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RABIES IN SOUTH ASIA - EPIDEMIOLOGICAL INVESTIGATIONS C.K.Singh and B.S. Sandhu Rabies...

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RABIES IN SOUTH ASIA RABIES IN SOUTH ASIA - EPIDEMIOLOGICAL - EPIDEMIOLOGICAL INVESTIGATIONS INVESTIGATIONS C.K.Singh and B.S. Sandhu C.K.Singh and B.S. Sandhu Rabies Research-cum- Rabies Research-cum- Diagnostic Laboratory, Diagnostic Laboratory, Guru Angad Dev Veterinary and Guru Angad Dev Veterinary and Animal Sciences University Animal Sciences University , , Ludhiana Ludhiana , , Punjab, INDIA Punjab, INDIA [email protected] [email protected]
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Page 1: RABIES IN SOUTH ASIA - EPIDEMIOLOGICAL INVESTIGATIONS C.K.Singh and B.S. Sandhu Rabies Research-cum-Diagnostic Laboratory, Guru Angad Dev Veterinary and.

RABIES IN SOUTH ASIARABIES IN SOUTH ASIA- EPIDEMIOLOGICAL - EPIDEMIOLOGICAL INVESTIGATIONSINVESTIGATIONS

C.K.Singh and B.S. SandhuC.K.Singh and B.S. Sandhu

Rabies Research-cum-Rabies Research-cum-Diagnostic Laboratory, Diagnostic Laboratory,

Guru Angad Dev Veterinary Guru Angad Dev Veterinary and Animal Sciences and Animal Sciences UniversityUniversity, , LudhianaLudhiana , , Punjab, Punjab, INDIAINDIA

[email protected]@gmail.com

Page 2: RABIES IN SOUTH ASIA - EPIDEMIOLOGICAL INVESTIGATIONS C.K.Singh and B.S. Sandhu Rabies Research-cum-Diagnostic Laboratory, Guru Angad Dev Veterinary and.

Talking from highest Talking from highest prevalence of rabies in prevalence of rabies in EurasiaEurasia More than 20,000 human deaths occur More than 20,000 human deaths occur

every yearevery year 17.4 million humans are bitten by dogs in 17.4 million humans are bitten by dogs in

India every yearIndia every year Over Rs. 1200 crores are spent annually on Over Rs. 1200 crores are spent annually on

post bite vaccination assuming about half post bite vaccination assuming about half of the exposed do not get PETof the exposed do not get PET

Over 15 Crores is spent on PET in farm Over 15 Crores is spent on PET in farm animalsanimals

Page 3: RABIES IN SOUTH ASIA - EPIDEMIOLOGICAL INVESTIGATIONS C.K.Singh and B.S. Sandhu Rabies Research-cum-Diagnostic Laboratory, Guru Angad Dev Veterinary and.

The StudyThe Study The study was conducted on brain The study was conducted on brain

tissues collected from a total of 356 tissues collected from a total of 356 animals including 231 dogs, 79 animals including 231 dogs, 79 buffaloes and 46 cows.buffaloes and 46 cows.

The brain tissues of only those The brain tissues of only those animals that were suspected to be animals that were suspected to be suffering from rabies clinically were suffering from rabies clinically were included in this study. included in this study.

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Page 10: RABIES IN SOUTH ASIA - EPIDEMIOLOGICAL INVESTIGATIONS C.K.Singh and B.S. Sandhu Rabies Research-cum-Diagnostic Laboratory, Guru Angad Dev Veterinary and.

Impression smear from hippocampus of a rabid Impression smear from hippocampus of a rabid dog showing magenta colored intracellular Negri dog showing magenta colored intracellular Negri body (arrow) in a neuron. Seller’s stain x875body (arrow) in a neuron. Seller’s stain x875

Page 11: RABIES IN SOUTH ASIA - EPIDEMIOLOGICAL INVESTIGATIONS C.K.Singh and B.S. Sandhu Rabies Research-cum-Diagnostic Laboratory, Guru Angad Dev Veterinary and.

Section of Hippocampus of a rabid dog Section of Hippocampus of a rabid dog showingshowing intra-cytoplasmic eosinophilic Negri bodies intra-cytoplasmic eosinophilic Negri bodies ( arrows )( arrows ) in neurons. H&E x875in neurons. H&E x875

Page 12: RABIES IN SOUTH ASIA - EPIDEMIOLOGICAL INVESTIGATIONS C.K.Singh and B.S. Sandhu Rabies Research-cum-Diagnostic Laboratory, Guru Angad Dev Veterinary and.

