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Vol. 9 No. 1 August 2012

Rabies Infection and Treatments in Bangladesh

Matiur Rahman PhD fellow, American World University, USA.
Prof. Dr. Ahmadullah Mia Ph.D Professor & Ex. Director
Institute of Social Welfare & Research (ISWR) University of Dhaka.

Abstract

A cross-sectional survey research has been undertaken to address the question whether or not the Anti-Rabies vaccine users are aware of the necessity of using such vaccine in all cases following animal bite. On average, about 200 visitors are found to be collecting every day Anti-Rabies vaccine from the Institute of Public Health, Mohakhali, Dhaka. The study took the hypotheses that (i) those who have proper information about Anti-Rabies vaccine and can afford the cost are using the imported cell-cultured vaccine; and (ii) those who have improper information and belong to lower income group tend to use the local Anti-Rabies vaccine. Data were collected from 493 individuals who appeared at the IPH to collect vaccine during August November 2010. A pre-designed interview schedule was used as the study instrument to collect personal information, knowledge about vaccine, prior familiarity with any victims of animal bites, use and reaction of use of vaccine. The mean age of the victims of animal bites (vaccine users) was 25 years, and little above two thirds of the users had primary level education or was illiterate. About 93 percent of the victims had dog bite and the rest were affected by cat, fox and monkey bite. In as high as 90 percent cases, the victims came to collect vaccine within 10 days of animal bite incident, which was a premature phenomenon indicating a lack of proper knowledge about when to take vaccine. This rate is exceedingly high in Bangladesh compared to 4.2 percent in India. A majority of the victims came for vaccine with the popular information (from neighbors) about ARV, and others had suggestion from local physician or health workers to take ARV that they were to take vaccine. Although 90 percent of the vaccine collectors had earlier seen persons who had taken vaccine from IPH, only a very small proportion (2.6%) had seen minor reaction after the vaccine intake. Among the respondents (total 493) of the present study (who came to

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