© 1985 Oxford University Press
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An Epidemiological Study of 177 Cases of Human Rabies
Department of Social and Preventive Medicine, Medical College Amritsar, Punjab, India
Of the 177 rabies patients admitted to various hospitals in Amritsar city, 80.8% were males and 31.1% were children under the age of 15 years. Incidence was found to be gradually increasing in urban areas, although 68.2% were still found in rural areas. History of second or third degree bites existed in all the cases. Dogs were the source of exposure in 97.3% of cases and they were all suspected of having rabies. 49.1 % of cases had bites on the lower extremities and 70.8% were on uncovered parts of the body. The incubation period was observed to be between 30 and 120 days in 61.8% of cases; 90.0% of the patients developed the disease within six months of exposure. Short incubation periods were observed in a majority of the patients bitten on more than one part of the body, head, neck and face or bitten on uncovered parts. Hydrophobia and death occurred in 100% of cases and 93.4% of patients died within five days. Post-exposure injections were reported in 10.2% of cases and these showed no definite incubation period pattern.
Received 1 June 1984