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Incidence and seroprevalence of rabies virus in humans dogs and other animal species in Africa a systematic review and meta-analysis

机译:狂犬病病毒在非洲人狗和其他动物物种中的发病率和Seroprestence系统审查和荟萃分析

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摘要

Rabies is transmitted to humans mainly by dogs but also by other animal species. Reliable data on the incidence of Rabies virus (RABV) in humans, dogs, and other animal species in Africa, could be essential in the implementation of a global strategic plan to eliminate the RABV by 2030 as adopted by the WHO, OIE, and FAO. We searched the Pubmed, Embase, Scopus, African Journal Online, and African Index Medicus databases for relevant studies that report data on the incidence of RABV in Africa up to February 17, 2020. Information on active and past RABV exposures in various categories of dogs, humans and other animal species were extracted. Incidence and seroprevalence estimates were pooled using a random-effect meta-analysis. We included 73 articles which provided 142 RABV incidence and seroprevalence records in 21 African countries. The estimated incidence of RABV in 222 humans, 15,600 dogs, and 12,865 other animal species was 83.4% (95% CI = 64.6–96.5), 44.1% (95% CI = 35.1–53.4), and 41.4% (95% CI = 29.6–53.8), respectively. The estimated seroprevalence of RABV in 420 humans, 3577 dogs, and 8,55 other animal species was 33.8% (95% CI = 21.9–46.8), 19.8% (95% CI = 13.3–27.3), and 3.6% (95% CI = 0.3–9.2), respectively. The incidence of RABV in general was higher in suspected rabid dogs, other animal species of the Orders Perissodactyla, Artiodactyla and Carnivora. The incidence of RABV was higher for humans in regions of West and East Africa, for dogs in urban areas and in regions of Central and South Africa, and for animals of the order Perissodactyla in urban areas. This meta-analysis demonstrated a high incidence of RABV in Africa. Itis necessary to improve surveillance system to provide reliable data on RABV in Africa, essential for the implementation of an effective control strategy.
机译:狂犬病主要被狗传播给人类,也被其他动物物种传播给人类。关于狂犬病病毒(RABV)的可靠数据在非洲的狂犬病病毒(RABV),在非洲的其他动物物种方面可能是必不可少的,因为在世卫组织,OIE和粮农组织通过的是2030年通过的全球战略计划。我们搜索了PubMed,Embase,Scopus,非洲日志在线,非洲指数医疗数据库,以及向2020年2月17日的非洲发病率报告了关于rabv发病率的相关研究。关于各类狗的活跃和过去Rabv曝光的信息提取人类和其他动物物种。利用随机效应元分析汇集了发病率和SEROPREVALING估计。我们包括在21个非洲国家提供142个Rabv发病率和Seroprevalence记录的73篇文章。 222人,15,600只狗和12,865只其他动物物种的估计发生率为83.4%(95%CI = 64.6-96.5),44.1%(95%CI = 35.1-53.4),41.4%(95%CI =分别为29.6-53.8)。 420人,3577只狗和8,55名其他动物物种估计的rabv血清升迁为33.8%(95%CI = 21.9-46.8),19.8%(95%CI = 13.3-27.3),3.6%(95%) CI = 0.3-9.2)分别。 Rabv的发病率一般涉及疑似狂犬病犬,其他动物物种的命令胰腺细胞,Afriodactyla和Carnivora。西部和东非地区的人类在城市地区和中部和南非地区以及城市地区甲虫梗死术的动物的狗,兔子的发病率较高。这种荟萃分析表明了非洲rabv发病率高。 ITIS需要改善监测系统,为非洲的RABV提供可靠的数据,这对于实施有效的控制策略至关重要。

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