Rabies Outbreak in the Urban Area of Delhi: An Investigation Report and One Health Perspective for Outbreak Management

Rabies is a global problem and is endemic in India. Rabies cases occur throughout the year, and the majority of cases are associated with dog bites. We report a rabies outbreak investigation in an urban area of Delhi conducted by our multidisciplinary team, and its role in proactively controlling a...

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Main Authors: Monil Singhai, Vishesh Sood, Girraj Singh, Cordelia Siddiqui, Tushar Nale, Prabhakar Jha, Priyanka Yadav, Rekha Jaiswal, Manju Bala, Sujeet K. Singh, Simmi Tiwari
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Infectious Disease Reports
Subjects:
Online Access:https://www.mdpi.com/2036-7449/14/6/102
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author Monil Singhai
Vishesh Sood
Girraj Singh
Cordelia Siddiqui
Tushar Nale
Prabhakar Jha
Priyanka Yadav
Rekha Jaiswal
Manju Bala
Sujeet K. Singh
Simmi Tiwari
author_facet Monil Singhai
Vishesh Sood
Girraj Singh
Cordelia Siddiqui
Tushar Nale
Prabhakar Jha
Priyanka Yadav
Rekha Jaiswal
Manju Bala
Sujeet K. Singh
Simmi Tiwari
author_sort Monil Singhai
collection DOAJ
description Rabies is a global problem and is endemic in India. Rabies cases occur throughout the year, and the majority of cases are associated with dog bites. We report a rabies outbreak investigation in an urban area of Delhi conducted by our multidisciplinary team, and its role in proactively controlling a rabies outbreak by concerted efforts and timely advice to various stakeholders using a “One Health Approach.” A veterinary care NGO from Delhi picked up a suspected rabid stray dog and submitted a brain sample for diagnosis of rabies, as they had received information from a resident of the locality about an unprovoked animal bite incident involving a girl (category III bite) and close contact of two more stray dogs living in the vicinity of the suspected rabid dog. The laboratory diagnosis of rabies in the suspected dog brain sample was confirmed by using Fluorescence Antibody Test (FAT). A multi-expert investigation team with expertise in medicine, microbiology, veterinary sciences, laboratory diagnosis, and public health was constituted to investigate the outbreak. The timely, adequate, and appropriate anti-rabies management initiated for the animal bite victims in this incident could prevent rabies. Proactive involvement of multiple stakeholders and knowledge attributes and practice of local residents could prevent human rabies. As there were no further reports of dog bites from the area, the chain of rabies transmission in that area could be controlled. The presented work is a classical case scenario where concerted efforts of all stakeholders achieved effective control and prevention of rabies by adopting the “One Health approach”.
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spelling doaj.art-3ea12e88fc7646f78f4c8ae33bfdd65d2023-11-24T15:18:24ZengMDPI AGInfectious Disease Reports2036-74492022-12-011461033104010.3390/idr14060102Rabies Outbreak in the Urban Area of Delhi: An Investigation Report and One Health Perspective for Outbreak ManagementMonil Singhai0Vishesh Sood1Girraj Singh2Cordelia Siddiqui3Tushar Nale4Prabhakar Jha5Priyanka Yadav6Rekha Jaiswal7Manju Bala8Sujeet K. Singh9Simmi Tiwari10Centre for Arboviral and Zoonotic Diseases, National Centre for Disease Control, New Delhi 110054, IndiaCentre for Arboviral and Zoonotic Diseases, National Centre for Disease Control, New Delhi 110054, IndiaCentre for Arboviral and Zoonotic Diseases, National Centre for Disease Control, New Delhi 110054, IndiaCentre for Arboviral and Zoonotic Diseases, National Centre for Disease Control, New Delhi 110054, IndiaDivision of Zoonotic Diseases Program, National Centre for Disease Control, New Delhi 110054, IndiaDivision of Zoonotic Diseases Program, National Centre for Disease Control, New Delhi 110054, IndiaCentre for Arboviral and Zoonotic Diseases, National Centre for Disease Control, New Delhi 110054, IndiaCentre for Arboviral and Zoonotic Diseases, National Centre for Disease Control, New Delhi 110054, IndiaCentre for Arboviral and Zoonotic Diseases, National Centre for Disease Control, New Delhi 110054, IndiaCentre for Arboviral and Zoonotic Diseases, National Centre for Disease Control, New Delhi 110054, IndiaDivision of Zoonotic Diseases Program, National Centre for Disease Control, New Delhi 110054, IndiaRabies is a global problem and is endemic in India. Rabies cases occur throughout the year, and the majority of cases are associated with dog bites. We report a rabies outbreak investigation in an urban area of Delhi conducted by our multidisciplinary team, and its role in proactively controlling a rabies outbreak by concerted efforts and timely advice to various stakeholders using a “One Health Approach.” A veterinary care NGO from Delhi picked up a suspected rabid stray dog and submitted a brain sample for diagnosis of rabies, as they had received information from a resident of the locality about an unprovoked animal bite incident involving a girl (category III bite) and close contact of two more stray dogs living in the vicinity of the suspected rabid dog. The laboratory diagnosis of rabies in the suspected dog brain sample was confirmed by using Fluorescence Antibody Test (FAT). A multi-expert investigation team with expertise in medicine, microbiology, veterinary sciences, laboratory diagnosis, and public health was constituted to investigate the outbreak. The timely, adequate, and appropriate anti-rabies management initiated for the animal bite victims in this incident could prevent rabies. Proactive involvement of multiple stakeholders and knowledge attributes and practice of local residents could prevent human rabies. As there were no further reports of dog bites from the area, the chain of rabies transmission in that area could be controlled. The presented work is a classical case scenario where concerted efforts of all stakeholders achieved effective control and prevention of rabies by adopting the “One Health approach”.https://www.mdpi.com/2036-7449/14/6/102rabiesoutbreakmultidisciplinary teamone health approach
spellingShingle Monil Singhai
Vishesh Sood
Girraj Singh
Cordelia Siddiqui
Tushar Nale
Prabhakar Jha
Priyanka Yadav
Rekha Jaiswal
Manju Bala
Sujeet K. Singh
Simmi Tiwari
Rabies Outbreak in the Urban Area of Delhi: An Investigation Report and One Health Perspective for Outbreak Management
Infectious Disease Reports
rabies
outbreak
multidisciplinary team
one health approach
title Rabies Outbreak in the Urban Area of Delhi: An Investigation Report and One Health Perspective for Outbreak Management
title_full Rabies Outbreak in the Urban Area of Delhi: An Investigation Report and One Health Perspective for Outbreak Management
title_fullStr Rabies Outbreak in the Urban Area of Delhi: An Investigation Report and One Health Perspective for Outbreak Management
title_full_unstemmed Rabies Outbreak in the Urban Area of Delhi: An Investigation Report and One Health Perspective for Outbreak Management
title_short Rabies Outbreak in the Urban Area of Delhi: An Investigation Report and One Health Perspective for Outbreak Management
title_sort rabies outbreak in the urban area of delhi an investigation report and one health perspective for outbreak management
topic rabies
outbreak
multidisciplinary team
one health approach
url https://www.mdpi.com/2036-7449/14/6/102
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