Glasgow - 59,000 people worldwide die of rabies infection every year, which according to the calculations in PLOS Neglected Tropical Diseases (2015; doi: 10.1371 / journal.pntd.0003709) leads to loss of 3.7 million years of life and also to The affected economies lose $ 8.6 billion year.
Most rabies diseases, which are practically fatal if left untreated, occur in sub-Saharan Africa as well as in India and neighboring countries. These are the countries where the least money is spent vaccinating dogs that often have no owners. In North America and Western Europe, on the other hand, rabies has also been eradicated in wild animals (important exception: bats).
Infections in humans occur only very rarely in tourists. The last death in Germany in 2007 was man who was bitten by stray dog in Morocco. In 2005 there were four illnesses: one organ donor who was infected before her death in India and three recipients of her organs. In August 2010, woman in Rhineland-Palatinate (including her family) received post exposure prophylaxis (PEP) after she was bitten by bat that was known to be infected with rabies.
These individual cases are in contrast to the much more common cases in Africa and India, which - especially in Africa - are not documented and for which there are therefore no reliable statistics. Katie Hampson of the University of Glasgow and coworkers now present an estimate based on surveys of the prevalence of rabies in the clinical, veterinary, and laboratory sectors that incorporate evidence of human and animal rabies disease and the incidence of dog bites, and demographic and economic data up to and including Sales of vaccines for animals and humans (PEP) includes.
Ultimately, it can only be an estimate, as the wide 95 percent confidence interval shows, according to which there are 25,000 to 159,200 deaths per year at the Rabies is coming. Most occur in Asia (59.6 percent) and Africa (36.4 percent) (with the numbers for Africa having the highest uncertainty factor). It is also noteworthy that 70 percent of the few diseases in Latin America are in Haiti.
According to Hampson, the high economic follow-up costs stand in marked contrast to the manageable costs for consistent vaccination of dogs, which most of them have Transmission of the zoonosis to humans could be avoided.