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Pre-Exposure Prophylaxis to Prevent Hematophagous Bat-Mediated Rabies Outbreaks in Remote Amazon Communities: Lessons from a Pilot for Public Health Policy.
Rocha, Felipe; Vargas, Alexander; Abreu, Elke Maria Nogueira de; Pompei, Julio Cesar Augusto; Vigilato, Marco Antonio Natal; Lima, Daniel Magalhães; Vianna, Raphael Schneider; Cosivi, Ottorino; Recuenco, Sergio E; Costa, Wagner Augusto; Hardt, Luciana; Ferreira, Karin Correa Scheffer; Neto, Rene Dos Santos Cunha; Chaves, Luciana Botelho; Silva, Andrea de Cassia Rodrigues da; Begot, Alberto Lopes; Andrade, Jorge Alberto Azevedo; Marcos, Weber; Rocha, Silene Manrique; Junior, Francisco Edilson Ferreira Lima; Wada, Marcelo Yoshito.
Afiliação
  • Rocha F; Pan American Center for Foot-and-Mouth Disease and Veterinary Public Health-Pan American Health Organization/World Health Organization (PANAFTOSA/VPH-PAHO/WHO), Rio de Janeiro 25045-002, RJ, Brazil.
  • Vargas A; Department of Transmissible Diseases, Secretary of Surveillance in Health and Environment, Ministry of Health, Brazil (SVSA/MS), Brasília 70655-775, DF, Brazil.
  • Abreu EMN; Zoonosis State Coordination, Secretary of Health of the State of Pará, Brazil (SES-PA), Belém 66093-677, PA, Brazil.
  • Pompei JCA; Pan American Center for Foot-and-Mouth Disease and Veterinary Public Health-Pan American Health Organization/World Health Organization (PANAFTOSA/VPH-PAHO/WHO), Rio de Janeiro 25045-002, RJ, Brazil.
  • Vigilato MAN; Pan American Center for Foot-and-Mouth Disease and Veterinary Public Health-Pan American Health Organization/World Health Organization (PANAFTOSA/VPH-PAHO/WHO), Rio de Janeiro 25045-002, RJ, Brazil.
  • Lima DM; Pan American Center for Foot-and-Mouth Disease and Veterinary Public Health-Pan American Health Organization/World Health Organization (PANAFTOSA/VPH-PAHO/WHO), Rio de Janeiro 25045-002, RJ, Brazil.
  • Vianna RS; Pan American Center for Foot-and-Mouth Disease and Veterinary Public Health-Pan American Health Organization/World Health Organization (PANAFTOSA/VPH-PAHO/WHO), Rio de Janeiro 25045-002, RJ, Brazil.
  • Cosivi O; Pan American Center for Foot-and-Mouth Disease and Veterinary Public Health-Pan American Health Organization/World Health Organization (PANAFTOSA/VPH-PAHO/WHO), Rio de Janeiro 25045-002, RJ, Brazil.
  • Recuenco SE; Preventive Medicine and Public Health Academic Department, Faculty of Medicine San Fernando, National Universidad Nacional Mayor de San Marcos, Peru (UNMSM), Lima 15081, Peru.
  • Costa WA; Institute Pasteur, Secretary of Health of the State of Sao Paulo, Brazil (IP/SES-SP), São Paulo 01311-000, SP, Brazil.
  • Hardt L; Institute Pasteur, Secretary of Health of the State of Sao Paulo, Brazil (IP/SES-SP), São Paulo 01311-000, SP, Brazil.
  • Ferreira KCS; Institute Pasteur, Secretary of Health of the State of Sao Paulo, Brazil (IP/SES-SP), São Paulo 01311-000, SP, Brazil.
  • Neto RDSC; Institute Pasteur, Secretary of Health of the State of Sao Paulo, Brazil (IP/SES-SP), São Paulo 01311-000, SP, Brazil.
  • Chaves LB; Institute Pasteur, Secretary of Health of the State of Sao Paulo, Brazil (IP/SES-SP), São Paulo 01311-000, SP, Brazil.
  • Silva ACRD; Institute Pasteur, Secretary of Health of the State of Sao Paulo, Brazil (IP/SES-SP), São Paulo 01311-000, SP, Brazil.
  • Begot AL; Zoonosis State Coordination, Secretary of Health of the State of Pará, Brazil (SES-PA), Belém 66093-677, PA, Brazil.
  • Andrade JAA; Zoonosis State Coordination, Secretary of Health of the State of Pará, Brazil (SES-PA), Belém 66093-677, PA, Brazil.
  • Marcos W; Zoonosis State Coordination, Secretary of Health of the State of Pará, Brazil (SES-PA), Belém 66093-677, PA, Brazil.
  • Rocha SM; Department of Transmissible Diseases, Secretary of Surveillance in Health and Environment, Ministry of Health, Brazil (SVSA/MS), Brasília 70655-775, DF, Brazil.
  • Junior FEFL; Department of Transmissible Diseases, Secretary of Surveillance in Health and Environment, Ministry of Health, Brazil (SVSA/MS), Brasília 70655-775, DF, Brazil.
  • Wada MY; Department of Transmissible Diseases, Secretary of Surveillance in Health and Environment, Ministry of Health, Brazil (SVSA/MS), Brasília 70655-775, DF, Brazil.
Trop Med Infect Dis ; 9(8)2024 Aug 14.
Article em En | MEDLINE | ID: mdl-39195617
ABSTRACT
In 2018, an outbreak of human rabies caused by the hematophagous bat Desmodus rotundus hit the Brazilian Amazon Basin community of Melgaço, Brazil, resulting in the death of 10 people, 9 of them children. The incidence of rabies has been on the rise among populations in conditions of vulnerability in this ecosystem due to human expansion into sylvatic environments and limited access to public health services. To address this issue, in September 2019, a collaborative effort from national, local, and international institutions promoted and executed a pilot for pre-exposure prophylaxis of a population in high-risk areas for hematophagous bat-mediated rabies. This measure is usually only implemented in response to outbreaks. The pilot was conducted in Portel, in a nearby location to the previous outbreak, with the use of fluvial transportation, and 2987 individuals in 411 dwellings were successfully vaccinated. It established a methodology for pre-exposure prophylaxis for populations in conditions of vulnerability, identifying logistics and costs, as well as characterizing the target riverine population regarding risk factors associated with bites by hematophagous bats. This approach offers a proactive measure to prevent future outbreaks and provides valuable insights into how to address the issue of rabies in remote and difficult-to-reach areas.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Trop Med Infect Dis Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Suíça
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Trop Med Infect Dis Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Suíça