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      Cross-correlation and time series analysis of rabies in different animal species in Nepal from 2005 to 2018

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          Abstract

          Rabies is a fatal zoonotic disease, resulting in human and livestock deaths. In Nepal, animal rabies has posed a significant challenge to public health. Because animals are the primary source of rabies in humans, a better understanding of rabies epidemiology in animals is necessary. The objectives of this study were to determine the correlation between rabies occurrences in dogs and livestock animals and to detect the trends and change points of the disease using longitudinal data. The nationwide rabies dataset from 2005 to 2018 was analyzed using cross-correlation, multiple change points, and time series methods. Autoregressive Integrated Moving Average (ARIMA) and Neural Network Autoregression (NNAR) were applied to the time series data. The results show a positive correlation between canine rabies and livestock rabies occurrences. Three significant change points were detected in the time series data, demonstrating that the occurrences were high in the initial years but stabilized before peaking to an upward trend in the final years of the study period. Nonetheless, there was no seasonality pattern in rabies occurrences. The most suitable models were ARIMA (2,1,2) and NNAR (5,1,4) (12). Based on the study findings, both locals and tourists in Nepal need to have enhanced awareness of the potential dangers posed by rabies in canines and livestock. This study offers much-needed insight into the patterns and epidemiology of animal rabies which will be helpful for policymakers in drafting rabies control plans for Nepal.

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          Most cited references53

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          Re-evaluating the burden of rabies in Africa and Asia.

          To quantify the public health and economic burden of endemic canine rabies in Africa and Asia. Data from these regions were applied to a set of linked epidemiological and economic models. The human population at risk from endemic canine rabies was predicted using data on dog density, and human rabies deaths were estimated using a series of probability steps to determine the likelihood of clinical rabies developing in a person after being bitten by a dog suspected of having rabies. Model outputs on mortality and morbidity associated with rabies were used to calculate an improved disability-adjusted life year (DALY) score for the disease. The total societal cost incurred by the disease is presented. Human mortality from endemic canine rabies was estimated to be 55 000 deaths per year (90% confidence interval (CI) = 24 000-93 000). Deaths due to rabies are responsible for 1.74 million DALYs lost each year (90% CI = 0.75-2.93). An additional 0.04 million DALYs are lost through morbidity and mortality following side-effects of nerve-tissue vaccines. The estimated annual cost of rabies is USD 583.5 million (90% CI = USD 540.1-626.3 million). Patient-borne costs for post-exposure treatment form the bulk of expenditure, accounting for nearly half the total costs of rabies. Rabies remains an important yet neglected disease in Africa and Asia. Disparities in the affordability and accessibility of post-exposure treatment and risks of exposure to rabid dogs result in a skewed distribution of the disease burden across society, with the major impact falling on those living in poor rural communities, in particular children.
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            changepoint: AnRPackage for Changepoint Analysis

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              Assessing the burden of human rabies in India: results of a national multi-center epidemiological survey.

              Human rabies has been endemic in India since time immemorial, and the true incidence of the disease and nationwide epidemiological factors have never been studied. The main objectives of the present study were to estimate the annual incidence of human rabies in India based on a community survey and to describe its salient epidemiological features. The Association for Prevention and Control of Rabies in India (APCRI) conducted a national multi-center survey with the help of 21 medical schools during the period February-August 2003. This community-based survey covered a representative population of 10.8 million in mainland India. Hospital-based data were also obtained from the 22 infectious diseases hospitals. A separate survey of the islands of Andaman, Nicobar, and Lakshadweep, reported to be free from rabies, was also undertaken. The annual incidence of human rabies was estimated to be 17,137 (95% CI 14,109-20,165). Based on expert group advice, an additional 20% was added to this to include paralytic/atypical forms of rabies, providing an estimate of 20,565 or about 2 per 100000 population. The majority of the victims were male, adult, from rural areas, and unvaccinated. The main animals responsible for bites were dogs (96.2%), most of which were stray. The most common bite sites were the extremities. The disease incubation period ranged from two weeks to six months. Hydrophobia was the predominant clinical feature. Many of the victims had resorted to indigenous forms of treatment following animal bite, and only about half of them had sought hospital attention. Approximately 10% of these patients had taken a partial course of either Semple or a cell culture vaccine. The islands of Andaman, Nicobar, and Lakshadweep were found to be free of rabies. Human rabies continues to be endemic in India except for the islands of Andaman, Nicobar, and Lakshadweep. Dogs continue to be the principal reservoir. The disease is taking its toll on adult men and children, the majority from rural areas, due to lack of awareness about proper post-exposure immunization. The keys to success in the further reduction of rabies in India lies in improved coverage with modern rabies vaccines, canine rabies control, and intensifying public education about the disease.
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                Author and article information

                Contributors
                Journal
                Heliyon
                Heliyon
                Heliyon
                Elsevier
                2405-8440
                04 February 2024
                15 February 2024
                04 February 2024
                : 10
                : 3
                : e25773
                Affiliations
                [a ]Veterinary Public Health and Food Safety Centre for Asia Pacific (VPHCAP), Faculty of Veterinary Medicine, Chiang Mai University, Chiang Mai, 50100, Thailand
                [b ]Department of Veterinary Biosciences and Veterinary Public Health, Faculty of Veterinary Medicine, Chiang Mai University, Chiang Mai, 50100, Thailand
                [c ]Research Center for Veterinary Biosciences and Veterinary Public Health, Faculty of Veterinary Medicine, Chiang Mai University, Chiang Mai, 50100, Thailand
                [d ]Veterinary Epidemiology Section (VES), Department of Livestock Services (DLS), Kathmandu, 44600, Nepal
                [e ]National Animal Science Research Institute (NASRI), Nepal Agricultural Research Council (NARC), Lalitpur, 44700, Nepal
                Author notes
                []Corresponding author. Veterinary Public Health and Food Safety Centre for Asia Pacific (VPHCAP), Faculty of Veterinary Medicine, Chiang Mai University, Chiang Mai, 50100, Thailand. veerasak.p@ 123456cmu.ac.th
                Article
                S2405-8440(24)01804-8 e25773
                10.1016/j.heliyon.2024.e25773
                10864965
                38356558
                84f23395-116e-4de7-a889-9c22265dce23
                © 2024 The Authors

                This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

                History
                : 10 April 2023
                : 29 January 2024
                : 1 February 2024
                Categories
                Research Article

                cross-correlation,forecasting,nepal,rabies,time series
                cross-correlation, forecasting, nepal, rabies, time series

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