The epidemiology of the human rabies threat in the Grand Duchy of Luxembourg. 1988

P Huberty-Krau, and R Wigand
Division de l'Inspection, Sanitaire de Luxembourg.

Epidemiological data were recorded and blood samples were obtained from a group of 297 individuals from Luxembourg who had been in contact with rabies-infected or -suspected animals from 1979 to 1985, and who had been vaccinated with a complete course of HDCS rabies vaccine. The majority of the subjects were farmers aged between 30 and 59. The most frequent source of infection was cattle, followed by foxes, sheep and cats. Dogs were in the fifth position only, probably as a direct result of obligatory vaccination of dogs in Luxembourg. Animal rabies was proven in 253 of the 297 cases; in 35 cases, rabies diagnosis was not confirmed, and in 9 cases the animals escaped. Concerning the mode of contact, most people (86%) reported having had contact which caused no skin lesions. Contact with skin lesion, i.e. by biting, scratching or scraping, was only reported in connection with dogs, cats and wild animals, whereas with cattle and other farm animals, contact was mostly without skin lesion. The hand was the part of the body (85%) most frequently involved. Sera were tested by an enzyme immunoassay for rabies antibodies. The results were unsatisfactory: 21.5% of the cases had no demonstrable antibodies and 15.2% had antibodies in low titre. No decline in antibody titre was found according to the time interval after vaccination. Therefore, the enzyme immunoassay does not appear to be optimal to determine long-term immunity.

UI MeSH Term Description Entries
D008189 Luxembourg Country in Europe, between France and Germany. Luxemborg,Luxemburg
D009790 Occupations Crafts, trades, professions, or other means of earning a living. Vocations,Occupation,Vocation
D011818 Rabies Acute VIRAL CNS INFECTION affecting mammals, including humans. It is caused by RABIES VIRUS and usually spread by contamination with virus-laden saliva of bites inflicted by rabid animals. Important animal vectors include the dog, cat, bat, fox, raccoon, skunk, and wolf. Encephalitic Rabies,Furious Rabies,Hydrophobia,Paralytic Rabies,Lyssa,Furious Raby,Lyssas,Rabies, Encephalitic,Rabies, Furious,Raby, Furious
D011819 Rabies Vaccines Vaccines or candidate vaccines used to prevent and treat RABIES. The inactivated virus vaccine is used for preexposure immunization to persons at high risk of exposure, and in conjunction with rabies immunoglobulin, for postexposure prophylaxis. Rabies Human Diploid Cell Vaccine,Rabies Vaccine,Vaccine, Rabies,Vaccines, Rabies
D011820 Rabies virus The type species of LYSSAVIRUS causing rabies in humans and other animals. Transmission is mostly by animal bites through saliva. The virus is neurotropic multiplying in neurons and myotubes of vertebrates. Rabies viruses
D002417 Cattle Domesticated bovine animals of the genus Bos, usually kept on a farm or ranch and used for the production of meat or dairy products or for heavy labor. Beef Cow,Bos grunniens,Bos indicus,Bos indicus Cattle,Bos taurus,Cow,Cow, Domestic,Dairy Cow,Holstein Cow,Indicine Cattle,Taurine Cattle,Taurus Cattle,Yak,Zebu,Beef Cows,Bos indicus Cattles,Cattle, Bos indicus,Cattle, Indicine,Cattle, Taurine,Cattle, Taurus,Cattles, Bos indicus,Cattles, Indicine,Cattles, Taurine,Cattles, Taurus,Cow, Beef,Cow, Dairy,Cow, Holstein,Cows,Dairy Cows,Domestic Cow,Domestic Cows,Indicine Cattles,Taurine Cattles,Taurus Cattles,Yaks,Zebus
D002418 Cattle Diseases Diseases of domestic cattle of the genus Bos. It includes diseases of cows, yaks, and zebus. Bovine Diseases,Bovine Disease,Cattle Disease,Disease, Bovine,Disease, Cattle,Diseases, Bovine,Diseases, Cattle
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000367 Age Factors Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time. Age Reporting,Age Factor,Factor, Age,Factors, Age

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