{"id":304,"date":"2025-04-02T13:52:00","date_gmt":"2025-04-02T13:52:00","guid":{"rendered":"https:\/\/www.ucateci.edu.do\/onesalud\/?p=304"},"modified":"2025-09-09T20:33:22","modified_gmt":"2025-09-09T20:33:22","slug":"barrios-pobres-al-lado-de-areas-de-riesgo-de-inundacion-2","status":"publish","type":"post","link":"https:\/\/www.ucateci.edu.do\/onesalud\/2025\/04\/02\/barrios-pobres-al-lado-de-areas-de-riesgo-de-inundacion-2\/","title":{"rendered":"La Rabia, un peligro latente en Rep\u00fablica Dominicana"},"content":{"rendered":"\t\t
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Dra. Diana Dom\u00ednguez\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 M\u00e9dico del Departamento de Epidemiolog\u00eda del Hospital Jos\u00e9 Mar\u00eda Cabral y B\u00e1ez y egresada de la maestr\u00eda en Salud P\u00fablica con \u00e9nfasis en Epidemiolog\u00eda de la UCATECI.<\/p>\n

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La rabia se transmite por agresiones de animales a personas, incluidas las mordeduras, los ara\u00f1azos y las lameduras, y afecta al sistema nervioso central, por lo que tiene un alto riesgo de mortalidad [1]. Como un gran problema sanitario en la regi\u00f3n de las Am\u00e9ricas, se han registrado 846 casos de rabia humana entre 2000 y 2022, de los cuales 398 fueron por mordedura de perro, 339 por mordedura de murci\u00e9lago y 78 por mordedura de otros animales. Se ha observado que los casos provocados por agresi\u00f3n canina se limitan a pocos pa\u00edses, como Bolivia, Cuba, Guatemala, Hait\u00ed y Rep\u00fablica Dominicana [4]. Por otro lado, los casos de rabia humana causados por perros, gatos, ganado y fauna silvestre (murci\u00e9lagos de especie no identificada, hemat\u00f3fagos y no hemat\u00f3fagos, ardillas, c\u00e1nidos silvestres, castores, kinkaj\u00faes, ciervos, coat\u00edes, comadrejas, coyotes, felinos silvestres, y lobos) se registraron en el norte y sur del continente [5]. En la mayor\u00eda de los pa\u00edses, estos valores se centran en confirmar casos sospechosos en las poblaciones y \u00e1reas de la regi\u00f3n.<\/p>\n

En la Rep\u00fablica Dominicana, el Ministerio de Salud P\u00fablica (MSP) estima que se notifican miles de agresiones por animales al a\u00f1o, la mayor\u00eda (alrededor del 90%) causadas por perros y gatos. Se ha registrado una dr\u00e1stica disminuci\u00f3n de los casos de rabia humana en los \u00faltimos a\u00f1os, con 14 casos reportados entre 2015 y 2024 [2,3]. Espec\u00edficamente, se confirmaron cuatro casos anuales entre 2015 y 2018, y un caso anual entre 2019 y 2024 [3].<\/p>\n

Para reducir y eliminar la carga de la rabia humana transmitida por animales en el pa\u00eds, el MSP cumple con las estrategias de la Organizaci\u00f3n Panamericana de la Salud (OPS) mediante campa\u00f1as de vacunaci\u00f3n masiva, educaci\u00f3n p\u00fablica y un sistema de vigilancia epidemiol\u00f3gica efectivo [4]. Se han adoptado protocolos nacionales para atender a personas expuestas al virus, que se complementan con jornadas nacionales de vacunaci\u00f3n canina y felina, y campa\u00f1as de educaci\u00f3n p\u00fablica. A pesar de las actividades implementadas, sigue siendo un desaf\u00edo garantizar la cobertura de la vacunaci\u00f3n antirr\u00e1bica en animales en zonas rurales y fronterizas, as\u00ed como desarrollar campa\u00f1as comunitarias para concienciar sobre la prevenci\u00f3n de la rabia. La vigilancia es fundamental para detectar de manera temprana los posibles brotes en animales, pero su implementaci\u00f3n se ve dificultada por limitaciones de recursos y personal capacitado en ciertas \u00e1reas del pa\u00eds [2].<\/p>\n

