In Ontario, approximately 2,000 courses of rabies post-exposure prophylaxis (RPEP) are recommended annually. Over the past three decades in Ontario, the number of courses of RPEP administered has not decreased consistent with the marked decrease in animal rabies cases. This prompted a review of the reasons that RPEP was administered using information entered in the integrated Public Health Information System (iPHIS) for 2013. This presentation will provide findings from the review which revealed that the number of RPEP courses administered could be reduced, without increased risk of rabies infection. Appropriate use of RPEP is important to avoid unnecessary interventions and their associated costs.
Presenters: Dr. Dean Middleton and Dr. Bryna Warshawsky
Dr. Middleton is a Veterinary Epidemiologist whose primary areas of interest are enteric and zoonotic diseases. He joined Public Health Ontario in 2009, after having worked at the Ontario Ministry of Health and Long-Term Care for ten years. Dr. Middleton has a special interest in rabies and has been working on rabies at the provincial level for 18 years.
Dr. Warshawsky is a Public Health physician with Public Health Ontario (PHO). She joined PHO in 2014 and was previously the Associate Medical Officer of Health for the Middlesex-London Health Unit.
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