Adherence to post-exposure prophylaxis and post-exposure vaccination (PEV) is an important measure to prevent rabies. The purpose of this study was to explore the adherence to the vaccination protocol and its influencing factors among rabies-exposed patients in Shenzhen, China. A cross-sectional survey was conducted in a tertiary hospital in Shenzhen, China, to obtain epidemiological characteristics of patients; knowledge, attitude, and practice scores of rabies prevention; and medical records. A total of 326 patients requiring full rabies PEV were included in this study, and only 62% (202) completed the full course of vaccination according to the norms of the vaccination guidelines. After multifactor logistic regression, the factors influencing adherence to vaccination were as follows: age 31 to 40 years, time spent to reach the nearest rabies prevention clinic was >60 min, the time of injury was at night to early morning, the place of injury was a school/laboratory, the animal causing injury was a cat, the health status of the animal causing injury could not be determined, and patients with higher practice scores (all p<0.05). Understanding the factors influencing rabies vaccination adherence among rabies-exposed patients in urban areas of China and promote changes in patients’ practice toward rabies prevention is essential for rabies elimination by 2030.

Understanding the interaction between child labour and schooling in rural and urban areas in Ghana is essential to implement the most appropriate intervention. I aimed to establish parental perceptions of the extent child labour interferes with schooling in rural and urban areas in Ghana. The participants recruited were from Ghana purposively sampled across rural areas (Ankaase, Anwiankwanta and Kensere), and urban areas (Jamestown, Korle Gonno and Chorkor) amongst sixty government officials, NGO representatives, and both parents whose children were and were not involved in child labour. The research utilises semi-structured interviews conducted with parents (ten), stakeholders (ten), focus groups (thirty); and participant observation techniques (ten) utilised to gather the needed data. Interviews were recorded, transcribed utilising a framework approach as the data analysis method. This article finds that the child labour in the rural areas is not always inconsistent with school attendance while, in the urban area, the two activities are incompatible.

High prevalences of Echinococcus multilocularis have been reported from foxes of the city of Zurich, Switzerland. In order to characterize transmission in urban areas, a coproantigen ELISA was evaluated for diagnosing the infection in fox faecal samples collected in the environment. In addition, trapped rodents were investigated for the presence of metacestodes. Faecal samples could reliably be classified as being of fox origin by assessing physical properties as shown by the different parasite spectra of putative fox and dog faecal specimens. From the total of 604 tested putative fox faecal samples 156 (25·8%) were positive in the ELISA with a distinct increase in the proportion of positive samples from the urban to the periurban zone. Furthermore, samples collected in the border zone had significantly more coproantigen-positive results during winter. Prevalence of E. multilocularis in rodents was 9·1% (81/889) for Arvicola terrestris (with 3·5% of the animals harbouring between 14 and 244400 protoscoleces) and 2·4% (2/83) for Clethrionomys glareolus. E. multilocularis-infected A. terrestris were found in 9 of 10 trapping sites in the border zone. The high infection pressure in the periphery of urban areas might pose a risk for infection with E. multilocularis for both domestic carnivores as well as for urban inhabitants. Interventions into the cycle aiming at reducing the infection pressure should therefore focus on these areas.

In order to assess the infection risk of alveolar echinococcosis among urban residents of Sapporo, the capital of Hokkaido, Japan, a survey was conducted on fox distribution in the urban area and on the prevalence of Echinococcus multilocularis among the foxes. The fox distribution, evaluated from fox footprints left on the snow in parks and woodlands, and from locations of fox carcasses recorded by the Sapporo municipality, was concentrated along the border of the urban area and in the southwestern part of the city, facing the mountain. Fox faeces were collected around active fox dens, and analysed by a coproantigen detection assay and parasite egg examination for the Echinococcus infection. Thirty-three out of 155 faeces were coproantigen positive. Coproantigen-positive faeces were collected from 11 den sites (57·9% of total den sites), and all except 1 were located in the urban fringe. A high intensity of taeniid eggs (>100 eggs per 0·5 g) containing faeces were also collected in the 3 sites of them. Although Echinococcus infection in rodents was not observed from the necropsy of 23 rodents captured around active fox dens, arvicolid rodents, a suitable intermediate host for E. multilocularis, were captured in the urban fringe. Therefore, the urban fringe offers suitable conditions in which the life-cycle of E. multilocularis could be maintained. Prompt measures to control echinococcus infection should be taken, even in urban areas.

The presence of cockroaches in urban environments is more and more frequent whatever the type of building. Pest control programmes generally consist of insecticide applications. Several reasons, like their expense or incorrect application, can explain why results are not satisfactory, not to mention the development of insecticide resistance. It must be stressed that the aim of pesticide control in urban areas is not only to reduce the pest population to an acceptable level, but to eliminate it completely. The aim of this investigation was to analyse the results of an insecticide treatment campaign in cockroach (Blattella germanica (L.))-infested council flats in order to understand why these treatments failed. A multivariate analysis revealed that several environmental factors like the number of residents/m2 or the degree of cleanliness could explain, at least in part, the presence Of cockroaches in flats.