Rabies is a100% fatal, yet preventable, viral disease that causes severe encephalitis (brain inflammation) in mammals, including humans, largely transmitted through the saliva of infected animals. Symptoms start with fever, pain, and paresthesia at the bite site, progressing to violent movements, agitation, confusion, and hydrophobia. Once symptoms appear, it is almost always fatal, requiring immediate post-exposure prophylaxis (vaccination and immunoglobulin).
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What Causes Rabies and How It Is Transmitted
- Cause: The rabies virus (a Lyssavirus) causes the disease.
- Transmission: It is transmitted via saliva through bites, scratches, or direct contact with mucous membranes (e.g., eyes, mouth) or broken skin.
- Primary Vectors: While commonly associated with dogs worldwide, bats, raccoons, skunks, and foxes are also primary carriers.
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Symptoms of Rabies in Humans
The incubation period can range from 20 to 90 days, though it may vary, according to the
NCID Singapore (4).
- Early Stages: Fever, headache, malaise, fatigue, anorexia, nausea, and vomiting.
- Neurological Stage: Pain or numbness at the site of exposure, anxiety, confusion, agitation, high blood pressure, and excessive salivation.
- Late Stages: Hydrophobia (fear of water), aerophobia (fear of drafts), paralysis, delirium, and coma.
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Stages of Rabies
- Incubation Period: The virus travels through the nervous system towards the brain; often asymptomatic.
- Prodromal Phase: Initial non-specific symptoms like fever and discomfort at the wound site.
- Acute Neurological Phase: Signs of brain dysfunction (furious or paralytic rabies).
- Coma/Death: Almost inevitable if symptoms have started, say the NCID Singapore (4).
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Treatment for Rabies
- Immediate Action: Wash the wound thoroughly with soap and water.
- Post-Exposure Prophylaxis (PEP): Crucial, immediate medical care involving a series of vaccines and, in some cases, rabies immunoglobulin.
- No Clinical Cure: Once clinical symptoms appear, there is no effective specific treatment, say the NCID Singapore (4).
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Prevention
- Vaccinate pets.
- Avoid contact with wild or stray animals.
- Seek medical advice immediately after a potential exposure, notes the World Health Organization (1).
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This is for informational purposes only. For medical advice or a diagnosis, consult a professional. AI responses may include mistakes.
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