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Behavioral and structural barriers to accessing human post-exposure prophylaxis and other preventive practices in Arequipa, Peru, during a canine rabies epidemic

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dc.contributor.author Castillo Neyra, Ricardo
dc.contributor.author Buttenheim, A.M.
dc.contributor.author Brown, J.
dc.contributor.author Ferraraid, J.F.
dc.contributor.author Arevalo-Nietoid, C.
dc.contributor.author Borrini-Mayorí, K.
dc.contributor.author Levy, M.Z.
dc.contributor.author Becerra, V.
dc.contributor.author Paz-Soldan Parlette, Valerie Andrea
dc.date.accessioned 2020-12-14T16:06:15Z
dc.date.available 2020-12-14T16:06:15Z
dc.date.issued 2020
dc.identifier.uri https://hdl.handle.net/20.500.12866/8686
dc.description.abstract A canine rabies epidemic started in early 2015 in Arequipa, Peru and the rabies virus continues to circulate in the dog population. Some city residents who suffer dog bites do not seek care or do not complete indicated post-exposure prophylaxis (PEP) regimens, increasing the risk of human rabies. The objectives of our study are to qualitatively assess knowledge about rabies, and preventive practices, such as rabies vaccine administration, following a dog bite. We conduct eight focus group discussions in peri-urban and urban communities with 70 total participants. In our results, we observe low awareness of rabies severity and fatality, and different practices following a dog bite, depending on the community type: for example, whereas participants in the urban communities report cleaning the wound with hydrogen peroxide rather than soap and water, participants in peri-urban areas cover the wound with herbs and hair from the dog that bit them. Misconceptions about rabies vaccines and mistreatment at health centers also commonly prevent initiating or completing PEP. We identify important behavioral and structural barriers and knowledge gaps that limit evidencebased preventive strategies against rabies and may threaten successful prevention of dogmediated human rabies in this setting. © 2020 Castillo-Neyra et al. en_US
dc.language.iso eng
dc.publisher Public Library of Science
dc.relation.ispartofseries PLoS Neglected Tropical Diseases
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Dogs en_US
dc.subject Rabies en_US
dc.subject Rabies virus en_US
dc.subject Vaccination and immunization en_US
dc.subject Vaccines en_US
dc.subject Post-exposure prophylaxis en_US
dc.subject Health care facilities en_US
dc.subject Animal behavior en_US
dc.title Behavioral and structural barriers to accessing human post-exposure prophylaxis and other preventive practices in Arequipa, Peru, during a canine rabies epidemic en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1371/journal.pntd.0008478
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.06
dc.relation.issn 1935-2735


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