Home >News > ProMED翻訳情報(329回) ~南アフリカで発生した狂犬病による人の死亡事例~

ProMED翻訳情報(329回) ~南アフリカで発生した狂犬病による人の死亡事例~



Date: 25 Nov 2014   Source: Fit For Travel, NHS, UK [edited]

A suspected human case of rabies infection was reported in October 2014. The case was a 52-year-old man from Limpopo province who sustained category 3 wounds to his legs and hands after being bitten by a neighbour’s dogs [sic]. The man received treatment and a 1st dose of rabies vaccine at a nearby clinic. He was referred to a clinic nearer home for completion of post-exposure prophylaxis.

2014年10月、狂犬病感染が疑われるヒトの事例が報告された。(南アフリカの) Limpopo州に住む52歳の男性で、近隣の飼い犬に足や手を咬まれ、カテゴリー3の傷を負った[sic] *。この男性は近くの診療所で手当てと、第1回目の狂犬病ワクチン接種を受けた。彼には、暴露後予防治療を最後まで受けるため、家からより近い診療所が紹介された。

*【訳者注】:[sic]の表記は元の記事(Fit For Travel, NHS, UK)に存在しない。

The man was admitted to hospital on 25 Oct 2014 (about a month after the exposure), with symptoms of rabies infection; he died the following day. A preliminary diagnosis of rabies was based on clinical presentation.


A total of 5 laboratory-confirmed human cases of rabies have been reported in South Africa for 2014 to date. A further 5 probable cases were also identified. All the cases resulted from dog bites and occurred in Limpopo (3), Eastern Cape (3), Mpumalanga (2) and North West (1) provinces [1 N.O.S.] *.

南アフリカでは2014年現在、検査によって確認された計5件のヒト狂犬病の事例が報告されている。さらに、もう5件の(狂犬病の)疑いがある事例も確認されている。(内訳は)Limpopo州で3件、Eastern Cape州で3件、Mpumalanga州で2件、North West州で1件であり(1件は不明?*)、全ての事例でイヌによる咬傷事故が関わっている。

*【訳者注】:[1 N.O.S.]の表記は元の記事(Fit For Travel, NHS, UK)に存在しない。
Certain areas of South Africa are of particular concern regarding animal rabies. Limpopo Province reported re-emergence of rabies in 2006, and human cases have been reported annually since. The Eastern Cape, Free State and Mpumalanga provinces report a resurgence of animal rabies in certain districts in recent years, although few human cases. In the past, KwaZulu-Natal was considered the province with the highest incidence of canine rabies and human rabies; however, following canine vaccination programmes since 2009, canine rabies is declining, and no human cases have been reported in the past 15 months.

南アフリカの特定の地域では、特に動物の狂犬病が懸念されている。Limpopo州では2006年にふたたび狂犬病の発生が報告され、それ以来毎年ヒトの事例が報告され続けている。Eastern Cape、Free State およびMpumalanga州では、ヒトの事例は少ないものの、近年になって、特定の地区で動物の狂犬病が報告され始めている。過去において、KwaZulu-Natal州は最もイヌおよびヒトの狂犬病の発生が多いと見なされていた。しかし、2009年からのイヌへのワクチン接種プログラム施行に伴い、イヌの狂犬病(事例)は減り始め、ヒトの狂犬病は過去15か月にわたって報告されていない。

Travellers to South Africa should be made aware of the rabies risk and be advised to avoid all contact with animals and dogs in particular. All animal bites should be reported and assessed carefully. Rabies pre-exposure vaccine is available [in the UK and probably elsewhere] for those considered to be at risk.


[If confirmed, this will be the 6th human rabies case in Limpopo Province this year, 2014. Incomplete human vaccination following exposure is a constant problem. A single shot following a severe exposure is always inadequate for the immune-naive individual. The problem comes when there is an inadequate supply of vaccine at the district clinic level, or the cost is prohibitive, or when there is doubt as to the reality of exposure or a delay in animal confirmatory diagnosis, which is why I drum it into every veterinary graduate to keep his or her [personal] rabies vaccinations up to date, quite apart from their dogs being vaccinated regularly. The South African experience in KwaZulu brings home the importance of domestic dog vaccination and the benefits therefrom: No human cases in the past 15 months.