Consequences of geographical accessibility to post-exposure treatment for rabies and snakebite in Africa : a mini review

Article Article scientifique Revue de la littérature Consequences of geographical accessibility to post-exposure treatment for rabies and snakebite in Africa : a mini review eng 2024-05-30 2024-05-30 author Faust Aurélia 853552 author Ray Nicolas 0000-0002-4696-5313 126189 Institut de santé globale (COSPR) 1309692 10.3389/frhs.2024.1309692 38873089 2813-0146 PMC11169726 https://www.frontiersin.org/articles/10.3389/frhs.2024.1309692/full Introduction: Rabies and snakebite envenoming are two zoonotic neglected tropical diseases (NTDs) transmitted to humans by animal bites, causing each year around 179,000 deaths and are most prevalent in Asia and Africa. Improving geographical accessibility to treatment is crucial in reducing the time from bite to treatment. This mini review aims to identify and synthesize recent studies on the consequences of distance and travel time on the victims of these diseases in African countries, in order to discuss potential joint approaches for health system strengthening targeting both diseases. Methods: A literature review was conducted separately for each disease using Pubmed, Google Scholar, and snowball searching. Eligible studies, published between 2017 and 2022, had to discuss any aspect linked to geographical accessibility to treatments for either disease in Africa. Results: Twenty-two articles (8 on snakebite and 14 on rabies) were eligible for data extraction. No study targeted both diseases. Identified consequences of low accessibility to treatment were classified into 6 categories: (1) Delay to treatment; (2) Outcome; (3) Financial impacts; (4) Under-reporting; (5) Compliance to treatment, and (6) Visits to traditional healers. Discussion and conclusion: Geographical access to treatment significantly influences the burden of rabies and snakebite in Africa. In line with WHO's call for integrating approaches among NTDs, there are opportunities to model disease hotspots, assess population coverage, and optimize geographic access to care for both diseases, possibly jointly. This could enhance the management of these NTDs and contribute to achieving the global snakebite and rabies roadmaps by 2030. Rabies Snakebite Neglected tropical disease Africa Accessibility Dewey 613 Dewey 333.7-333.9 18 Institut des sciences de l'environnement 0DB 66 Institut de santé globale 22A1 false 1057 TIGERS 941 ISE Pôle Informatique environnementale 1275 GeoHealth: approches géospatiales et environnementales en santé globale 1000 Frontiers in health services 4 8e1424c7-4ccb-43f2-96de-bd3eacb858e4 Article (Published version) Public frhs-04-1309692.pdf 512458 application/pdf CC BY-4.0 dea0dfda9bb16c68e8a39da892ea2aa6f0a7042352bccab8cd9c4df1b2119510 f58c0773-280f-4de4-9c4c-7dcccb95c134 Supplemental data Public Data_Sheet_1-4.docx 392956 application/vnd.openxmlformats-officedocument.wordprocessingml.document d4166c34c372826c0e4e1ea42f2661772d49b987dec030a8b2d8e56d8a79b56e Vignette Public Picture 1.png 91697 image/png openAccess Centres et instituts / Institut des sciences de l'environnement Faculté de médecine / Section de médecine clinique / Département de santé et médecine communautaires / Institut de santé globale

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Consequences of geographical accessibility to post-exposure treatment for rabies and snakebite in Africa : a mini review	Frontiers in health services			2024	105	148

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Faust, Aurélia