Bali Rabies Outbreak Kills 100, U.S. Posts Travel Warning

[Giuseppe]

Bali Rabies Outbreak Kills 78, U.S. Posts Travel Warning

[Source: Huffington Post, View Original Article. 8/02/10.]

A recent rabies epidemic has taken hold of Bali, a popular tourist destination and the home of 3 million people. There have been 78 deaths reported over the past two years, though many go unreported, according to the Associated Press. In just the first half of this year alone, 30,000 dog bites have been reported (and 20,000 dogs have been euthanized).
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[Pathfinder]

Re: Bali Rabies Outbreak Kills 78, U.S. Posts Travel Warning

Re: Bali Rabies Outbreak Kills 78, U.S. Posts Travel Warning

Aug 02, 2010
Rabid dogs roam top tourist destination


Excerpt:

"The 8-year-old was next door when a stray dog jumped him in May, ripping its teeth into the boy's right calf. He was stitched up at a local hospital and sent home. His family was told no cases of rabies had been reported in their area.

Earlier this month, a high fever hit him. Valentino died two days later.

Hospitals across Bali have faced periodic shortages of free post-exposure vaccines since the outbreak began, leaving poor residents with few options. The shots remain available at pharmacies, but many Balinese cannot afford them.


/.../

Full text:
http://content.usatoday.com/communities/pawprintpost/index

 

[Shiloh]

Re: Bali Rabies Outbreak Kills 78, U.S. Posts Travel Warning

Re: Bali Rabies Outbreak Kills 78, U.S. Posts Travel Warning

Source: http://news.sky.com/skynews/Home/Wo...ali_Dogs_Vaccinated_To_Combat_Rabies_Epidemic


Mad Dogs: Bali Gripped By Rabies Epidemic
1:02pm UK, Friday August 06, 2010

Catherine Collins, Sky News Online
The Indonesian government is to vaccinate all dogs on the resort island of Bali to combat a rabies epidemic.

The outbreak has left 76 people dead over two years.

Around 34,000 people have been bitten by dogs on the island, which is popular with western tourists, in the first seven months of this year alone, authorities said.

"We aim to vaccinate all dogs in Bali by the end of this year to curb the spread of rabies...

 

[Emily]

Re: Bali Rabies Outbreak Kills 78, U.S. Posts Travel Warning

Re: Bali Rabies Outbreak Kills 78, U.S. Posts Travel Warning

Here's an account of an 8-yr-old's fatal illness that doctors diagnosed as a "rare autoimmune disease," but the parents still suspect rabies.

http://www.promedmail.org/pls/apex/..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1010,83935

 

[Pathfinder]

Re: Bali Rabies Outbreak Kills 78, U.S. Posts Travel Warning

Re: Bali Rabies Outbreak Kills 78, U.S. Posts Travel Warning

<TABLE id=apex_layout_271110100662109808 class=formlayout border=0 summary=""><TBODY><TR><TD noWrap align=left></TD></TR><TR><TD noWrap align=right>Published Date</TD><TD noWrap align=left>24-AUG-2010</TD></TR><TR><TD noWrap align=right>Subject</TD><TD noWrap align=left>PRO/AH/EDR> Rabies, human - Indonesia (11): (Bali)</TD></TR></TBODY></TABLE>


<TABLE id=apex_layout_271110100662109808 class=formlayout border=0 summary=""><TBODY><TR><TD noWrap align=right>Archive Number</TD><TD noWrap align=left>20100824.2976</TD></TR></TBODY></TABLE>
RABIES, HUMAN - INDONESIA (11): (BALI)**************************************A ProMED-mail post<http://www.promedmail.org>ProMED-mail is a program of theInternational Society for Infectious

Diseases<http://www.isid.org>
Date: Mon 24 Aug 2010Source: Jakarta Globe [edited]<http://www.thejakartaglobe.com/home/bali-rabies-toll-rises-to-78-after-two-children-die/392653>


Bali Rabies' Toll Rises to 78 After 2 Children Die
--------------------------------------------------
This weekend, 2 children have died of rabies in Bali, bringing the
official death toll from the epidemic that broke out on the island in
November 2008 to 78. The latest victims were identified as a
13-year-old child and a 5-year-old child, both from Buleleng
district. The elder died on Saturday, and the younger died on Sunday
[23 Aug 2010].

