- Hello Jeff - I have been following Rabies cases in the
US and worldwide. It appears Rabies is, as I have been forecasting, dramatically
increasing around the world.
-
- Patty
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- From ProMed Ma
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- Date Wed 7 Jul 2010 From Merritt Clifton
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- There are now 61 Bali rabies victims named by local media
with detailed descriptions of rabies symptoms, plus as many as 25 more
who have not been named and whose symptoms have not been described.
-
- The latest death is described below [1], and below that
is the most complete body count I have been able to assemble [2].
-
- Is there anyone outside of Bali who believes chikungunya
virus infection can be contracted from a dog bite and produces symptoms
resembling the terminal stages of rabies?
-
- [1] Suspected Rabies Death - Primary School (Translation
from the Bali Post provided by the Bali Animal Welfare Association)
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- An 8-year-old 3rd grade primary school student from Pangkung
Jelati, Yeh Sumbul, Medoyo, died after being referred to Sanglah Hospital
on Sunday (5 Jul 2010). His family indicated that he died of rabies. However,
district government and local villagers have denied the boy's death was
caused by rabies. The victim had been bitten by a mad dog a month before
he died. The village head mentioned that the boy was taken immediately
to Pekutatan Puskesmas [health center] and referred to Negara General Hospital.
However, the doctor said there was no problem since they don't have rabies
in Jembrana. Therefore, the doctor gave him an anti-tetanus injection and
periodical treatment.
-
- The victim managed to recover, and the bite wound healed.
However, a week ago, the victim fell ill, and his temperature reached 30-40
C. He was paralyzed below the waist and talked to himself and fell unconscious.
The victim's parents didn't have any suspicions [since] at the same time,
some of the villagers suffered from an illness similar to chikungunya fever.
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- On Friday afternoon, (2 Jul 2010), the boy was taken
back to Negara General Hospital. After a night in the hospital, he was
referred to Sanglah Hospital at 14.30 WITA [Central Indonesian Time]; however,
he died at 15.10 WITA. According to the family, the victim's mouth was
also foaming.
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- Meanwhile, the people shot the dog and buried it. The
family is convinced that it was a rabid dog because it had eaten a puppy
and was fierce. And it was also from outside the village, which bordered
the forest, and they never have [had dog] vaccination and/or stray dog
elimination. There were 2 other children who were bitten by a dog on the
leg and posterior. A day after the death, Head of Health Division I Putu
Suasta visited the location. However, there is still no official confirmation
from the regional government regarding the cause of the illness.
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- I Komang Dentra, the Yeh Sumbul Village head, stated
that they still can't confirm whether or not it was rabies. According to
him, the boy had healed post dog bite. However, there was another patient,
and the patient was paralyzed. And also, there was no confirmation from
Sanglah Hospital that the victim died with rabies. In regards to VAR [anti-rabies
vaccine], his family doesn't know whether he got it or not. From the doctor's
explanation, not every person who gets bitten by a dog needs VAR.
-
- [2] Case / Age / Date of death / Residence
- ----------------------------------------
- 61 / 8 / 4 Jul 2020 / Jembrana 60 / 50 / 4 Jul 2010 /
Karengasem 59 / 9 / 27 Jun 2010 / Unknown 58 / 57 / 12 Jun 2010 / Buleleeng
57 / 21 / 3 Jun 2010 / Karangasem 56 / 65 / 25 May 2010 / Buleleeng 55
/ 4 / 25 May 2010 / Buleleeng 54 / 6 / 21 May 2010 / Buleleeng 53 / 13
/ 16 May 2010 / Buleleeng 52 / 50 / 3 May 2010 / Kaliasem 51 / 42 / 11
May 2010 / Canggu, Badung 50 / 22 / 5 May 2010 / Celagi, Karangasem 49
/ 30 / Unknown / Saren, Karangasem 48 / 69 / 3 May 2010 / Abang, Karangasem
47 / 40 / 1 May 2010 / Kapal, Mengwi 46 / 40 / 30 Apr 2010 / Bebandum,
Karangasem 45 / 30 / 30 Apr 2010 / Tembuku, Bangli 44 / 43 / 8 Apr 2010
/ Karengasem (death officially attributed to epilepsy) 43 / 70 / 2 Apr
2010 / Tabanan 42 / 27 / 18 Mar 2010 Unknown 41 / 45 / 8 Mar 2010 / Tabanan
40 / 36 / 7 Mar 2010 / Mengwi 39 / 9 / 20 Feb 2010 / Tabanan 38 / 5 / 21
Feb 20100 / Bangli 37 / 60 / 15 Feb 2010 / Karangasem
-
-
- Details of the 1st 36 cases can be found at: Rabies,
human - Indonesia (02): (Bali) 20100505.1465. As before, all ages of people
have been victims of rabies virus infection, and the cases are distributed
Bali-wide.
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- A map of the island of Bali can be accessed at http://www.baliguide.com/bali_map.html.
-
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- The HealthMap/ProMED-mail interactive map of Indonesia
can be found at http://healthmap.org/r/00bi. - Mod.CP
-
- -- Merritt Clifton Editor, ANIMAL PEOPLE P.O. Box 960
Clinton, WA 98236 <anmlpepl@whidbey.com>
-
- Patricia A. Doyle DVM, PhD Bus Admin, Tropical Agricultural
Economics Univ of West Indies Please visit my "Emerging Diseases"
message board at: http://www.emergingdisease.org/phpbb/index.php Also my
new website: http://drpdoyle.tripod.com/ Zhan le Devlesa tai sastimasa
Go with God and in Good Health
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