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know|edge Att|tude and pract|ces regard|ng An|ma| 8|tes and

numan kab|es among hys|c|ans Veter|nary Doctors and


Commun|ty of kash|pur 8e|gachh|a ko|kata West 8enga|

D|ssertat|on
8y
Dr Chowdhury 5hof|qu| A|am
8atch 2010
5ubm|tted
1o
GUkU GC8IND 5ING INDkCkA51nA UNIVLk5I1
DLLnI110006

In part|a| fu|f||ment of the requ|rements
for the award of the degree
of
MA51Lk CI U8LIC nLAL1n
(IILLD LIDLMICLG)
At

NA1ICNAL CLN1kL ICk DI5LA5L CCN1kCL
DLLnI110054
DLCLM8Lk 2011



CLk1IIICA1L
Cert|f|ed that th|s d|ssertat|on t|t|ed "know|edge Att|tude and
pract|ces regard|ng An|ma| 8|tes and numan kab|es among
hys|c|ans Veter|nary Doctors and Commun|ty of kash|pur
8e|gachh|a ko|kata West 8enga|" |s the bonaf|de work of Dr
Chowdhury 5hof|qu| A|am 3
rd
5emester student 8atch 2010
Mn(IL) course at Nat|ona| Centre for D|sease Contro| De|h|
under my superv|s|on
Cert|f|ed further that to the best of my know|edge the wok
reported here|n does not form part of any other report or
d|ssertat|on on the bas|s of wh|ch a degree or award was
conferred on the ear||er occas|on on th|s or any other cand|date

Gu|de

(DrVeena M|tta|)
Add|t|ona| D|rector nead of 2oonos|s
Nat|ona| Centre for D|sease Contro| De|h|54

Counters|gned

(Dr )
Nat|ona| Centre for D|sease Contro|225hamnath Marg
De|h|110054





Acknow|edgement
WlLh areaL pleasure admlraLlon and respecL l would llke Lo express
mv hearLv araLlLude Lo mv Culde urveena MlLLal AddlLlonal ulrecLor
Pead of Zoonosls nCuC uelhl for her experlenced auldance whole
hearLed aLLenLlon lnsplrlna supervlslon and valuable suaaesLlon WlLhouL
her enllahLen ldeas and scholarlv advlce Lhe preparaLlon of Lhls
dlsserLaLlon would noL have been posslble l wlll remaln ever araLeful Lo
her
l am exLremelv araLeful Lo ur Anll kumar !olnL ulrecLor PCu
Lpldemloloav ulvlslon for hls supporL and lnLervenLlon aL all Llmes
l am exLremelv araLeful Lo Mr k uhaml[a AddlLlonal
ulrecLorSLaLlsLlc dlvlslonnCuC for hls auldance ln sample slze esLlmaLlon
l am areaLful Lo ur AroLl 8ehl uepuLv ulrecLor for her conLlnous co
operaLlon and consLanL help Lo perform mv sLudv
l would also convev mv araLlLude Lo all Lhe faculLv members of Lhe
Lpldemloloav deparLmenL for Lhelr cooperaLlon and Llmelv help


uaLe 3Lh Mav 2011 ur Chowdhurv shoflqul Alam
MP (lL) 2
nd
semesLer












AbbrevlaLlons
A8C AnLl 8ables CenLer
A8v AnLl 8ables vacclne
A8S AnLl 8ables Serum
CPC CommunlLv PealLh CenLer
CMC Chlef Medlcal Cfflcer
uvC ulsLrlcL veLerlnarv Cfflcer
P8lC Puman 8ables lmmunoalobulln
MC Medlcal Cfflcer
nCuC naLlonal CenLre for ulsease ConLrol
n1v nerve 1lssue vacclne
PC rlmarv PealLh CenLer
8lMS 8ealonal lnsLlLuLe of Medlcal Sclence
WPC World PealLh CraanlzaLlon










CCN1LN15
5ub[ect age no
LlsL of 1ables
LlsL of flaures
Abstract
Chapter 1
lnLroducLlon
lmporLance of Lhe sLudv
Cb[ecLlves
varlables
CperaLlonal deflnlLlon used ln Lhe sLudv
LlmlLaLlon of Lhe sLudv
Chapter 2
8evlew of llLeraLure
Chapter 3
8ackaround lnformaLlon


