Spatial distribution of anti-rabies post-exposure treatments associated with the decentralization process in Belo Horizonte, 2007 to 2011

Marcelle Aparecida De Oliveira,Soraia Araújo Diniz,Tiago Mendonça De Oliveira,Marcos Xavier Silva,Renato Martins Duarte,Misael Enrique Oviedo Pastrana

doi:10.14393/bj-v37n0a2021-54091

Abstract

Cases of canine attacks on people are reported because of the proximity of the dog to the households in several Brazilian cities. In the present study, we aim to evaluate post-exposure anti-rabies treatments with canine accidents between the years 2007 to 2011 in Belo Horizonte - MG. Duly notified data were obtained from the National System of Notifiable Diseases (SINAN). The spatial characteristics of the cases during the period of the study referred to the neighborhoods and the nine sanitary districts of the municipality of Belo Horizonte - MG. For georeferencing and spatial analysis, we used the software Maporama to identify the coordinates and the Geographic Information System ArcGIS for mapping. Considering the 6.153 prophylactic services that were georeferenced, the Norte, Venda Nova, Leste, and Centro Sul regions were highlighted due to the higher frequency of registered cases. It is suggested that an integrative action focused on canine population control, health education and epidemiological surveillance studies could contribute to the reduction of canine aggression cases.

Highlights

Human rabies is a viral anthropozoonotic disease that affects the central nervous system (CNS) characterized by encephalitis
We aim to evaluate post-exposure anti-rabies treatments with canine accidents between the years 2007 to 2011 in Belo Horizonte - MG
It was found that the districts of Venda Nova, Norte, Leste, and Centro Sul were those that presented the highest concentration of the canine aggression cases and post-exposure prophylactic care for rabies in Belo Horizonte

Summary

Introduction

Human rabies is a viral anthropozoonotic disease that affects the central nervous system (CNS) characterized by encephalitis. It is a preventable disease, yet it remains a major cause of human mortality in many countries, posing a major challenge for health authorities (Brasil 2011; Frias et al 2011; Garc 2011). Data regarding dog bites are mainly obtained from studies from hospitals and health services offered by the Unified Health System (SUS). The epidemiological analysis of these data, as well as the identification

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