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Socio-spatial heterogeneity in participation in mass dog rabies vaccination campaigns, Arequipa, Peru.

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dc.contributor.author Castillo-Neyra, Ricardo
dc.contributor.author Toledo, Amparo M.
dc.contributor.author Arevalo-Nieto, Claudia
dc.contributor.author MacDonald, Hannelore
dc.contributor.author De la Puente-Leon, Micaela
dc.contributor.author Naquira-Velarde, Cesar
dc.contributor.author Paz-Soldan, Valerie A.
dc.contributor.author Buttenheim, Alison M.
dc.contributor.author Levy, Michael Z.
dc.date.accessioned 2019-08-08T15:23:47Z
dc.date.available 2019-08-08T15:23:47Z
dc.date.issued 2019
dc.identifier.uri https://hdl.handle.net/20.500.12866/7161
dc.description.abstract To control and prevent rabies in Latin America, mass dog vaccination campaigns (MDVC) are implemented mainly through fixed-location vaccination points: owners have to bring their dogs to the vaccination points where they receive the vaccination free of charge. Dog rabies is still endemic in some Latin-American countries and high overall dog vaccination coverage and even distribution of vaccinated dogs are desired attributes of MDVC to halt rabies virus transmission. In Arequipa, Peru, we conducted a door-to-door post-campaign survey on >6,000 houses to assess the placement of vaccination points on these two attributes. We found that the odds of participating in the campaign decreased by 16% for every 100 m from the owner's house to the nearest vaccination point (p = 0.041) after controlling for potential covariates. We found social determinants associated with participating in the MDVC: for each child under 5 in the household, the odds of participating in the MDVC decreased by 13% (p = 0.032), and for each decade less lived in the area, the odds of participating in the MDVC decreased by 8% (p<0.001), after controlling for distance and other covariates. We also found significant spatial clustering of unvaccinated dogs over 500 m from the vaccination points, which created pockets of unvaccinated dogs that may sustain rabies virus transmission. Understanding the barriers to dog owners' participation in community-based dog-vaccination programs will be crucial to implementing effective zoonotic disease preventive activities. Spatial and social elements of urbanization play an important role in coverage of MDVCs and should be considered during their planning and evaluation. en_US
dc.language.iso eng
dc.publisher PLoS
dc.relation.ispartof urn:issn:1935-2735
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Article en_US
dc.subject dog en_US
dc.subject endemic disease en_US
dc.subject epidemic en_US
dc.subject health survey en_US
dc.subject household en_US
dc.subject interview en_US
dc.subject nonhuman en_US
dc.subject population size en_US
dc.subject rabies en_US
dc.subject rabies vaccine en_US
dc.subject Rabies virus en_US
dc.subject social determinants of health en_US
dc.subject social status en_US
dc.subject spatial analysis en_US
dc.subject urban area en_US
dc.subject vaccination en_US
dc.subject vaccination coverage en_US
dc.subject virus transmission en_US
dc.title Socio-spatial heterogeneity in participation in mass dog rabies vaccination campaigns, Arequipa, Peru. en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1371/journal.pntd.0007600
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.06

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