Publications by authors named "N Fenelon"

Like other neglected diseases, surveillance data for rabies is insufficient and incompatible with the need to accurately describe the burden of disease. Multiple modeling studies central to estimating global human rabies deaths have been conducted in the last two decades, with results ranging from 14,000 to 74,000 deaths annually. Yet, uncertainty in model parameters, inconsistency in modeling approaches, and discrepancies in data quality per country included in global burden studies have led to recent skepticism about the magnitude of rabies mortality.

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Article Synopsis
  • Integrated Bite Case Management (IBCM) in Haiti involves a multi-sectoral approach to manage animal bites and reduce rabies deaths, transitioning from paper-based methods (pIBCM) established in 2013 to an electronic app (eIBCM) introduced in 2018.
  • An evaluation of both systems from January 2013 to August 2019 compared their data quality, cost-effectiveness, and efficiency, revealing significant improvements in eIBCM, such as faster data transmission and increased data variables collected per investigation.
  • eIBCM was found to be more cost-effective ($1,247 per death averted) and efficient compared to pIBCM ($2,692 per death averted), with 100% of
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Elimination of dog-transmitted human rabies worldwide will require large-scale dog vaccination campaigns. However, this places participating vaccinators at increased risk. Data from the 2016-2017 Haitian mass rabies vaccination campaign was analyzed to determine dog bite incidence among vaccinators.

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The dissemination of COVID-19 around the globe has been followed by an increased consumption of antibiotics. This is related to the concern for bacterial superinfection in COVID-19 patients. The identification of bacterial pathogens is challenging in low and middle income countries (LMIC), as there are no readily-available and cost-effective clinical or biological markers that can effectively discriminate between bacterial and viral infections.

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