Rabies Investigation in Lamu, Kenya
In November 2013, a team of FELTP residents and Ministry of Health staff conducted an investigation to confirm a suspected rabies outbreak following reports of increased dog bites in Lamu district. Two donkeys were reported dead and on examination confirmed with rabies. During the investigation, 42 dog-bite victims were enrolled for the study; 79% (34) were male with median age of 17 years. On further case search, 20 additional dog bites were found. One death was registered during the study. Of the dog-bite victims interviewed, , 25% (5) did not visit a health facility for treatment with only 61% (12) seeking treatment 24 hours after the bite. Eighty percent (16) did not take any action after the bite. Only 30% (60) of bite victims received at-least 3 doses of anti-rabies vaccine with none receiving RIG. The study confirmed rabies outbreak in the community and established that there was need to sensitize the community on post exposure prophylaxis (PEP).