狂犬病(08):フィリピン 増加



Date: Sun 28 Jan 2024

Source: The Philippine Star [edited]

Seven people died of rabies as cases increased nationwide early this month [January 2024].

"As of morbidity week 2 [1-13 Jan 2024], 7 human rabies cases were reported. They all died," the Department of Health said.

The DOH said rabies cases increased by 63% from [17 to 31 Dec 2023], with 13 cases, compared to 8 cases 2 weeks earlier.

Metro Manila, Ilocos, Central Luzon, Calabarzon, Bicol, Western Visayas, Northern Mindanao, Soccsksargen, and the Bangsamoro Autonomous Region in Muslim Mindanao reported an increase in cases.
Manila首都圏、Ilocos州、Luzon島中部、Calabarzon州、Bicol州、西Visayas州、Mindanao島北部、Soccsksargen州、Muslim Mindanao島Bangsamoro自治区で患者数の増加が報告された。

"Rabies usually has a 100% case fatality rate. Pets such as cats and dogs may carry rabies and infect their owners. Stray cats and dogs may likewise do," the DOH said.

At least 71% of the cases were caused by dog bites and the rest by cats. The report noted that 57% of the animals were domesticated. The DOH said 57% of the animals were unvaccinated, 14% vaccinated, and the rest have unknown vaccination history.

The Anti-Rabies Act mandates the Bureau of Animal Industry to lead in efforts to control and eradicate animal and human rabies. Local government units are tasked to ensure that pets are properly immunized
and enforce dog impounding activities. The DOH should provide post-bite treatment to those who were exposed, and pre-exposure prophylaxis to people considered at high risk for infection.

[Byline: Rhodina Villanueva]
(担当:Rhodina Villanueva)

["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 widespread underreporting and uncertain estimates, it is likely that
this number is a gross underestimate of the true burden of disease. 99% of rabies cases are dog-mediated, and the burden of disease is disproportionally borne by rural poor populations, with approximately half of cases attributable to children under 15.

"In the Western Pacific Region, data showed recent reduction of human rabies deaths reduced reported human rabies deaths from 2010 to 2017. This reduction is primarily driven by the decrease in the number of cases in China due to the efficient control of dog rabies through animal vaccination. Furthermore, adequate health education on the population at risk and the availability of post-exposure prophylaxis (PEP), which is highly effective in preventing human rabies in an exposed patient, contributed to a decrease in human rabies deaths in the Region"


"Although fatal once clinical signs appear, rabies is entirely avoidable; vaccines, medicines and technologies have long been available to prevent death from rabies. Nevertheless, rabies still kills tens of thousands of people each year. Of these cases, approximately 99% are acquired from the bite of an infected dog.

"Dog-mediated human rabies can be eliminated by tackling the disease at its source: infected dogs. Making people aware of how to avoid the bites of rabid dogs, to seek treatment when bitten and to vaccinate animals can successfully disrupt the rabies transmission cycle"


"'Rabies is a grave problem in low- and middle-income countries, yet it is preventable. Sadly, it is hugely underreported, underdiagnosed, and underfunded. This trend must change. We cannot watch people die of this ancient disease in the modern world'"


The circumstance surrounding the increase of rabies cases could be specifically investigated from the animal, human, and environmental perspectives, and the gaps therein addressed in a community-accepted approach for the sake of sustainability. The implementation trend of all stakeholders could be highlighted for comparison and competition during a specific date, for instance, "world rabies day" at the
community level. - Mod.ST

ProMED map:
Philippines: https://promedmail.org/promed-post?place=8714570,158]

[See Also:2023
Rabies (27): Asia (India, Philippines) human, dog
Rabies (41): Asia (Afghanistan, India, Israel, Malaysia, Philippines,
Vietnam) http://promedmail.org/post/20221001.8705891
Rabies (41): Asia (Afghanistan, India, Israel, Malaysia, Philippines,
Vietnam) http://promedmail.org/post/20221001.8705891
Rabies (19): Asia (Malaysia, Indonesia, Japan ex Philippines) animal,
human http://promedmail.org/post/20200628.7517416
Rabies (29): Europe, Asia (Norway ex Philippines) human, dog