PDF(Pubmed)
Abstract：
Rabies, caused by the Lyssavirus genus, is a highly lethal zoonotic disease transmitted by animals such as bats and domestic and wild carnivores to humans, claiming nearly 100% of lives. In Brazil, recent evidence suggests an increasing role of bats in human deaths from rabies, particularly in the Amazon region. This neglected tropical disease disproportionately affects impoverished and vulnerable populations in rural areas, where approximately 80% of human cases are concentrated. This article presents research conducted in riverine communities of the Tapajós/Arapiuns Extractive Reserve in Brazil to combat rabies in September 2022. The study adopted a participatory and collaborative approach, involving community members, healthcare professionals, and educators. Prioritizing proactive interventions, the health team administered prophylactic vaccinations to 30 individuals residing in communities exposed to the Lyssavirus. Educational activities focused on dispelling myths and raising awareness about preventive measures, with 100% of individuals reporting prior doubts about the disease, emphasizing the essential nature of the clarification, especially regarding preventive aspects. This study underscores the importance of community involvement, personalized interventions, and ongoing education to effectively combat rabies. By reinforcing public health policies and promoting health education, we can empower communities to take proactive measures in rabies prevention, leading to a reduction in incidence and an improvement in quality of life.
摘要：
狂犬病,由Lyssavirus属引起的，是一种高度致命的人畜共患疾病，由蝙蝠、家养和野生食肉动物等动物传播给人类，夺去了近100%的生命。在巴西,最近的证据表明，蝙蝠在狂犬病死亡中的作用越来越大，特别是在亚马逊地区。这种被忽视的热带病不成比例地影响到农村地区的贫困和弱势群体，大约80%的人类病例集中在那里。本文介绍了2022年9月在巴西Tapajós/Arapiuns采掘保护区的河流社区进行的研究，以抗击狂犬病。这项研究采用了参与性和协作性的方法,涉及社区成员，医疗保健专业人员,和教育工作者。优先考虑主动干预措施，卫生小组对居住在社区中的30名接触过Lysavirus的个体进行了预防性疫苗接种.教育活动的重点是消除迷思,提高对预防措施的认识,100%的人以前对这种疾病表示怀疑，强调澄清的本质，特别是在预防方面。这项研究强调了社区参与的重要性，个性化干预，和持续的教育，以有效打击狂犬病。通过加强公共卫生政策和促进健康教育，我们可以授权社区采取积极措施预防狂犬病，导致发病率降低和生活质量改善。
