Friday, May 3, 2013

Prevention and cure general knowledge of rabies

Prevention and cure general knowledge of rabies
Brief content: Rabies is acute infectious disease that the human case fatality rate is supreme up until now, once have illness coming on, the case fatality rate is up to 100%.

Rabies also call disease of fearing water is to infect rabies virus the intersection of people and rabies that people cause, shown as acute, going on, almost irreversible encephalomyelitis, present it as characterized intimidate water, is afraiding wind, excited, swallows myospasm, flows saliva, going on paralysis clinically, but death of finally to breathe, circulatory failure.
Rabies is acute infectious disease that the human case fatality rate is supreme up until now, once have illness coming on, the case fatality rate is up to 100%.
87 countries and regions have rabies that happen in the whole world, but is mainly distributed in developing countries such as Asia, Africa and Latin America,etc., among them 98% are in Asia, the number of the infected of China is second only to India, occupies the second place in the world. Since 1997, some province rabies morbidity in our country showed a tendency to rise year by year, especially in the past 3 years, it is very obvious that some area epidemic situations have risen, onset and death toll are increasing constantly.
The wild animal is a main host of rabies and virus.
The dog which suffers from rabies is infected with the main infection source of rabies by the people, secondly it is the cat, wolf, fox in the wild animal,etc. can transmit a disease too. Appearance carry dog of virus, can also wait for animal play a role in infecting the source, the intersection of infection and mankind healthily. The patient contains a small amount of virus in the saliva, but there are very few persons who infect others directly.
People's rabies is basically infected because bitten by the rabies animal containing virus in the saliva.
The virus can't cross the non- damaged skin, if the skin is scratched abrasion, being licked by the rabies animal is very dangerous. Containing virus dog animal lick mucous membrane, oral cavity, rectum, the intersection of external genitalia and mucous membrane and skin of people, can also lead to the fact, infect with tongue in the saliva. The experimental animal can be dyed by the food containing virus of ingestion, can also be dyed by the rectum. The rabies virus can also spread by the aerosol, so, when the medical personnel, persons who keep in close touch, laboratory staff member are exposed to a rabies patient or carry on rabies virus' relevant experiments, should isolate the respiratory tract.
Different gender, age, professional crowd generally exchange the sense to rabies.
Different because of chances to contact the animal, have illness coming on in man's peasants between twenty and fifty more. By the look of morbidity case of rabies of our country in recent years: Men account for 65%- 70%; Different age group have illness coming on, count different, 0 year old - 7 -year-old children account for 17%, 8 year old - 19 -year-old teenagers account for 23%, account for 50% at 20 years old - 60 years old age groups. Therefore easy to find out rabies to children and greatly danger of teenagers. It is infected with rabies that there are more and dangerous staff member and people lived in tropical area in some jobs such as veterinarian, open-air worker, laboratory.
After people are brought the malicious dog or other animals and bitten, it is but different to look at the depth, size of position and wound bitten to some extent in incubation period.
Bite the position in above the shank and the heavy one of wound, incubation period is very short to several days, bite four limbs and carry the lighter of wound far, incubation period is relatively long, can be to a few years, several decades. Mainly there are two kinds of clinical types of people's rabies: One kind is manic type, often excited symptom appears, especially terrific water, 80% of the rabies belongs to the here type; Another kind is paralysis type or mute rabies, there is no obvious excitement symptom, avoiding and intimidating water generally, the patient fewer than 20% is the this type.
The prevention of rabies mainly includes controlling infecting the source, cutting off and propagating several steps such as route and vaccine inoculation.
Mainly the family raise dog's immunity, eliminate the roam dog and hunting of suspicious disease dog and cat to control and infect the source. Raise dog, go on, register to house, pay immunization campaign. Should be shot the rabies, overbearing cat dead immediately, so as not to hurt one's feeling. Should try to catch and isolate to grip remakable domesticated dog, domestic cat,etc. for 10 days. Die of illness animal should burn or bury deeply, can't peel carnivorously. Bitten or scratched, must wash the wound and employ immune preparation of rabies, prevent having illness coming on correctly as soon as possible by the animal. The wound must be developed in an all-round way with the suds or cleanser, the purpose to wash is to destroy the virus of the wound, prevent its hyperplasia and penetrate the peripheral nerve. Must with the intersection of alcohol and cotton, iodine tincture or 0.1% quarter the intersection of amine salt and solution (wound can be used at the suds without residue develop, because these two kinds of materials are neutralized each other) Sterilize. At the time of the condition ideal, the wound should be exposed 24 hours to 48 hours, prevent the virus from penetrating the nerve fibre. If there is immune serum, can pour into the wound bottom and around. The wound is sewn up or should try hard to avoid to wrap up, if must sew up and had better offer specific antiserum in vaccine inoculation at the same time.
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