Kathmandu, July 29

Despite the governmentfree provision of rabies vaccination, many people lose their lives each year due to the disease.

According to the data provided by Sukraraj Tropical and Infectious Disease Hospital, 19 cases of rabies were diagnosed in the hospital in the fiscal 2018-19.

Rabies, hydrophobia

The number of patients taking rabies vaccines has also been rising in the hospital for the last few years. Patients visit the hospital to take rabies vaccination after being bitten by dog, monkey, cat, cattle and rodents.

Comparative figures
Year 2013-14 2014-15 2015-16 2016-17 2017-18 2018-19 (Till May 15)
Number of people receiving vaccination 23,618 20,468 22,046 29,309 30,328 25,040

According to Epidemiology and Disease Control Division, it is estimated that the annual incidence of human rabies is around one hundred across the country.

Many human rabies cases are not admitted, or patients don&t seek medical advice. The number of animal bite cases has fluctuated over the past few years. It is estimated that around 50,000 people seek post-exposure prophylaxis in Nepal.

According to World Health Organisation, dogs are the main cause of human rabies deaths, contributing up to 99 per cent of all the rabies transmissions to humans. People are usually infected following a deep bite or scratch from an animal inflicted by rabies. Transmission can also occur when the infectious material & usually saliva & comes into direct contact with human mucosa or fresh skin wounds.

Anup Bastola, consultant tropical medicine physician at STIDH, said people are ignorant and unaware about rabies. Many people come to the hospital only after they develop symptoms of rabies. They visit the hospitals with signs of hyperactivity, excitable behaviour, hydrophobia (fear of water) and sometimes aerophobia (fear of drafts or of fresh air).

Despite the animalbite, many patients usually ignore post-bite vaccination. There is lack of education about viral infection. Thatwhy people are losing their lives to the preventable disease, said the doctor.

After the dog bites, people should take anti-rabies vaccination as soon as possible so that the vaccine can become more effective. The vaccine is given to neutralise the virus, said Bastola.

Stakeholders working to prevent rabies infection say that education on dog behaviour and bite prevention is necessary among children and adults.

Agriculture and Livestock Departmentrecords reveal that there are 82,000 stray dogs in the capital. Of them, over 7,840 dogs have been vaccinated.

Though we are working to help prevent rabies by vaccinating and sterilising dogs, the campaign should be extended across the country. Until and unless all the concerned local bodies and the government work effectively, it will be difficult to eliminate rabies.

Rabies prevention should be in the priority list of the government, said Hari Bahadur Bhandari, Chief of Agriculture and Livestock Department, Kathmandu metropolis.

WHO has set a target to eliminate dog-transmitted rabies by 2030. WHO, the World Organisation for Animal Health, Food and Agriculture Organisation of the United Nations (FAO), and the Global Alliance for Rabies Control (GARC) have established a global ‘United Against Rabies& collaboration to provide a common strategy to achieve ‘zero human rabies deaths by 2030.&

&Rabies elimination is possible, but itchallenging,& said Bastola. People should be aware of dog bite and should immediately take vaccines after dog bite. The local bodies and health sectors should work in tandem to lessen the number of dog bites.

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Kathmandu, July 29

Member of Nepal Communist Party (NCP) Secretariat Ram Bahadur Thapa today floated a proposal in the secretariat meeting that members of the secretariat should not lead any department of the party. His proposal came at a time when top leaders of the party were divided on who should lead the Training Department, responsible for indoctrination of cadres.

Deputy Prime Minister and Defence Minister Ishwar Pokharel and party Spokesperson Narayan Kaji Shrestha have staked claim to head the Training Department.

Senior leader of the party and former prime minister Madhav Kumar Nepal, however, rejected Thapaproposal, according to a party source.

Thapa, who also holds the home portfolio in the KP Sharma Oli-led Cabinet, said the partyrank and file were of the view that the nine secretariat members should not head any department as their plate was already full.

An NCP leader told THT that Thapa claimed in todaymeeting that lower level cadres didn&t want to see senior leaders heading any of the party33 departments.

According to an NCP source, PM Oli said during the meeting that he wanted to know the views of other leaders also on the issue. The secretariat then postponed its meeting till August 13.

NCP Spokesperson Narayan Kaji Shrestha told mediapersons that the meeting was postponed because senior leaders were going to ask leaders regarding the departments they wanted to lead.

Senior leaders& failure to name department chiefs has delayed the partyunification process. Former CPN-UML and CPN-MC had merged in May last year, but the party has not been able to complete the merger process.

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