Sadkowska-Todys M, Rosinska M, Smreczak M, Czerwinski M, Zmudzinski J F
Department of Epidemiology, National Institute of Hygiene, Warsaw, Poland.
Euro Surveill. 2005 Nov;10(11):226-8.
This paper describes recent changes in the epizootical and epidemiological situation of rabies in Poland. Analysis of routine surveillance data on animal cases and human post-exposure treatment was performed in order to examine the impact of introduction of cell culture vaccine for human use and the implementation of the fox immunisation programme. The success of the immunisation programme for wild animals has become evident during the past 3 years, as a 9-fold decrease in animal rabies cases has been observed. To date, however, the downward trend in animal rabies cases has had no effect on the frequency of administration of the post-exposure treatment for humans. Moreover, two cases of locally acquired human rabies have occurred in patients who did not receive post-exposure vaccination. These cases prove that rabies should be still considered a public health concern in Poland.
本文描述了波兰狂犬病流行和流行病学形势的近期变化。对动物病例的常规监测数据以及人类暴露后治疗情况进行了分析，以研究人用细胞培养疫苗的引入及狐狸免疫计划的实施所产生的影响。在过去3年中，野生动物免疫计划的成效已显现出来，动物狂犬病病例减少了9倍。然而，迄今为止，动物狂犬病病例的下降趋势对人类暴露后治疗的给药频率并无影响。此外，在未接受暴露后疫苗接种的患者中发生了两例本地感染的人类狂犬病病例。这些病例证明，在波兰，狂犬病仍应被视为一个公共卫生问题。