Incidence in animalsIncidence in animals

SuspectedSuspected ConfirmedConfirmed 356356 201 201 231 dogs231 dogs 128 dogs 128 dogs 79 buffaloes79 buffaloes 44 buffaloes 44 buffaloes 46 cows 46 cows 29 cows 29 cows

Page 13: RABIES IN SOUTH ASIA - EPIDEMIOLOGICAL INVESTIGATIONS C.K.Singh and B.S. Sandhu Rabies Research-cum-Diagnostic Laboratory, Guru Angad Dev Veterinary and.

Initial Signs of RabiesInitial Signs of Rabies

Rabid DogsRabid Dogs About half About half the rabid dogs go the rabid dogs go off feedoff feed & show & show

change in behavior change in behavior few few exhibit exhibit feverfever. . Ocular Ocular involvement involvement is is rarerare..

Rabid CowsRabid Cows Almost every Almost every rabid cow goes rabid cow goes off feedoff feed and and

about half about half the rabid cows exhibit the rabid cows exhibit feverfever. . Few Few rabid cows exhibit rabid cows exhibit ocular involvement ocular involvement ..

Rabid BuffaloesRabid Buffaloes Majority Majority of rabid buffaloes go of rabid buffaloes go off feedoff feed and and

more than half more than half exhibit exhibit feverfever. . Majority Majority of of buffaloes show buffaloes show ocular involvement ocular involvement ..

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Most susceptible Most susceptible Age/SexAge/Sex Incidence in higher in adult dogs (Incidence in higher in adult dogs (>3 >3

Yrs.Yrs.) and pups () and pups (<6 M<6 M). ). The incidence is The incidence is minimum in 6 M to 3 Years dogsminimum in 6 M to 3 Years dogs..

The higher incidence of rabies in The higher incidence of rabies in male dogs male dogs is largely due to their is largely due to their gregarious wandering and furious gregarious wandering and furious nature especially during breeding nature especially during breeding season. season.

Page 17: RABIES IN SOUTH ASIA - EPIDEMIOLOGICAL INVESTIGATIONS C.K.Singh and B.S. Sandhu Rabies Research-cum-Diagnostic Laboratory, Guru Angad Dev Veterinary and.

Signs & Symptoms -Signs & Symptoms -Dogs v/s BovinesDogs v/s Bovines Only 24 percent rabid dogs show Only 24 percent rabid dogs show

hyper salivation hyper salivation that is that is characteristic for bovines. characteristic for bovines. So, So, Veterinarian need not look for clinical Veterinarian need not look for clinical hypersalivation while suspecting dog hypersalivation while suspecting dog rabies.rabies.

Only 30 % rabid dogs show Only 30 % rabid dogs show paralysisparalysis . . Paralysis is not necessarily Paralysis is not necessarily the end sign in dogsthe end sign in dogs..

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Signs & Symptoms -Signs & Symptoms -Dogs v/s BovinesDogs v/s Bovines About half of the rabid dogs About half of the rabid dogs

continue to recognize continue to recognize their ownertheir owner Most rabid cows and buffaloes Most rabid cows and buffaloes fail fail

to recognize to recognize their ownerstheir owners

Page 21: RABIES IN SOUTH ASIA - EPIDEMIOLOGICAL INVESTIGATIONS C.K.Singh and B.S. Sandhu Rabies Research-cum-Diagnostic Laboratory, Guru Angad Dev Veterinary and.

Signs & Symptoms -Signs & Symptoms -Dogs v/s BovinesDogs v/s Bovines

More than half (61%) of all rabid More than half (61%) of all rabid animals show aggressive behavior. animals show aggressive behavior. Majority of Majority of aggressive rabid dogs inflict bite aggressive rabid dogs inflict bite wounds wounds to humans and/or other animals.to humans and/or other animals.

Aggression of bovines is limited to Aggression of bovines is limited to inflicting trauma to themselves. inflicting trauma to themselves. No No rabid bovine ever bites rabid bovine ever bites other animals and/or other animals and/or humans.humans.

