France - One case of rabies in a seven-month-old dog having bitten several people and another dog in Loire, Rhone-Alpes (OIE, May 22, 2015)

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Rabies, France

Information received on 22/05/2015 from Dr Loic Evain, Directeur General adjoint, Direction g?n?rale de l'alimentation, Minist?re de l?Agriculture, de l?Agroalimentaire et de la For?t, Paris, France

Summary Report type Immediate notification Date of start of the event 16/05/2015 Date of confirmation of the event 21/05/2015 Report date 22/05/2015 Date submitted to OIE 22/05/2015 Reason for notification Reoccurrence of a listed disease Date of previous occurrence 04/2014 Manifestation of disease Clinical disease Causal agent Lyssavirus (RABV type Africa 1) Serotype RABV Nature of diagnosis Laboratory (advanced) This event pertains to a defined zone within the country

New outbreaks (1)

Outbreak 1 Le Chambon Feugerolles, Loire, RHONE-ALPES Date of start of the outbreak 16/05/2015 Outbreak status Resolved (18/05/2015) Epidemiological unit Not applicable Affected animals Species Susceptible Cases Deaths Destroyed Slaughtered Dogs 1 1 0 0 Affected population On 16 May 2015, a seven-month-old dog showed signs of aggressiveness, having bitten several people and another dog, associated with hyperthermia, which led the owners to see their veterinarian. Given the risk of rabies, the dog was placed under quarantine at the veterinarian?s. During this surveillance, the animal died on the night from 17 to 18 May. A rabies investigation was then launched and the Pasteur Institute confirmed the diagnosis on 21 May 2015.

Summary of outbreaks Total outbreaks: 1 Total animals affected Species Susceptible Cases Deaths Destroyed Slaughtered Dogs 1 1 0 0 Outbreak statistics Species Apparent morbidity rate Apparent mortality rate Apparent case fatality rate Proportion susceptible animals lost* Dogs ** ** 100.00% ** *Removed from the susceptible population through death, destruction and/or slaughter **Not calculated because of missing information

Epidemiology Source of the outbreak(s) or origin of infection Illegal movement of animals Epidemiological comments The dog was introduced illegally (minimum age not reached, no vaccination and no identification) in France from Hungary in late December 2014. Despite surveillance imposed by the French authorities, the dog?s owners stayed with their animal in Algeria from 21 April to 7 May 2015, again without respecting the regulations on movements of domestic carnivores. During this stay, the dog would have run away. After returning from Algeria, the animal stayed on the same site from 7 May until the quarantine at the veterinarian?s on 16 May. During this period, the animal was in contact with at least 9 people and a dog. The typing of the virus strain (type Africa 1) confirms contamination of the animal during the stay in Algeria. Following confirmation of the diagnosis, a regulated zone was put in place in order to limit the movements of domestic carnivores, to establish increased surveillance and to strengthen the capture of stray animals. Carnivores non properly vaccinated that could have had contact with the case will be euthanized. Carnivores properly vaccinated that could have had contact with the case will be under clinical monitoring for 6 months.

Control measures Measures applied Quarantine Movement control inside the country Screening Zoning No vaccination No treatment of affected animals Measures to be applied No other measures

Diagnostic test results Laboratory name and type Species Test Test date Result Pasteur Institute (Paris) (National laboratory) Dogs direct immunofluorescence (DIF) test 20/05/2015 Positive Pasteur Institute (Paris) (National laboratory) Dogs direct sandwich ELISA 21/05/2015 Positive Pasteur Institute (Paris) (National laboratory) Dogs pathogen isolation on cell culture 21/05/2015 Positive

Future Reporting The event is continuing. Weekly follow-up reports will be submitted.

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http://www.oie.int/wahis_2/public/wahid.php/Reviewreport/Review?page_refer=MapFullEventReport&reportid=17787

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Translation Google

Rabies in the Loire: 6 potentially contaminated persons wanted urgently

Published on 05/25/2015 at 09:08, updated on 05/25/2015 at 09:12

A case of rabies causing mayhem in Chambon-Feugerolles, in the department of the Loire. A Bull Terrier, probably infected in Algeria, has bitten its owner and another dog before he died on the night of May 17 to 18. Following the death, thirteen people who have been in contact with the animal have been vaccinated against the disease. But six others, suspected also to have had contact with the dog are still being sought by the authorities in order to receive treatment quickly.

"These people should especially not wait to have any symptoms to be oriented to the anti rabies Centre North Hospital of St. Stephen and receive a vaccine, because if it is not treated quickly this infection is inevitable deadly in humans, "explains Nathalie Gershon, Director of the Departmental Directorate of Population Protection. "The information campaign conducted yesterday on the ground via posters translated into Turkish and Arabic and adults relay continues with the help of representatives of different institutions and the pharmacy of the neighborhood. People are starting to react to the pictures, "she adds. A telephone number has also been set up. For more information, anyone can call 04 77 48 47 58.

Since 2001, France is a country recognized as free of rabies. This case is very rare. But it is taken very seriously by the French health authorities, the disease is deadly to humans. The last recorded case of rabies in the country dates back to 2013, in the Val-d'Oise. It concerned a kitten back from Maghreb, a region where the disease is not eradicated.

ladepeche.fr

http://www.ladepeche.fr/article/2015/05/25/2111445-cas-rage-loire-6-personnes-potentiellement-contaminees-recherchees-toute-urgence.html