AUB ScholarWorks

Challenges facing human rabies control: The Lebanese experience

Show simple item record Bizri A. Alawieh A. Ghosn N. Berry A. Musharrafieh U.
dc.contributor.editor 2014 2017-10-05T15:40:21Z 2017-10-05T15:40:21Z 2014
dc.identifier 10.1017/S0950268813002392
dc.identifier.issn 09502688
dc.description.abstract Rabies is one of the most important zoonotic infections worldwide. The burden of the disease continues to be significant in countries in the Middle East where the most important vector is stray dogs. Control efforts are hindered by lack of awareness and incomplete post-exposure prophylaxis. The aim of this article is to re-assess the situation of rabies in Lebanon and compare it to other Middle Eastern countries. Eight cases of rabies and 5280 incidents of animal bites to humans were reported to the Lebanese Ministry of Public Health between 2001 and 2012. Dogs were the only vector of infection and were responsible for most reported animal bites to humans. An average of 3·2 doses of vaccine per bite was administered as post-exposure prophylaxis. The status of human and canine rabies control, the risks associated with children's behaviour and the hazards of secondary wild reservoirs are discussed. Our data illustrates the importance of prevention through vector control, public awareness and education, and timely administration of active and passive immunization, as well as the significance of regional cooperation and monitoring the circulation of viral variants in wild animals. Copyright © Cambridge University Press 2013.
dc.format.extent Pages: (1486-1494)
dc.language English
dc.publisher Cambridge University Press; NEW YORK
dc.relation.ispartof Publication Name: Epidemiology and Infection; Publication Year: 2014; Volume: 142; no. 7; Pages: (1486-1494);
dc.source Scopus
dc.title Challenges facing human rabies control: The Lebanese experience
dc.type Article
dc.contributor.affiliation Bizri, A., Division of Infectious Diseases, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Alawieh, A., Faculty of Medicine, American University of Beirut, Beirut, Lebanon
dc.contributor.affiliation Ghosn, N., Epidemiological Surveillance Department, Ministry of Public Health, Beirut, Lebanon
dc.contributor.affiliation Berry, A., Communicable Diseases Department, Ministry of Public Health, Beirut, Lebanon
dc.contributor.affiliation Musharrafieh, U., Division of Infectious Diseases, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon, Department of Family Medicine, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.authorAddress Musharrafieh, U.; Division of Infectious Diseases, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon; email:
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Internal Medicine; Division: Infectious Diseases;
dc.contributor.authorDepartment Internal Medicine
dc.contributor.authorDivision Infectious Diseases
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials Bizri, A
dc.contributor.authorInitials Alawieh, A
dc.contributor.authorInitials Ghosn, N
dc.contributor.authorInitials Berry, A
dc.contributor.authorInitials Musharrafieh, U
dc.contributor.authorReprintAddress Musharrafieh, U (reprint author), Amer Univ Beirut, Med Ctr, Dept Family Med, Beirut, Lebanon.
dc.contributor.authorUniversity American University of Beirut Medical Center
dc.description.cited Akkoca N., 2004, Historical perspective of rabies in Europe and the Mediterranean Basin: a testament to rabies by Dr Arthur A. King, P157; AYLAN O, 2010, ADV PREVENTIVE MED, V2011; BHANGANADA K, 1993, ACTA TROP, V55, P249, DOI 10.1016-0001-706X(93)90082-M; Bizri AR, 2000, EPIDEMIOL INFECT, V125, P175, DOI 10.1017-S0950268899004306; Blanton JD, 2012, JAVMA-J AM VET MED A, V241, P712, DOI 10.2460-javma.241.6.712; Carrara P, 2013, PLOS NEGLECT TROP D, V7, DOI 10.1371-journal.pntd.0002209; *CDC, 2011, CAN YOU PREV RAB PEO; *CDCP, 2011, RAB VACC; CHOMEL BB, 1993, COMP IMMUNOL MICROB, V16, P11, DOI 10.1016-0147-9571(93)90056-B; Christian KA, 2009, VACCINE, V27, P7156, DOI 10.1016-j.vaccine.2009.09.028; Cleaveland S, 2003, VACCINE, V21, P1965, DOI 10.1016-S0264-410X(02)00778-8; David D, 2009, EPIDEMIOL INFECT, V137, P544, DOI 10.1017-S0950268808001180; Davlin SL, 2012, VACCINE, V30, P3492, DOI 10.1016-j.vaccine.2012.03.069; Dodet B, 2008, VACCINE, V26, P6344, DOI 10.1016-j.vaccine.2008.09.003; Dzikwi Asabe Adamu, 2012, Glob J Health Sci, V4, P132, DOI 10.5539-gjhs.v4n5p132; Eslamifar A, 2008, ARCH IRAN MED, V11, P200, DOI 08112-AIM.0014; Franka R, 2013, ANTIVIR RES, V100, P220, DOI 10.1016-j.antiviral.2013.07.004; Gautret P, 2013, INT J