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狂犬病臨床研究会から発信するProMEDの訳文です

狂犬病(45):インド(UTTAR PRADESH) 疑い例、死亡

RABIES (45): INDIA (UTTAR PRADESH) SUSPECTED, FATAL

 

※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。

 

Summary

要約

A young child died from a suspected case of rabies after being bitten by a dog. Following the child's death, health officials discovered that several other children in the same village had also been bitten by the same dog and had not received any medical treatment. The local health authorities are taking the situation seriously and are launching a vaccination drive.

SUSAの幼い子供が犬に咬まれ、狂犬病の疑いで死亡した。この子どもの死後、保健当局は、同じ村に住む他の数人の子どもたちも同じ犬に咬まれ、治療を受けていないことを突き止めた。地元の保健当局は事態を深刻に受け止め、ワクチン接種を開始している。

 

Source: The Hindu, Press Trust of India (PTI) [edited]

情報源:The Hindu, Press Trust of India (PTI)(編集)

https://www.thehindu.com/news/national/uttar-pradesh/3-year-old-boy-dies-after-being-bitten-by-rabid-dog-in-uttar-pradesh/article69445858.ece

 

A 3-year-old boy died, 45 days after being bitten by a rabid dog, officials said on Sunday [13 Apr 2025]. They also found that 10 other children were also attacked by the same dog and had not taken any treatment.

Aという3歳の男の子が、狂犬病の犬に咬まれてから45日後に死亡したと、日曜日(2025年4月13日)に当局が発表した。また、他の10人の子供も同じ犬に襲われたが、何の治療も受けていなかった。

 

The victim, [A.], succumbed to the effects of rabies at a private hospital near his village on Friday [11 Apr 2025], they said.

被害者[A]は、金曜日(2025年4月11日)、村近くの私立病院で狂犬病によって、息を引き取ったという。

 

The incident occurred in the Nagla Nathlu village under the Charra police station [Aligarh district of Uttar Pradesh]. His family said that he started showing "strange symptoms" like hydrophobia (extreme fear of water), which is a classic sign of advanced rabies, a few days before his death.

事件は、Charra警察署(Uttar Pradesh州Aligarh県)管轄のNagla Nathlu村で発生した。彼の家族によると、死の数日前から進行した狂犬病に典型的な兆候である水恐怖症(水を極端に恐れる)のような「奇妙な症状」が出始めたという。

 

His death led to the revelation that around 10 other children were also attacked by the same rabid dog. Following this, a team of health officials rushed to the village on Friday [11 Apr 2025].

彼の死をきっかけに、他の10人ほどの子供たちも同じ狂犬病に感染した犬に襲われていたことが明らかとなった。これを受け、金曜日(2025年4月11日)、保健当局のチームが村に急行した。

 

In a deeply concerning discovery, the medical team found that none of the 10 other child victims, aged between 2 and 12 years, had sought any medical treatment after being bitten by the rabid animal.

医療チームは、狂犬病に感染した動物に咬まれた後、2歳から12歳までの10人の被害者のうち、誰ひとりとして治療を受けなかったことがわかった。

 

The chief medical officer (CMO) of Aligarh district, Dr Neeraj Tyagi, told media persons, "We have taken this matter very seriously, and a drive is being launched for all preventive steps like administration of anti-rabies vaccines."

Aligarh地区の主任医務官(CMO)であるNeeraj Tyagi医師は報道陣に対し、「我々はこの問題を非常に深刻に受け止めており、狂犬病ワクチンの投与など、あらゆる予防措置を講じるための活動を開始した」と語った。

 

However, the CMO clarified that he could not definitively confirm rabies as the cause of [A.'s] death.

しかしCMOは、[A]の狂犬病が死因であることを確証をもって断定することはできないと明言している。

 

"Firstly, the errant dog was killed after the incident, so we could not conduct tests on the canine. Similarly, we could not examine the deceased child before he died and confirm any diagnosis," he explained.

まず、事件を起こした犬は、事件後に殺処分されたため、その犬の検査を行うことができなかった。同様に、死亡した子供も生前に検査することができず、診断を確定することができなかった」と彼は説明した。

 

He further assured the public that government hospitals have an "adequate stock of anti-rabies vaccines to handle the menace."

彼はさらに、公的な病院が「この脅威に対応するための十分な狂犬病ワクチンの在庫」を持っていることを国民に保証した。

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Moderator Comments

モデレーターのコメント

"Rabies is a vaccine-preventable, zoonotic, viral disease affecting the central nervous system. In up to 99% of the human rabies cases, dogs are responsible for virus transmission" (https://www.who.int/news-room/fact-sheets/detail/rabies).

狂犬病は、ワクチンで予防可能な人獣共通感染症であり、中枢神経系を侵すウイルス性疾患である。人間の狂犬病患者の99%は、犬がウイルス感染の原因となっている。

(https://www.who.int/news-room/fact-sheets/detail/rabies).

 

"Rabies spreads to people and animals via saliva, usually through bites, scratches, or direct contact with mucosa (e.g., eyes, mouth, or open wounds). Once clinical symptoms appear, rabies is virtually 100% fatal" (https://www.who.int/news-room/fact-sheets/detail/rabies).

狂犬病は、人や動物に唾液を介して、一般には、咬まれたり、引っかかれたり、粘膜(目、口、開放創など)に直接触れたりすることによって感染する。臨床症状が現れると、狂犬病は事実上100%致死的である」(https://www.who.int/news-room/fact-sheets/detail/rabies)。

 

"Rabies deaths are preventable with prompt post-exposure prophylaxis (PEP) by stopping the virus from reaching the central nervous system. PEP consists of thorough wound washing, administration of a course of human rabies vaccine and, when indicated, rabies immunoglobulins (RIG)" (https://www.who.int/news-room/fact-sheets/detail/rabies).

狂犬病による死は、迅速な曝露後予防(PEP)により、ウイルスが中枢神経系に到達するのを阻止することで予防可能である。PEPは、徹底的な傷口の洗浄、一連の狂犬病ワクチンの投与、および適応がある場合には狂犬病免疫グロブリン(RIG)の投与が含まれる。

(https://www.who.int/news-room/fact-sheets/detail/rabies).

 

"Vaccinating dogs, including puppies, through mass dog vaccination programs is the most cost-effective strategy for preventing rabies in people because it stops the transmission at its source" (https://www.who.int/news-room/fact-sheets/detail/rabies).

犬の集団予防接種プログラムを通じて子犬を含む犬にワクチンを接種することは、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。

(https://www.who.int/news-room/fact-sheets/detail/rabies).

 

Aligarh is a city in the state of Uttar Pradesh in India (https://en.wikipedia.org/wiki/Aligarh). - Mod.GS

AligarhはインドのUttar Pradesh州の都市である(https://en.wikipedia.org/wiki/Aligarh)。

- モデレーター.GS

 

ProMED map of Aligarh, Uttar Pradesh, India: https://promedmail.org/promed-post?place=8723682,31336

 

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