1ulscrlpLlon of 8ables


Methods Mater|a|s
6 keference
Annexure CCN5LN1 ICkM (For community)

Annexure
Annexure















A851kAC1-897,.9
Objectives
The primary objective of this study was to determine the level of knowledge,
attitudes and practices (KAP) of rabies management and control of a sample
population. The secondary objective was to compare the KAP with respect to
rabies management and control between urban and rural areas and between
pet and non-pet owners.
ethods
This cross-sectional study was carried out by conducting face-to-face
interviews using structured questionnaires among 1570 respondents from
selected households in the Kandy District, Sri Landa.
ResuIts
Approximately 58% of the sample population was pet owners. Among all the
respondents, there was a high level of awareness (90%) that dogs are the
most common rabies reservoir, that the disease is fatal (79%), and that rabies
can be prevented by vaccination (88%). Most of the subjects (96%) would
seek treatment from a doctor or a hospital after being bitten by a dog.
Although 76% of the respondents said that their pet dogs were vaccinated,
only one-half were able to present a vaccination certificate upon request. The
subjects from the urban areas would submit the head of an animal for rabies
evaluation (69%) compared with those from the rural areas (57%). Pet
owners (93%) are more aware that dog rabies vaccines are available from
authorized offices than non-pet owners (87%).
ConcIusions
The level of awareness of rabies and the level of receptiveness to rabies
control measures are high. There is a difference in the attitudes and pet care
practices relevant to rabies control between urban and rural areas. Pet
owners tend to be more cooperative to rabies control activities. The attitudes
and practices of the respondents may reflect the inaccessibility of facilities
and the lack of services that would enable community participation in rabies
control.
Key words: knowledge, attitude, practice, rabies, Sri Lanka



























D|ssertat|on 1|t|e


know|edge Att|tude and pract|ces regard|ng An|ma| 8|tes and
numan kab|es among hys|c|ans Veter|nary Doctors and
Commun|ty of kash|pur 8e|gachh|a ko|kata West 8enga|

Introduction:

8ables ls a deadlv dlsease caused bv a vlrus LhaL aLLacks Lhe
cenLral nervous svsLem (braln and splnal cord) lnfecLed mammals
can LransmlL rables vlrus Lo humans and oLher mammals 8ables ls
almosL alwavs faLal once svmpLoms appear 8ables also known as
Pvdrophobla caused bv a 8nA vlrus Cenus Lvssavlrus Lvpe1lL ls prlmarllv
a ZoonoLlc dlsease of warm blooded anlmals parLlcularlv carnlvorous such
as doas caL [ackals and wolves LransmlLLed Lo human usuallv bv blLes or
llcks of 8abld anlmal
2

SvmpLoms of 8ables accordlna Lo rof Ananda !avaslnha descrlpLlon


1he paLlenL can nelLher sLand nor lle down llke a mad man he fllnas
hlmself hlLher and LhlLher Lears hls flesh wlLh hls hands and feels
lnLolerable LhlrsL 1hls ls Lhe mosL dlsLresslna svmpLom for he so shrlnks
from waLer and all llqulds LhaL he would raLher dle Lhan drlnk or be brouahL
near Lo waLer lL ls Lhen Lhev blLe oLher persons foam aL Lhe mouLh Lhelr
eves look LwlsLed and flnallv Lhev are exhausLed and palnfullv breaLhe
Lhelr lasL"
1

8ables ls an enzooLlc and eplzooLlc dlsease of worldwlde lmporLance
1here are an esLlmaLed 33000 human deaLhs annuallv from rables
worldwlde wlLh abouL 31000 ln Asla and 24000 ln Afrlca Chlna 3300
reporLed cases ln 2007 !apan onlv lmporLed human cases (1 ln 1970 and 2
ln 2006) were reporLed aklsLan 20003000 rables deaLhs a vear nepal
200 people on an averaae dle annuallv due Lo rables Srl lanka ln Lhe vear
2008 31 people dled of rables 8analadesh Lhe annual esLlmaLed number
of human rables deaLh ls 10000 Lhouah few records frequenLlv underraLe
Lhe flaure hlllpplnes ln 2008 230 human rables cases were reporLed
1halland 9 deaLh ln 2008 vleLnam morLallLv raLe of rables was
0107/100000 ln 2008
3



ln lndla rables ls zoonoLlc problem of conslderable maanlLudeA new
survev esLlmaLe of 20 363 cases
4
ls concurrenLlv valldaLed bv anoLher
lndependenL sLudv based on maLhemaLlcal modellna whlch also assessed
Lhe lncldence of human rables ln lndla Lo be 19 700 cases
3


