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2020年至2023年科特迪瓦狂犬病的流行情况及风险因素

Prevalence and risk factors of rabies in Côte d'Ivoire from 2020 to 2023.

作者信息

Mamadou Yacouba Kouassi, Vessaly Kallo, Aristide Zobo Anicet, Lendzele Sevidzem Silas, Ouattara Douyeri Thierry, Lydie Acapovi-Yao Geneviève

机构信息

UFR Biosciences, Université Félix Houphouët-Boigny, Abidjan, Côte d'Ivoire.

Direction des Services Vétérinaires (DSV), Abidjan, Côte d'Ivoire.

出版信息

Open Vet J. 2025 Mar;15(3):1488-1494. doi: 10.5455/OVJ.2025.v15.i3.38. Epub 2025 Mar 31.

Abstract

BACKGROUND

Zoonotic diseases remain a major public health problem. In Côte d'Ivoire, rabies causes significant economic losses in human and animal populations.

AIM

To determine the prevalence and risk factors of animal rabies in Côte d'Ivoire.

METHODS

A retro-prospective study was conducted in which surveillance registers of the Directorate of Veterinary Services were consulted and information from 2020 to 2023 on rabies in different animal species was recorded and analyzed.

RESULTS

A total of 152 people were exposed to animal rabies. Of the 147 brain tissue samples obtained from various animal species suspected of rabies and sent to the Central Veterinary Laboratory of Bingerville (LANADA), viral examination of these samples using the direct immunofluorescence technique method showed that 111 samples were positive for rabies, representing an overall prevalence of 75.51% (95% CI: 67.74%-82.22%). The most affected animal species were dogs, with a prevalence of 74.83% (110/147) and a very low prevalence in cats [0.68% (1/147)]. The association between cases of rabies and risk factors showed that males [79.81% (83/104)] were more exposed to rabies than females [65.12% (28/43)]. Animals aged ≥ 36 months [79.75% (63/79)] had a higher risk of infection than their younger counterparts [70.59% (48/69)]. However, vaccinated animals had a lower risk of contracting rabies. Stray animals that had been in contact with rabies-infected counterparts had a higher risk of infection [˃90% (81/89)].

CONCLUSION

It is clear that this zoonosis remains a permanent public health threat to the population of Côte d'Ivoire, and it is important to implement a national epidemiological surveillance network to better manage this disease.

摘要

背景

人畜共患疾病仍然是一个重大的公共卫生问题。在科特迪瓦,狂犬病给人类和动物群体造成了重大经济损失。

目的

确定科特迪瓦动物狂犬病的流行率和危险因素。

方法

开展了一项回顾性前瞻性研究,查阅了兽医服务局的监测登记册,并记录和分析了2020年至2023年不同动物物种狂犬病的相关信息。

结果

共有152人暴露于动物狂犬病。从疑似狂犬病的各种动物物种中采集了147份脑组织样本并送往宾维尔中央兽医实验室(LANADA),使用直接免疫荧光技术对这些样本进行病毒检测,结果显示111份样本狂犬病呈阳性,总体流行率为75.51%(95%置信区间:67.74%-82.22%)。受影响最严重的动物物种是狗,流行率为74.83%(110/147),而猫的流行率非常低[0.68%(1/147)]。狂犬病病例与危险因素之间的关联表明,男性[79.81%(83/104)]比女性[65.12%(28/43)]更容易暴露于狂犬病。年龄≥36个月的动物[79.75%(63/79)]比年幼动物[70.59%(48/69)]感染风险更高。然而,接种过疫苗的动物感染狂犬病的风险较低。与感染狂犬病的同类动物接触过的流浪动物感染风险更高[>90%(81/89)]。

结论

显然,这种人畜共患病仍然是科特迪瓦民众面临的长期公共卫生威胁,实施国家流行病学监测网络以更好地管理这种疾病很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a0/12017720/f8d014859fb9/OpenVetJ-15-1488-g001.jpg

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