ArticlePLoS neglected tropical diseases2020
Behavioral and structural barriers to accessing human post-exposure prophylaxis and other preventive practices in Arequipa, Peru, during a canine rabies epidemic.
Article in PLoS neglected tropical diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Barriers and facilitators to vaccination in Latin America: a thematic synthesis of qualitative studies.Cadernos de saude publica · 2024Pooled it
- Rabies and rabies prophylaxis in Egypt: a nationwide cross-sectional study that calls for action.BMC public health · 2026Article
- Post-COVID-19 Rabies Surveillance and Risk Factors in Rural Eastern Cape, South Africa: A One Health Perspective.Infectious disease reports · 2026Article
- The return of human rabies: A foretold case in Latin America Through the Lens of One Health.medRxiv : the preprint server for health sciences · 2026Article
- Two-leaves and many bites: Profiling dog-bites and adherence to rabies prophylaxis in tea-estate communities of Udalguri District, Assam, India.PLoS neglected tropical diseases · 2025Article
- Socioeconomic disparities and dog rabies: a retrospective analysis of high-spatial-resolution surveillance data from a Latin American city.Lancet regional health. Americas · 2025Article
- An implementation science framework to understand low coverage in mass dog rabies vaccination.PLoS neglected tropical diseases · 2025Article
- A persona-based exploration of rabies post-exposure prophylaxis seeking behavior and its implication for communication strategic planning: Evidence from Thailand.One health (Amsterdam, Netherlands) · 2025Article
- Neighborhood Socioeconomic Status and Dog-Mediated Rabies: Disparities in Incidence and Surveillance Effort in a Latin American City.medRxiv : the preprint server for health sciences · 2025Article
- Changes in feral dog populations during the COVID-19 pandemic in Arequipa, Peru.Frontiers in veterinary science · 2025Article
- Combatting rabies outbreaks in Vietnam: High time to enforce restrictions on dog meat farming, a key source of transmission.IJID regions · 2024Review
- Rabies in rural northeast India: A case report emphasising the urgency of the One Health approach.One health (Amsterdam, Netherlands) · 2024Article
- An assessment of the operationality and factors influencing the effectiveness of rabies surveillance in Gombe State, Nigeria.PLoS neglected tropical diseases · 2024Article
- Mixed methods to evaluate knowledge, attitudes and practices (KAP) towards rabies in central and remote communities of Moramanga district, Madagascar.PLoS neglected tropical diseases · 2024Article
- Rabies post-exposure prophylaxis delivery to ensure treatment efficacy and increase compliance.IJID one health · 2023Article
- One Health Approach on Dog Bites: Demographic and Associated Socioeconomic Factors in Southern Brazil.Tropical medicine and infectious disease · 2023Article
- Rabies in the Tropics.Current tropical medicine reports · 2022Review
- Where Rabies Is Not a Disease. Bridging Healthworlds to Improve Mutual Understanding and Prevention of Rabies.Frontiers in veterinary science · 2022Article
- Behavioral Insights Into Micronutrient Powder Use for Childhood Anemia in Arequipa, Peru.Global health, science and practice · 2020Article
- Spatial Inequality Hides the Burden of Dog Bites and the Risk of Dog-Mediated Human Rabies.The American journal of tropical medicine and hygiene · 2020Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
Abstract
A canine rabies epidemic started in early 2015 in Arequipa, Peru and the rabies virus continues to circulate in the dog population. Some city residents who suffer dog bites do not seek care or do not complete indicated post-exposure prophylaxis (PEP) regimens, increasing the risk of human rabies. The objectives of our study are to qualitatively assess knowledge about rabies, and preventive practices, such as rabies vaccine administration, following a dog bite. We conduct eight focus group discussions in peri-urban and urban communities with 70 total participants. In our results, we observe low awareness of rabies severity and fatality, and different practices following a dog bite, depending on the community type: for example, whereas participants in the urban communities report cleaning the wound with hydrogen peroxide rather than soap and water, participants in peri-urban areas cover the wound with herbs and hair from the dog that bit them. Misconceptions about rabies vaccines and mistreatment at health centers also commonly prevent initiating or completing PEP. We identify important behavioral and structural barriers and knowledge gaps that limit evidence-based preventive strategies against rabies and may threaten successful prevention of dog-mediated human rabies in this setting.
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