Belcher D W, Wurapa F K, Atuora D O
Am J Trop Med Hyg. 1976 Sep;25(5):724-9. doi: 10.4269/ajtmh.1976.25.724.
Rabies is well established in Accra and there has been no decline in canine or human cases during the past 5 years. In the first 6 months of 1975, canine cases almost doubled over the period average. So far dogs are the only confirmed carnivorous vector in Ghana. A clear seasonal peak exists, so that intervention efforts can be times to achieve a maximum impact. Persons at greatest risk of contracting rabies are males and school-aged children, who need improved educational and post-dog bite services. The fundamental issue for health policy is to achieve a proper balance between environmental, preventive and treatment aspects of rabies. The report describes problems with logistics, canine vaccine shortage and failures, lack of owner cooperation, and control of a large stray dog population. Several proposals to improve coordination and organization of control programs are suggested.
狂犬病在阿克拉地区由来已久，在过去5年里，犬类和人类狂犬病病例均未减少。1975年的前6个月，犬类病例几乎比该时期的平均水平增加了一倍。到目前为止，狗是加纳唯一被证实的食肉动物传播媒介。狂犬病存在明显的季节性高峰，因此干预措施可以选择在能产生最大影响的时期实施。感染狂犬病风险最高的人群是男性和学龄儿童，他们需要更好的教育及犬咬伤后治疗服务。卫生政策的根本问题是要在狂犬病的环境、预防和治疗等方面实现适当平衡。该报告描述了物流问题、犬用疫苗短缺及失效、缺乏狗主人的配合，以及大量流浪狗的管控问题。文中还提出了一些改进控制项目协调与组织的建议。
