DOI of the published article https://doi.org/10.1590/s1679-49742021000100010
Epidemiology of human rabies in the state of Ceará, Brazil, 1970-2019
Keywords:Zoonoses, Rabies, Epidemiological Monitoring, Public Health, Epidemiology, Descriptive
Objective: To describe the epidemiology of cases of human rabies in Ceará State, Brazil, 1970-2019. Methods: We analyzed secondary data from the State Department of Health and the reference hospital. Results: Of 171 cases, 75.7% occurred in males, 60.0% in <19 year-olds, and 56.0% in urban areas. Rabies was transmitted by dogs in 74.0%, marmosets in 16.7% and bats in 7.3%. Between 1970 and 1978, there was an increase of cases (by Joinpoint Regression Program, annual percentage change [APC] = 13.7 – 95%CI 4.6;41.5), and 1978-2019 a decrease (APC = -6.7 – 95%CI -8.8;-5.9). There was a reduction of transmission by dogs (71 cases, last case in 2010) and an increase by sylvatic animals (5 cases since 2005). Conclusion: This study demonstrates changes of transmission dynamics of rabies during the last years, with reduction of transmission by dogs and relative increase of transmission by sylvatic animals.
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Copyright (c) 2020 Naylê Francelino Holanda Duarte, Roberto da Justa Pires Neto, Victoria Forte Viana, Levi Ximenes Feijão, Karina Gatti de Abreu, Iva Maria Lima Araújo Melo, Anastácio Queiroz Sousa, Carlos Henrique Alencar, Jorg Heukelbach
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