Study of dog bite human rabies at communicable disease center (cdc) in a tertiary care hospital, north east region of India

Objective: 1) Aim of knowing the incidence of Human rabies. 2) To assess the level of consciousness on wound treatment. 3) Also to assess the attitude, knowledge, regarding treatment, vaccination and other parameters of rabies. 4) To study the yearly trend of rabies among different age and sex groups. 5) Observe the exposure site of bite and time taken to develop rabies from the day of exposure. Methods: The study was designed on the basis of epidemiological and clinical evaluation among the admitted rabies cases in communicable Disease Center, B.R. Ahmedkar Hospital, District Govt. Hospital, West Tripura during the year 1995 -2000. Results: A total of 127 human Rabies cases were reported in the last 5 years between 1995 to 2000.out of this, 67% are male and predominantly seen among 0-19 years of age. All bites are belonging to street dog only. 66% cases had exposure to lower limb (mostly) and the rest is on upper limb and head and neck. 88% of the rabies of the cases is having no treatment etc. Only 3% cases had regular ARV vaccination and 8 % were irregular, incomplete vaccination. 3.14% cases of rabies patient shows vaccine failure. About 43.30% cases developed rabies symptom and sign from the day of exposure between 30-90 days and rest 34.64% cases were in between 121 -365 days. 78% (1 case) had exceptional history of development of rabies after 17 years from the date of exposure.