1here ls a need Lo senslLlze communlLv abouL Lhe proper LreaLmenL of
anlmal blLe and rables slnce Lhe effecLlve anLl rables vacclne are avallable
lL ls expecLed LhaL flndlnas of Lhe sLudv wlll help ln undersLandlna Lhe
knowledae ALLlLude of Lhe communlLv reaardlna Anlmal 8lLes and 8ables
and of Lhe phvslclan and veLerlnarv docLors for prophvlaxls and
manaaemenL of Puman 8ables 1hls sLudv wlll help Lhe concerned

auLhorlLles of Lhe CovL ln Lhe pollcv consLrucLlon fuLure plannlna acLlon
such as arranaemenL of educaLlon proaram for aeneral people abouL
Anlmal 8lLes and Puman 8ables prevenLlon Lralnlna proaram for phvslclan
and veLerlnarv docLor PCWs for proper manaaemenL LreaLmenL wlLh
prophvlaxls of Puman 8ables Also focus from human rables L Lo canlne
rables ellmlnaLlon and need Lo achleve hlah vacclnaLlon coveraae Lo reach
Lhe aoal of rables ellmlnaLlon






















Cb[ect|ves
1o assess Lhe level of knowledae ALLlLude and pracLlces amona
communlLv phvslclan and veLerlnarv docLors of kashlpur 8elaachhla
kolkaLa reaardlna Anlmal 8lLes and Puman 8ables
5pec|f|c Cb[ect|ves
1o assess Lhe socloculLural characLerlsLlcs and Lhe level of
knowledae amona Lhe communlLv reaardlna Anlmal blLe 8ables
1o know Lhe knowledae pracLlce of phvslclan and veLerlnarv
docLors on 8ables manaaemenL wlLh pre/posL exposure lmmunlzaLlon

















L|terature kev|ew
8ables ls one of Lhe oldesL and deadllesL dlseases known Lo man and
sLlll conLlnues Lo cause slanlflcanL humanmorLallLv ln Aslan SouLh
Amerlcan Afrlcan and Luraslan counLrles1hls faLal vlral encephallLls ls a
zoonoLlc dlsease LransmlLLed Lo man bv blLes/llcks/scraLches from rabld
anlmals Whlle doas are Lhe ma[or vecLors of Lransmlsslon ln Aslan
counLrles bv baLs and oLher anlmals poses a slanlflcanL LhreaL ln Amerlca
Afrlca and Lurasla
6
1here are an esLlmaLed 33000 human deaLhs annuallv
from rables worldwlde wlLh abouL 31000 ln Asla and 24000 ln Afrlca
3

1he orlenLal phvslclan descrlbed a desease resembllna rables ln man and
doas as far as 30008C
7
uoa blLes caused maxlmum morbldlLv (92)
Second mosL common blLlna anlmal was monkev (32) followed bv caL
(18) fox (04) eLc MosL blLes (643) were unprovoked blLes bv sLrav
(647) anlmals
8

ln Chlna afLer a decrease down Lo 200 cases ln 1996 reporLed rables
cases have been lncreaslna sLeadllv Lo peak aL 3300 reporLed cases ln
2007!apan ellmlnaLed rables ln Lhe 30s and onlv lmporLed human cases (1
ln 1970 and 2 ln 2006) were reporLed aklsLan has a populaLlon of an
esLlmaLed 180 mllllon 673 of Lhe populaLlon ls rural AlLhouah Lhere are
no accuraLe daLa lL ls esLlmaLed LhaL Lhere are over 23000 anlmal
blLes/vear and 20003000 rables deaLhs a vearln nepal mosL (94) of Lhe
human cases follow conLacLs wlLh rabld doas lL ls esLlmaLed LhaL 200
people on an averaae dle annuallv due Lo rablesSrl lanka ln Lhe vear 2008
31 people dled of rables 42 human rables cases are due Lo uoa 8lLes CaLs
8ock squlrrel 8andlcooLs blLes are Lhe cause for balance 9 deaLhsln
8analadesh Lhe annual esLlmaLed number of human rables deaLh ls 10000
Lhouah few records frequenLlv underraLe Lhe flaure) hlllpplnes ln 2008
230 human rables cases were reporLed ln Lhe counLrvln 1halland human


