Guest guest Posted July 27, 2007 Report Share Posted July 27, 2007 http://www.thestar.com/News/article/238729 Rabies, passed to humans by stray dogs like this shelter animal or unvaccinated pets, has become China's deadliest infectious disease. (People from the provinces) don't know how to deal with a bite ... and they don't seek proper treatment Dr. Luo Tingrong, Guangxi University World health agency probes epidemic's cause as 2008 Olympics in Beijing approaches Jul 23, 2007 04:30 AM Bill Schiller ASIA BUREAU BEIJING-Huagong Road, on the southeastern reaches of Beijing, is a dusty stretch of ramshackle auto repair shops, family-run restaurants and - unfortunately for Wu Qingshan - the occasional stray dog. A 22-year-old cook, Wu had come to Beijing just four months ago, as do many people from China's far-flung provinces, to cash in on the capital's economic boom and seek a better life. But a chance encounter with a small, feral dog ended all that. Early this month, Wu became the latest victim of a rabies epidemic that has astonished national and international health officials. According to official health figures, rabies is now the deadliest infectious disease in China. Rarely fatal in the West, rabies is killing more than 200 people here per month, outpacing tuberculosis deaths in 13 of the last 14 months. The rise of rabies, a virus passed from animals to humans that attacks the central nervous system, has been relentless. In 1996, figures show only 163 Chinese died from rabies. Last year, the disease killed 3,215. " The World Health Organization is extremely concerned about the number of cases in China, " says Dr. Nima Asgari, the WHO's communicable disease specialist in Beijing. " The reason for the rise is currently under investigation. " Chinese media have also reported, in what may be an isolated case, that officials are investigating bogus human rabies vaccines still in circulation after having been removed from shelves two years ago. Last year, desperate to stem the epidemic, public health officials touched off an international storm of criticism by ordering a mass extermination of dogs in some areas. In the province of Yunnan, officials clubbed, hanged or electrocuted more than 50,000 dogs in a single week. In the county of Mouding, Chinese media reported roving squads seizing dogs from their owners, killing the pets on the spot. Beijing restaurant owner and Wu's former employer, Sun Ming, says that's exactly what he did to the wild dog that bit his short-order cook. " He was just a kid, " Sun says of Wu. " He was from Shaanxi province, a nice young guy, an ordinary worker. He'd been here four months. " Sun says that another worker was bitten by the same dog that late May afternoon - but the other worker got rabies shots after the incident and is fine. Wu did not. " We tried to persuade him, but he wouldn't go, " Sun says. " I think he just thought it wasn't that serious. " Six weeks later, on July 1, Wu complained of serious shortness of breath. The following day, Sun says he brought him to three different hospitals and he was finally admitted to The People's Hospital, where he was confirmed to have rabies. He died there July 4. Wu's father has claimed it was the restaurant owner's own dog that bit his son. But Sun Ming disputes that, producing a plastic folder containing dog registration, ownership papers and rabies vaccination documents dating back two years. " That's not true, " he says firmly. The very night Wu died, a team of district and city health specialists swooped in on Sun's restaurant, scrubbing it from top to bottom and ordering all staff and Sun himself to be vaccinated. " They moved quickly. They paid for everything. They did a proper job, " says Sun. With the 2008 Olympics only a year away now, Beijing wants to make sure nothing goes wrong, especially on the health front. As recently as 2000, not a single person died in Beijing due to rabies. But last year there were a dozen. Local officials want that number lowered; eliminated if possible. Police have got tough enforcing a 2003 " one-family, one-dog " policy in eight city districts and have rounded up unregistered dogs. Under the rule of Mao Zedong, pet ownership was frowned upon as bourgeois and decadent. But today, with China's rising middle-class, pet ownership has become popular. Those defying the one-dog policy can be seen in Beijing walking their pets after dark. The city is home to 550,000 registered canines. But there is believed to be an equal number still unregistered. With such a large dog population, unfriendly interactions are bound to occur. And they do. More than 140,000 people turned up at city hospitals last year to be treated for dog bites - all the more reason for the government to insist on dog vaccinations. In front of Sun's restaurant, dog owner Guo Lianxiang was taking his bulldog Da Tou (Big Head), for an early evening stroll. " Oh, he's been vaccinated, " he said of the 4-year-old male. " We've got the papers. " He applauds the government's get-tough policy on one family, one dog, and the fact that dog vaccinations are free. " Previously the country wasn't rich enough to afford to pay. But things are different now. " It's the registration that costs: $140 the first year for owners in central Beijing, about $70 annually thereafter. That's real money in a city where the average per capita annual income is about $6,600. But out in the countryside, especially in the south, is where the real problem lies, says Dr. Luo Tingrong, a professor of veterinary medicine at Guangxi University. Five key provinces - including Guangxi - account for more than 70 per cent of the problem. The reasons for the outbreak are threefold, he says: Rising incomes have meant a rapid increase in the number of dogs; far too many remain unvaccinated; and people in the countryside, in particular, remain unaware of the seriousness of the problem. People from the provinces, " don't know how to deal with a bite ... and they don't seek proper treatment, " he said. That might have been Wu Qingshan's problem. He came from Shaanxi province. What he didn't know killed him. Quote Link to comment Share on other sites More sharing options...
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