狂犬病(56):ベトナム(GIA LAI)、 長い潜伏期間



Date: Sat 23 Dec 2023

Source: Tuoi Tre News [edited]

情報源:Tuoi Tre News (編集済)

A 6-year-old boy in Gia Lai Province, located in Viet Nam's Central Highlands region, has died of rabies after being bitten by his family's dog 3 months ago, the Gia Lai Center for Disease Control (CDC) confirmed on Friday [22 Dec 2023].
ベトナムの中部高原地方に位置するGia Lai省の6歳の男児が、3ヶ月前に親族の飼い犬に咬まれた後、狂犬病で死亡したとGia Lai疾病管理センター(CDC)が金曜日(2023年12月22日)に確認した。

The boy, identified as T.D.M.C and residing in Duc Co District, was the 14th person who succumbed to rabies in this upland province this year [2023].
Duc Co郡に住むT.D.M.Cという少年は、今年(2023年)この高原地方で14人目の狂犬病患者である。

A Gia Lai CDC report showed that the boy was not vaccinated against rabies after he was bitten by the dog. His parents told local doctors that they did [not?] get their boy vaccinated against rabies, because he just got minor scratches from the dog, which also scratched 3 other family members.
Gia Lai CDCの報告によると、少年は犬に咬まれた後、暴露後の狂犬病予防接種を受けていなかった。両親は地元の医師に対し、息子が犬から軽い引っ掻き傷を負っただけで、他の家族3人も引っ掻かれていたため、狂犬病の予防接種を受けさせなかった[受けなかった?]と語った。

The CDC report revealed that C. had a fever on [20 Dec 2023] and developed such rabies symptoms as fatigue, loss of appetite, a fear of water and wind, and seizures. On [21 Dec 2023], his family took him to a local hospital, where doctors briefed them on his severe health conditions, and they then asked for the doctors' permission to bring him home, where he passed away at 3:00 p.m. the same day [21 Dec 2023].

To cope with a rising number of rabies cases, the health authorities in Gia Lai ramped up their efforts to raise public awareness about the fatal disease and call on people to get rabies vaccine shots if they are bitten or scratched or have contact with dogs with possible rabies. Dog owners should also keep their animals leashed and muzzled, as well as get them vaccinated against rabies periodically.
狂犬病患者の増加に対処するため、Gia Lai保健当局は、この致死的な病気に対する国民の意識を高める努力を強化し、咬まれたり引っかかれたりした場合、または狂犬病の可能性のある犬と接触した場合には、狂犬病ワクチンの予防接種を受けるよう呼びかけている。また、犬の飼い主は、犬を係留し、口輪をつけ、定期的に狂犬病の予防接種を受ける必要がある。

In the provincial capital city of Pleiku, the administration of Tay Son Ward pioneered setting up a team to tackle free-roaming dogs and other animals with confirmed or probable rabies in the area to ensure public health and safety.
州都のPleiku市では、Tay Son区の行政が、公衆衛生と安全を確保するため、狂犬病が確認された、またはその可能性がある放し飼いの犬やその他の動物に対処するチームを設置する先駆けとなった。

Communicated by:

["Rabies is estimated to cause 59 000 human deaths annually in over 150 countries, with 95% of cases occurring in Africa and Asia. Due to underreporting and uncertain estimates, this number is likely a gross underestimate. The burden of disease is disproportionally borne by rural poor populations, with approximately half of cases attributable to children under 15 years of age."


"Rabies is preventable through 3 proven, effective interventions:
1. Awareness of rabies disease engages communities and empowers people to save themselves by seeking the care they need. This includes an understanding of how to prevent rabies in animals, when to suspect rabies, and what to do in case of a bite.
2. Post-exposure prophylaxis (PEP) consists of a series of rabies vaccines and, in some cases, rabies immunoglobulin (RIG), administered after a suspected exposure to rabies. Appropriate wound management and prompt access to quality-assured PEP is almost 100% effective in preventing human rabies deaths.
3. Mass dog vaccination is a proven, cost-effective way to save human lives by stopping transmission of rabies at its source. While a variety of animal species can host rabies, dogs are responsible for 99% of human cases. Eliminating rabies in dogs is therefore key to sustainably preventing human disease."

  1. 狂犬病に対する認識を地域社会に浸透させ、必要な治療を受けることで自らを救う力を人々に与える。これには、動物の狂犬病を予防する方法、狂犬病を疑うべき時期、咬まれた場合の対処法についての理解も含まれる。
  2. 曝露後予防(PEP)は、狂犬病への曝露が疑われた後に実施される一連の狂犬病ワクチンと、場合によっては狂犬病免疫グロブリン(RIG)からなる。適切な傷の管理と質の保証されたPEPへの迅速なアクセスは、ヒトの狂犬病による死亡をほぼ100%予防する効果がある。
  3. 犬の集団予防接種は、狂犬病の感染をその発生源で食い止めることにより、人間の命を救う費用対効果の高い方法であることが証明されている。さまざまな動物種が狂犬病を媒介する可能性があるが、ヒトの発症原因の99%は犬である。したがって、犬の狂犬病を撲滅することが、人間の病気を持続的に予防するための鍵となる。


Assuming that all the dogs are not mass vaccinated, the key intervention here is the awareness raising on the severity of rabies and, in this case, the scratch may be considered not serious among family members who therefore did not seek medical care.

It is interesting to note that the other 3 family members should undergo appropriate

 rabies prevention as well as the incubation period may vary individually.
注目するべきは、潜伏期間は個人によって異なる可能性があるため、家族の他の 3 人は適切な狂犬病予防を受けるべきであることである。

For the map of Gia Lai Province, Viet Nam, see https://promedmail.org/promed-post?place=8713866,6589.
- Mod.ST]

ベトナムのGia Lai省の地図については、https://promedmail.org/promed-post?place=8713866,6589を参照のこと。-モデレーターST


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