Home >News > ProMED翻訳情報(432回) ~バリ島で発生した犬咬傷による旅行者の狂犬病曝露事例~

ProMED翻訳情報(432回) ~バリ島で発生した犬咬傷による旅行者の狂犬病曝露事例~



Date: 21 Oct 2015  Source: Focus Taiwan [edited]

A Taiwanese tourist returning from Bali has received follow-up treatment for rabies after she was bitten by a dog and later confirmed to have been infected with the virus on the resort island, the Centers for Disease Control (CDC) said Tuesday. Lo Yi-chun, a doctor with the CDC, said the 31-year-old tourist went to Bali on 11 Oct 2015 and was chased and bitten by dogs at 1 of the island’s famous temples – Tanah Lot — resulting in wounds to her left calf and ankle that required 30 stitches to close. The tourist also received a tetanus shot, a fast-acting rabies immunoglobulin and the 1st of a series of rabies vaccines, as well as antibiotic shots and oral medicines while in Bali, Lo said.

 バリ島から帰国した一人の台湾人旅行者が、リゾート地であるバリ島内で犬に咬まれ、のちにその犬が狂犬病ウイルスに感染していたことが確認されたため、狂犬病発症予防のための追加処置を受けている、と台湾CDC(疾病管理センター)が火曜日(10月20日)に語った。CDCの医師、Lo Yi-chun氏は以下のように語った。31才の旅行者は2015年10月11日にバリ島に行き、島内の有名な寺院であるタナロット寺院で複数の犬に追いかけられ咬まれてしまった。結果としてその女性は左のふくらはぎとくるぶしに、30針を縫合する傷を負った。そしてその旅行者はバリ滞在中に抗生物質の注射と経口薬の治療を受けた上、破傷風のワクチン及び、即効性の狂犬病免疫グロブリン、一連の狂犬病ワクチンの初回の接種を受けた。

After the tourist returned to Taiwan on 16 Oct 2015, the CDC guided her to the disease inspection and quarantine station at the airport to prepare her for the next round in the series of rabies vaccines. The patient has been hospitalized and remains under observation.


Lo noted that between 55 000 and 60 000 people around the world die from rabies every year, with the disease most prevalent in China, India, Indonesia, Pakistan and Bangladesh. The CDC urged travelers to avoid contact with wild animals while traveling in areas where rabies is prevalent. If a traveler is bitten by an animal, he or she should wash the wound with soap and a lot of water for 15 minutes, then disinfect it with iodine or 70 percent concentrated ethyl alcohol before seeking medical treatment, Lo said.


There are an estimated 500 000 stray dogs in Bali, but only half of them have been vaccinated against rabies, leaving the 4 million people who visit there every year vulnerable to the disease if they are attacked by dogs. More than 17 000 people were bitten by dogs in Bali in the first 6 months of 2015, and 12 of them died. The problem has been compounded by a shortage of the human rabies vaccines in major tourist areas in Bali for months, the Bali Animal Welfare Association said, according to a report dated 9 Oct 2015 on the Sydney Morning Herald’s website.


Rabies initially appeared in Bali in 2008, and 78 deaths resulted from the outbreak in 2009 and 2010. Only 1 person died of rabies in 2013 and 2 died of the disease in 2014 on the resort island.
[Byline: Lung Pei-ning, Jay Chou and Lilian Wu]


[It is a wonder that we do not see more reports like this of tourists exposed to rabid dogs on Bali. With international tourism being the major source of income for the island, one might expect an aggressive canine vaccination programme, plus a tactical canine cull in tourist areas. All one can say for the present is that anyone visiting the island should take great care.]