Publications by authors named "B P Quiambao"

Introduction: While rabies remains a global concern, detailed studies on human rabies, particularly regarding causal animals and the reasons for not receiving postexposure prophylaxis (PEP), are lacking.

Methods: We conducted a 3-year prospective study (October 2019-September 2022) at the Philippines' largest rabies referral center. We interviewed patients with suspected rabies and their families.

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Background: SYN023 is an anti-rabies monoclonal antibody mixture administered as part of post-exposure prophylaxis regimens. The rabies virus neutralizing antibody (RVNA) concentration generally accepted as an adequate immune response to vaccination is ≥ 0.5 IU/mL.

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Article Synopsis
  • Despite efforts to eliminate rabies, it remains a significant issue in the Philippines, particularly in Oriental Mindoro Province, where dog vaccination and surveillance are insufficient.
  • The Integrated Bite Case Management (IBCM) approach over three years showed high demand for post-exposure prophylaxis (PEP), yet many patients were not at high risk, and traditional surveillance missed the majority of rabies cases.
  • The study estimated that PEP prevents 20 to 43 human deaths annually at a substantial cost, revealing that improvements are needed in rabies prevention and control strategies to better address the ongoing problem.
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Background: The Philippines is ranked among the top countries with 200-300 annual deaths due to rabies. Most human rabies cases have been reported in remote areas, where dog surveillance is inadequate. Therefore, a strategy to effectively improve surveillance in remote areas will increase the number of detections.

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Molecular analysis of rabies virus can provide accurate diagnosis and information on its genetic diversity. The transportation of rabies brain samples from remote areas to a central laboratory is challenging owing to biohazard risks and decomposability. We investigated the utility of used lateral flow devices (LFDs) for subsequent molecular analysis and assessed the necessary storage temperatures.

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