There is no second chance with Rabies!Rabies is a 100% fatal disease1

1. There is no second
chance with Rabies!
Rabies is a 100% fatal
disease1
1. APCRI.org Available at http://rabies.org.in/resources/about-rabies/; [Accessed on 29-2-2016]1
Know Rabies
Dr. Sharda Jain
Dr. Rashmi Jain
Dr. Jyoti Agarwal

2. What is Rabies?
• Rabies is a 100% fatal disease
transmitted by animals to
humans.1,2
• India reports the highest rabies
deaths globally.
(~20,000 deaths/year)3
• Children are at highest risk of
rabies: ~50% rabies exposures
occur in children <15 years.4
1. Giesen et al. Expert Review of Vaccines, 14:3, 351-367 2. http://rabies.org.in/resources/about-rabies/ Accessed 1st April 2016
3. WHO, APCRI Rabies Survey 2004. 4. Rabies vaccines, Chapter 17, IAP Guidebook on Immunization, 2013-14 by ACVIP, IAP.2

3. 1) Myth: All 5 shots of Rabies
vaccine are not necessary.
Fact:
• Completion of full 5 doses is
essential for rabies prevention1
• Every year in India 10% of rabies
deaths occur due to incomplete
vaccination2.
• WHO recommends 5 doses of
anti rabies vaccine to be taken
post dog bite.*3
1. Shankaraiah et al, Indian Journal of Public Health, Volume 59, Issue 1, January-March, 2015
2. Hampson K, Cleaveland S, Briggs D. PLoS Negl Trop Dis 2011;5(3):e982.doi:10.1371/journal.pntd.0000982
3. WHO TRS 982 *Category II and III bites
Rabies: Beliefs are not facts …
3

4. 2) Myth: Rabies vaccines are to be
taken only post dog bite
Fact:
• WHO recommends Anti Rabies
vaccine even before a dog
scratch/bite happens, to all at
risk individuals such as children,
who are the most frequent
victims of bites.#1
1. WHO TRS 982
# For children living or visitng high risk areas where they provide an easy target for rabid animals
Rabies: Beliefs are not facts …
4

5. Rabies: Beliefs are not facts …
3) Myth: Mere dog scratch without
bleeding cannot lead to rabies.
Fact: The rabies virus is generally
transmitted from the infected
animal (pet or stray), to victim
by1:
 Scratch with or without
bleeding2
 Bite
1. Feder HM Jr. et al. Curr Infect Dis Rep. 2012; 14(4): 408-422
2. WHO, Weekly epidemiological record, 2010; 85, 309–3205

6. 4) Myth: Home remedies can
prevent risk of rabies after dog
scratch.
Fact: Complete Post-exposure
prophylaxis against Rabies
includes1:
1. WHO TRS 982 * For Category III exposure
Rabies: Beliefs are not facts …
6
Appropriate wound
washing
5 doses of rabies vaccine
Rabies Immunoglobulin
(if indicated*)

7. Protection against rabies
Possible
with Rabies
Vaccination1
Prevention
before dog
bite/scratch
Treatment
After dog
bite/scratch
1. WHO, Weekly epidemiological record, 2010; 85, 309–3207

8. Rabies is fully preventable1
Where there is no treatment, prevention is must!
1. Source: http://www.who.int/bulletin/volumes/92/4/14-136044/en/ [Accessed on 29-2-2016]
IN/VGU/0005/16,Mar2016
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9. Q & A Session
IN/VGU/0005/16,Mar2016
9
Can it be given for Rat Bite
“YES”

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