Evidence map›Paper›PMID 28742094›Full record

ArticlePLoS neglected tropical diseases2017

Epidemiology, clinical features and risk factors for human rabies and animal bites during an outbreak of rabies in Maputo and Matola cities, Mozambique, 2014: Implications for public health interventions for rabies control.

Cristolde Salomão, Amílcar Nacima, Lutero Cuamba, Lorna Gujral, Olga Amiel, Cynthia Baltazar, Julie Cliff, Eduardo Samo Gudo

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Human rabies exposure and associated risk factors in North-West Ethiopia.Public health in practice (Oxford, England) · 2025
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  15. Clinical aspects of human rabies in the state of Ceará, Brazil: an overview of 63 cases.Revista da Sociedade Brasileira de Medicina Tropical · 2021
    Article
  16. Article
  17. Article
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  19. A dog bite study in a dog rabies-affected area in South Africa.Southern African journal of infectious diseases · 2020
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Cristolde SalomãoDepartment of Surveillance, National Institute of Health, Maputo, Mozambique.
Amílcar NacimaField Epidemiology and Laboratory Training Program, National Institute of Health, Maputo, Mozambique.
Lutero CuambaMaputo City Health Directorate, Ministry of Health, Maputo, Mozambique.
Lorna GujralDepartment of Epidemiology, National Directorate of Public Health, Ministry of Health, Maputo, Mozambique.
Olga AmielDepartment of Neglected Tropical Diseases Program, National Directorate of Public Health, Maputo, Mozambique.
Cynthia BaltazarDepartment of Surveillance, National Institute of Health, Maputo, Mozambique.
Julie CliffFaculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique.
Eduardo Samo GudoDepartment of Surveillance, National Institute of Health, Maputo, Mozambique.ORCID http://orcid.org/0000-0002-8686-7873
Ministry of Health · MZEduardo Mondlane University · MZNational Directorate of Geology · MZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Mozambique, the majority of rabies outbreaks are unreported and data on the epidemiological features of human rabies and animal bites are scarce. An outbreak of human rabies in adjacent Maputo and Matola cities in 2014 prompted us to investigate the epidemiology, clinical features and risk factors of human rabies and animal bites in the two cities. METHODOLOGY/PRINCIPAL

findingsWe reviewed cases of human rabies and animal bites from April to July 2014, and carried out a community investigation in July and August in the neighborhoods where cases of human rabies resided. This investigation included collection of clinical, demographic and epidemiological information and a case control study to investigate the risk factors associated with human rabies. Fourteen cases of human rabies were detected in Maputo (n = 10) and Matola (n = 3) cities and neighbouring Boane district (n = 1) between April and August 2014, all of whom had been admitted to hospital. All had a recent history of dog bite. Of the 14 rabid dogs, only one had been immunized. 819 cases of animal bites were registered, of which 64.6% (529/819) were from Maputo City. Dogs were responsible for 97.8% (801/819) of all animal bites, but only 27.0% (126/467) were immunized. Factors significantly associated with human rabies were: age <15 years (p = 0.05), bite by stray dog (p = 0.002), deep wound (p = 0.02), bite in the head (p = 0.001), bite by unimmunized dog (p = 0.01), no use of soap and water (p = 0.001), and no post-exposure prophylaxis (p = 0.01). CONCLUSIONS/SIGNIFICANCE: Implementation of control measures for rabies is poor in Maputo and Matola cities, where cases of human rabies were strongly associated with bites by stray and unvaccinated dogs and irregular implementation of post-exposure measures.

Indexed as

AdolescentAdultAgedAged, 80 and overAnimalsBites and StingsCase-Control StudiesChildChild, PreschoolDemographyDisease OutbreaksDog DiseasesDogsFemaleHumansInfant

Identifiers

PMID28742094
PMCPMC5542695
OpenAlexW2739076809

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.