Sabtu, 17 Oktober 2009

[bali-bali] Rabies outbreak in Bali - kita menjadi sorotan international

Bagaimanakah penanganan outbreak penyakit berbahaya ini di Bali oleh pemerintah daerah?
Mudah-mudahan Pemda Bali bisa menanggulangi outbreak ini.
Kutipan dari Promed saya lampirkan.
MS


RABIES, CANINE, HUMAN - INDONESIA (15): BALI
********************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Fri 16 Oct 2009
Source: Janice Giardi, Bali Animal Welfare Association [edited]
via Merritt Clifton <anmlpepl@whidbey.com>


Rabies outbreak spreads to the north coast of Bali
--------------------------------------------------
We now have a confirmed case of rabies in East Bali, at Kubu, which is on the coast, just north of the tourist diving resorts Tulamben and Amed. We also had positive cases north of Ubud in Petang, about half way from the original case on the south coast to the north coast. Thus, a year after rabies was identified on the isolated Bukit peninsula, south of the Denpasar airport, cases have now been identified throughout the heavily populated south east and eastern portions of Bali.

So far no cases have been identified within the major cities of Ubud and Gianyar, and only a few on the outskirts of Denpasar the capital city, but cases now have occurred on all sides of these densely populated and trafficked communities.

These latest cases are of particular concern because my dog-counting
canvases done in August and September 2008, just before the 1st rabies cases were identified, found far more dogs relative to humans in the semi-rural residential areas in the hills than in the cities. There were open areas with no dogs or people between villages, but within the villages the conditions were precisely those under which rabies becomes most dangerous: lots of people and animals living in very close proximity.

It suspects that the Kutu case may have resulted from dog trappers
transporting dogs through there to Singaraja, where there are some
notorious dog meat restaurants. This is possible. Transportation of dogs from known rabies areas to the dog meat restaurants has continued nonstop since the arrival of rabies.

Dog vaccination against rabies was prohibited throughout Bali before the 1st cases were identified, was then allowed only in areas with identified outbreaks, and only within the past few weeks has been permitted throughout the island. However, there is still a critical shortage of vaccines, and the vaccines deployed by the government during the 1st 9 months of the outbreak required revaccination within 3 months. The 3-year vaccines have only just begun to be used.

The following are 16 of the 17 known human deaths so far:

Age / Date of death / Place of residence
6 / 10 Oct 2009 / Tabanan
49 / 7 Oct 2009 / Tabanan
78 / 16 Sep 2009 / Tabanan
47 / 14 Sep 2009 / Tabanan
24 / 6 Sep 2009 / Tabanan
21 / 6 Sep 2009 / Tabanan
62 / 22 Aug 2009 / Tabanan (age also stated as 55)
46 / 26 Mar 2009 / Ungasan peninsula
46 / 23 Mar 2009 / Uluwatu
45 / 30 Jan 2009 / Ruken
32 / no date / Bukit
3 / no date / Kutuh
28 / 23 Nov 2008 / Ungasan
3 / no date / Ungasan
32 / 13 Nov 2008 / Ungasan
4 / 17 Sep 2008 / Ungasan
The 17th was recent. I am expecting the details soon.

A man, originally from Flores was the 1st person to be bitten by a rabid dog, in July 2008. The dog belonged to a friend, who was also from Flores. Whether the dog was transported to Bali from Flores, and when exactly the 2 men arrived, I have not yet been able to find out.

--
Merritt Clifton
Editor, ANIMAL PEOPLE
PO Box 960
Clinton, WA 98236
<anmlpepl@whidbey.com>

[The rabies situation in the Indonesia island of Bali continues to worsen with more human deaths and spread of the disease from the south to the north coast of the island. ProMED-mail thanks Janice Giardi and Merritt Clifton for making this information generally available.

The HealthMap/ProMED-mail interactive map of the island of Bali can be accessed at <http://healthmap.org/r/006M>. - Mod.CP]


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