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Bovines - SimilarityBovines - SimilarityBellowing in BovinesBellowing in Bovines Majority Majority of both cows and of both cows and

buffaloes (66%) reveal buffaloes (66%) reveal prolonged prolonged and prominent fits of and prominent fits of loud loud bellowingbellowing

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Bovines - Differences Bovines - Differences Drooling Saliva -Drooling Saliva -32% v/s 32% v/s 86%86% Drooling saliva is often reported as Drooling saliva is often reported as

the characteristic feature in rabies in the characteristic feature in rabies in bovines bovines

It was found that hyper salivation It was found that hyper salivation was exhibited by less than half (was exhibited by less than half (32%32%) ) of rabid of rabid buffaloesbuffaloes

However, hyper salivation was more However, hyper salivation was more commonly exhibited (commonly exhibited (86%86%) by rabid ) by rabid cowscows..

Page 29: RABIES IN SOUTH ASIA - EPIDEMIOLOGICAL INVESTIGATIONS C.K.Singh and B.S. Sandhu Rabies Research-cum-Diagnostic Laboratory, Guru Angad Dev Veterinary and.
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Bovines - Differences Bovines - Differences Micturition in BovinesMicturition in Bovines Rabid CowsRabid Cows Reveal Reveal frequent frequent micturitionmicturition Rabid BuffaloesRabid Buffaloes Frequent micturition is Frequent micturition is not not

common common in buffaloesin buffaloes

Page 33: RABIES IN SOUTH ASIA - EPIDEMIOLOGICAL INVESTIGATIONS C.K.Singh and B.S. Sandhu Rabies Research-cum-Diagnostic Laboratory, Guru Angad Dev Veterinary and.
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Month-wise IncidenceMonth-wise Incidence Increased incidence in Increased incidence in dogs dogs was reported was reported

during January, February, July and during January, February, July and November. November.

Increased incidence in Increased incidence in buffaloes buffaloes was was observed during January to Marchobserved during January to March

Increased incidence in Increased incidence in cattle cattle was was observed during March, April, June, observed during March, April, June, August, October and NovemberAugust, October and November

Page 36: RABIES IN SOUTH ASIA - EPIDEMIOLOGICAL INVESTIGATIONS C.K.Singh and B.S. Sandhu Rabies Research-cum-Diagnostic Laboratory, Guru Angad Dev Veterinary and.

Major Area of ConcernMajor Area of Concern

78% of 78% of owned owned rabid dogs rabid dogs were were not vaccinated not vaccinated prophylactically.prophylactically.

There is high incidence of There is high incidence of rabies in ownedrabies in owned/community /community dogs.dogs.

Page 37: RABIES IN SOUTH ASIA - EPIDEMIOLOGICAL INVESTIGATIONS C.K.Singh and B.S. Sandhu Rabies Research-cum-Diagnostic Laboratory, Guru Angad Dev Veterinary and.
Page 38: RABIES IN SOUTH ASIA - EPIDEMIOLOGICAL INVESTIGATIONS C.K.Singh and B.S. Sandhu Rabies Research-cum-Diagnostic Laboratory, Guru Angad Dev Veterinary and.

YearYear TotalTotalPositivPositiv

ee

SexSex Off Off feedfeed

ParalysiParalysiss

SalivatioSalivationn

AggresAggressivenesivene

ssss

FeverFever RecognizRecognize Ownere Owner

VaccinatioVaccinationn

Difficult Difficult standinstandin

gg

Difficult Difficult intakeintake

AgeAge

M FM F + -+ - + -+ - + -+ - + -+ - + -+ - + -+ - + -+ - + -+ - + -+ - <<66MM

6-6-12M12M

1-21-2yrs.yrs.

2-2-33

>>33

19951995 3232 17 17 1515

15 15 1717

10 2210 22 8 248 24 22 22 1010

6 266 26 12 2012 20 4 284 28 7 7 2525

6 266 26 1111 33 44 00 1414

19961996 2525 13 13 1212

11 11 1414

8 178 17 3 223 22 16 16 99

5 205 20 8 178 17 2 232 23 6 6 1919

8 178 17 88 33 44 44 66

19971997 3030 22 822 8 23 723 7 10 2010 20 8 228 22 15 15 1515

4 264 26 18 1218 12 8 228 22 9 9 2121

6 246 24 88 33 77 11 1111

19981998 1313 9 9 44

8 58 5 3 103 10 4 94 9 9 49 4 2 112 11 7 67 6 1 121 12 5 85 8 2 112 11 33 11 33 11 55

19991999 2828 18 18 1010

17 17 1111

8 208 20 8 208 20 16 16 1212

6 226 22 15 1515 15 13 1513 15 9 199 19 8 208 20 66 11 44 33 1414

TotalTotal 128128 79 79 4949

74 74 5454

39 8939 89 31 9731 97 78 78 5050

23 23 105105

60 60 6868

28 28 100100

36 36 9292

30 9830 98 3636 1111 2222 99 5050

%% 62 62 3838

58 58 4242

30 7030 70 24 7624 76 61 61 3939

18 18 8282

47 47 5252

22 7822 78 28 28 7272

23 7723 77 2828 8.68.6 1717 77 3939

Characteristics of rabid dogs

Page 39: RABIES IN SOUTH ASIA - EPIDEMIOLOGICAL INVESTIGATIONS C.K.Singh and B.S. Sandhu Rabies Research-cum-Diagnostic Laboratory, Guru Angad Dev Veterinary and.

