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Rabies

Rabies In Humans



There are few deaths from rabies in the United States. Between 1980 and the middle of 1994, a total of 19 people in the United States died of rabies, far fewer than the 200 Americans killed by lightning, to give one example. Eight of these cases were acquired outside the United States. Eight of the 11 cases contracted in the United States stemmed from bat-transmitted strains of rabies.



Internationally, more than 33,000 people die annually from rabies, according to the World Health Association. A great majority of cases internationally stem from dog bites. Different countries employ different strategies in the fight against rabies. The United States depends primarily on vaccination of domestic animals and on immunization following exposure to possibly rabid animals. Great Britain, in which rabies has never been established, employs a strict quarantine for all domestic animals entering the country.

Continental Europe, which has a long history of rabies, developed an aggressive program in the 1990s of airdropping a new vaccine for wild animals. The vaccine is mixed with pellets of food for red foxes, the primary carrier there. Public health officials have announced that fox rabies may be eliminated from western Europe by the end of the decade. The World Health Organization is also planning to use the vaccine in parts of Africa.

Though the United States have been largely successful in controlling rabies in humans, the disease remains present in the animal population, a constant reminder of the serious threat rabies could become without successful prevention efforts.


Resources

Books

Corey, Lawrence. "Rabies, Rhabdoviruses, and Marburg-Like Agents." In Harrison's Principles of Internal Medicine. Vol. 1, edited by Kurt J. Isselbacher, et al. 13th ed. New York: McGraw-Hill Inc., 1994.

Smith, Jane S. Patenting the Sun. New York: William Morrow and Company, Inc., 1990.


Periodicals

Browne, Malcolm W. "Rabies, Rampant in U. S., Yields to Vaccine in Europe." The New York Times (July 5, 1994): C-1.

Cantor, Scott B., Richard D. Clover, and Robert F. Thompson. "A Decision-Analytic Approach to Postexposure Rabies Prophylaxis." American Journal of Public Health 84, no. 7 (July 1994): 1144-48.

Clark, Ross. "Mad Dogs and Englishmen." The Spectator (August 20, 1994): 16-17.

Fishbein, Daniel B., and Laura E. Robinson. "Rabies." The New England Journal of Medicine. 329, no. 22 (November 25, 1993): 1632-38.


Patricia Braus

KEY TERMS

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Central nervous system

—The brain and spinal cord components of the nervous system that control the activities of internal organs, movements, perceptions, thoughts, and emotions.

Epizootic

—The abnormally high occurrence of a specific disease in animals in a particular area, similar to a human epidemic.

Vaccine

—A substance given to ward off an infection. Usually made of attenuated (weakened) or killed viruses or bacteria, the vaccine causes the body to produce antibodies against the disease.

Virus

—Agent of infection which does not have its own metabolism and reproduces only in the living cells of other hosts. Viruses can live on bacteria, animals or plants, and range in appearance from rod-shaped to tadpole-shaped, among other forms.

Additional topics

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