A Descriptive Study on Obesity and Animal Exposure Cases attending an Anti-Rabies Clinic, Tertiary Care Hospital, Urban Bengaluru

  • Ramesh Masthi NR Professor, Department of Community Medicine, Kempegowda Institute of Medical Sciences, Bengaluru, Karnataka, India.
  • Niveditha CS Postgraduate, Department of Community Medicine, Kempegowda Institute of Medical Sciences, Bengaluru, Karnataka, India.
  • Deekshith JR Postgraduate, Department of Community Medicine, Kempegowda Institute of Medical Sciences, Bengaluru, Karnataka, India.
  • Sanjay TV Professor, Department of Community Medicine, Kempegowda Institute of Medical Sciences, Bengaluru, Karnataka, India. https://orcid.org/0000-0002-7709-8400
  • Pranav Srivatsav R Postgraduate, Department of Community Medicine, Kempegowda Institute of Medical Sciences, Bengaluru, Karnataka, India.
Keywords: Obese, Animal Exposure, Rabies, Category

Abstract

Introduction: India is endemic for rabies and at the same time, obesity is assuming an epidemic proportion. There is a need to find out proneness of animal bites among overweight/ obese people as they are less agile and mobile.
Objective: To determine the proportion of obesity among animal exposure cases and compare the type and severity of exposure between obese and non-obese cases.
Methodology: A descriptive study was conducted among 287 animal exposure cases visiting the anti-rabies clinic of a tertiary care hospital from June to December 2023.
Results: Of the cases, 185 (64.5%) cases were overweight/ obese. Majority (88.7%) of bites were by dogs, 63.3% were by stray animals, and 62.8% were unprovoked bites. All the category II and category III cases had received post-exposure prophylaxis.
Conclusion: The majority of the cases were overweight/ obese and had category III exposures. There was no significant difference in animal exposure between obese and non-obese cases.

How to cite this article:
Ramesh Masthi N R, Niveditha C S, Deekshith J R, Sanjay T V, Pranav Srivatsav R . A Descriptive Study on Obesity and Animal Exposure Cases Attending an Anti-Rabies Clinic, Tertiary Care Hospital, Urban Bengaluru. APCRI J. 2024;26(1):3-8.

DOI: https://doi.org/10.24321/0973.5038.202403

References

Hampson K, Coudeville L, Lembo T, Sambo M, Kieffer A, Attlan M, Barrat J, Blanton JD, Briggs DJ, Cleaveland S, Costa P, Freuling CM, Hiby E, Knopf L, Leanes F, Meslin FX, Metlin A, Miranda ME, Müller T, Nel LH, Recuenco S, Rupprecht CE, Schumacher C, Taylor L, Vigilato MA, Zinsstag J, Dushoff J; Global Alliance for Rabies Control Partners for Rabies Prevention. Estimating the global burden of endemic canine rabies. PLoS Negl Trop Dis. 2015;9(4):e0003709. [PubMed] [Google Scholar]

World Health Organization [Internet]. Rabies in India; [cited 2024 Apr 15]. Available from: https://www.who.int/india/health-topics/rabies

Government of India, National Centre for Disease Control, Directorate General of Health Services Ministry of Health and Family Welfare [Internet]. National Action Plan for Dog mediated rabies elimination from India by 2030; [cited 2024 Apr 17]. Available from: https://rabiesfreeindia.mohfw.gov.in/resources/uploads/PageContentPdf/169391359514.pdf

Ministry of Health and Family Welfare [Internet]. National Family Health Survey – 5, 2019–2020. State Fact Sheet Karnataka; [cited 2024 Apr 29]. Available from: https://rchiips.org/nfhs/NFHS-5_FCTS/Karnataka.pdf

WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363(9403):157-63. [PubMed] [Google Scholar]

Ghodke M. Updated BG Prasad’s Socioeconomic Status Classification for the Year 2023. Indian J Community Med. 2023;48(6):934-6. [PubMed] [Google Scholar]

World Health Organization. The Asia-Pacific perspective: redefining obesity and its treatment [Internet]. Sydney: Health Communications Australia; 2000 [cited 2024 Apr 27]. Available from: https://iris.who.int/handle/10665/206936

Pradeepa R, Anjana RM, Joshi SR, Bhansali A, Deepa M, Joshi PP, Dhandania VK, Madhu SV, Rao PV, Geetha L, Subashini R, Unnikrishnan R, Shukla DK, Kaur T, Mohan V, Das AK; ICMR-INDIAB Collaborative Study Group. Prevalence of generalized & abdominal obesity in urban & rural India--the ICMR-INDIAB Study (Phase-I) [ICMR- NDIAB-3]. Indian J Med Res. 2015;142(2):139-50. [PubMed] [Google Scholar]

Ahirwar R, Mondal PR. Prevalence of obesity in India: a systematic review. Diabetes Metab Syndr. 2019;13(1):318-21. [PubMed] [Google Scholar]

Masthi NR, Pradeep BS, Bilagumba G. A multicentric community survey on animal exposures among humans in India. Indian J Public Health. 2019 Sep;63(Supplement):S9-S14. [PubMed] [Google Scholar]

Gujalwar SV, Gattani PL, Kulkarni SK. Study of sociodemographic factors and cultural practices in animal bite victims attending tertiary care centre-a crosssectional study. IOSR-J Dent Med Sci. 2019;18:44-9. [Google Scholar]

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. 2014;139(3):459-62. [PubMed] [Google Scholar]

Sudarshan MK, Madhusudana SN, Mahendra BJ, Rao NS, Narayana DA, Rahman SA, Meslin FX, Lobo D, Ravikumar K. Assessing the burden of human rabies in India: results of a national multi-center epidemiological survey. Int J Infect Dis. 2007;11(1):29-35. [PubMed] [Google Scholar]

Sachdeva A, Kumar T, Yadav G, Tondwal J. Epidemiological profile and management practices of animal bite cases in a tertiary care hospital of Haryana: a cross-sectional study. J Family Med Prim Care. 2022;11(12):7886-90. [PubMed] [Google Scholar]

Singh P, Tiwari HC, Baranwal K, Srivastava DK. A study of clinico-social profile of animal bite patients attending the antirabies clinic of BRD Medical College, Gorakhpur. Indian J Community Health. 2023;35(1):15-20. [Google Scholar]

Basu S, Mariam W, Santra S, Garg S, Singhal R. Reexposure animal bite management among incident animal bite cases in a secondary care Hospital in Delhi, India. Indian J Public Health. 2020;64(1):72-4. [PubMed] [Google Scholar]

National Rabies Control Programme [Internet]. Information Education and Communication; [cited 2024 Apr 26]. Available from: https://rabiesfreeindia.mohfw.gov.in/iec

Published
2024-06-29
Section
Research Article