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1. Title Title of document Using a modified rabies immunoglobulin protocol in a crisis of unavailability: Ethical and practical challenges
 
2. Creator Author's name, affiliation, country Omesh Kumar Bharti; State Epidemiologist, State Institute of Health and Family Welfare and Master Trainer, Intra-dermal Rabies Vaccination, State Intra-dermal Anti-rabies Clinic and Research Centre, Deen Dayal Upadhyaya Hospital, Shimla, Himachal Pradesh 171 001
 
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4. Description Abstract Rabies is a dreaded disease of zoonotic origin, responsible for an estimated 55,000 deaths annually, of which 20,000 deaths are in India. Some animal bite patients need rabies immunoglobulin (RIG) for post exposure prophylaxis, in addition to the vaccine against rabies. The major reason for the high death rate in India is the high cost of RIG. Until 2017, the WHO-recommended protocol required a large amount of RIG. I describe how a cost-saving protocol for RIG was implemented in Himachal Pradesh. The published results contributed to the modification of the WHO’s global recommendations on RIG use.
 
5. Publisher Organizing agency, location Forum for Medical Ethics Society
 
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7. Date (YYYY-MM-DD) 2019-05-06
 
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9. Format File format HTML , PDF
 
10. Identifier Uniform Resource Identifier https://ijme.in/articles/using-a-modified-rabies-immunoglobulin-protocol-in-a-crisis-of-unavailability-ethical-and-practical-challenges/
 
11. Source Title; vol., no. (year) Indian Journal of Medical Ethics;: Hope lies in informed struggle
 
12. Language English=en en
 
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