[Evaluation of rabies prophylaxis in people of the Szczecin region in the years 1986-1991].

UNLABELLED

The aim of the study was the analysis of epizootic and epidemiological situation of rabies in the region of Pomerania in 1986-1991 and the evaluation of correctness in determining indications for antirabies vaccination. In analysed period of time 441 cases of rabies in domestic and wild animals were noted. Altogether 2941 subjects were admitted to the Rabies Prophylaxis Outpatient Center (Fig. 1, Tab 1-7). Indications for vaccination were analysed in each case as well as the possibility to reduce the number of vaccinated patients in respect of economical benefits was considered. Vaccinated patients were inquired about side effects of Human Diploid Cell Vaccine (HDCV) (Merieux France). Among 2941 patients admitted to the out-patient clinic indications for rabies vaccination were given in 933 cases (31.7%). Most often they were determined due to dogs bite or another contact with dog's saliva. Postvaccinal reactions were observed in 61 cases (6.5%), mostly topical ones. Neurological complications were not noticed.

CONCLUSIONS

1. Despite the fact that the epizootic situation in domestic and wild animals has changed for worse, the number of indications for prophylactic vaccination decreased in last six years. 2. Proper evaluation of the indications for prophylactic vaccinations against rabies is the most important factor influencing the reduction in the number of vaccinated people. 3. Rationalisation of indications for vaccination against rabies justified claims to be economical one. 4. HDCV (Merieux) is a safe vaccine and its usage reduced the side effects to minimum degree.