deaLh from rables decreased from 37 ln 1998 Lo 9 ln 2008ln vleLnam
rables vacclnaLlon raLe was 3783/100000 populaLlon and Lhe morLallLv
raLe of rables was 0107/100000 ln 2008 8ables slLuaLlon ln 8huLan from
!anuarv 1998 Lo March 2006 Lhere were 733 cases of rables reporLed ln
domesLlc anlmal specles
3



ln lndla ownerless and sLrav doas are malnlv responslble for Lhe
malnLenance of Lhe eplzooLlc and Lhe Lransmlsslon of rables Lo humans ln
developed counLrles Lhe rlsk Lo humans has been mlnlmlzed malnlv due Lo
mandaLorv rables vacclnaLlons of doas and oLher peLs
9
1he new esLlmaLe
of abouL 20 000 (or 2 per 100 000 populaLlon) annual human rables
lncldence based on Lhls communlLv survev
4
shows a decllne of abouL 30
from Lhe earller lncldence of 30 000 (3 per 100 000 populaLlon) reporLed
durlna Lhe perlod 19902002 1hls could be due Lo lmprovemenL ln Lhe
socloeconomlc condlLlon of Lhe people and lncreased usaae of modern
rables vacclne parLlcularlv ln urban areas 1hls new survev esLlmaLe of 20
363 cases ls concurrenLlv valldaLed bv anoLher lndependenL sLudv based on
maLhemaLlcal modelllna whlch also assessed Lhe lncldence of human
rables ln lndla Lo be 19700
3

1here ls deflnlLelv a aap ln peoples knowledae aLLlLude and pracLlces
abouL doa blLe and lLs manaaemenL Aware abouL rables and 986 people
knew abouL lLs Lransmlsslon bv doa blLe buL onlv 311 l would llke Lo
applv flrsL ald measure 364 vlslL Lhe docLor knowledae reaardlna
servlces uLlllzaLlon aaaln depended upon Lhelr educaLlonal sLaLus and
occupaLlon Around 30 of Lhe persons have oplnlon LhaL lL can be cured
whlch ls much awav from Lhe LruLh 666 of lndlvldual would llke Lo
conLrol doa populaLlon Lo reduce human rables buL 37 of Lhem are
Lhlnklna LhaL lmmunlzaLlon Lo Lhe doa aaalnsL rables can solve Lhe
problem
10









L|st of Var|ab|es
As per CuesLlonnalre admlnlsLer for communlLv phvslclan and
veLerlnarv docLors reaardlna anlmal blLes rables
Mater|a|s and Methods
5tudy des|gn
uescrlpLlve Lvpe of cross secLlonal sLudv Lhrouah a seL of pre
concelved CuesLlonnalre
5tudy per|od
1
sL
!une Lo 30
Lh
nov 2011
|ace of study
kashlpur 8elaachhla (vldhan Sabha consLlLuencv) ls an assemblv
consLlLuencv ln kolkaLa ln Lhe lndlan sLaLe of WesL 8enaal ls composed
of Lhe followlna Ward nos 1 Lo 6 of kolkaLa munlclpal corporaLlon
5tudy opu|at|on
Ceneral populaLlon of kashlpur 8elaachhla kolkaLa wesL
8enaal
hvslclan and veLerlnarv docLors of LhaL area
5e|ect|on cr|ter|a of the study popu|at|on
lollowlna crlLerla wlll be used Lo selecL Lhe sLudv populaLlon
Inc|us|on cr|ter|a


All people aae more Lhan 13 vears who wlll alve Lhe consenL Lo
parLlclpaLe
Pead of Lhe famllv or adulL who wlll be presenL aL Lhe Llme of
vlslL lf he/she alves Lhe consenL Lo parLlclpaLe
Lxc|us|on cr|ter|a
1hose are noL permanenL resldenL
5amp|e 5|ze
Sample slze calculaLed uslna Lhe formula n(Z
1
/d)
2
p(1p)
Confldence coefflclenL (1) 93
reclslon (d) 10
opulaLlon proporLlon (p) 30 (lor laraesL sample slze)
n (Z
1
/d)
2
p(1p)(196/3)
2
(30*30)38416(383)
Ceneral people 430 hvslclan30 and veLerlnarv docLors13
5amp||ng techn|que
1 430 aeneral people of Lhe communlLv
9week for aeneral people of Lhe communlLv 30 pro forma per week
LoLal 30*9430
2 hvslclan and veLerlnarv docLors of LhaL communlLv
3 week for phvslclan and veLerlnarv docLors 13 pro forma per week
LoLal 13*343 (hvslclan30 and veLerlnarv docLors13)
kesearch Instrument
uaLa wlll be collecLed accordlna Lo Lhe quesLlonnalre
retest|ng
1he drafL quesLlonnalre wlll be preLesLed on 20 case
Data Co||ect|on rocedure
1 1o Lake permlsslon from PealLh auLhorlLv Lo vlslL PC CPC
oLher hosplLal


