wild animals, red foxes accounted for 1,587 (71.5%) cases, raccoon dogs for 210 (9.5%) and martens for 36 (1.6%). People have been vaccinated against rabies in all provinces of Poland. The number of people vaccinated against rabies in regions adjoining the western border was much smaller compared to other provinces of Poland. The highest rates of using post-exposure prophylaxis occurred in northeastern regions of Poland (Warminsko-Mazurskie province) and eastern and central parts of Poland. On the basis of analysis of cases consulted in the dispensary of rabies prophylaxis in the Department of Infectious Diseases in Lublin, it can be concluded that the number of people with exposure to rabid animals is rather small. Most vaccinations are carried out when animals suspected of being rabid bite patients. These are primarily domestic animals--dogs and cats.
2000年，波兰共报告2221例动物狂犬病病例，其中1874例（84.4%）为野生动物。对2000年动物狂犬病流行情况的评估显示，波兰西部省份出现了几例动物狂犬病病例，这些地区已推行了针对狐狸的口服疫苗接种计划。大多数动物狂犬病病例出现在波兰东北部地区以及波兰东部和中部。2000年10月，在瓦尔米亚-马祖里省（波兰东北部地区），一名59岁的妇女被一只患有狂犬病的猫咬伤，且拒绝接受暴露后特异性抗狂犬病预防措施，最终死于狂犬病。在家畜中，狂犬病发病率最高的是牛——167例（7.5%），猫——113例（5.1%），狗——61例（2.7%）。在野生动物群体中，赤狐占1587例（71.5%），貉占210例（9.5%），貂占36例（1.6%）。波兰所有省份都为民众接种了狂犬病疫苗。与波兰其他省份相比，西部边境附近地区接种狂犬病疫苗的人数要少得多。暴露后预防措施使用率最高的地区是波兰东北部地区（瓦尔米亚-马祖里省）以及波兰东部和中部。根据对卢布林传染病科狂犬病预防门诊咨询病例的分析，可以得出结论，接触狂犬病动物的人数相当少。大多数疫苗接种是在怀疑患有狂犬病的动物咬伤患者时进行的。这些动物主要是家畜——狗和猫。
