September 28, 2022 is the 16th World Rabies Day, and the theme of this year is: "Rabies: One Health, Zero Deaths". At the same time, respond to the WHO's initiative to achieve "Zero by 30" before 2030.

September 28, 2022 is the 16th World Rabies Day . The theme of this year is: " Rabies : One Health, Zero Deaths". At the same time, respond to WHO's proposal to implement the "Zero by 30" initiative before 2030.

Rabies has been passed down for a long time and has been recorded by humans more than 2,000 years ago. It is a fatal but preventable zoonotic disease with a mortality rate of almost 100%! We all know that you should get rabies vaccinated in time after being bitten by a dog. Do you know these life-saving knowledge about rabies?

About the source of infection

Only dogs will carry rabies virus ?

wrong! Dogs are the main source of rabies in my country, accounting for about 95%, followed by cats. Wild carnivores ( ferret badger , red fox , wolf and bat , etc.) can also spread rabies virus.

About the transmission pathway 

Only when you are bitten will you get sick?

wrong! Scratches, bites, licking wounds/mucosals or exposed wounds may be infected by dogs suspected of carrying rabies virus.

Tips to help everyone determine whether the skin is damaged : If the epidermal wounds and bleeding points cannot be seen with the naked eye, you can apply alcohol to the surface of the skin. If pain occurs, local epidermal damage can be considered.

About latency

Rabies virus latency 20 years?

wrong! Most of the incubation period of rabies are 1-3 months, and very few occur within 1 week or more.

The length of incubation period of rabies is related to the distance between the wound site and the central nervous system of and . The closer it is to central nervous system , such as the head and face and neck, the shorter the incubation period. The further away from the central nervous system, such as hands and feet, the longer the incubation period.

About vaccination

Rabies vaccine is only effective if it is bitten within 24 hours?

wrong! does not exist for 24 hours or 72 hours. For rabies, once it occurs, it is almost equivalent to death. The sooner the better, and deal with it as soon as possible. As long as the disease has not yet occurred, the vaccine will work.

About susceptible population

pregnancy, lactation . Can women who are preparing for pregnancy be vaccinated?

wrong! people are generally susceptible to rabies. Once rabies occurs, the mortality rate is close to 100%, so vaccination cannot be delayed. According to national standards and vaccine instructions, there are no contraindications for rabies vaccination, and it belongs to the inactivated vaccine , and its safety and effectiveness have been fully confirmed. Therefore, women, babies, and elderly people can receive this vaccine.

Local wound treatment as soon as possible: There is evidence that more than 99% of patients can survive through effective wound cleaning and standardized rabies vaccination throughout the process.

Wound rinse and clean

If the wound is mild, use soapy water (or other weakly alkaline cleaning agent) and certain pressure of running water to alternately clean all bites for about 15 minutes; then rinse the wound with normal saline to avoid residual soapy water or other cleaning agents on the wound.

Disinfection treatment

After thoroughly rinsing, apply or clean the inside of the wound with dilute iodine or other medical preparations with inactivated virus ability, it can inactivate the remaining rabies viruses in the wound.

2

rabies vaccination as soon as possible: go to the dog injury clinic for further wound treatment and vaccine injection.

Lianhu District Taoyuan Community Health Service Center

Rabies treatment clinic serves you 24 hours a day

Contact number: 029-84241711

Address: No. 300, Fengdeng North Road

is treated according to rabies exposure:

st-level exposure

  • contacted/feeded animals, and their skin was intact and they were not injured.
  • does not require treatment

nd-level exposure

  • The exposed skin was bitten and slightly scratched or scratched, and the skin was damaged but no bleeding.
  • Immediately treat the wound and get vaccinated

-level exposure

  • Single/multiple penetrating skin bites or scratches accompanied by bleeding and damaged skin is licked; contacted with bats; mucosa is contaminated by animal body fluids.
  • immediately treated the wound and injected with passive immunization preparations, followed by vaccination.

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Rabies vaccination procedure:

    Vaccination procedure according to the rabies vaccine immunization program on time, correctly and throughout the process is very critical to the body's timely and timely production of protective antibody immunity. The post-exposure immunization procedures for rabies vaccines approved for marketing in my country include two types: "5-application method" and "2-1-1" procedures. The two immunization procedures are equally recommended.

      apnea procedure: 1 dose was given on the 0th, 3rd, 7th, 14th and 28th days, and a total of 5 doses were given;

      "2-1-1" procedure: 2 doses were given on the 0th day (1 dose was given on the 1st upper arm deltoid muscles), 1 dose was given on the 7th and 21st days, and a total of 4 doses were given.

      Rabies is still an important public health threat that plagues our country. In order to achieve the goal of zero deaths in human rabies by 2030, we need to continue to work together. On the occasion of World Rabies Day, we call on everyone to raise dogs in a civilized manner, take a leash when walking the dog, and inject vaccinated domestic pets in a timely manner. At the same time, we should also provide timely immunization after exposure of dog injuries, and work together for the health of ourselves, our family and society to eliminate rabies!