Shabina thank you for sharing this story. It is a good reminder of a neglected deadly disease when it occurs in LMIC, even though rare.
Every health worker and indeed the public should be reminded of its existence and policy makers should educate the public and provide the necessary antidotes for treating it when it occurs, to save lives. As you rightly pointed out the prevention should be treating 'man's best friend', dogs, well including providing veterinary visits and immunisations'. Because veterinary visit can be expensive and unaffordable for many in LMICs, which is part of why dogs are not treated well, free mandatory veterinary care insurance should be available to the public.
HIFA profile: Joseph Ana is the Lead Consultant and Trainer at the Africa Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria. In 2015 he won the NMA Award of Excellence for establishing 12-Pillar Clinical Governance, Quality and Safety initiative in Nigeria. He has been the pioneer Chairman of the Nigerian Medical Association (NMA) National Committee on Clinical Governance and Research since 2012. He is also Chairman of the Quality & Performance subcommittee of the Technical Working Group for the implementation of the Nigeria Health Act. He is a pioneer Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. He is particularly interested in strengthening health systems for quality and safety in LMICs. He has written Five books on the 12-Pillar Clinical Governance for LMICs, including a TOOLS for Implementation. He established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria in 2007. Website: www.hriwestafrica.com Joseph is a member of the HIFA Steering Group and the HIFA working group on Community Health Workers.
Email: jneana AT yahoo.co.uk