RABIES (57): INDIA (KARNATAKA) DOG BITE, HUMAN EXPOSURE
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Date: Sat 23 Dec 2023
日付：2023年12月23日（土）
Source: The New Indian Express [edited]
情報源：The New Indian Express （編集）
https://www.newindianexpress.com/states/karnataka/2023/dec/23/25-bitten-by-rabies-dog-in-koppal-eighthospitalised-2644128.html
In a shocking incident in a village in Koppal district, a dog suspected to have been suffering from rabies is said to have bitten 25 people on Friday [22 Dec 2023]. The incident was reported near the Primary Health Centre [PHC] of Alavandi village of Koppal district.
2023年12月22日（金）、狂犬病に罹患していると疑われる犬が25人を咬むという衝撃的な事件がKoppal地区の村で発生した。この事件はKoppal郡Alavandi村のプライマリー・ヘルス・センター（PHC）の近くで報告された。
Currently, 8 patients are undergoing treatment at the district hospital, and the others were treated at the village PHC. The condition of 3 people, including a 4-year-old girl, is said to be
critical. The dog was caught by the local authorities, and it died of injuries later.
現在、8人の患者が地区病院で治療を受けており、他の患者は村のPHCで治療を受けていおり、４歳の女児を含む3人の容態は重体である。犬は地元当局に捕獲されたが、その後負傷のため死亡した。
[V], one of the victims treated at the PHC, said that he was getting his treatment when some people came running seeking the treatment for a dog bite.
PHCで治療を受けた被害者の一人である（V）は、彼が治療を受けているとき、何人かが犬に咬まれたとして治療を求めて走ってきたと語った。
"The dog ran from one point to another, biting everyone who came in its way. In no time, the dog came at me as well and bit me. It was a horrific site, as even children were injured in the entire incident. The local authorities were quick to net the rabid dog and took it away before it could cause more damage," he said.
「犬は次から次へと走り回り、邪魔する者すべてに咬みついた。あっという間に、その犬は私にも襲いかかり、咬みついた。子供たちも怪我をする恐ろしい事件だった。地元当局はすぐに狂犬病の犬を捕まえ、これ以上被害が拡大しないうちに連れて行った」と彼は話した。
There are several stray dogs in the village, but this is a one-off incident, said [B], a villager.
村には野良犬が何匹もいるが、このようなことは今回だけだと、村人の（B）は語った。
[Byline: Amit S. Upadhye]
（担当：Amit S. Upadhye）
--
Communicated by:
ProMED
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ProMED-SoAs
[If a single dog, as indicated in the news report above, has bitten 25 people, there is a strong possibility that the dog suffered from the "furious form" of rabies:
上記の報道にあるように、1匹の犬が25人を咬んだとすれば、その犬は狂犬病の「狂騒型」に罹患した可能性が高い：
"This is what is meant by 'mad-dog syndrome' ... in which the animal becomes irritable and, with the slightest provocation, may viciously and aggressively use its teeth, claws, horns, or hooves. The posture and expression is one of alertness and anxiety, with pupils dilated.
Noise may invite attack. Such animals lose caution and their fear of humans and other animals... Rabid dogs may chew the wire and frame of their cages, breaking their teeth, and will follow a hand moved in front of the cage, attempting to bite."
(https://www.msdvetmanual.com/nervous-system/rabies/rabies-in-animals)
狂犬病とは、動物が過敏になり、わずかな刺激で、歯、爪、角、ひづめを凶暴かつ攻撃的に使用する「狂った犬症候群」を意味している。姿勢や表情は警戒と不安の表れで、瞳孔は開いている。
騒音が攻撃を招くこともある。このような動物は警戒心と人間や他の動物に対する恐怖心を失っている。狂犬病にかかった犬は、檻のワイヤーや枠を咬んで歯を折ったり、檻の前で動かされた手を追いかけて咬もうとしたりする。
Among the 25 dog-bite victims, those who have been inflicted with category III exposure (single or multiple transdermal bites or scratches) must be treated additionally with rabies immunoglobulin (RIG)/monoclonal antibodies along with wound washing and immediate
vaccination
(https://www.who.int/news-room/fact-sheets/detail/rabies).
犬による咬傷被害者25人のうち、カテゴリーIII（単数または複数の咬傷または引っ掻き傷）の被害者は、傷口の洗浄と即時のワクチン接種とともに、狂犬病免疫グロブリン（RIG）／モノクローナル抗体による追加治療を受けなければならない。
"If rabies immunoglobulin is not available on 1st visit, use can be delayed by up to 7 days from the date of the 1st vaccine dose.
