title: The changing rate of suspected rabies bites after begin to act animal shelter in erzurum city.
abstract: OBJECTIVE
  We aimed to evaluate the relationship between establishing an animal shelter in Erzurum and the number of suspected rabies bites between the years 2005 and 2012.
  
  
  METHODS
  A retrospective, repeated cross-sectional study was planned in Erzurum in the year 2013. Records between the years 2005 and 2012 were obtained from the Communicable Diseases Department of the Erzurum Health Directorate. Data for 5789 cases exposed to suspected rabies bites were analyzed.
  
  
  RESULTS
  5789 suspected rabies bites were encountered in Erzurum between the years 2005 and 2012. After establishing the animal shelter in 2009, 4239 dogs were collected from the streets within four years and 426 of them were released after immunization. Additionally, the following services were given in the animal shelter between 2009 and 2012: immunization of 2935 dogs, sterilization of 1735 dogs, and release of 2082 dogs back to the street. 4-years before the establishment of the animal shelter, the number of dog-bites had decreased from 3403 cases to 2386 cases; 4-years after the establishment of the shelter, it declined by 29.8%. While there were 1096 suspected rabies cases during the year 2008, this ratio decreased by 40.9% after the establishment of the animal shelter in the year 2009. During the year 2010, where we had the highest number of homeless dog collection to the animal shelter, the decrease in suspected rabies bites reached the maximum decrease, namely 51.0%. Spearman correlation analysis showed a strong negative correlation between the number of collected animals and suspected rabies bites (r = -0,862; p=0.006).
  
  
  CONCLUSIONS
  Suspected rabies cases are common in Turkey and some cases of rabies are encountered. The number of suspected rabies bites in Erzurum has decreased significantly after establishing the animal shelter. It is an evident that establishing rehabilitation centers for homeless animals in all cities will have an important role in controlling zoonotic diseases including rabies.
authors.affiliation: Department of Public Health, Ataturk University Medical Faculty, Erzurum, Turkey.
authors.forename: Serhat
authors.initials: S
authors.lastname: Vancelik
authors.affiliation: Department of Family Medicine, Ataturk University Medical Faculty, Erzurum, Turkey.
authors.forename: Turan
authors.initials: T
authors.lastname: Set
authors.affiliation: Department of Family Medicine, Ataturk University Medical Faculty, Erzurum, Turkey.
authors.forename: Zekeriya
authors.initials: Z
authors.lastname: Akturk
authors.affiliation: Department of Public Health, Ataturk University Medical Faculty, Erzurum, Turkey.
authors.forename: Oksan
authors.initials: O
authors.lastname: Calikoglu
authors.affiliation: Department of Public Health, Ataturk University Medical Faculty, Erzurum, Turkey.
authors.forename: Zahide
authors.initials: Z
authors.lastname: Kosan
keywords: Rabies; immunization; street animal shelter