2 1o Lake permlsslon from ulsL veLerlnarv offlcer Lo vlslL veLerlnarv
hosplLal
3 lnLervlew of CovL hvslclans wlll be done before afLer Cu
Llme
4 lnLervlew of veLerlnarv docLors wlll be done durlna Lhe offlce Llme
3CommunlLv survev wlll be done before llnLervlew

Data co||ect|on too|
A pre deslaned quesLlonnalre wlLh lnLervlew wlll be used Lo collecL
daLa 1o lnLervlew aeneral people flrsL quesLlonnalre wlll be LranslaLed
lnLo banale
retest|ng
1he drafL proforma wlll be preLesLed on 20 aeneral people Anv
addlLlon/deleLlon ln predeslaned form wlll be made as per requlremenL
Data rocess|ng
All collecLed daLa wlll be checked and verlfled Lhorouahlv Lo reduce
Lhe lnconslsLencv wlLh respecL Lo lncluslon and excluslon crlLerla 1he daLa
wlll be consolldaLed processed enLered lnLo compuLer cleaned and
complled CollecLed daLa Lhen Lransferred Lo masLer LabulaLlon sheeL as per
Lhe speclflc ob[ecLlves and kev varlables uaLa processlna wlll be done from
AuausL Lo SepLember Lo november 2011
Data Ana|ys|s
Analvsls of daLa wlll be done flnallv bv uslna compuLer proaramme
Lxcel SSS An analvsls plan wlll be developed keeplna ln vlew wlLh Lhe
ob[ecLlve of Lhe sLudv on november2011
Data resentat|on
uaLa wlll be presenLed ln Lhe form of Lables araphs and charLs ln
Lhe resulL secLlon of Lhls sLudv


Lth|ca| cons|derat|on
1he sLudv wlll be carrled ouL afLer Lhe approval of eLhlcal commlLLee
nCuC All Lhe offlclal permlsslons and lndlvldual consenL wlll be Laken from
respecLlve offlce and person




keference
1kA Survev on 8ables ln a communlLv ln Srl Lanka Clno CurLo MaLlbas6
leb2007
2 ark k Lpldemloloav of communlcable dlsease 8ables ln ark's
1exLbook of revenLlve and Soclal Medlclne20
Lh
edlLlon
3 8lACCn 2009 1he Second lnLernaLlonal Conference of 8ables ln ASlA
(8lA) loundaLlon 9-11 September 2009 Horizon Hotel, Hanoi, Viet Nam
4 WHO-APCRI National multi-centric rabies survey, 2004. (APCRI web
site: www.apcri.org)
5. Knobel DL, Cleaveland S, Coleman PG, Fe`vre EM, Meltzer MI,Miranda
MEG, et al. Reevaluating the burden oI rabies in AIrica and Asia. Bull
World Health Organ 2005;83:3608.
6. World Health Organization. World Survey oI Rabies, No. 35 Ior the year
1999. Unpublished document . WHO/CDS/CSR/EPH/2002.10. Geneva.
7 Chhabra M MlLLal vlchhpu[anl 8haLLacharva u 8ana uSvShllvlal
8ables Ceneral aspecL LaboraLorv ulaanosls 1echnlques Zoonosls
ulvlslon naLlonal CenLre for ulsease ConLrolnew uelhl2007
8lchhpu[anl 8L Mala C veena M Slnah ! 8hardwa[ M 8haLLacharva u eL
al Lpldemloloav of anlmal blLes and rables cases ln lndlaWPC
CollaboraLlna CenLre for 8ables Lpldemloloav naLlonal lnsLlLuLe of
Communlcable ulseases 22ShamnaLh Mara lndla ! Commun uls 2008
Mar40(1)2736
9Mlu 19127666 ubMed lndexed for MLuLlnLubllcaLlon 1vpes
MeSP 1erms SubsLances ubllcaLlon 1vpes MulLlcenLer SLudv ConLrol of