INFECT DIS, V17, pE164, DOI 10.1016-j.ijid.2012.09.011; Hatch C, 2004, TROP ANIM HEALTH PRO, V36, P321, DOI 10.1023-B:TROP.0000026668.54427.e9; Hemachudha T, 1999, CLIN INFECT DIS, V28, P143; Hemachudha T, 2002, LANCET NEUROL, V1, P101, DOI 10.1016-S1474-4422(02)00041-8; Horton DL, 2013, PLOS NEGLECT TROP D, V7, DOI 10.1371-journal.pntd.0002075; Hossain M, 2012, EPIDEMIOL INFECT, V140, P1964, DOI 10.1017-S095026881100272X; Jackson A, 2012, INT J INFECT DIS, V16, pE330, DOI 10.1016-j.ijid.2012.05.384; Johnson N, 2011, EMERG INFECT DIS, V17, P753, DOI [10.3201-eid1706.101154, 10.3201-eid1704.101154]; Johnson N, 2010, EPIDEMIOL INFECT, V138, P305, DOI 10.1017-S0950268809990963; Knobel DL, 2005, B WORLD HEALTH ORGAN, V83, P360; Leslie MJ, 2006, EMERG INFECT DIS, V12, P1274; Liu Q, 2012, EXPERT OPIN BIOL TH, V12, P1067, DOI 10.1517-14712598.2012.691162; Meslin FX, 1997, RABIES CONTROL IN ASIA, P15; Munang'andu HM, 2011, ZOONOSES PUBLIC HLTH, V58, P21, DOI 10.1111-j.1863-2378.2010.01368.x; Murray CJL, 2012, LANCET, V380, P2197, DOI 10.1016-S0140-6736(12)61689-4; *RABNET, 1998, WEEKLY EPIDEMIOLOGIC, V73, P254; Rupprecht CE, 2002, LANCET INFECT DIS, V2, P327, DOI 10.1016-S1473-3099(02)00287-6; Rupprecht CE, 2008, DEV BIOLOGICALS, V131, P95; Saad R, 2011, J EPIDEMIOL COMMUN H, V65, pA370, DOI 10.1136-jech.2011.142976m.66; Seimenis A, 2008, DEV BIOLOGICALS, V131, P43; Seimenis Aristarco, 2006, Ann Ist Super Sanita, V42, P437; SENAUER A, 2007, EXPERT OPINION BIOL; Senior K, 2012, LANCET INFECT DIS, V12, P366, DOI 10.1016-S1473-3099(12)70096-8; Sudarshan MK, 2007, INT J INFECT DIS, V11, P29, DOI 10.1016-j.ijid.2005.10.007; Tiembre I, 2009, SANTE PUBLIQUE, V21, P595; Velasco-Villa A, 2008, EMERG INFECT DIS, V14, P1849, DOI 10.3201-eid1412.080876; VERCAUTEREN K, 2012, USDA NATL WILDLIFE R, P1202; Wasay M, 2012, J PAK MED ASSOC, V62, P378; *WHO, 2002, SURV WHODOCD RESP WO; *WHO, 2010, CURR STRAT HUM RAB P; Wilde H, 2005, VACCINE, V23, P2284, DOI 10.1016-j.vaccine.2005.01.030; Wilde H, 2007, VACCINE, V25, P7605, DOI 10.1016-j.vaccine.2007.08.054; World Health Organization, 2005, WORLD HLTH REP 2005, P1
dc.description.citedTotWOSCount 0
dc.description.citedWOSCount 0
dc.format.extentCount 9
dc.identifier.coden EPINE
dc.identifier.pubmedID 24067449
dc.identifier.scopusID 84901429839
dc.publisher.address 32 AVENUE OF THE AMERICAS, NEW YORK, NY 10013-2473 USA
dc.relation.ispartOfISOAbbr Epidemiol. Infect.
dc.relation.ispartOfIssue 7
dc.relation.ispartofPubTitle Epidemiology and Infection
dc.relation.ispartofPubTitleAbbr Epidemiol. Infect.
dc.relation.ispartOfVolume 142
dc.source.ID WOS:000337306100018
dc.type.publication Journal
dc.subject.otherAuthKeyword Rabies (human)
dc.subject.otherAuthKeyword virology
dc.subject.otherIndex rabies vaccine
dc.subject.otherIndex adult
dc.subject.otherIndex article
dc.subject.otherIndex child
dc.subject.otherIndex child behavior
dc.subject.otherIndex controlled study
dc.subject.otherIndex disease carrier
dc.subject.otherIndex dog bite
dc.subject.otherIndex ethnic group
dc.subject.otherIndex female
dc.subject.otherIndex human
dc.subject.otherIndex infection control
dc.subject.otherIndex infection risk
dc.subject.otherIndex Lebanese
dc.subject.otherIndex Lebanon
dc.subject.otherIndex major clinical study
dc.subject.otherIndex male
dc.subject.otherIndex post exposure prophylaxis
dc.subject.otherIndex rabies
dc.subject.otherIndex vaccination
dc.subject.otherIndex virus transmission
dc.subject.otherIndex Adolescent
dc.subject.otherIndex Adult
dc.subject.otherIndex Aged
dc.subject.otherIndex Animals
dc.subject.otherIndex Bites and Stings
dc.subject.otherIndex Child
dc.subject.otherIndex Child, Preschool
dc.subject.otherIndex Dogs
dc.subject.otherIndex Female
dc.subject.otherIndex Humans
dc.subject.otherIndex Infant
dc.subject.otherIndex Lebanon
dc.subject.otherIndex Male
dc.subject.otherIndex Middle Aged
dc.subject.otherIndex Rabies
dc.subject.otherIndex Young Adult
dc.subject.otherIndex Zoonoses
dc.subject.otherKeywordPlus DOG-BITE INJURIES
dc.subject.otherKeywordPlus UNITED-STATES
dc.subject.otherKeywordPlus POSTEXPOSURE PROPHYLAXIS
dc.subject.otherKeywordPlus ELIMINATION
dc.subject.otherKeywordPlus VACCINATION
dc.subject.otherKeywordPlus BURDEN
dc.subject.otherKeywordPlus EPIDEMIOLOGY
dc.subject.otherKeywordPlus KNOWLEDGE
dc.subject.otherKeywordPlus DISEASE
dc.subject.otherKeywordPlus AFRICA
dc.subject.otherWOS Public, Environmental and Occupational Health
dc.subject.otherWOS Infectious Diseases

Files in this item

Files Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record

Search AUB ScholarWorks


My Account