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    Rabies Prevention and Control

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    Jezreel Joyce Rufiño
    The document discusses the Rabies Prevention and Control Program in the Philippines. It aims to eliminate human rabies by 2020 and declare the Philippines rabies-free by 2022. Rabies is a fatal viral disease spread through animal bites, especially from dogs. The program educates citizens on rabies prevention through vaccination of pets and wildlife. It also provides post-exposure prophylaxis to bite victims, including vaccination and immunoglobulin treatment. Advocacy campaigns raise awareness of rabies prevention through events like World Rabies Day in September.

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    Rabies Prevention and Control

    Uploaded by

    Jezreel Joyce Rufiño
    234 views12 pages
    The document discusses the Rabies Prevention and Control Program in the Philippines. It aims to eliminate human rabies by 2020 and declare the Philippines rabies-free by 2022. Rabies is a fatal viral disease spread through animal bites, especially from dogs. The program educates citizens on rabies prevention through vaccination of pets and wildlife. It also provides post-exposure prophylaxis to bite victims, including vaccination and immunoglobulin treatment. Advocacy campaigns raise awareness of rabies prevention through events like World Rabies Day in September.

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    RABIES PREVENTION AND CONTROL

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    The document discusses the Rabies Prevention and Control Program in the Philippines. It aims to eliminate human rabies by 2020 and declare the Philippines rabies-free by 2022. Rabies is a fatal viral disease spread through animal bites, especially from dogs. The program educates citizens on rabies prevention through vaccination of pets and wildlife. It also provides post-exposure prophylaxis to bite victims, including vaccination and immunoglobulin treatment. Advocacy campaigns raise awareness of rabies prevention through events like World Rabies Day in September.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    234 views12 pages

    Rabies Prevention and Control

    Uploaded by

    Jezreel Joyce Rufiño
    The document discusses the Rabies Prevention and Control Program in the Philippines. It aims to eliminate human rabies by 2020 and declare the Philippines rabies-free by 2022. Rabies is a fatal viral disease spread through animal bites, especially from dogs. The program educates citizens on rabies prevention through vaccination of pets and wildlife. It also provides post-exposure prophylaxis to bite victims, including vaccination and immunoglobulin treatment. Advocacy campaigns raise awareness of rabies prevention through events like World Rabies Day in September.

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    RABIES

    PREVENTION
    AND
    CONTROL
    PROGRAM
    BY: JEZREEL JOYCE W. RUFINO
    Rabies prevention and
    Control program is to help
    the citizens of the
    Philippines to be careful and
    know about rabies, it comes
    from infected animals
    especially street animals
    who are not vaccinated.
    • Rabies is 100% fatal and 100% preventable as
    DOH stated
    • Rabies can be fatal and there has been 200-
    300 death of Filipinos.
    THE VISION
    To declare Philippines Rabies-Free by year 2022

    DEPARTMENT THE
    OF HEALTH MISSION
    To eliminate human rabies by
    the year 2020
    WHAT IS RABIES?
    • Causative Agent: Rhabdovirus
    • Incubation Period: 20-90 days for humans; 1
    week – 7.5 months for dogs
    SIGNS AND SYMPTOMS

    • First withdrawn • Incubation period


    • Prodromal stage – headache,
    • Change in mood pain and numbness sensation
    at the site of bite, depression,
    • Shows penile erection or
    spontaneous ejaculation for
    nervousness and males
    apprehension • Acute neurologic phase
    • Unusual salivation • Spastic – anxiety,
    confusion, insomnia
    • Paralysis starts on • Dementia – intense
    hind legs towards excitement, difficulty in
    breathing, swallowing,
    the whole body drooling hydrophobia
    • Paralytic – flaccid
    • Death ascending symmetric,
    coma, death
    5
    INTERVENTIONS/MANAGEMENT FOR INFECTED
    HUMAN

    • Isolate patient • Observe universal precaution,


    which are essential wearing gloves
    • Encourage family to provide care
    and company • Wash hands frequently
    • Darken the room and observe • Remove oral and nasal secretions
    silence
    • Dispose contaminated materials
    • Give food if patient is hungry
    • Perform terminal disinfection
    • Keep water out of sight

    6
    Postexposure treatment for rabies:
    For Dog bite:
    • Wash wound with soap and water and seek consultation
    • Anti-tetanus serum/tetanus anti-toxin suture if sever
    wounds
    • Observe dog for 10 days, if possible, for signs of rabies
    • Recommended vaccines that provide active immunity
    that infiltrated in and around the wound for the first
    dose of the vaccine
    • PVCV (purified vero cell vaccine) = 0.1ml
    • PDEV (purified duck embryo vaccine) = 0.2 ml
    • Reduce multisite IM (2-1-1) schedule
    7
    Reduce Multi-Site Intramuscular 2 site intradermal regimen – cost Recommended immunoglobulins
    Regimen effective that provide passive immunity
    administered IM route distant
    Schedule Site and route Site Intradermal Regimen = most from the site of vaccine
    Dose effective treatment inoculation
    Day 0 Deltoid IM 2 doses Schedule Site and route Equine rabies = KBW x 0.2 ml
    Dose
    Day 7, 21 Deltoid IM 1 does Human rabies = KBW x 0.133 ml
    Day 0,3,7 Deltoid ID 2 doses
    Immunoglobulins
    Day 30 Deltoid ID 1 dose
    Schedule Site Dose
    Day 90 Deltoid ID 1 dose
    Day 0 Deltoid (adult)
    Anterolateral (infants) 1 dose
    Or
    Day 7 Deltoid (adult)
    Anterolateral (infants) 1 dose
    8
    Prevention of Rabies

    1. Pre-exposure prophylactic treatment for high risk individuals


    • Treatment: High-Risk every year (lab), 2 x year (vet)
    • PDEV = 1.0 ml
    • PVCV = 0.5 ml

    Schedule Dose
    Day 0,7 1 dose IM
    Day 21 1 dose ID
    To reduce risk:
    • Vaccinate pets
    • Keep pets confined
    • Report stray animals to the city vet
    • Get vaccinated yourself
    9
    POLICIES AND LAWS (from DOH)
    1. Anti-Rabies Act of 2007 (Republic Act 9482)
    2. Batas Pambansa Bilang 97
    3. Executive Order No. 84
    4. Memorandum of Agreement on Interagency Implementation of the NRPCP
    5. Joint DA, DOH, DepEd, DILG Administrative Order No. 01 Series of 2008
    6. Administrative Order No. 2014-0012
    7. Administrative Order No. 2018-0013
    10
    8. Joint Department Administrative Order No. 01
    Advocacy Campaign:
    • Rabies awareness and
    advocacy campaign is a
    year-round activity
    highlighted on 2
    occasions:
    • March – the Rabies
    awareness month
    • September 28 – World
    Rabies Day.

    11
    Thank you!!
    Reference:
    https://www.doh.gov.ph/national-rabies-prevention-and-
    control-program
    https://www.mayoclinic.org/diseases-
    conditions/rabies/symptoms-causes/syc-20351821
    Nursing Care of Community by Famorca Zanaida
    12

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