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Volume 22, Number 3—March 2016

Letter

Suspected Rabies in Humans and Animals, Laikipia County, Kenya

Mark ObonyoComments to Author , James M. Akoko, Austine B. Orinde, Eric Osoro, Waqo Gufu Boru, Ian Njeru, and Eric M. Fèvre
Author affiliations: Ministry of Agriculture, Livestock and Fisheries, Nairobi, Kenya (M. Obonyo, A.B. Orinde); Field Epidemiology and Laboratory Training Program, Nairobi (M. Obonyo, W.G. Boru); International Livestock Research Institute, Nairobi (J.M. Akoko, E.M. Fèvre); Kenya Zoonotic Disease Unit, Nairobi (A.B. Orinde, E. Osoro); Ministry of Health, Kenya (W.G. Boru, I. Njeru); University of Liverpool Institute of Infection and Global Health, Liverpool, UK (E.M. Fèvre)

Main Article

Table

Responses to questionnaire interview of 11 animal bite victims assessed for rabies, Laikipia County, Kenya, 2014*

Variables/categories No. (%) case-patients
Time of bite
Evening 6 (55)
Morning 4 (36)
Afternoon
 1 (9)
Part of body bitten
Legs 8 (73)
Arms
 3 (27)
Circumstances of bite
Unprovoked 9 (82)
Animal provoked
 2 (18)
Type of animal
Dog 10 (91)
Cat
 1 (9)
Ownership of biting animal
Owned 9 (82)
Stray
 2 (18)
Rabies vaccination history of biting animal
Unknown 7 (64)
Not vaccinated
 4 (36)
Outcome of biting animal
Alive and normal 7 (64)
Deceased
 4 (36)
Wound washed after bite
Yes 9 (82)
No
 2 (18)
Treatment at healthcare facility
Anti-tetanus 9 (82)
PEP rabies vaccination 8 (72)
Pain killers
 5 (46)
Distance from nearest PEP facility, km
>10 7 (64)
5–10 3 (27)
0–5
 1 (9)
Source of PEP
Government facility 5 (63)
Chemist 2 (25)
Private hospital 1 (13)
Costs of PEP, US$†
No. doses of PEP administered 23
Cost categories Average (range)
Cost/dose of PEP ≈8 (2–15)
Total cost of PEP doses ≈23 (8–50)
Direct medical cost ≈65 (2–500)
Indirect medical cost ≈34 (4–100)
Average cost for obtaining 1 dose of PEP
 ≈45 (8–120)
*PEP, postexposure prophylaxis.
†Average annual exchange rate during 2013 was 1 Kenya shilling/$0.011586 US.

Main Article

Page created: February 18, 2016
Page updated: February 18, 2016
Page reviewed: February 18, 2016
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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