8ables arenLeral rables vacclnaLlon Cral rables vacclnaLlon
10 US Singh, SK Choudhary. Knowledge, Attitude, Behavior and Practice
Study on Dog-Bites and Its Management in the Context oI Prevention oI
Rabies in a Rural Community oI Guiarat. Department oI Community
Medicine, Pramukh Swami Medical College Karamsad, Anand Guiarat-
388325. India.Year : 2005 ' Volume : 30 ' Issue : 3 ' Page : 81-83.


















Questionnaire to administer for community
regarding Animal bites & Rabies
Name oI Interviewer.........................................................................................
Title................................................................................Date......../......../........
Information about the respondent
Age............... Sex......... Occupation..........
Village/town................................Road/no.................House/no..........
Sub-Dist ..........................District.............................
Education: Illiterate/ Primary school/ Secondary school/ High school/
Graduate/ Post graduate.
knowledae ALLlLude and racLlces belna lnLervlewed
1Pave vou heard abouL 8ables ?
?es/ no
2lf ves how does rables LransmlLLed ?
?es/ no
3Could Anlmal blLe mav causes 8ables ?
?es/ no
4 Could blLe of Lhese anlmal causes 8ables ?
a CaL ?es/no/noL known b Cow ?es/no/noL known
c Monkev ?es/no/noL known d 8aL ?es/no/noL known


e Wolf ?es/no/noL known f Snake ?es/no/noL known
a uoa ?es/no/noL known h 8abblL ?es/no/noL
known
3 uoes uoa suffer from rables ?
?es/no
6 Pave vou heard Pvdrophobla?
?es/no
7uo vou know Lhe svmpLom of Pvdrophobla?
?es/no
8lf ves whaL are Lhe svmpLom ?.................................. ...............................
9 uoes Puman rables can be LreaLed bv crook/Cuack?
?es/no
10uoes rables ls a faLal dlsease ?
?es/no
11WhaL ls Lhe besL LreaLmenL of local wound ?
aWash wlLh soap waLer bAnLlsepLlc dresslna
cAppllcaLlon of lndlaenous producL dnoL known
12 Wash wound for 23 mlnuLes/ 1013 mlnuLes/ 2o23 mlnuLes
13 8ables can be prevenLed bv vacclnaLlon Lo Puman?
?es/no/noL known
14 8ables can be prevenLed bv vacclnaLlon Lo Anlmal?
?es/no/noL known
13 uoa afLer blLe should be observed for 7 davs / 10 davs/13 davs/30 davs
16 uo vou know abouL Lhe AnLl 8ables ln[ecLlon ?
?es/no
17Pow manv AnLl 8ables ln[ecLlon are needed ?
18 Where would vou consulL lf Anlmal blLes ? a PC b CovL PosplLal
c rlvaLe Cllnlc d Cuack
19 Pave vou ever heard anv deaLh due Lo anlmal blLe ln vour locallLv?
?es/no


20 uo vou own a uoa ?
?es/no
21Wlll vou llke Lo vacclnaLe doa for rables ?
?es/no
22Wlll vou llke Lo have anv LreaLmenL vacclne lf vou are blLLen bv
domesLlc anlmal ?
?es/no

CuesLlonnalre for hvslclans reaardlna Anlmal blLes
8ables
Name oI Interviewer..........................................................Date......./......./.......
Degree oI respondent.................................Chamber.........................................
Anv Lralnlna recelved Lo manaae anlmal blLe
?es/no
lf veswherewhenduraLlon
knowledae ALLlLude and racLlces of Lhe hvslclan belna lnLervlewed
1Wlll vou alve rables vacclne Lo Lhe followlna ?
a CaL ?es/no/noL known b Cow ?es/no/noL known
c Monkev ?es/no/noL known d 8aL ?es/no/noL known
e Wolf ?es/no/noL known f Snake ?es/no/noL known
a uoa ?es/no/noL known h 8abblL ?es/no/noL known
2 Who are Lhe persons who need A8v ?
a ALLendanL of hvdrophobla paLlenL
b A chlld who has consumed un bolled mllk of a rabld cow
c An adulL who has been llcked on Lhe neck bv Lhe anlmal
d An adulL who has a bleedlna wound on Lhe lea bv Lhe anlmal
e A chlld who has superflclal scraLch mark on hls back bv Lhe
anlmal