初回来院時に狂犬病免疫グロブリンが入手できない場合は、1回目のワクチン接種日から最大7日間、使用を遅らせることができる。
"RIG should be infiltrated around the wound as much as anatomically feasible. Remaining RIG should be injected at an intramuscular site distant from that of vaccine inoculation (e.g., into the anterior thigh)." - Mod.PKB
(https://www.who.int/docs/default-source/searo/india/health-topic-pdf/pep-prophylaxis-guideline-15-12-2014.pdf?sfvrsn=8619bec3_2)
RIGは解剖学的に可能な限り創傷周囲に浸潤させる。残りのRIGはワクチン接種部位から離れた筋肉内（例えば大腿前面）に注射する。-モデレーターPKB
ProMED map of Koppal, Karnātaka, India:
https://promedmail.org/promed-post?place=8713883,36662]
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http://promedmail.org/post/20231225.8713886
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Rabies (52): India, dog bite, increase
http://promedmail.org/post/20231210.8713623
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http://promedmail.org/post/20231202.8713464
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http://promedmail.org/post/20231030.8712889
Rabies (27): Asia (India, Philippines) human, dog
http://promedmail.org/post/20230621.8710690
2022
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Rabies (53): Asia (Israel, India) animal, human, epidemiology, control
http://promedmail.org/post/20221206.8707113
Rabies (41): Asia (Afghanistan, India, Israel, Malaysia, Philippines,
Vietnam) http://promedmail.org/post/20221001.8705891
Rabies (32): Asia (Malaysia, Bhutan) human, dog
http://promedmail.org/post/20201205.7995796
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http://promedmail.org/post/20220404.8702407
Rabies (09): Eurasia (Ukraine, India, Israel) cat, human, cow, control
http://promedmail.org/post/20220310.8701906
2021
----
Rabies (31): Eurasia (India, Israel, Ukraine), Africa (S Africa)
human, animal http://promedmail.org/post/20210827.8626789
Rabies (25): Asia (India, Nepal) human, dog; (Israel) jackal, human
exp http://promedmail.org/post/20210711.8511091
2020
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Rabies (19): Asia (Malaysia, Indonesia, Japan ex Philippines) animal,
human http://promedmail.org/post/20200628.7517416
Rabies (05): Asia (Israel, Bangladesh) animal, human
http://promedmail.org/post/20200219.7005843
2019
----
Rabies (46): Asia (Myanmar) dog, OIE
http://promedmail.org/post/20190928.6698321
Rabies (33): Asia (Cambodia) human, dog
http://promedmail.org/post/20190605.6499719
Rabies (29): Europe, Asia (Norway ex Philippines) human, dog
http://promedmail.org/post/20190516.6471701
Rabies (23): Asia (Thailand) human
http://promedmail.org/post/20190428.6446053
Rabies (21): Eurasia, Armenia (TV) dog, OIE
http://promedmail.org/post/20190424.6436412
Rabies (19): Eurasia, Armenia (AV), dog, OIE
http://promedmail.org/post/20190418.6429961
Rabies (18): Asia (Qatar ex Nepal) human, sylvatic exposure susp.,
comment http://promedmail.org/post/20190416.6425196
Rabies (17): Asia (Qatar ex Nepal) human, sylvatic exposure suspected,
comment http://promedmail.org/post/20190411.6416702
Rabies (16): Asia (Qatar ex Nepal) human, sylvatic exposure suspected
http://promedmail.org/post/20190410.6412045
Rabies (03): Africa, Asia, human, cattle, dog, counterfeit vaccine
http://promedmail.org/post/20190202.6291746
2018
----
Rabies (47): Asia (Myanmar) human, canine
http://promedmail.org/post/20180904.6007321
Rabies (26): Asia (Kazakhstan) fox, OIE
http://promedmail.org/post/20180524.5816417
Rabies (16): Africa (S Africa), Asia (Thailand, Viet Nam, Israel)
human, animal http://promedmail.org/post/20180321.5701731
Rabies (15): Asia (Lebanon) canine, OIE
http://promedmail.org/post/20180314.5687339
Rabies (14): Asia (Kazakhstan) feline, OIE
http://promedmail.org/post/20180314.5684768
Rabies (13): Africa (Zimbabwe) wild dog
http://promedmail.org/post/20180313.5683456
Rabies (12): Africa (S Africa) Asia (Thailand) animal, human
http://promedmail.org/post/20180228.5655831
Rabies (11): Asia (Kazakhstan) livestock, wolf, OIE
http://promedmail.org/post/20180221.5643296
Rabies (08): Asia (Malaysia-SK) human, animal
http://promedmail.org/post/20180127.5589162
Rabies (03): Asia (Israel) wild, domestic, OIE
http://promedmail.org/post/20180110.5550871
Rabies (02): Asia (Israel) wild, domestic, spread, control measures
http://promedmail.org/post/20180109.5548024
Rabies (01): Asia (Israel) wildlife, livestock, human exp, spread:
http://promedmail.org/post/20180104.55374552017
2017
----
Rabies (26): Asia (India, Nepal, Pakistan) Africa (Algeria) animal,
human http://promedmail.org/post/20170616.5109529
Rabies (17): Asia (India) bat
http://promedmail.org/post/20170405.4949697
Rabies (06): Asia (India) canine, bovine, human exp. cow milk susp
http://promedmail.org/post/20170125.4786220
2016
----
Rabies, animal, human (12): Philippines (PN), World Rabies Day
http://promedmail.org/post/20160927.4519326
Rabies, animal, human (11): Turkey, India, Israel
http://promedmail.org/post/20160923.4510261
Rabies, zoo animals - India (02): (DL) deer
http://promedmail.org/post/20160801.4385930
Rabies, zoo animals - India: (Delhi) mongoose bites susp
http://promedmail.org/post/20160511.4215148
2015
----
Rabies - India (11): (KL) avian, 1st case reported
http://promedmail.org/post/20151205.3843021
Rabies - India (10): (TN) canine, human
http://promedmail.org/post/20151027.3747927
Rabies - India (09): (KL) bovine, ex canine exposure
http://promedmail.org/post/20151010.3706402
Rabies - India (08): (MH) lack of immunoglobin
http://promedmail.org/post/20150721.3526475
Rabies - India (07): (GA) bovine, canine, human exp
http://promedmail.org/post/20150721.3525217
Rabies - India (06): (CH) human, canine
http://promedmail.org/post/20150416.3302837
Rabies - India (04): (MN) canine
http://promedmail.org/post/20150127.3124202
Rabies - India (03): (MH) canine, multiple human exposures
http://promedmail.org/post/20150120.3106231]
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