Behavioral and structural barriers to accessing human post-exposure prophylaxis and other preventive practices in Arequipa, Peru, during a canine rabies epidemic
A canine rabies epidemic started in early 2015 in Arequipa, Peru and the rabies virus continues to circulate in the dog population. Some city residents who suffer dog bites do not seek care or do not complete indicated post-exposure prophylaxis (PEP) regimens, increasing the risk of human rabies. Th...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Public Library of Science
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7394441/ https://www.ncbi.nlm.nih.gov/pubmed/32692739 http://dx.doi.org/10.1371/journal.pntd.0008478 |
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author | Castillo-Neyra, Ricardo Buttenheim, Alison M. Brown, Joanna Ferrara, James F. Arevalo-Nieto, Claudia Borrini-Mayorí, Katty Levy, Michael Z. Becerra, Victor Paz-Soldan, Valerie A. |
author_facet | Castillo-Neyra, Ricardo Buttenheim, Alison M. Brown, Joanna Ferrara, James F. Arevalo-Nieto, Claudia Borrini-Mayorí, Katty Levy, Michael Z. Becerra, Victor Paz-Soldan, Valerie A. |
author_sort | Castillo-Neyra, Ricardo |
collection | PubMed |
description | A canine rabies epidemic started in early 2015 in Arequipa, Peru and the rabies virus continues to circulate in the dog population. Some city residents who suffer dog bites do not seek care or do not complete indicated post-exposure prophylaxis (PEP) regimens, increasing the risk of human rabies. The objectives of our study are to qualitatively assess knowledge about rabies, and preventive practices, such as rabies vaccine administration, following a dog bite. We conduct eight focus group discussions in peri-urban and urban communities with 70 total participants. In our results, we observe low awareness of rabies severity and fatality, and different practices following a dog bite, depending on the community type: for example, whereas participants in the urban communities report cleaning the wound with hydrogen peroxide rather than soap and water, participants in peri-urban areas cover the wound with herbs and hair from the dog that bit them. Misconceptions about rabies vaccines and mistreatment at health centers also commonly prevent initiating or completing PEP. We identify important behavioral and structural barriers and knowledge gaps that limit evidence-based preventive strategies against rabies and may threaten successful prevention of dog-mediated human rabies in this setting. |
format | Online Article Text |
id | pubmed-7394441 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-73944412020-08-13 Behavioral and structural barriers to accessing human post-exposure prophylaxis and other preventive practices in Arequipa, Peru, during a canine rabies epidemic Castillo-Neyra, Ricardo Buttenheim, Alison M. Brown, Joanna Ferrara, James F. Arevalo-Nieto, Claudia Borrini-Mayorí, Katty Levy, Michael Z. Becerra, Victor Paz-Soldan, Valerie A. PLoS Negl Trop Dis Research Article A canine rabies epidemic started in early 2015 in Arequipa, Peru and the rabies virus continues to circulate in the dog population. Some city residents who suffer dog bites do not seek care or do not complete indicated post-exposure prophylaxis (PEP) regimens, increasing the risk of human rabies. The objectives of our study are to qualitatively assess knowledge about rabies, and preventive practices, such as rabies vaccine administration, following a dog bite. We conduct eight focus group discussions in peri-urban and urban communities with 70 total participants. In our results, we observe low awareness of rabies severity and fatality, and different practices following a dog bite, depending on the community type: for example, whereas participants in the urban communities report cleaning the wound with hydrogen peroxide rather than soap and water, participants in peri-urban areas cover the wound with herbs and hair from the dog that bit them. Misconceptions about rabies vaccines and mistreatment at health centers also commonly prevent initiating or completing PEP. We identify important behavioral and structural barriers and knowledge gaps that limit evidence-based preventive strategies against rabies and may threaten successful prevention of dog-mediated human rabies in this setting. Public Library of Science 2020-07-21 /pmc/articles/PMC7394441/ /pubmed/32692739 http://dx.doi.org/10.1371/journal.pntd.0008478 Text en © 2020 Castillo-Neyra et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Castillo-Neyra, Ricardo Buttenheim, Alison M. Brown, Joanna Ferrara, James F. Arevalo-Nieto, Claudia Borrini-Mayorí, Katty Levy, Michael Z. Becerra, Victor Paz-Soldan, Valerie A. Behavioral and structural barriers to accessing human post-exposure prophylaxis and other preventive practices in Arequipa, Peru, during a canine rabies epidemic |
title | Behavioral and structural barriers to accessing human post-exposure prophylaxis and other preventive practices in Arequipa, Peru, during a canine rabies epidemic |
title_full | Behavioral and structural barriers to accessing human post-exposure prophylaxis and other preventive practices in Arequipa, Peru, during a canine rabies epidemic |
title_fullStr | Behavioral and structural barriers to accessing human post-exposure prophylaxis and other preventive practices in Arequipa, Peru, during a canine rabies epidemic |
title_full_unstemmed | Behavioral and structural barriers to accessing human post-exposure prophylaxis and other preventive practices in Arequipa, Peru, during a canine rabies epidemic |
title_short | Behavioral and structural barriers to accessing human post-exposure prophylaxis and other preventive practices in Arequipa, Peru, during a canine rabies epidemic |
title_sort | behavioral and structural barriers to accessing human post-exposure prophylaxis and other preventive practices in arequipa, peru, during a canine rabies epidemic |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7394441/ https://www.ncbi.nlm.nih.gov/pubmed/32692739 http://dx.doi.org/10.1371/journal.pntd.0008478 |
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