Ken Wirasandi, the secretary of the rabies task force at Denpasar's
Sanglah General Hospital, said that the victims had exhibited clear
symptoms of rabies, such as acute fear of light and water, shortness
of breath and foaming at the mouth. While the official death toll is
now 78, unofficial estimates put the figure at 85, which includes 7
victims who died showing symptoms of rabies but were never autopsied.

The number of dog-bite incidents across the island is also on the
rise. On Monday [24 Aug 2010], a dog in Karangasem district bit 5
people, including a veterinarian called in to treat it. Two of the
victims were treated at Sanglah Hospital but none received a rabies
vaccine because the hospital has run out of stock. In Tabanan
district, 17 people have been bitten by dogs.

Rabies vaccines are running low across the resort island, with the
districts of Denpasar, Badung, Klungkung, Karangasem and Bungli
confirmed to be out of stock. Nyoman Sutedja, the head of the Bali
Health Office, said the situation was growing more serious, with the
number of dog attacks surging over the past several months. "So far
this year there have been 36 000 dog-bite incidents in Bali, up from
24 000 for the whole of 2009," Sutedja said. "This surge in the
number of cases has overwhelmed us." He added that his office had
initially predicted it would need 19 000 doses of rabies vaccine this
year, based on the 12 000 used last year. However, the projection
proved wrong and the year's supply of vaccines ran out in the 1st 6 months.


Sutedja said Bali had recently received 2600 doses from the World
Health Organization and would receive a further 15 500 next month, as
well as 18 000 from the central government. He said this would allow
his office to hand out relief batches of the vaccine to officials in
districts across the island.

The Bali administration has also allocated Rp 7 billion (USD 777 000)
to buy extra stock of the vaccine, which would take its total to 119
000 doses, Sutedja said.

[Byline: Made Arya Kencana]

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

[The rabies situation shows no signs of improvement. The number of
dog bites and human fatalities continue to rise, and the provision of
post-exposure prophylaxis remains inadequate. So far it has been the
indigenous population that has suffered and there have been no
reports of cases of rabies virus infection among visitors to the
island. However, tourists should be forewarned of the situation and
should take appropriate precautions.

A map of the island of Bali can be accessed at
<http://www.baliguide.com/bali_map.html>. The HealthMap/ProMED-mail
interactive map of Indonesia can be found at
<http://healthmap.org/r/02CD>. - Mod.CP]

[see also:
Rabies, human - Indonesia (10): (Bali) livestock 20100815.2825
Rabies, human - Indonesia (09): (Bali) canine 20100806.2673
Rabies, human - Indonesia (08): (Bali) 20100802.2599
Rabies, human - Indonesia (07): (Bali) 20100707.2268
Rabies, human - Indonesia (06): (Bali) 20100616.2024
Rabies, human - Indonesia (05): (Bali) feline vaccination 20100524.1717
Rabies, human - Indonesia (04): (Bali) 20100517.1617
Rabies, human - Indonesia (03): (Bali) 20100514.1576
Rabies, human - Indonesia (02): (Bali) 20100505.1465
Rabies, human - Indonesia: (Bali) 20100409.1157]
....................sb/cp/ejp/mpp

*##########################################################*
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[Pathfinder]

Re: Bali Rabies Outbreak Kills 78, U.S. Posts Travel Warning

Re: Bali Rabies Outbreak Kills 78, U.S. Posts Travel Warning

<TABLE id=apex_layout_271110100662109808 class=formlayout border=0 summary=""><TBODY><TR><TD noWrap align=right>Archive Number</TD><TD noWrap align=left>20101004.3598</TD></TR><TR><TD noWrap align=right>Published Date</TD><TD noWrap align=left>04-OCT-2010</TD></TR><TR><TD noWrap align=right>Subject</TD><TD noWrap align=left>PRO/AH> Rabies, human - Indonesia (16): (BA) canine vaccination</TD></TR></TBODY></TABLE>


RABIES, HUMAN - INDONESIA (16): (BALI), CANINE VACCINATION***********************************************A ProMED-mail post<http://www.promedmail.org>ProMED-mail is a program of theInternational Society for Infectious Diseases<http://www.isid.org>Date: Mon 4 Oct 2010From: Elly Hiby <EllyHiby@wspa-international.org>
</PRE>
On 21 Sep 2010, the Governor of Bali signed an agreement (MOU) with
the Bali Animal Welfare Association to launch an island-wide rabies
vaccination project, to be funded by WSPA [World Society for the
Protection of Animals]. This move was based on the success of pilot
vaccination projects in Gianyar and Bangli (2 of the 9 districts of
Bali) and the evidence of the success of vaccination projects in
controlling rabies in many other countries around the world.

