Rabies epidemiology, prevention and control in Nigeria: Scoping progress towards elimination.

<h4>Background</h4>Human rabies remains a significant public health problem in Africa with outbreaks reported in most countries. In Nigeria-the most populous country in Africa-rabies causes a significant public health burden partly due to perennial obstacles to implementing a national pr...

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Autores principales: Philip P Mshelbwala, J Scott Weese, Olufunmilayo A Sanni-Adeniyi, Shovon Chakma, Stephen S Okeme, Abdullah A Mamun, Charles E Rupprecht, R J Soares Magalhaes
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spelling oai:doaj.org-article:28109ccc3a524325b9215af8681874bb2021-12-02T20:23:39ZRabies epidemiology, prevention and control in Nigeria: Scoping progress towards elimination.1935-27271935-273510.1371/journal.pntd.0009617https://doaj.org/article/28109ccc3a524325b9215af8681874bb2021-08-01T00:00:00Zhttps://doi.org/10.1371/journal.pntd.0009617https://doaj.org/toc/1935-2727https://doaj.org/toc/1935-2735<h4>Background</h4>Human rabies remains a significant public health problem in Africa with outbreaks reported in most countries. In Nigeria-the most populous country in Africa-rabies causes a significant public health burden partly due to perennial obstacles to implementing a national prevention and control program.<h4>Methods</h4>We conducted a scoping review using standard Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to identify and select published articles from Nigeria during 1978-2020 reporting on rabies virus infections (human, canine, livestock, and wildlife), canine bites, knowledge, attitudes and practices (KAP) surveys on rabies and canine ecology studies. We extracted information on study location, year and additional details of each study such as rabies prevalence, general characteristics of offending dogs, dog vaccination status and health-seeking behaviours.<h4>Findings</h4>Between 1978 and 2020, 90 published articles met our inclusion criteria. The prevalence of rabies virus antigen detection varied between 3% and 28%, with more studies in the north. Most bites were unprovoked from dog bite studies (36.4%-97%), by dogs with low vaccination rates (12-38%). A more significant proportion of biting dogs were owned (31-90%). Laboratory confirmation for biting was available for only a small proportion of studies (6%; n = 2/32). Of the dogs surveyed during ecology studies, indigenous dogs accounted for the majority (62-98%), used mostly for security purposes (52-98%), with the vaccination rate between 15% and 38% in most states. Studies conducted in areas distant from rabies diagnostic facilities accounted for more human rabies cases and fewer dog rabies cases.<h4>Conclusion</h4>Significant improvements are necessary to achieve the elimination of human rabies mediated via dogs by 2030.Philip P MshelbwalaJ Scott WeeseOlufunmilayo A Sanni-AdeniyiShovon ChakmaStephen S OkemeAbdullah A MamunCharles E RupprechtR J Soares MagalhaesPublic Library of Science (PLoS)articleArctic medicine. Tropical medicineRC955-962Public aspects of medicineRA1-1270ENPLoS Neglected Tropical Diseases, Vol 15, Iss 8, p e0009617 (2021)
institution DOAJ
collection DOAJ
language EN
topic Arctic medicine. Tropical medicine
RC955-962
Public aspects of medicine
RA1-1270
spellingShingle Arctic medicine. Tropical medicine
RC955-962
Public aspects of medicine
RA1-1270
Philip P Mshelbwala
J Scott Weese
Olufunmilayo A Sanni-Adeniyi
Shovon Chakma
Stephen S Okeme
Abdullah A Mamun
Charles E Rupprecht
R J Soares Magalhaes
Rabies epidemiology, prevention and control in Nigeria: Scoping progress towards elimination.
description <h4>Background</h4>Human rabies remains a significant public health problem in Africa with outbreaks reported in most countries. In Nigeria-the most populous country in Africa-rabies causes a significant public health burden partly due to perennial obstacles to implementing a national prevention and control program.<h4>Methods</h4>We conducted a scoping review using standard Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to identify and select published articles from Nigeria during 1978-2020 reporting on rabies virus infections (human, canine, livestock, and wildlife), canine bites, knowledge, attitudes and practices (KAP) surveys on rabies and canine ecology studies. We extracted information on study location, year and additional details of each study such as rabies prevalence, general characteristics of offending dogs, dog vaccination status and health-seeking behaviours.<h4>Findings</h4>Between 1978 and 2020, 90 published articles met our inclusion criteria. The prevalence of rabies virus antigen detection varied between 3% and 28%, with more studies in the north. Most bites were unprovoked from dog bite studies (36.4%-97%), by dogs with low vaccination rates (12-38%). A more significant proportion of biting dogs were owned (31-90%). Laboratory confirmation for biting was available for only a small proportion of studies (6%; n = 2/32). Of the dogs surveyed during ecology studies, indigenous dogs accounted for the majority (62-98%), used mostly for security purposes (52-98%), with the vaccination rate between 15% and 38% in most states. Studies conducted in areas distant from rabies diagnostic facilities accounted for more human rabies cases and fewer dog rabies cases.<h4>Conclusion</h4>Significant improvements are necessary to achieve the elimination of human rabies mediated via dogs by 2030.
format article
author Philip P Mshelbwala
J Scott Weese
Olufunmilayo A Sanni-Adeniyi
Shovon Chakma
Stephen S Okeme
Abdullah A Mamun
Charles E Rupprecht
R J Soares Magalhaes
author_facet Philip P Mshelbwala
J Scott Weese
Olufunmilayo A Sanni-Adeniyi
Shovon Chakma
Stephen S Okeme
Abdullah A Mamun
Charles E Rupprecht
R J Soares Magalhaes
author_sort Philip P Mshelbwala
title Rabies epidemiology, prevention and control in Nigeria: Scoping progress towards elimination.
title_short Rabies epidemiology, prevention and control in Nigeria: Scoping progress towards elimination.
title_full Rabies epidemiology, prevention and control in Nigeria: Scoping progress towards elimination.
title_fullStr Rabies epidemiology, prevention and control in Nigeria: Scoping progress towards elimination.
title_full_unstemmed Rabies epidemiology, prevention and control in Nigeria: Scoping progress towards elimination.
title_sort rabies epidemiology, prevention and control in nigeria: scoping progress towards elimination.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/28109ccc3a524325b9215af8681874bb
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