Characteristics of Fatal Human Rabies cases in Indonesia 2016 - 2017

Rabies is a zoonotic disease that is transmitted to humans by bites or scratches or licks (on damaged skin or mucous membranes) from infected animals, most often dogs. Rabies is endemic in several regions in Indonesia. If untreated, bites of rabies will cause fatal. The aim of this analysis is to explore the characteristics of fatal human cases caused by the bites of rabies transmitting animal in Indonesia in 2016-2017. The collection of human case data with bites of rabies transmitting animals (GHPR) from all provinces of Indonesia in 2016 and 2017 by the zoonotic Subdirectorate, Directorate Pencegahan dan Pengendalian Penyakit Tular Vektor dan Zoonosis (P2PTVZ), Directorat General of Disease Prevention and Control. We analyzed tha characteristics of the provincial which was reported GHPR cases, incubation period, bite location, clinical symptoms, history of vaccination and the demography of fatal GHPR cases. The clinical case definition for GHPR based on the World Health Organization. The results show that GHPR cases were reported from 25 out of 34 provinces. The most frequently reported incubation period is 1-2 month (40.7%). The location of most bites on the legs (37.3%). Most clinical symptoms reported were hydrophobia (76.6%), followed by hypersalivation (64.5%), convulsion (35.5%), photophobia and hyperhidrosis respectively (31.2%). Fever is not the main symptom, only 19.9%. Most fatal GHPR cases do not receive appropriate vaccination post-exposure (VAR). Male as fatal GHPR cases are more often than women with ratio 1.8 to 1 and adult cases more than children. inconclusions immediate treatment with complete post-exposure vaccination has not been well implemented in reported fatal GHPR cases.