A Review of Social Issues in Relation to the Rabies Outbreak in Sarawak, Malaysia
Abstract
This article aims to review studies on social issues, patient management, and preventive behaviors related to the human rabies outbreak in Sarawak. The review analysed 19 documents from databases and 6 newspaper reports. Studies highlighted factors such as population density, seasonal patterns, and contact with dogs as contributing to the risk of rabies. Control efforts focused on dog vaccination and public education. Key epidemiological studies revealed a high case fatality rate and low rates of immediate medical treatment post-exposure. Social issues such as mishandling of patients, lack of federal support, and low public awareness were significant obstacles. Community engagement and interventions, including educational tools and behavioral assessments, were essential for improving rabies control. Health-seeking behavior patterns showed a general lack of prompt action post-exposure, with many patients seeking treatment too late. Prevention strategies emphasized the “One Health” approach, integrating human and animal health surveillance to enhance rabies control. Comprehensive public education, community involvement, and resource allocation are critical to addressing the ongoing challenges of rabies prevention in Sarawak.
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References
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