Update hondsdolheid Bali okt/nov 2009

Uit LONELY PLANET okt/nov 2009:


Rabies on Bali update
This is an update to Outbreak of rabies on Bali

Short version: the outbreak continues to spread and people who are bitten by animals cannot get treatment on Bali. Visitors should be prepared to fly to another country immediately if bitten and should consider getting vaccinated ahead of time if doing high risk activities.

The rabies outbreak is continuing to spread. " As of October 2009, the Indonesia Ministry of Health has reported 15 deaths caused by rabies on Bali. Most human and animal rabies cases have been confirmed near popular tourist destinations on the southern tip of Bali." So far, no cases have been in visitors. In early October, the Bali Animal Welfare Association reported:

cases [ in dogs] in East Bali, at Kubu, which is on the coast, just north of the tourist diving resorts Tulamben and Amed. We also had positive cases north of Ubud in Petang, about half way from the original case on the south coast to the north coast....So far no cases have been identified within the major cities of Ubud and Gianyar, and only a few on the outskirts of Denpasar the capital city, but cases now have occurred on all sides of these densely populated and trafficked communities.

WHO is cautioning that there is no human or equine rabies immunoglobulin presently available in Bali and that the supply of WHO-approved tissue culture rabies vaccines also cannot be assured. That means that if bitten, travelers would not be able to be treated on Bali. WHO says "the nearest facilities that are able to provide reliable post-exposure treatment are in Singapore, Bangkok and Australia, All of these can be reached by direct daily flights."

WHO also strongly recommends that "Travelers likely to be engaged in high risk activities for potential exposure should consider receiving pre-exposure rabies vaccine prior to their departure." US CDC adds "During pre-travel consultations, health-care providers should stress the importance of avoiding animal bites and recommend that travelers to Indonesia supplement their health insurance to cover emergency evacuation or health care abroad." New South Wales health authorities suggest "Travellers should avoid contact with animals in Bali, and if this is not possible then they should arrange pre-exposure rabies vaccination before travel, particularly if they plan an extended holiday in the region."


Extra:

Inmiddels is ook bekend gemaakt door de regering, dat er diverse gezondheidsambtenaren geld vragen voor de gratis vaccins en inentingen.
Cari makan.