RABIES (02): INDIA (JAMMU AND KASHMIR) HUMAN, DOG
※和訳は正確を期していますが、必ず原文を参照してくださいますようお願いします。
Date: Sun 7 Jan 2024
日付：2024年1月7日（日）
Source: BNN [edited]
情報源：BNN（編集済）
https://bnnbreaking.com/breaking-news/health/rabies-threat-looms-over-ramban-district-in-jammu-and-kashmir/
In 2023, the Ramban district of Jammu and Kashmir grappled with a disturbing uptick in dog bite incidents, including 2 tragic fatalities due to rabies. The victims, Assistant Sub Inspector [MR] and a civilian named [SS], both died after being bitten by rabid dogs. The escalating situation has spotlighted a significant public health issue, with locals criticizing the administration for its lack of preventive measures and awareness campaigns.
2023年、Jammu・Kashmir州のRamban地区は、狂犬病による悲劇的な死亡者2名を含む、犬の咬傷事件の憂慮すべき増加に直面していた。被害者は副警部補（MR）と民間人（SS）で、どちらも狂犬病の犬に咬まれて死亡した。このような事態の深刻化により、公衆衛生上の重大な問題が浮き彫りになり、地元住民からは、予防対策や啓蒙活動を怠った行政を批判する声が上がっている。
[MR], while performing his duties, fell prey to a rabid dog in May [2023]. His diagnosis came at AIIMS [All India Institute of Medical Sciences] New Delhi, and he tragically succumbed to the disease by August [2023]. In a similar vein, [SS], aged 27, also met a grim fate in October [2023] after a dog bite 3 months earlier. The deadly disease of rabies, transmitted through the bites of infected dogs, claimed their lives, stirring fear in the district.
（MR）は5月（2023年）、職務中に狂犬病の犬の犠牲となった。診断はNew Delhi のAIIMS（全インド医学研究所）で行われ、8月（2023年）までに悲劇的な死を遂げた。同じように、27歳の（SS）も3カ月前に犬に咬まれ、10月（2023年）に悲惨な運命をたどった。感染した犬に咬まれることで感染する狂犬病が彼らの命を奪い、地区内の恐怖をあおった。
In the wake of [SS's] death, a medical team swung into action, conducting a vaccination drive. Approximately 40 individuals who had been in contact with Singh received inoculations, and the offending dog was euthanized. However, the fatal incidents have raised questions about the region's preparedness to deal with the rabies threat.
Various locations such as Batote, Gool, Ramban, Ramsu, and Banihal have reported frequent dog bite cases, exposing the residents to potential infection.
（SS）が死亡した後、医療チームがワクチン接種を開始した。Singhと接触していた約40人が予防接種を受け、問題の犬は安楽死させられた。しかし、今回の死亡事故は、狂犬病の脅威に対するこの地域の対策に疑問を投げかけるものであった。
Batote、Gool、Ramban、Ramsu、Banihalなど、さまざまな場所で犬による咬傷事件が頻発しており、住民を感染の危険にさらしている。
Local residents have expressed concerns about the lack of facilities in the municipal councils of these areas to test dogs for rabies. They have also criticized the surge in the stray dog population and the subsequent increase in dog bite incidents. Dr. Ayob Wani from District Hospital Ramban has called for immediate treatment for dog bites,
underscoring the urgency of the situation. Meanwhile, officials from the Health department have assured that anti-rabies vaccines are readily available at all medical centers in the district. Yet, these assurances do little to quell the rising fear in the community.
地元住民は、これらの地域の自治体に犬の狂犬病検査を行う施設がないことに懸念を示している。また、野良犬の数が急増し、それに伴って犬に咬まれる事件が増加していることを批判している。Ramban地区病院のAyob Wani医師は、犬に咬まれた場合には直ちに治療を行うよう呼びかけ、その緊急性を強調している。一方、保健省の職員は、狂犬病ワクチンは地区内のすべての医療センターで容易に入手可能であると保証している。しかし、これらの保証は、地域社会で高まる恐怖を鎮めるには不十分である。
As the district contends with a public health crisis, the call from locals for strategic action, including immunization or sterilization programs for stray dogs, grows louder. The community is looking to the administration to address the root cause of the problem and bring an end to the threat of rabies.
地区が公衆衛生上の危機に立ち向かう中、野良犬の予防接種や不妊手術プログラムなど、戦略的な行動を求める地元の声が大きくなっている。地域社会は、問題の根本原因に対処し、狂犬病の脅威に終止符を打つことを行政に求めている。
[Byline: Rafia Tasleem]
担当：Rafia Tasleem
Communicated by:
ProMED
via
ProMED-SoAs
["Ramban district is an administrative district in the Jammu division of Indian-administered Jammu and Kashmir."
(https://en.wikipedia.org/wiki/Ramban_district)
Ramban地区は、インド統治下のJammu・Kashmir州Jammu地区の行政区域である。
The stray dog population, and consequently, incidence of dog bites, has reportedly increased in the district. As also indicated in the article above, 2 persons died from rabies in August and October last year (2023) in the district, attributed to dog bites. However, there is no mention in the article whether they had received the post-exposure prophylaxis (PEP) timely against the disease after the dog bites. Rabies is almost always fatal after the appearance of clinical symptoms, but vaccine preventable when PEP is strictly followed after exposure to the virus from rabid animal bites.
同地区では野良犬の数が増加し、その結果、犬に咬まれるケースが増加していると報告されている。上記の記事にもあるように、同地区では昨年（2023年）8月と10月に、犬に咬まれたことが原因で2人が狂犬病で死亡している。しかし、この記事には、犬に咬まれた後、適時に曝露後予防注射（PEP）を受けたかどうかについては触れられていない。狂犬病は、臨床症状が現れた後、ほとんどの場合致死的であるが、狂犬病罹患動物に咬まれてウイルスに暴露された後、PEPをしっかり受けることで予防可能である。
"Vaccinating dogs, including puppies, is the most cost-effective strategy for preventing rabies in people because it stops the transmission at its source. Moreover, dog vaccination reduces the need for PEP."
(https://www.who.int/news-room/fact-sheets/detail/rabies)
- Mod.PKB
子犬を含む犬にワクチンを接種することは、狂犬病の感染をその発生源で阻止するため、人の狂犬病を予防するための最も費用対効果の高い戦略である。さらに、犬のワクチン接種はPEPの必要性を減らすことにつながる。
―モデレーターPKB
ProMED map of Jammu, Jammu and Kashmir State, India:
https://promedmail.org/promed-post?place=8714134,5616]
[See Also:
Rabies (01): India (GA) human, dog
http://promedmail.org/post/20240104.87140672023
2023
----
Rabies (57): India (KA) dog bite, human exposure
http://promedmail.org/post/20231226.8713898
Rabies (56): Viet Nam (GL) long incubation period
http://promedmail.org/post/20231225.8713886
Rabies (55): Myanmar (MO) dog, WOAH
http://promedmail.org/post/20231223.8713873
Rabies (52): India, dog bite, increase
http://promedmail.org/post/20231210.8713623
Rabies (50): India (UP) human, cat, dog, fatal
http://promedmail.org/post/20231202.8713464
Rabies (45): India (UP) human, dog
http://promedmail.org/post/20231030.8712889
Rabies (27): Asia (India, Philippines) human, dog
http://promedmail.org/post/20230621.8710690
2022
----
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
Rabies (12): Asia (India) wolf, zoo
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
----
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]
