RABIES
lt is communicable diseases
due to bite of rabid animals mostly by stray dogs.
The disease is 100% fatal & other name of this viral disease is hydrophobia (HydroWater; Phobia fear) It is a zoonotic disease.
Host
Environment
* Disease by the bite of
dogs
Environment
. Cats, jackals
Monkeys
Disease of developing countries where stray dogs population is present.
Clinical features:
1. Head ache, sore throat
2. Fever
3.Hydrophobia-unable to drink water or any liquid due to the muscular spasm
4.Virus will attack on C.N.S
5. Patient can not tolerate noise/current of air/ bright light Spasim of pharyngeal and neck muscles.
7.100% Death Incubation period in man varies. If dog bite is nearer the brain, shorter is the Incubation Period whereas incubation period in dog is fixed i.e. if the dog is rabid,is sure to die within 10 days.
Diagnosis:-
2. Fever
3.Hydrophobia-unable to drink water or any liquid due to the muscular spasm
4.Virus will attack on C.N.S
5. Patient can not tolerate noise/current of air/ bright light Spasim of pharyngeal and neck muscles.
7.100% Death Incubation period in man varies. If dog bite is nearer the brain, shorter is the Incubation Period whereas incubation period in dog is fixed i.e. if the dog is rabid,is sure to die within 10 days.
Confirmation by testing brain of animals in Lab.
Suturing:- Wound should not be sutured because it will help spread of virus to deeper tissues. Apply minimum possible sutures
and under
2.the cover
of antibiotics/serum locally.
i. As a princip lesuturing should not be done unless it is essential
ii. Anti rabic treatment should start immediately by rabipur or human diploid vaccine.
i. As a princip lesuturing should not be done unless it is essential
ii. Anti rabic treatment should start immediately by rabipur or human diploid vaccine.
Keep dog under observation for ten days. If dog survives, stop the anti rabic treatment. But we have to continue the same, in case the dog dies or disappeargor is killed by public.
In this case patient should take tull anti rabic treatment,Rabies in dogs
A. aim less running
B. unprovoked biting
C. change of voice
D. Excessive salivation
E.dog bites without provocation and is eating mud, straws sticks etc.
2. Dumb rabid dogs:
D. Excessive salivation
E.dog bites without provocation and is eating mud, straws sticks etc.
. Paralytic
»Avoids being seen by others or disturbed
»Avoids being seen by others or disturbed
Control:
2. Do not allow stray dog to roam in pubtic places
Role of Health Worker
* Vaccination of dogs and their licensing
*Destruction of stray dogs/Vaccinatiore of dogs
» Refer dog bite cases to doctors
» Htealth education to community about rabies.
FEVER: As a Symptonm
*Destruction of stray dogs/Vaccinatiore of dogs
» Refer dog bite cases to doctors
» Htealth education to community about rabies.
2 Pneumonia: Bacterial infection due to Pneumacocci
3. Diphtheria: Pain in throat, difficulty in swallowing especialy in children
4. Typhoid: High temperature in evening and morming, Jow pulsa rate,pain in abdomen, Widal Test Positive, Bacterlat infectlon
5. Meningitis: May be tubercular or viral with headache and hock rigidity
6. Tuberculosis: Bacterial infection, evening rise of low grade fever, chronic cough with sputum which may have blood:
7.Measles: Rashes on skin, no history of taking any drüg
8. Chicken Pox (Viral Infection)
9.Mumps (Viral Infection)
10. Plague,Bacteriai Infection
11. Acute -Bacterial
Infection
3. Diphtheria: Pain in throat, difficulty in swallowing especialy in children
4. Typhoid: High temperature in evening and morming, Jow pulsa rate,pain in abdomen, Widal Test Positive, Bacterlat infectlon
5. Meningitis: May be tubercular or viral with headache and hock rigidity
6. Tuberculosis: Bacterial infection, evening rise of low grade fever, chronic cough with sputum which may have blood:
7.Measles: Rashes on skin, no history of taking any drüg
8. Chicken Pox (Viral Infection)
9.Mumps (Viral Infection)
10. Plague,Bacteriai Infection
12. Acute follicular Tonsilitis (Bacterial Infection)
13.Influenza - viral
14. Cellulitis - (Bacterial Infection)
15. Furuncle -Bacterial Infection
16. Puerpural Sepsis
13.Influenza - viral
14. Cellulitis - (Bacterial Infection)
15. Furuncle -Bacterial Infection
16. Puerpural Sepsis
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