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Addressing the Rabies Crisis in Ethiopia

Rabies remains a significant threat in Ethiopia, affecting health and economy.

Tegegn Dilbatto Dinbiso, N. D. Gerbaba, T. N. Olana, G. M. Ayana, K. A. Kalbesa, H. D. Deso, S. B. Gudina, M. K. Biru, E. Z. G/Medhin

― 6 min read


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Table of Contents

Rabies is a viral disease that can infect mammals, including humans. It is mainly spread through bites from infected animals. This disease is very dangerous and often leads to death. Rabies can be found all over the world, especially in warm countries like those in Africa and Asia. Ethiopia is one of the countries greatly affected by rabies.

How Does Rabies Spread?

Rabies is transmitted when an infected animal bites a human or another animal. You can get rabies from various animals, but in many cases, domestic dogs are the main culprits. Each year, a significant number of cases occur, particularly in children under 15 years old. The time it takes for symptoms to show after being bitten varies widely. It can take a few days or even several years, but typically, it takes about 2 to 3 months.

Why Is Rabies a Concern?

Rabies is a major Health issue because it is a zoonotic disease, meaning it can jump from animals to humans. The disease causes many cases of illness and death every year. In Ethiopia, rabies is a big problem, especially with the loss of livestock. Sadly, the Awareness about rabies and how to prevent it is often low among the public. Many people still prefer traditional methods of treatment or rely on local healers rather than seeking medical attention.

The Situation in Ethiopia

In Ethiopia, rabies is a neglected disease, and little attention is given to address it. There have been few studies looking into how much people know about rabies, and most of those studies are focused on urban areas like Addis Ababa, where there are many stray dogs. Lack of awareness, especially in rural areas, makes it harder to control the disease. People often do not report rabies cases, which leads to inaccurate data on how many people and animals are affected.

In some rural parts of Ethiopia, people visit traditional healers over medical centers because of cultural beliefs or due to a lack of access to health facilities. This makes it hard to keep track of how many cases of rabies there are, which in turn makes it challenging to understand the disease’s true impact.

The Economic Impact

Rabies causes significant economic losses each year, particularly in the livestock sector. Farmers lose animals due to the disease, which affects their livelihoods. However, there has not been much research done to examine the economic impact of rabies on both people and animals. Accurate data on rabies cases is hard to find because there are no proper systems for recording incidents.

Study Overview

This study aimed to gather information about the knowledge, attitudes, and practices of local people regarding rabies in two districts of West Shewa, Ethiopia. The districts chosen were Dire Inchini and Ambo. Researchers wanted to understand how much people knew about rabies, how they felt about it, and what actions they took in response to its dangers.

Research Method

Researchers used two main methods to collect data: surveys and retrospective data, which included examining health records from local health centers and veterinary clinics. They asked questions about respondents' backgrounds, knowledge of rabies, attitudes towards it, and what practices they used to prevent it.

They surveyed 422 respondents who were community members aged 18 and above, as well as veterinary and health workers who lived in the selected districts long enough to provide useful information.

Key Findings

From the survey, most people (about 93.6%) had heard of rabies. Among those who knew about it, many could identify dogs as the main animals that spread the disease. A large number of respondents believed rabies posed a serious health risk and recognized that Vaccination could prevent it.

Despite this awareness, few people vaccinated their dogs. Only about 6.9% of dog owners reported that they had vaccinated their pets. This highlights a troubling gap between knowledge and action. Many individuals still trust traditional forms of healing over modern medical treatments.

Researchers found that the knowledge about rabies was higher among people who owned dogs and those who had previous exposure to rabies, such as being bitten by an animal. People’s attitudes towards rabies were generally positive, particularly among dog owners.

Cases of Rabies in Humans and Animals

Data from health centers showed that there were 579 suspected human rabies cases recorded between 2017 and 2021. Most of these cases were reported in 2021. The majority of patients were bitten by animals of unknown ownership, mostly on their legs. The data also showed that men were more frequently affected than women.

In the same period, 183 cases of rabies were recorded in animals, with the most cases appearing in cattle. The number of human cases was much higher than that of animals, which raises concerns about underreporting in the veterinary sector.

Economic Analysis

The study also analyzed the economic costs associated with rabies. The total direct costs (like medical expenses for vaccines and treatments) and indirect costs (like lost wages and transportation for treatment) amounted to significant losses for the community.

The costs associated with rabies were high, indicating that the disease has a serious economic impact on families and local economies.

Conclusion and Recommendations

Rabies is a well-known disease in the study area, but many people still lack proper knowledge and awareness about it. The research revealed that while people are aware of rabies, there is a gap between understanding the disease and taking appropriate action to prevent it, such as vaccinating pets.

To effectively combat rabies, it is crucial to raise awareness and engage both the veterinary and health sectors in preventive efforts. Increasing the availability of vaccines, providing education, and improving data collection methods can help in better managing rabies in Ethiopia.

The government should focus on enhancing control measures for rabies. More community education is needed to ensure that people understand the risks and how to protect themselves and their animals. This includes regular vaccination programs and better reporting systems to track rabies cases effectively.

By taking these steps, it may be possible to reduce the cases of rabies and its impact on public health and the economy in Ethiopia.

Original Source

Title: Knowledge, Attitude, and Practice (KAP) towards Rabies, its Suspected Cases and Associated Economic Impact in West Shewa Zone, Oromia, Ethiopia

Abstract: BackgroundRabies is a neglected zoonotic disease that affects many developing countries in which it is endemic, including Ethiopia. Regardless of its endemic/epidemic patterns, no study has been conducted on rabies in the study area. MethodsA cross-sectional, and retrospective study designs were carried out in selected districts of the West Shewa zone to assess the knowledge, attitude, and practice and estimate the economic impacts of rabies in humans and animals from 2017 to 2021. A total of 422 informants were selected as study participants through simple random sampling techniques from the community. A pre-tested semi-structured questionnaire was used to gather information from the participants. The relevant data was analyzed using SPSS version 20 and then described and interpreted using descriptive statistics and a binary logistic regression test. ResultsThe results indicated that the community had 91.2%, 74.2%, and 81% knowledge, attitude, and practice scores on rabies. Having a dog (AOR=1.7, 95% CI: 1.050, 2.87), acquiring information from mass media (AOR=0.4, 95% CI: 0.175, 0.788; P-value

Authors: Tegegn Dilbatto Dinbiso, N. D. Gerbaba, T. N. Olana, G. M. Ayana, K. A. Kalbesa, H. D. Deso, S. B. Gudina, M. K. Biru, E. Z. G/Medhin

Last Update: 2024-10-24 00:00:00

Language: English

Source URL: https://www.medrxiv.org/content/10.1101/2024.10.24.24316052

Source PDF: https://www.medrxiv.org/content/10.1101/2024.10.24.24316052.full.pdf

Licence: https://creativecommons.org/licenses/by/4.0/

Changes: This summary was created with assistance from AI and may have inaccuracies. For accurate information, please refer to the original source documents linked here.

Thank you to medrxiv for use of its open access interoperability.

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