Study On The Residents' Awareness Of Rabies And The Quality Of The Immunization Clinic Of Hydrophobia In Tianjin

Objective:To understand the awareness of rabies knowledge among the residents especially of the high-risk group people and the quality of the immunization clinic of hydrophobia. To Analysis the characteristic of the epidemiology, and the factor and the control level of rabies in Tianjin, in order to take the effective and comprehensive measure to prevent the rabies.Method:Use the cluster sampling and random sampling methods,2650 Residents were investigated with questionnaires for the awareness and attitude of rabies. Use the supervision data of the immunization clinic of hydrophobia in Tianjin. Use the excel 2007 and SPSS13.0 to do the statistics.Results:1. Awareness of the rabies knowledge of Tianjin Residents Over 76% residents knew the rabies can cause death, and 67.6% knew the rabies couldn't be cured. Only 32.6% knew scratched by dog can case rabies and 16.8% knew that if the wound licked by dog also can cause rabies. The awareness rate of local people is higher than the nonlocal people in the infectious ways (x2=8.871, P<0.05;x2=6.779, P<0.05) and how to deal with the wound (x2=11.923, P<0.05) and vaccines (x2=4.513, P<0.05). Degree of education and profession were also have difference with the awareness.There were 306(12.7%) people ever been hurt by dog, and they knew less than the people who didn't been hurt in the question of infectious ways (x2=16.811, P<0.05; x2=3.175, P<0.05), and they knew more in the questions of how to deal with the wounds and vaccines (x2=7.989, P<0.05;x2=20.993, P<0.05;x2=19.930, P<0.05); There were 685人(28.4%) raising dogs or cats at home, the awareness rates of people who raise dogs/cats were lower than the people who don't raise dogs/cats in the questions of the harmfulness of rabies, infectious ways and wound dealing; and higher in the question of vaccines (x2=8.187, P<0.05;x2=18.971, P<0.05). People who raise dogs knew less of the system of dog raise (x2=19.242, P<0.05), and more people who ever been wounded thought the rabies should be prevented (x2=9.043, P<0.05); and 90% people of all group want to accept much more knowledge of rabies.2. Quality investigation of the immunization clinic of hydrophobia 15% clinics were not the reference clinic, the equipment of all the clinics were up to standard.10.48% doctors were not been trained of how to deal with the wound,13% doctors of reference clinics and 36% of no-reference clinics couldn't answer the procedure of wounds dealing accurately. There were 165235 people visited the clinics from 2009 to 2010, most were over 15 years old(81.1%); The mainly exposure degree wereⅡdegree exposure(78.5%), there were 95.1% people did the wound dealing; 98.3% of the vaccines and 96.8% of the hydrophobic immunoglobulin in clinics were recommended.Conclusion:The trend of rabies prevalence of Tianjin is going up at present, and the awareness rate of rabies knowledge of residents is at a low level, there are some problems in the rabies clinics. A comprehensive measure of rabies control and prevention should be taken immediately including the registration management and immunization of dogs, education to all the people especially for the high risk group people, and do more trainings to the medical staff of the clinics, improving the quality of the clinic to provide the best service to the patients.