Rabies is still a dangerous disease; vaccinations necessary
By Dr. Mari Maristany
Rabies. For those who are baby boomers, those of the greatest generation, and back through history, that word had the same effect as close gunfire.
It meant immediate danger and the possibility of certain death. A rabid animal, or even an animal that was suspected of being rabid, was shot on the spot. It did not matter if it was a wild animal, a beloved pet, a prized bull or a champion horse.
Now the younger generation seems to have lost that sense of danger. Many seem complacent. They are lackadaisical about rabies vaccinations for their own pets and about exposing themselves or their children to animals of unknown vaccination history or to wild animals.
How did this happen? Is rabies somehow less dangerous? What is the big deal anyway?
For one thing, because of modern medicine, we rarely see anyone contract rabies. Going back to the 1960s and before, almost everyone knew of someone who had either died of rabies or who had a close call.
The prophylactic treatment for those who had been exposed was rough. It was a series of injections under the skin for 21 days. Since this vaccine was grown in duck embryos, most people had intense reactions to the injections (think tetanus shot 100 times worse). Because of the immense swelling and inflammation, the injections were given in the skin of the belly so that there was room to accommodate the painful swelling.
Rabies was everywhere there were animals. A friend who is a Salisbury native told me of occasions during outbreaks when the authorities confiscated and destroyed all the dogs and cats in the city.
In order to protect people, the medical community (human and veterinary) decided the best plan was to create a buffer zone for people by requiring that all dogs and cats be vaccinated against rabies. Laws were passed and many rabies vaccination clinics were given. Veterinarians would go door to door to vaccinate any animals there.
And the plan worked. It is working still. Another step to protect the public was making animal bites a reportable incident.
The Centers for Disease Control and Prevention requires by law that physicians report to local authorities any animal bites that they treat. The animal is then quarantined for 10 days. If at the end of 10 days the animal is still healthy, the bite victim is safe from rabies exposure. And the post-exposure treatment today is both effective and mild.
So is there any rabies around today? Do we still need to be vigilant? Is getting pets vaccinated still extremely important?
The answer is yes. Rabies is all around us, in the wildlife.
Our pets often come in contact with wildlife, usually without the owner being aware. We need that buffer. From 1996 to 2006, there were an average of 618 confirmed cases per year of rabies in North Carolina, with an average of 29 cases per year in Rowan County.
These are only those suspected animals that had contact with people or with pets. