The Effect of Lockdown on Patients of Animal Bites coming to the Anti-rabies Clinic of JLN Medical College and Hospital, Ajmer, Rajasthan
Background: A pandemic (COVID-19) was caused by the SARS-CoV-2 virus which affected the entire world. COVID-19 is a contagious disease, therefore, many countries imposed lockdowns which affected healthcare services everywhere.
Objective: We compared the anti-rabies vaccination trends during the lockdown period of 2020 with those in the same duration of 2018 and 2019 in the anti-rabies clinic of JLNMC, Ajmer.
Methods and Materials: It was a retrospective analytical study. The study period was from Mar 22, 2020, to Jun 30, 2020. The cases of animal bites attending the anti-rabies clinic for ARV at JLNMC, Ajmer, Rajasthan in this period were compared with those in 2018 and 2019.
Results: The number of all anti-rabies vaccines administered was lower in April (731) and May (772) as compared to June (971) in 2020; anti-rabies serum administration was also lower in April (135) and May (170) as compared to June (209) in 2020. The number of cases of animal bites coming to the anti-rabies clinic was 2787 in 2020 which was almost 50% less than the cases in the same duration of 2018 (5138) and 2019 (5543).
Conclusion: During the period of lockdown, the number of cases of animal bites coming to the anti-rabies clinic was less in comparison to the same duration in 2018 and 2019 because of restricted movement and less exposure to street dogs. It may also be possible that reporting of cases of animal bites was less due to the lack of public transport and fear of COVID-19.
How to cite this article:
Bedi R, Meena K, Aleefah KS, Sharma M, Saini VK. The Effect of Lockdown on Patients of Animal Bites coming to the Anti-rabies Clinic of JLN Medical College and Hospital, Ajmer, Rajasthan. APCRI J. 2023;25(1):20-27.
Centers for Disease Control and Prevention [Internet]. Rabies; [cited 2022 Jan 18]. Available from: https://www.cdc.gov/rabies/index.html
National Centre for Disease Control (NCDC) [Internet]. National Rabies Control Programme; [cited 2022 Apr 24]. Available from: https://ncdc.gov.in/index1.php?lang=1&level=1&sublinkid=146&lid=150
John D, Royal A, Bharti O. Burden of illness of dogmediated rabies in India: a systematic review. Clin Epidemiol Global Health. 2021 Oct 1;12:100804. [Google Scholar]
Kulkarni SK. Trend of animal bite victims reported to anti rabies vaccination clinic at a tertiary care hospital Nanded Maharashtra. IOSR J Dent Med Sci [Internet]. 2016 [cited 2022 Jan 20];15(11):2015-6. Available from: https://www.iosrjournals.org/iosr-jdms/papers/Vol15-Issue%2011/Version-3/H1511033639.pdf
Gogtay NJ, Nagpal A, Mallad A, Patel K, Stimpson SJ, Belur A, Thatte UM. Demographics of animal bite victims & management practices in a tertiary care institute in Mumbai, Maharashtra, India. Indian J Med Res [Internet]. 2014 [cited 2022 Jan 18];139(3):459. Available from: https://pubmed.ncbi.nlm.nih.gov/24820842/ [PubMed] [Google Scholar]
Lembo T [Internet]. Recommendations of the OIE Global Conference on rabies control; 2014 [cited 2022 Jan 19]. Available from: https://caninerabiesblueprint.org/Recommendations-of-the-OIE-Global
Centers for Disease Control and Prevention [Internet]. Rabies Postexposure Prophylaxis (PEP); [cited 2022 Jan 22]. Available from: https://www.cdc.gov/rabies/medical_care/index.html
Kole AK, Roy R, Kole DC. Human rabies in India: a problem needing more attention. Bull World Health Organ [Internet]. 2014 [cited 2022 Jan 20];92(4):230. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3967582/ [PubMed] [Google Scholar]
Sudarshan MK, Narayana DH. Background paper for developing a policy for the use of rabies biologicals and vaccination of humans in India. Indian J Public Health. 2019;63:S51-3. [PubMed] [Google Scholar]
Gera A, Singh A, Sungadhi N, Aggarwal N, Gera R. Impact of COVID-19 pandemic on the pediatric services of a tertiary care hospital in North India: a retrospective review. Indian J Child Health. 2020;7(9):371-4. [Google Scholar]
Moris D, Schizas D. Lockdown during COVID-19: the Greek success. In Vivo [Internet]. 2020 Jun [cited 2021 Jan 6];34(3 Suppl):1695-9. Available from: https://pubmed.ncbi.nlm.nih.gov/32503831/ [PubMed] [Google Scholar]
Lau H, Khosrawipour V, Kocbach P, Mikolajczyk A, Schubert J, Bania J, Khosrawipour T. The positive impact of lockdown in Wuhan on containing the COVID-19 outbreak in China. J Travel Med [Internet]. 2020 May 18 [cited 2021 Jan 6];27(3). Available from: https://pubmed.ncbi.nlm.nih.gov/32181488/ [PubMed] [Google Scholar]
Mint [Internet]. India to remain closed till 3 May, economy to open up gradually in lockdown 2.0; 2020 Apr 14 [cited 2022 Apr 24]. Available from: https://www.livemint.com/news/india/pm-modi-announcesextension-of-lockdown-till-3-may-11586839412073.html
The Tribune India [Internet]. Centre extends nationwide lockdown till May 31, new guidelines issued; 2020 May 18 [cited 2022 Apr 24]. Available from: https://www.tribuneindia.com/news/nation/centre-extendsnationwide-lockdown-till-may-31-new-guidelinesissued-86042
Ghosh A, Pal R. Profile of dog bite cases in an urban area of Kolkata, India. Natl J Community Med [Internet]. 2014 [cited 2022 May 2];5(3):321-4. Available from: https://www.researchgate.net/publication/344849691_profile_of_dog_bite_cases_in_an_urban_area_of_kolkata_india [Google Scholar]
Saleem SM, Quansar R, Haq I, Khan SM. Imposing COVID-19 lockdown and reported dog bite cases: an experience from a tertiary antirabies center of North India. J Vet Behav. 2021;42:48-52. [PubMed] [Google Scholar]
Punguyire DT, Osei-Tutu A, Aleser EV, Letsa T. Level and pattern of human rabies and dog bites in Techiman Municipality in the Middle Belt of Ghana: a six year retrospective records review. Pan Afr Med J [Internet]. 2017 [cited 2022 Apr 7];28:281. Available from: https://www.panafrican-med-journal.com/content/article/28/281/full [PubMed] [Google Scholar]
Rudresh HB, Jagadeesh B, Rajgopal J. Profile of animal bite victims reporting to intradermal rabies vaccination centre at a tertiary care government hospital: 10 years experience. Int J Community Med Public Health. 2019 Mar 27;6(4):1545. [Google Scholar]
Raynor B, Díaz EW, Shinnick J, Zegarra E, Monroy Y, Mena C, Puente-Leon MD, Levy MZ, Castillo-Neyra R. The impact of the COVID-19 pandemic on rabies reemergence in Latin America: the case of Arequipa, Peru. PLoS Negl Trop Dis [Internet]. 2021 May 21 [cited 2022 Apr 7];15(5):e0009414. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8174740/ [PubMed] [Google Scholar]
Sharma S, Agarwal A, Khan AM, Ingle GK. Prevalence of dog bites in rural and urban slums of Delhi: a community-based study. Ann Med Health Sci Res [Internet]. 2016 [cited 2022 May 2];6(2):115. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4866364/ [PubMed] [Google Scholar]
Patel S, Toppo M, Lodha RS. An epidemiological study of animal bite cases in a tertiary care center of Bhopal city: a cross-sectional study. Int J Med Sci Public Health [Internet]. 2017 [cited 2022 May 2];6(3):539-43. Available from: https://www.researchgate.net/profile/Manju-Toppo/publication/309880487_An_epidemiological_study_of_animal_bite_cases_in_a_tertiary_care_center_of_Bhopal_city_A_crosssectional_study/links/5b1e128ca6fdcca67b6918ef/An-epidemiological-study-of-animal-bite-cases-in-atertiary-care-center-of-Bhopal-city-A-cross-sectionalstudy.pdf [Google Scholar]
Kapoor P, Baig VN, Kacker S, Sharma M, Sharma M. A cross-sectional study of knowledge regarding rabies among attendees of anti-rabies clinic of a teaching hospital, Jaipur. J Family Med Prim Care [Internet]. 2019 [cited 2022 May 2];8(1):194. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6396603/ [PubMed] [Google Scholar]
Wadde SK, Edake SS, Dixit JV, Nagaonkar AS. Noncompliance of post exposure prophylaxis amongst dog bite cases attending antirabies clinic of a tertiary care hospital-a record based study. Natl J Community Med [Internet]. 2018 [cited 2022 May 2];9(9). Available from: https://njcmindia.com/index.php/file/article/view/785 [Google Scholar]