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Spatial Inequality Hides the Burden of Dog Bites and the Risk of Dog-Mediated Human Rabies

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dc.contributor.author de la Puente-León, M.
dc.contributor.author Levy, M.Z.
dc.contributor.author Toledo, A.M.
dc.contributor.author Recuenco, S.
dc.contributor.author Shinnick, J.
dc.contributor.author Castillo-Neyra, R.
dc.date.accessioned 2020-12-14T16:06:19Z
dc.date.available 2020-12-14T16:06:19Z
dc.date.issued 2020
dc.identifier.uri https://hdl.handle.net/20.500.12866/8694
dc.description.abstract Since its reintroduction in 2015, rabies has been established as an enzootic disease among the dog population of Arequipa, Peru. Given the unknown rate of dog bites, the risk of human rabies transmission is concerning. Our objective was to estimate the rate of dog bites in the city and to identify factors associated with seeking health care in a medical facility for wound care and rabies prevention follow-up. To this end, we conducted a door-to-door survey with 4,370 adults in 21 urban and 21 periurban communities. We then analyzed associations between seeking health care following dog bites and various socioeconomic factors, stratifying by urban and peri-urban localities. We found a high annual rate of dog bites in peri-urban communities (12.4%), which was 2.6 times higher than that in urban areas (4.8%). Among those who were bitten, the percentage of people who sought medical treatment was almost twice as high in urban areas (39.1%) as in peri-urban areas (21.4%). en_US
dc.language.iso eng
dc.publisher American Society of Tropical Medicine and Hygiene
dc.relation.ispartof urn:issn:1476-1645
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject UNAVAILABLE en_US
dc.title Spatial Inequality Hides the Burden of Dog Bites and the Risk of Dog-Mediated Human Rabies en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.4269/ajtmh.20-0180
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.06 es_PE
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.06

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