3 lor Lhe besL LreaLmenL of local wound llsL Lhe followlna ln order of
prlorlLv bv A 8 C u
AdmlnlsLraLlon of A8v
AppllcaLlon of anLlsepLlc
Washlna of Lhe wound wlLh soap and waLer
SuLurlna of Lhe wound
4. Do you think Mad dog syndrome is related with human rabies?
?es/no
5.10 days observed is valid a Cnlv for doas b uoa caL onlv
c All anlmal (domesLlc wlld anlmal) d All domesLlc anlmal
6. Rabies post exposure treatment (PET) recommended Ior Human only?
?es/no
7. In your opinion wash doa blLe wound for 23 mlnuLes
lor 1013 mlnuLes lor 2o23 mlnuLes
8 In your opinion local use of anLl rables serum ls helpful?
?es/no
9 Pow manv pelple () compleLe Lhe A8v course ?
101hev do noL compleLe Lhe A8v course whv ?
a neallaence b lear of ln[ecLlon c Lxpenslve d lanorance
11lf a person reporL afLer 7 davs of class lll anlmal blLe vou would LreaL
hlm bv
a A8S+ vacclne no need of local wound LreaLmenL
b vacclne no need of A8S and local wound LreaLmenL
c vacclne and local wound LreaLmenL no need for A8v
d Local wound LreaLmenL+ A8v and vacclne
12SvmpLom of Pvdrophobla?.......................................................................








CuesLlonnalre for veLerlnarv docLor reaardlna Anlmal blLes
8ables
Name oI Interviewer..........................................................Date......./......./.......
Degree oI respondent..................................Chamber......................................
Anv Lralnlna recelved Lo manaae anlmal blLe
?es/no
lf ves wherewhenduraLlon
knowledae ALLlLude and racLlces of Lhe veLerlnarv docLor belna
lnLervlewed
1 Whlch are Lhe anlmal LhaL can LransmlL rables ?
a CaL ?es/no/noL known b Cow ?es/no/noL known
c Monkev ?es/no/noL known d 8aL ?es/no/noL known
e Wolf ?es/no/noL known f Snake ?es/no/noL known
a uoa ?es/no/noL known h 8abblL ?es/no/noL known
2 uo vou alve anLl rables vacclne Lo Lhe followlna ?
a CaL ?es/no/noL known b Cow ?es/no/noL known
c Monkev ?es/no/noL known d uoa ?es/no/noL known
e Wolf ?es/no/noL known
3.Do you think Mad dog syndrome is related with rabies?
?es/no


4.10 days observed is valid a Cnlv for doas b uoa caL
onlv c All anlmal (domesLlc wlld anlmal) d All domesLlc anlmal
5. What is the schedule Ior anti-rabies vaccine Ior animal?.......................


6. In your opinion wash doa blLe wound
for 23 mlnuLes/1013 mlnuLes/2o23 mlnuLes
7Pow manv owner compleLe Lhe A8v course for Lhelr doa?
8 1hev do noL compleLe Lhe A8v course whv ?
a neallaence b Lxpenslve d lanorance e Anv oLher cause
9Are vou vacclnaLed aaalnsL rables?
?es /no
10WheaLher pracLlse of llcenslna of doa ls prevalenL or noL
?es /no
11WhaL measures should be Laken Lo conLrol of doas
a CasLraLlon b olsonlna c ShooLlna
12 AfLer deaLh of anv rabld anlmal do vou send braln of Lhe anlmal LesLlna
for 8ables ?
?es/no















know|edge Att|tude and pract|ces regard|ng An|ma| 8|tes and
numan kab|es among hys|c|ans Veter|nary Doctors and
Commun|ty of kash|pur 8e|gach|a ko|kata West 8enga|
CONSENT FORM
I agree to take part in the dissertation proiect by Dr Chowdhury ShoIiqul
Alam MPH(FE) Scholar, NCDC, New Delhi. I have had the proiect
explained to me, and I have read the Explanatory Statement. I understand
that agreeing to take part means that:-
O I understand that my participation is voluntary, that I can choose not
to participate in part or all the proiect, and I am Iree to withdraw Irom
the study at any stage oI the proiect iI I like to do so, without being
penalised in any way.
O I understand that any data that the student extracts Irom the interview
Ior use in reports will not, under any circumstances, contain name or
identiIying characteristics ,inIormation provided by me will be held
conIidential.
O I understand that any inIormation I provide will not be used Ior any
other purpose except the dissertation and no inIormation that could
lead to the identiIication oI any individual will be disclosed in any
reports on the proiect, or to any other party
O I understand that reports based on the interview(s) will be kept in a
secure storage and accessible to the Unit examiners only.
O I agree to be interviewed by the investigator Yes No




