Context: A project called GAVI-RAGE, in 2017 was initiated in three African countries including Côte d'Ivoire. The idea was to offer subjects at risk of rabies infection the three different protocols, while offering free only prophylaxis by the Thai Red Cross protocol. Paradoxically, this free service was not preferred by all subjects. Some people have opted for the usual feebased protocols (Essen and Zagreb). The search for an understanding of this paradox required a study. Methods: A retrospective cross-sectional study with an analytical aim was carried out from December 2018 to May 2019 at the regional public hygiene office in Bouake. This study consisted of interviewing all subjects exposed to a risk of rabies infection and who consulted the regional public hygiene unit during the project period. The comparison of the proportions was made by the chi-square test with a significance level set for a value p≤0.05. Results: The subjects exposed to rabies were from urban areas (83%), were children under 15 (51,3%) and males (59,3%). Among our respondents, 77% of the subjects had opted for the free vaccine protocol. The reasons given were that it was free of charge (93.5%), lack of money on the day of the consultation (44.3%) and lack of health insurance (44.3%). Respondents who did not accept the free protocol cited insufficient awareness (80.9%) and doubts about its effectiveness (9.9%) as their reasons Acceptance of the said protocol was significantly associated with the living area of the exposed people (p<0.000) and awareness of the treatment (p<0.000). Conclusion: a free vaccine protocol is not synonymous with its acceptance by all populations. However, this free service is a lifeline for many people, especially the poorest.

Our study aims to determine the factors associated with the severity of road accidents in Bouake. We carried out a cross-sectional and analytical study, using road accident surveillance data, from January 1 to December 31, 2018. The prevalence of accidents was 44.38/10,000 inhabitants. The victims were between 15-34 years old (57.8%), male (77.3%), pupils and students (16.1%), pedestrians (20.57%). The motorbike was the main means of transport for the victims (69.21%). The accidents involved two motorcycles (25.8%), a motorcycle and a car (23.84%), a motorcycle and a pedestrian (18.55%). About half (48.92%) of the accidents occurred in 4 neighborhoods. The peaks of accidents were observed in April-May (16.54%) and December-January (20.78%); Thursdays (16.33%), Saturdays (16.89%) and Sundays (15.01%); and between 12 p.m.-12 a.m. The victims were machine operators (49.13%), passengers (29.40%), or pedestrians (20.57%). Emergency evacuations were done by ambulance (47.53%), and within the first 3 hours (96.21%). Fractures and head trauma were observed in 26.27% of the victims. The lesions were on the limbs (64.07%). Factors associated with the severity of the accidents during the accident (0.000); time of accident. There is a linear relationship between the time and the severity of the accident; the type of means of transport used: personal motorcycles (P=0.000), motorcycle taxis (P=0.000). Conclusion: Knowledge of the associated factors could contribute to reducing the prevalence of this new epidemic.