Publications by authors named "Pierre D Augustin"
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.
View Article and Find Full Text PDFIn Haiti, an investigation occurred after the death of a 4-year-old girl with suspected rabies. With tips provided by community members, the investigation led to the identification of 2 probable rabies-related deaths and 16 persons bitten by rabid dogs, 75% of which chose postexposure prophylaxis. Community engagement can bolster rabies control.
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- Haiti's integrated bite case management (IBCM) program offers guidance on rabies risks and treatment for animal-bite victims, alongside the Haiti Animal Rabies Surveillance Program (HARSP) to evaluate the animal exposures.
- A study followed up with bite victims who received IBCM counseling between 2014 and 2015, assessing their healthcare actions and outcomes in relation to rabies exposure classification.
- Results showed that IBCM counseling led to a 1.2x increase in those seeking medical care and a 2.4x rise in vaccination rates, potentially reducing rabies deaths by 65% among assessed victims.
Haiti has experienced numerous barriers to rabies control over the past decades and is one of the remaining Western Hemisphere countries to report dog-mediated human rabies deaths. We describe the circumstances surrounding a reported human rabies death in 2016 as well as barriers to treatment and surveillance reporting.
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