The need for an island-wide vaccination response was well known to
all partners. The vaccination in Gianyar and Bangli had lead to
decreased dog bites, dog rabies cases and human cases of rabies in
these districts; but these districts are not islands, and the
unheeded movement of both people and animals across borders meant
that the risk of rabies has continued, hence the call for an
island-wide strategy that would cover all districts.

The recent case of a human death from rabies in Gianyar is a tragedy,
as every death on Bali has been since the outbreak in 2008. The
geographical location for where this bite took place has not yet been
confirmed, only the home address of the victim. However, even if
Gianyar is established as the location of the bite event, this death
is unfortunately not a surprise to the partners involved in the
island-wide vaccination project, and the risk of this tragedy was
precisely why the concept of island-wide vaccination has been so
strongly supported. This is also the reason that all vaccination
campaigns run to date in Gianyar and Bangli, and those that will form
the island-wide vaccination project, have included education
programmes in post-exposure treatment to minimise human deaths from
the rabies risk that, although decreased through vaccination, will
continue until eradication is achieved.

--
Dr Elly Hiby
Head of Companion Animals
WSPA Programmes Department
World Society for the Protection of Animals.
5th floor, 222 Grays Inn Road, London WC1X 8HB. UK
<ellyhiby@wspa-international.org>

[It is self-evident that extension of the dog vaccination programme
to all 9 districts of the island of Bali will reduce or even
eliminate human deaths attributable to dog-bite, and the WSPA
deserves every support in this effort. However, this alone is
unlikely to eliminate entirely the risk of rabies virus infection,
since the virus is believed to be present in other animals such as
felines and monkeys. It will be necessary to maintain indefinitely an
island-wide dog vaccination programme.

Travellers to Bali should be aware that the dog vaccination programme
at present only covers 2 of the 9 administrative regions of Bali. A
map of the administrative regions of Bali can be accessed at:
<http://www.baliwww.com/bali-plus/map.htm>. The HealthMap/ProMED-mail
interactive map of Indonesia can be found at
<http://healthmap.org/r/02CD>. - Mod.CP]

[see also:
Rabies, human - Indonesia (14): (BA) canine vaccination 20100922.3423
Rabies, human - Indonesia (13): (Bali) 20101003.3583
Rabies, human - Indonesia (12): (Bali) vaccine conservation 20100825.2994
Rabies, human - Indonesia (11): (Bali) 20100824.2976
Rabies, human - Indonesia (10): (Bali) livestock 20100815.2825
Rabies, human - Indonesia (09): (Bali) canine 20100806.2673
Rabies, human - Indonesia (08): (Bali) 20100802.2599
Rabies, human - Indonesia (07): (Bali) 20100707.2268
Rabies, human - Indonesia (06): (Bali) 20100616.2024
Rabies, human - Indonesia (05): (Bali) feline vaccination 20100524.1717
Rabies, human - Indonesia (04): (Bali) 20100517.1617
Rabies, human - Indonesia (03): (Bali) 20100514.1576
Rabies, human - Indonesia (02): (Bali) 20100505.1465
Rabies, human - Indonesia: (Bali) 20100409.1157]
...............................................cp/msp/dk

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ProMED-mail makes every effort to verify the reports that
are posted, but the accuracy and completeness of the
information, and of any statements or opinions based
thereon, are not guaranteed. The reader assumes all risks in
using information posted or archived by ProMED-mail. ISID
and its associated service providers shall not be held
responsible for errors or omissions or held liable for any
damages incurred as a result of use or reliance upon posted
or archived material.
************************************************************
Donate to ProMED-mail. Details available at:
<http://www.isid.org/ProMEDMail_Donations.shtml>
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Visit ProMED-mail's web site at <http://www.promedmail.org>.
Send all items for posting to: promed@promedmail.org (NOT to
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name and affiliation, it may not be posted. You may unsub-
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For assistance from a human being, send mail to:
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[Pathfinder]

Re: Bali Rabies Outbreak Kills 100, U.S. Posts Travel Warning

Rabies claims 100th fatality in Bali

The Associated Press, Bali | Fri, 10/15/2010 3:10 PM | Archipelago


A rabies outbreak on Indonesia's resort island of Bali has now killed 100 people.

Ken Wirasandhi, a doctor monitoring the epidemic, said Friday that a 40-year-old villager died overnight after being hospitalized with rabies symptoms.
[...]

http://www.thejakartapost.com/news/2010/10/15/rabies-claims-100th-fatality-bali.html