PDF(Pubmed)
Abstract：
UNASSIGNED: Rabies and snakebite envenoming are two zoonotic neglected tropical diseases (NTDs) transmitted to humans by animal bites, causing each year around 179,000 deaths and are most prevalent in Asia and Africa. Improving geographical accessibility to treatment is crucial in reducing the time from bite to treatment. This mini review aims to identify and synthesize recent studies on the consequences of distance and travel time on the victims of these diseases in African countries, in order to discuss potential joint approaches for health system strengthening targeting both diseases.
UNASSIGNED: A literature review was conducted separately for each disease using Pubmed, Google Scholar, and snowball searching. Eligible studies, published between 2017 and 2022, had to discuss any aspect linked to geographical accessibility to treatments for either disease in Africa.
UNASSIGNED: Twenty-two articles (8 on snakebite and 14 on rabies) were eligible for data extraction. No study targeted both diseases. Identified consequences of low accessibility to treatment were classified into 6 categories: (1) Delay to treatment; (2) Outcome; (3) Financial impacts; (4) Under-reporting; (5) Compliance to treatment, and (6) Visits to traditional healers.
UNASSIGNED: Geographical access to treatment significantly influences the burden of rabies and snakebite in Africa. In line with WHO\'s call for integrating approaches among NTDs, there are opportunities to model disease hotspots, assess population coverage, and optimize geographic access to care for both diseases, possibly jointly. This could enhance the management of these NTDs and contribute to achieving the global snakebite and rabies roadmaps by 2030.
UNASSIGNED: A literature review was conducted separately for each disease using Pubmed, Google Scholar, and snowball searching. Eligible studies, published between 2017 and 2022, had to discuss any aspect linked to geographical accessibility to treatments for either disease in Africa.
UNASSIGNED: Twenty-two articles (8 on snakebite and 14 on rabies) were eligible for data extraction. No study targeted both diseases. Identified consequences of low accessibility to treatment were classified into 6 categories: (1) Delay to treatment; (2) Outcome; (3) Financial impacts; (4) Under-reporting; (5) Compliance to treatment, and (6) Visits to traditional healers.
UNASSIGNED: Geographical access to treatment significantly influences the burden of rabies and snakebite in Africa. In line with WHO\'s call for integrating approaches among NTDs, there are opportunities to model disease hotspots, assess population coverage, and optimize geographic access to care for both diseases, possibly jointly. This could enhance the management of these NTDs and contribute to achieving the global snakebite and rabies roadmaps by 2030.
摘要：
狂犬病和蛇咬伤是两种由动物咬伤传播给人类的人畜共患被忽视的热带病(NTDs)，每年造成约179,000人死亡，在亚洲和非洲最为普遍。改善治疗的地理可及性对于减少从咬伤到治疗的时间至关重要。这项小型审查旨在确定和综合最近关于距离和旅行时间对非洲国家这些疾病受害者的影响的研究，为了讨论卫生系统加强针对这两种疾病的潜在联合方法。
■使用Pubmed，谷歌学者，滚雪球搜索。符合条件的研究，在2017年至2022年之间发表的文章中，必须讨论与非洲两种疾病的治疗地理可及性有关的任何方面。
■22篇文章（8篇关于蛇咬伤，14篇关于狂犬病）符合数据提取条件。没有针对这两种疾病的研究。确定的低可及性治疗的后果分为6类：（1）延迟治疗；（2）结果；（3）财务影响；（4）报告不足；（5）遵守治疗，(6)拜访传统治疗师。
■获得治疗的地域极大地影响了非洲狂犬病和蛇咬伤的负担。根据世卫组织关于在NTD之间整合方法的呼吁，有机会模拟疾病热点，评估人口覆盖率，并优化两种疾病的地理护理，可能联合。这可以加强对这些NTD的管理，并有助于到2030年实现全球蛇咬伤和狂犬病路线图。
■使用Pubmed，谷歌学者，滚雪球搜索。符合条件的研究，在2017年至2022年之间发表的文章中，必须讨论与非洲两种疾病的治疗地理可及性有关的任何方面。
■22篇文章（8篇关于蛇咬伤，14篇关于狂犬病）符合数据提取条件。没有针对这两种疾病的研究。确定的低可及性治疗的后果分为6类：（1）延迟治疗；（2）结果；（3）财务影响；（4）报告不足；（5）遵守治疗，(6)拜访传统治疗师。
■获得治疗的地域极大地影响了非洲狂犬病和蛇咬伤的负担。根据世卫组织关于在NTD之间整合方法的呼吁，有机会模拟疾病热点，评估人口覆盖率，并优化两种疾病的地理护理，可能联合。这可以加强对这些NTD的管理，并有助于到2030年实现全球蛇咬伤和狂犬病路线图。
