Guest guest Posted July 3, 2009 Report Share Posted July 3, 2009 RABIES, HUMAN, CANINE - VIET NAM (LAI CHAU) ******************************************* A ProMED-mail post <http://www.promedmail.org> ProMED-mail is a program of the International Society for Infectious Diseases <http://www.isid.org> Wed 1 Jul 2009 Source: VNS, Viet Nam News agency [edited] <http://vietnamnews.vnagency.com.vn/showarticle.php?num=04SOC010709> Northern Lai Chau Province announced a rabies epidemic after 4 people died of the disease and at least 500 people had been bitten by rabid dogs in the last 2 months. " The 500 cases only account for the number of patients who got a rabies [vaccination] at the province's Preventive Healthcare Centre after being bitten, " said Do Van Giang, deputy director of Lai Chau Province's Health Department, adding that the actual number of infected people could be much higher. Due to the high demand for dog meat, many local people transported dogs from Phu Tho and Vinh Phuc provinces. These dogs then infected the local dogs, leading to the rabies outbreak, said Nguyen Cong Huan, director of the province's Health Department. " More people will die of rabies because they do not get the vaccine, " he said. The cost for the vaccine is high -- nearly VND one million (USD 56) for a course of 5 injections -- and 40 per cent of people in the province have an average monthly income of VND 200 000 (USD 11), according to Giang. " My pregnant daughter was killed by a rabid dog because she couldn't get the vaccine in time, " said a 64 year old in Lai Chau Town, who recovered from rabies after several days of treatment in the province's hospital [presumably as a result of prophylactic immunization before any symptoms of infection developed. - Mod.CP]. " Authorities should support patients like us and get us free treatment. If not, we will not be able to afford the vaccine, " said Thanh. The province recently decreed that the poor would get free rabies vaccines and others would get 50 per cent of the vaccine cost subsidised, said Huan. Some local ethnic minorities lack information about the disease and choose to treat it with herbal remedies instead of getting the vaccine. " Many people rush around looking for herbal medicine after being bitten by dogs. However, this is useless and causes more harm because there is no scientific basis for this treatment, " said Bui Tien Thanh, a doctor at the province's General Hospital. Local health officers have handed out leaflets about rabies and treatment to educate people about the disease and have asked anyone who has been bitten by dogs to go to the Preventive Healthcare Centre for treatment, according to Nguyen Van Ngoc, deputy director of the Preventive Healthcare Centre. " In addition, relevant authorities have increased the management of dog transports from other provinces and are more closely monitoring the province's current canines, " said Huan. So far, the province's Veterinary Department has vaccinated 4 dogs and cats in the province. " It has been decades since the last rabies epidemic, and the province is trying to stop the spread of the disease as quickly as possible, " said Giang. -- communicated by: HealthMap Alerts via ProMED-mail <promed [A map of the provinces of Viet Nam can be accessed at: <http://www.angelfire.com/co/hongnam/vnmap.html>. The province of Lai Chau lies in the far western part of the northern region. Rabies in Viet Nam continues to be a problem partly on account of lack of regulation of the trade of dog breeding and provision of dog meat for human consumption (see references below). Comprehensive vaccination of canines would both protect human health and have long term economic benefits. - Mod.CP] [see also: Rabies, via dog/cat butchering - Viet Nam: probable 20090318.1092 Rabies, human, canine - Viet Nam: (Binh Thuan), RFI 20090111.0115 2007 --- Rabies, human - Viet Nam: RFI 20070910.2992] ..................cp/msp/sh *##########################################################* ************************************************************ ProMED-mail makes every effort to verify the reports that are posted, but the accuracy and completeness of the information, and of any statements or opinions based thereon, are not guaranteed. The reader assumes all risks in using information posted or archived by ProMED-mail. 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