Rabies

Rabies is an acute viral infection affecting the nervous systems of animals and humans.

 

What is it? (Overview)

Bats usually spring to mind when thinking about rabies, though this highly infectious (and almost always fatal) disease can affect all warm-blooded animals, including humans. RabiesDogs, cats, skunks, raccoons, foxes, and coyotes have all been known to carry the disease. Raccoons alone account for over 50% of rabies cases. According to the Centers for Disease Control and Prevention (CDC), less than 10% of reported rabies cases are from domestic animals. The rabies infection is transmitted to humans through a bite or by the exposure of broken skin to an infected animal’s saliva. The virus travels from the wound along nerve pathways to the brain, where it causes inflammation that results in the symptoms of the disease (fig. 1).

 

How do I know I have it? (Symptoms and Diagnosis)

It can take from four to six weeks after exposure for symptoms to appear. However, it can also range from five days to more than one year. The following are symptoms of the illness:
  • Pain and eventual tingling at the site of the bite.
  • Sensitive skin.
  • Low-grade fever (102 F or lower).
  • Difficulty swallowing, or difficulty swallowing liquids only.
  • Restlessness.
  • Excitability.
  • Muscle spasm.
  • Convulsions.
  • Numbness and tingling.
  • Loss of muscle function.
  • Drooling.
  • Loss of feeling in the area of the body.
  • Anxiety, stress, and tension.

If it is possible to catch the animal, it will be observed for signs of rabies for several days. A fluorescent antibody test may reveal if it is infected with the disease. Treatment for humans is called post-exposure prophylaxis (PEP). PEP consists of a regimen of one dose of immune globulin and five doses of rabies vaccine over a 28-day period. The current vaccines are administered in the arm, like a flu vaccine, and are reported to be relatively painless. If treatment is started within two days of the bite, rabies is usually prevented.

 

How can I treat it? (Treatments)

Seek professional care immediately if you are bitten by any animal. Try to gather as much information about the animal as possible. Contact local animal control authorities to confine potentially dangerous animals for observation and examination.

Clean the wound thoroughly with soap and water, and remove any foreign debris. If available, pour antiseptic into the wound.

 

How dangerous is it? (Prognosis)

Rabies is nearly always fatal. Death from heart or respiratory failure and paralysis usually occurs within seven days after symptoms appear. The incubation period is approximately 10 days to seven weeks, but can stretch a bit longer.

 

How can I prevent it? (Prevention)

Educate children not to touch stray or wild animals or carcasses. Secure garbage so as to not attract wild animals. Cover chimneys and other potential portals of entry for wild animals. Vaccinate all dogs, cats, and ferrets. People at high risk of contracting rabies (veterinarians, animal handlers, lab workers exposed to the rabies virus, people living or traveling to areas where rabies is common) should discuss the possibility of receiving the rabies vaccine with their doctor.

 

Frequently asked questions (FAQ)

Q:
Can I get sick from the rabies vaccine?
A:
Serious reactions to the rabies vaccine and immune globulin are rare. Common reactions are pain, redness, swelling, or itching at the injection site. Symptoms that rarely occur include headache, nausea, abdominal pain, muscle aches, and dizziness. A low-grade fever is also possible.
Q:
Do squirrels, mice, rats, and other rodents get rabies?
A:
According to the CDC, in the United States, there are no known cases of rabies in humans caused by bites from small rodents. Squirrels, rats, mice, hamsters, guinea pigs, chipmunks, and rabbits are almost never found to have rabies. However, woodchucks accounted for 86% of the 368 rabies cases among rodents reported to CDC from 1985 through 1994. Woodchucks or groundhogs are the only rodents that are frequently tested for rabies.
Q:
Can a human bite transmit rabies?
A:
It is highly unlikely. In fact, the only documented cases of rabies caused by human-to-human transmission occurred among eight recipients of transplanted corneas. Stringent guidelines for acceptance of donor corneas have reduced this risk. Apart from corneal transplants, bite and nonbite exposures inflicted by infected humans could theoretically transmit rabies, but no such cases have been recently documented.

 

Resources

To find out more about rabies, go to the Centers for Disease Control and Prevention's Web site.