Rabies
Rabies is a viral infection that causes, usually fatal, swelling of the brain. It is transmitted from the saliva of an infected animal through broken skin, usually by a bite or scratch or lick of a wound. It is present on all continents, apart from Antarctica with the highest prevalence in the Indian sub-continent, Asia and Africa. Symptoms usually occur 3-12 weeks after the infection. There is no treatment when symptoms have begun.
Prevention
Travellers are advised to avoid contact with animals, particularly dogs and cats. They should also be vigilant to any children who are travelling who may be more likely to approach animals. Immediate wound care should be performed in the event of a possible exposure and medical attention should then be sort immediately.
Vaccination reduces the risk but if exposure does occur further vaccines are then usually given. It is recommended for travellers who may not be able to promptly (<24 hours) access a major medical centre for advice, rabies vaccine and immunoglobulin (if these products are available), anyone travelling for a period of over 1 month, those at higher risk of contact with animals and bats, anyone working or living in remote areas, children who may lack awareness of the need to avoid animals or to report an animal bite and health workers who are likely to come into close contact with a patient with rabies.
Symptoms
Initial symptoms include:
- High temperature over 38C
- Headache
- Feeling anxious or generally unwell
- Sometimes discomfort at the bite site.
A few days later other symptoms that can occur are:
- Confusion or aggressive behaviour
- Hallucinations
- Frothing at the mouth
- Muscle spasms
- Difficulty breathing or swallowing
- Paralysis
Rabies Vaccination
Vaccine: Rabipur or Verorab
Our rabies vaccinations are performed intramuscularly or intradermally.
Intradermal injection is given just under the skin and is safe and as effective as IM injection. This route requires less vaccine, meaning the cost of a course of rabies vaccine can be significantly reduced. For more information from the WHO regarding ID rabies please click here.
Schedule
Course of 3 doses over 21-28 days. Accelerated course over 1 week is possible but will need a further dose at 12 months.
Price:
From £60 per dose.