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Rabies rampant in Bali
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dgrauman
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This is our most authoritative US Site:
[h=1]In the News
Rabies in Bali, Indonesia[/h]
[h=1]In the News
Rabies in Bali, Indonesia[/h]
This information is current as of today, April 07, 2013 at 07:02 EDT
Updated: October 04, 2012
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For full health information, visit:
Health Information for Travelers to Indonesia - Travelers' Health - CDCUpdated: October 04, 2012
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Last edited:
AlanWald
Contributor
It is not true that you will have no problem if you have pre-exposure vaccination. Please do NOT post incomplete or incorrect information and please post references for others and only post information within your knowledge and qualifications.
Pre-exposure rabies vaccination is a good thing, and recommended for those who are going to be in remote areas or who are working with possible exposure to rabid animals (or exploring caves known to possibly have rabid bats). However you still need to get post-exposure rabies shots (less of them) if you get bit and you do not require nor should have the very expensive and hard to get in some areas Human Rabies Immune Globulin (RIG). (see reference in the CDC web site - http://www.cdc.gov/rabies/medical_care/index.html)
Those without current (not sure how long it is good for) pre-exposure vaccination will need the vaccine as well as RIG.
If you are ever in a third world country and you get bit, if you are not able to quickly locate a clinic that has the RIG and vaccine you can also call the US Embassy night or day, if at night time they will give you another number to call to reach POST ONE which is always the US Marine Security guard in charge of the Embassy security at that moment and the Marine will give you information. The modern vaccine is given in the arm (not the stomach as in the distant past) and hurts no more than any shot of similar fluid volume.
If it is at all possible to safely capture the biting animal so it can be placed in quarantine and observed for (I believe ten days). If no rabies symptoms appear good for you, if not sure or symptoms appear (or if the animal is killed before observation , an examination of brain tissue of the animal can give a definitive diagnosis of rabies.
The CDC writes "For many types of bite wounds, immediate gentle irrigation with water or a dilute water povidone-iodine solution has been shown to markedly decrease the risk of bacterial infection"
Wound cleansing is especially important in rabies prevention since, in animal studies, thorough wound cleansing alone without other postexposure prophylaxis has been shown to markedly reduce the likelihood of rabies.
You should receive a tetanus shot if you have not been immunized in ten years. Decisions regarding the use of antibiotics, and primary wound closure should be decided together with your doctor. (Reference http://www.cdc.gov/rabies/medical_care/index.html)
Pre-exposure rabies vaccination is a good thing, and recommended for those who are going to be in remote areas or who are working with possible exposure to rabid animals (or exploring caves known to possibly have rabid bats). However you still need to get post-exposure rabies shots (less of them) if you get bit and you do not require nor should have the very expensive and hard to get in some areas Human Rabies Immune Globulin (RIG). (see reference in the CDC web site - http://www.cdc.gov/rabies/medical_care/index.html)
Those without current (not sure how long it is good for) pre-exposure vaccination will need the vaccine as well as RIG.
If you are ever in a third world country and you get bit, if you are not able to quickly locate a clinic that has the RIG and vaccine you can also call the US Embassy night or day, if at night time they will give you another number to call to reach POST ONE which is always the US Marine Security guard in charge of the Embassy security at that moment and the Marine will give you information. The modern vaccine is given in the arm (not the stomach as in the distant past) and hurts no more than any shot of similar fluid volume.
If it is at all possible to safely capture the biting animal so it can be placed in quarantine and observed for (I believe ten days). If no rabies symptoms appear good for you, if not sure or symptoms appear (or if the animal is killed before observation , an examination of brain tissue of the animal can give a definitive diagnosis of rabies.
The CDC writes "For many types of bite wounds, immediate gentle irrigation with water or a dilute water povidone-iodine solution has been shown to markedly decrease the risk of bacterial infection"
Wound cleansing is especially important in rabies prevention since, in animal studies, thorough wound cleansing alone without other postexposure prophylaxis has been shown to markedly reduce the likelihood of rabies.
You should receive a tetanus shot if you have not been immunized in ten years. Decisions regarding the use of antibiotics, and primary wound closure should be decided together with your doctor. (Reference http://www.cdc.gov/rabies/medical_care/index.html)
[h=1]Bali Winning the War on Rabies[/h]Bali News: Bali Winning the War on Rabies
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