[ SHOWGSD-L ] Re: rabies shot...
- From: Ruth Scheubler <rightdogphoto@xxxxxxxxx>
- To: marhaven@xxxxxxxxxxxxxx, showgsd-l@xxxxxxxxxxxxx
- Date: Sat, 8 Dec 2007 10:34:24 -0800 (PST)
Kaiser agreed to provide me with the treatment as he county was ill prepared
and Kaiser followed the WHO protocol which was actually more intese than the
CDC protocol. Kaiser believed that since WHO dealt with rabies in 85 countries,
they probably knew best. 10 years later I had a rabies titer taken rather than
get a required pre-exposure vaccination and I still had a really high titer.
Here is the WHO information:
Post-exposure treatment The most effective mechanism of protection against
rabies is to wash and flush a wound or point of contact with soap and water,
detergent or plain water, followed by the application of ethanol, tincture or
aqueous solution of iodine. Anti-rabies vaccine should be given for Category II
and III1 exposures as soon as possible according to WHO recognized regimens.
Anti-rabies immunoglobulin (antibody) should be applied for all Category III
exposures and for Category II exposures in immunosuppressed patients. Suturing
(closing the wound) should be postponed, but if it is necessary immunoglobulin
must first be applied. Where indicated, anti-tetanus treatment, antimicrobials
and drugs should be administered to control infections other than rabies.
The use of purified horse immunoglobulins can provide at least a partial
solution to the current problems of insufficient quantities and high cost of
human immunoglobulin. Further details on pre- and post-exposure can be found in
the WHO guidelines on rabies post-exposure treatment2.
In case of human exposure to animals that are suspected of having rabies,
immediate attempts should be made to identify, capture or kill the animal
involved. In case of a Category III exposure, post-exposure treatment should
start immediately and can be stopped if the animal is a dog or cat and remains
healthy after 10 days. Tissue samples should be taken from dead animals and
sent to competent laboratories for diagnosis. The responsible veterinary
services should be notified and information obtained on the epidemiological
situation in the area.
Vaccines and immunization Neural tissue rabies vaccines, still used in some
developing countries should not be produced anymore. Highly purified and potent
modern cell culture and embryonated egg vaccines should be used. Reduced
vaccination schedules and routes for vaccine administration (particularly the
intradermal route) have been successfully used in developing countries where
the cost of the five dose intramuscular schedule is prohibitively expensive. In
addition to the five-dose Essen regimen given on days 0, 3, 7, 14 and 28 in the
deltoid muscles, two additional reduced intradermal treatment regimens also
fulfill WHO requirements:
These are the Red Cross 2-site ("2-2-2-0-1-1") and the "8-0-4-0-1-1"
intradermal schedules which have been evaluated and used extensively in some
developing countries to replace nerve tissue vaccines where expensive
intramuscular vaccination regimes are not an alternative. Intradermal
injections should be administered by staff well trained in this technique.
Carolyn <marhaven@xxxxxxxxxxxxxx> wrote:
Our youngest daughter had to have the vaccine against rabies for a feral cat
bite.
The vaccine is now all incorported into one shot in the butt....no longer in
the stomach
and no longer a "series" of shots. That has been about 20 years.
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