Abstract
From 2007 to 2017 sixty-three (63) new cases of human rabies have been identified in Mali on an estimated total population in 2017 of 17,650,195 inhabitants. This is an incidence of 0.32 cases for 100,000 inhabitants. All these cases occurred in urban areas and involved the two sexes. The age group most affected was the one less than 20 years old. The majority of the victims (73.1%) were pre-schools, school-aged pupils and housewives. In 97% of the cases, the animal in question was a dog and the type of exposure of the bite. Eighty-two percent (82%) of the victims had received no local medical treatment or the post exposure quasi prophylaxis treatment. The median duration between the first symptoms and death among the cases of human rabies was 3 to 7 days. The median duration between the occurrence of the first signs and death was four (4) days. No virological confirmation had been conducted on the patients. The rage disease is retained as a priority disease, since the adoption of the strategy of “integrated monitoring of the disease and response” in 2008. However, in spite of the efforts made, progress still remains to be effected to assess the actual impact of rabies in Mali.
Highlights
Rabies is a zoonosis accidentally transmitted to man which, once declared, is constantly threatening
The population sample studied was composed of people of all ages and of both sexes, from Bamako, exposed to the risk of rabies infection by contact, bite, scratch or licking on mucous membranes or skin eroded by a warm-blooded animal, domestic or wild, presenting obvious signs or not of the rage disease
We analyzed the records of the patients received at the DPLM and we have included the records of patients who met the definition of cases of human rabies
Summary
Rabies is a zoonosis accidentally transmitted to man which, once declared, is constantly threatening. 55,000 deaths in the world each year, of which 99% occur in Africa and Asia It is the tenth (10th) cause of death by infection in humans. Approximately million people receive treatment after exposure to animals in which rabies is suspected to reside [2]. It is a cosmopolitan affection which produced a range of meningoencephalitis cases with fatal outcome of the etiological agents that are grouped within the Lyssavirus genus. Human rabies has been eliminated thanks to the Pasteurian treatment This disease is an endemical epidemic to be fought in the developing countries considered as regions at high risk due to the existence of the enzootic or incursion zones of canine rabies. Our goal in this work is to do an analysis of the epidemiological aspects of new human rabies cases in the Bamako district from 2007 to 2017
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