Distribución geográfica del riesgo de rabia de origen silvestre y evaluación de los factores asociados con su incidencia en Colombia, 1982-2010

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Abstract
To update the information on the geographic distribution of bat-transmitted rabies foci in Colombia and evaluate the biotic and abiotic conditions associated with the incidence of this disease in the country. Observational study of a database containing information on the wild rabies foci identified between 1982 and 2010 and the cattle population in each municipality. The municipalities were classified according to the disease's risk of transmission, and an environmental characterization of 15 variables was carried out. A maximum entropy model was developed to predict which areas had conditions appropriate for the presence of the Desmodus rotundus vector infected by the virus and to evaluate the importance of the variables employed. There were 2 330 foci in 359 (31.8%) of the country's 1 128 municipalities; 144 municipalities were classified as high risk. The highest incidence rates were found in Montería, Valledupar, Riohacha, Aguachica, Unguía, Acandí, Río de Oro, Tibú, Sahagún, and San Onofre. Rabies foci were found year-round but were more frequent (linear correlation [r] = 0.64) during the dry months (January to April). Temperature and precipitation were the variables contributing the greatest robustness to the prediction model. Prevention and control measures should be implemented in high-risk municipalities. The best months for conducting vaccination campaigns are June, November, and December. In future analyses, biotic interaction variables should be included to improve the predictive capacity of the model.