Dado que se valora la necesidad de mantener la vigilancia y el control de los casos sospechosos y confirmados de la rabia en humanos y animales, se deben identificar los desaf\u00edos restantes y planificar las acciones puntuales que generen intervenciones eficientes [6]. La colaboraci\u00f3n interinstitucional puede fomentar la inversi\u00f3n en recursos humanos, vacunas antirr\u00e1bicas y otros materiales, as\u00ed como la participaci\u00f3n activa de la<\/p>\n

comunidad. Se deben dise\u00f1ar campa\u00f1as educativas y de vacunaci\u00f3n masiva y sostenidas, tanto caninas como felinas, y promover la profilaxis post-exposici\u00f3n. En el foro nacional celebrado en junio de 2025, la OPS reiter\u00f3 su compromiso de acompa\u00f1ar a la Rep\u00fablica Dominicana en la meta de eliminar la rabia humana transmitida por perros y afirm\u00f3 que se cuenta con los conocimientos, las evidencias y la voluntad necesarios. Establecen que ahora es momento de actuar en sinergia y con determinaci\u00f3n para conseguir cero muertes humanas por rabia de transmisi\u00f3n canina y que esta meta se conseguir\u00e1 trabajando juntos.<\/p>\n

Referencias<\/strong><\/p>\n

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  1. Organizaci\u00f3n Mundial de la Salud. Informaci\u00f3n sobre rabia [Internet]. 2018 [citado 2025 agosto 14]. Disponible en: https:\/\/www.who.int\/es\/news-room\/fact-sheets\/detail\/rabies<\/a><\/li>\n
  2. Ministerio de Salud, Gobierno de la Rep\u00fablica Dominicana. Protocolo de prevenci\u00f3n y atenci\u00f3n a personas agredidas por animales transmisores del virus de la rabia. Santo Domingo: Ministerio de Salud; 2015. Disponible en: https:\/\/repositorio.msp.gob.do\/handle\/123456789\/1554<\/a><\/li>\n
  3. Direcci\u00f3n de Epidemiologia, Rep\u00fablica Dominicana. Bolet\u00edn epidemiol\u00f3gico semana 03 de 2025. 2025 [citado 2025 agosto 15]. Disponible en: https:\/\/www.epidemiologia.gob.do\/media\/lu3jbrmh\/boletin-semanal-03-2025-1.pdf<\/a><\/li>\n
  4. Organizaci\u00f3n Panamericana de Salud. REDIPRA 17: Informe sobre la situaci\u00f3n de la rabia en las Am\u00e9ricas 2017 a 2022. Ginebra: OPS; 2023.Disponible en: https:\/\/iris.paho.org\/handle\/10665.2\/58959<\/a><\/li>\n
  5. Cabello C, Cabello F. Zoonosis con reservorios silvestres: amenazas a la salud p\u00fablica y a la econom\u00eda. Rev M\u00e9d Chile. 2008;136(3):385-393.<\/li>\n
  6. Organizaci\u00f3n Mundial de la Salud. WHO expert consultation on rabies: third report. Ginebra: OMS; 2018. Disponible en: https:\/\/iris.who.int\/handle\/10665\/272364<\/a>\u00a0<\/li>\n<\/ol>\n

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    Dra. Diana Dom\u00ednguez\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 … <\/p>\n","protected":false},"author":1,"featured_media":309,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":["post-304","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-boletin-una-salud-ucateci-volumen-2-no-1-abril-2025"],"yoast_head":"\nLa Rabia, un peligro latente en Rep\u00fablica Dominicana - BOLET\u00cdN UNA SALUD-UCATECI<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ucateci.edu.do\/onesalud\/2025\/04\/02\/barrios-pobres-al-lado-de-areas-de-riesgo-de-inundacion-2\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"La Rabia, un peligro latente en Rep\u00fablica Dominicana - BOLET\u00cdN UNA SALUD-UCATECI\" \/>\n<meta property=\"og:description\" content=\"Dra. Diana Dom\u00ednguez\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 …\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ucateci.edu.do\/onesalud\/2025\/04\/02\/barrios-pobres-al-lado-de-areas-de-riesgo-de-inundacion-2\/\" \/>\n<meta property=\"og:site_name\" content=\"BOLET\u00cdN UNA SALUD-UCATECI\" \/>\n<meta property=\"article:published_time\" content=\"2025-04-02T13:52:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-09-09T20:33:22+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ucateci.edu.do\/onesalud\/wp-content\/uploads\/2025\/09\/shutterstock_2355631395.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2000\" \/>\n\t<meta property=\"og:image:height\" content=\"1335\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Unasalud\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.ucateci.edu.do\/onesalud\/2025\/04\/02\/barrios-pobres-al-lado-de-areas-de-riesgo-de-inundacion-2\/\",\"url\":\"https:\/\/www.ucateci.edu.do\/onesalud\/2025\/04\/02\/barrios-pobres-al-lado-de-areas-de-riesgo-de-inundacion-2\/\",\"name\":\"La Rabia, un peligro latente en Rep\u00fablica Dominicana - 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