Một số đặc điểm dịch tễ học của bệnh dại trên người ở miền Bắc Việt Nam

This study is to describe the epidemiological characteristics of human rabies in the North of Vietnam, from January 2009 to December 2011. The study design was retrospective description based on monthly reports on rabies in all rabies vaccination sites in 28 provinces in the North, Vietnam to the National Rabies Control Program. Results show that human rabies death occurred 194 cases in 15/28 provinces in the mountain of the North. All most of cases did not receive vaccination after dog bite. The mortality was higher in the summer than others reasons. 99,4 percent had a history of domestic dog and 67.8 percent dogs was abnormal at time bitten human. The age of victims ranged from 1 to 86 years. Rabies deaths were higher males (61 percent) than females (39 percent). Nearly half of decedents were farmer. Over a half (54 percent) indicated they knew about the vaccine but did not believe in rabies vaccination, while a further 23.9 percent were reported to not have any knowledge about rabies. Most rabies fatalities occur in mountain provinces in the North. Most deaths were in remote areas and in poor people who had little knowledge of rabies. The VRCP should focus interventions in the high risk areas and minority groups. Strengthening rabies communication among human and animal, and veterinary sector should be needed to improve the effectiveness of the rabies prevention and control on animal.