Sadkowska-Todys Małgorzata, Kucharczyk Bożena
National Institute of Public Health - National Institute of Hygiene in Warsaw, Department of Epidemiology
Przegl Epidemiol. 2016;70(3):399-406.
Evaluation of the epidemiological situation of rabies in Poland in 2013 and 2014 in comparison to the previous years.
The evaluation was based on analysis of the data from individual report sent by the Epidemiological-Sanitary Stations. The data are from questionnaires of persons who were administered vaccine against rabies following exposure in Poland and beyond its territory, data from annual bulletin “Infectious diseases and poisonings in Poland in 2012-2014”(Czarkowski MP et al., Warsaw, NIH and CSI) and epizootic data provided by the General Veterinary Inspectorate.
Number of animal rabies cases reported in Poland in 2013 and in 2014 was 204 and 105, respectively. This was 30% and 60% less compared to 2012. In 2013 more than 59% of animal rabies cases occurred in Podkarpackie veivodeship and more than 28% in Malopolskie. In 2014 more than 77% of rabid animals were found in the Małopolskie veivodeship, but Podkarpackie accounted for less than 9%. Rabies in terrestrial animals in 2013-2014 was also found in Lubelskie, Podlaskie and Świętokrzyskie veivodeships. In other regions of the country there were reported only single cases of rabies in bats. In 2013, a total of 7 317 people were vaccinated against rabies in 2013 and 7 679 in 2014 including 295 (4%) and 145 (1.9%) persons vaccinated due to exposure to the animals with confirmed rabies, respectively. Among those vaccinated after contact with rabid animal 26% and 29% were vaccinated after contact with a fox in 2013 and 2014, respectively and 64% and 57% as a result of exposure to the domestic animals with confirmed rabies. As with the previous years, people were vaccinated mostly due to exposure to dogs and cats, in which rabies could not be excluded - 5 725 people in 2013 (88%) and 6 057 (87%) in 2014.
After the increase in the number of animal rabies cases that occurred in 2012, in the next two years there has been a gradual decline in its number. In 2014 the number of animal rabies cases was lower than in the 2011 and in the 2010. Epizootic situation in the country has inadequate impact on the number of people vaccinated against rabies who had contact with an animal which potentially is a source of rabies virus. This number for many years is consistently stable, amounting to 7 000 vaccinated individuals per year.
评估2013年和2014年波兰狂犬病的流行病学情况,并与前几年进行比较。
评估基于对流行病学卫生站发送的个体报告数据的分析。数据来自在波兰境内及境外暴露后接种狂犬病疫苗人员的调查问卷、年度公告《2012 - 2014年波兰的传染病和中毒情况》(Czarkowski MP等人,华沙,国家卫生研究院和中央统计局)以及国家兽医检查局提供的动物疫情数据。
2013年和2014年波兰报告的动物狂犬病病例数分别为204例和105例。与2012年相比,分别减少了30%和60%。2013年,超过59%的动物狂犬病病例发生在喀尔巴阡省,超过28%发生在小波兰省。2014年,超过77%的狂犬病动物在小波兰省被发现,但喀尔巴阡省占比不到9%。2013 - 2014年,卢布林省、波德拉谢省和圣十字省也发现了陆地动物狂犬病。在该国其他地区,仅报告了蝙蝠狂犬病的个别病例。2013年共有7317人接种狂犬病疫苗,2014年为7679人,其中分别有295人(4%)和145人(1.9%)因接触确诊患有狂犬病的动物而接种。在接触狂犬病动物后接种疫苗的人群中,2013年和2014年分别有26%和29%是在接触狐狸后接种的,64%和57%是因接触确诊患有狂犬病的家畜而接种的。与前几年一样,人们大多因接触不能排除感染狂犬病的狗和猫而接种疫苗,2013年有5725人(88%),2014年有6057人(87%)。
在2012年动物狂犬病病例数增加之后,接下来的两年里病例数逐渐下降。2014年动物狂犬病病例数低于2011年和2010年。该国的动物疫情状况对接触可能是狂犬病病毒来源动物后接种狂犬病疫苗的人数影响不足。多年来,这一数字一直稳定在每年7000名接种者。