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ProMED翻訳情報(356回) ~チュニジアの一部地域における狂犬病の状況~




Date: Wed 25 Feb 2015      Source: La Presse de Tunisie [in French, trans. Copy Ed.LMI, edited]


Rabies is back; vaccination is the only asset



It was believed rabies was eradicated in the last century, but it is back. The cause: the accumulation of abandoned trash and waste. Rabies remains a widespread disease all over the world, and is responsible for tens of thousands of deaths each year. It is usually transmitted by a bite from infected dogs. Rabies is not a disease of the past, it is still present in Tunisia.



Recently, the locality of Borj Cedria, a southern suburb of Tunis, was declared a rabies-infected area. A child died of this disease as a result of infection. The number of deaths by this anthropozoonose has dramatically increased. 6 cases of rabies were reported in 2013, and 3 in 2014 as of last September, while the average in the past 10 years was a maximum of 2 cases a year and even none between 2001 and 2009, according to the Ministry of Health.

最近、チュニスの南部郊外であるBorj Cedria地方は、狂犬病感染地域であると発表された。一人の子供が狂犬病感染の結果、死亡した。この動物から人に感染する人獣共通感染症による死亡者の数は劇的に増加している。健康省によると、過去10年の平均は年間最大2例で、2001年から2009年までの間は報告が全くなかったのに、2013年に6例、2014年9月現在で3人の狂犬病が報告された。


315 cases in 2013



According to the OIE, over 70 000 people worldwide die from rabies each year. Rabies is an acute, fatal encephalomyelitis that affects animals and humans, and is one of the most serious and most feared zoonoses the world over. It is an infectious and viral disease most often from the bite of infected dogs, and can kill animals and humans after the onset of symptoms.



The dirt and household trash, industrial and hospital waste are the main cause of canine rabies. Hundreds of stray dogs feed off garbage cans and may contract the rabies virus that they will transmit to humans. According to a veterinary source, 315 cases of canine rabies were reported in 2013, including 3 deaths [sic].



360 vaccination centers now open



A rabies control program has been implemented since 1982, and deaths from the virus were rare. But after the revolution, the control program was lax and the accumulation of waste and trash became the sources of several diseases, including hepatitis and rabies. The only way to prevent this deadly viral disease is through vaccination. The Ministry of Health implemented in all regions of the country 360 centers of vaccination for domestic animals against the disease to prevent any possible contamination of humans in case of bites.



41 000 vaccine doses against rabies were distributed in the regions. The Ministry of Health recommends to separate immediately infected animals from healthy animals, to provide free medical care for everyone bitten by dogs, and to remind everyone that when bitten by a suspicious animal to clean and rinse the wound before going to the closest hospital. Furthermore, municipal services were asked to fight rabies by removing the trash on the streets and taking care of the growing number of stray dogs.[Byline: Neila Gharbi]


[This account refers to the city of Tunis, not the entire country of Tunisia. Checking the OIE records, animal rabies has been a constant in the country for decades. The present unrest has resulted in the breakdown of civil services and an explosion of the feral dog population feeding on the garbage and trash. Unvaccinated they provide an ample opportunity for this disease to spread in the canine population, and overflow into the human metropolitan population, quite apart from rural cases.