YearYear TotaTotall

SexSex Off Off feedfeed

MicturitioMicturitionn

ParalysisParalysis SalivationSalivation FeverFever RecogniRecognize ze

ownerowner

BellowingBellowing Difficult Difficult standinstandin

gg

AgeAge

M M FF

+ -+ - + -+ - + -+ - + -+ - + -+ - + -+ - + -+ - + -+ - <<66MM

6-6-12M12M

1-21-2YearYearss

2-32-3 >>33

19951995 1010 2 82 8 8 28 2 3 73 7 4 64 6 9 19 1 5 55 5 5 55 5 3 73 7 5 55 5 11 00 11 11 77

19961996 33 2 12 1 3 03 0 1 21 2 1 21 2 3 03 0 1 21 2 1 21 2 1 21 2 1 21 2 11 00 00 00 22

19971997 33 2 12 1 3 03 0 2 12 1 1 21 2 3 03 0 0 30 3 0 30 3 2 12 1 2 12 1 11 00 11 00 11

19981998 1010 4 64 6 10 10 00

3 73 7 4 64 6 9 19 1 4 64 6 1 91 9 2 82 8 4 64 6 22 00 11 11 66

19991999 33 1 21 2 3 03 0 1 21 2 1 21 2 1 21 2 2 12 1 0 30 3 1 21 2 2 12 1 00 00 11 00 22

TotalTotal 2929 11 11 1818

27 227 2 10 1910 19 11 1811 18 25 425 4 12 1712 17 7 227 22 9 209 20 14 14 1515

55 00 44 22 1818

%% 38 38 6262

93 793 7 34 6634 66 38 6238 62 86 1486 14 41 41 5959

24 24 7676

31 6931 69 48 48 5252

1717 00 1414 77 6262

Characteristics of rabid cows

Page 40: RABIES IN SOUTH ASIA - EPIDEMIOLOGICAL INVESTIGATIONS C.K.Singh and B.S. Sandhu Rabies Research-cum-Diagnostic Laboratory, Guru Angad Dev Veterinary and.

YearYear TotaTotall

PosiPositivetive

SexSex Off Off feedfeed

MicturitionMicturition ParalysisParalysis SalivatioSalivationn

FeverFever RecognizRecognize ownere owner

BellowinBellowingg

Difficult Difficult standingstanding

AgeAge

M FM F + -+ - + -+ - + -+ - + -+ - + -+ - + -+ - + -+ - + -+ - <6<6MM

6-6-12M12M

1-21-2yearyear

2-2-33

>3>3

19951995 66 0 60 6 2 42 4 1 51 5 2 42 4 0 60 6 2 42 4 1 51 5 2 42 4 2 42 4 11 00 00 11 44

19961996 66 1 51 5 3 33 3 1 51 5 2 42 4 1 51 5 2 42 4 1 51 5 2 42 4 1 51 5 00 00 11 22 33

19971997 88 0 80 8 7 17 1 2 62 6 0 80 8 4 44 4 3 53 5 0 80 8 3 53 5 3 53 5 22 00 33 00 33

19981998 1212 1 111 11 12 012 0 4 84 8 2 102 10 4 84 8 6 66 6 4 84 8 4 84 8 6 66 6 00 11 22 33 66

19991999 1212 2 102 10 9 39 3 3 93 9 3 93 9 5 75 7 4 84 8 6 66 6 4 84 8 5 75 7 22 00 11 00 99

TotalTotal 4444 4 404 40 33 1133 11 11 3311 33 9 359 35 14 14 3030

17 17 2727

12 3212 32 15 15 2929

17 2717 27 55 11 77 66 2525

%% 9 919 91 75 2575 25 25 7525 75 20 8020 80 32 32 6868

39 39 6161

27 7327 73 34 34 6666

39 6139 61 1111 2.22.2 1616 1414 5757

Characteristics of rabid buffaloes


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