Respondent
,
s name: Signature:
Date: Investigator:




know|edge Att|tude and pract|ces regard|ng An|ma| 8|tes and
numan kab|es among hys|c|ans Veter|nary Doctors and
Commun|ty of kash|pur 8e|gach|a ko|kata West 8enga|
CCN5LN1 ICkM (For community)
O l aaree Lo Lake parL ln Lhe in the dissertation proiect by Dr
Chowdhury ShoIiqul Alam MPH(FE) Scholar, NCDC, New
Delhi l have had Lhe pro[ecL explalned Lo me and l have read Lhe
LxplanaLorv SLaLemenL whlch l keep for mv records l undersLand
LhaL aareelna Lo Lake parL means LhaL l am wllllna Lo
O l aaree Lo be lnLervlewed bv Lhe lnvesLlaaLor es No
O l undersLand LhaL mv parLlclpaLlon ls volunLarv LhaL l can choose noL
Lo parLlclpaLe ln parL or all of Lhe pro[ecL and LhaL l can wlLh draw aL
anv sLaae of Lhe pro[ecL wlLhouL belna penallzed or dlsadvanLaaed ln
anv wav
O l undersLand LhaL anv daLa LhaL Lhe sLudenL exLracLs from Lhe
lnLervlew for use ln reporLs wlll noL under anv clrcumsLances
conLaln names or ldenLlfvlna characLerlsLlcs
O l undersLand LhaL anv lnformaLlon l provlde ls confldenLlal and LhaL
no lnformaLlon LhaL could lead Lo ldenLlflcaLlon of anv lndlvldual wlll
be dlsclosed ln anv reporLs on Lhe pro[ecL or Lo anv oLher parLv
O l undersLand LhaL reporL based on Lhe lnLervlew(s) wlll be kepL ln a
secure sLoraae and accesslble Lo Lhe unlL examlners onlv


8esponder's name
SlanaLure
uaLe lnvesLlaaLor



RESULT

know|edge Att|tude and pract|ces regard|ng An|ma| 8|tes and
numan kab|es among hys|c|ans Veter|nary Doctors and
Commun|ty of kash|pur 8e|gach|a ko|kata West 8enga|
1A8LL 1 Demograph|c character|st|cs of the respondents of
kash|pur 8e|gach|a ko|kata West 8enga|

Demograph|c character|st|cs No (N450)
5ex Ma|e
Iema|e
Age 1529
3059
60above
Lducat|on I|||terate
r|mary
5choo|


M|dd|e
5choo|

n|gh 5choo|
Graduate
ost
Graduate



4Epidemiology & Control
-Reservoir species
-Mammals, mainly terrestrial carnivores
-Bats
-Sylvatic cycles
-Urban cycles
-Control
-Vaccination
-Post-Exposure Prophylaxis (PEP)
2005-2010






know|edge Att|tude and pract|ces regard|ng An|ma| 8|tes and
numan kab|es among hys|c|ans Veter|nary Doctors and
Commun|ty of kash|pur 8e|gach|a ko|kata West 8enga|
1. Lach Ind|an c|ty has two parts one ha|f ||ves |n re|at|ve|y c|ean and hea|thy env|rons wh||e the other ||ves |n
congested and overcrowded s|ums sans bas|c amen|t|es
*
Aaarwal S leel Lhe pulse of poverLv PlndusLan 1lmes
2007Mav 3
2. Kolkata (Calcutta) is the largest truly no-kill city in the world.

8ables vacclne
3. Slnce rables ls an lncurable dlsease LhaL can even lnfllcL humans admlnlsLerlna a rables vacclne Lo vour
doa ls requlred bv law A rables vacclne ls alven when Lhe doa ls beLween 1618 weeks of aae An
addlLlonal [ab ls alven afLer one vear afLer whlch boosLers are alven everv Lhree vears


4.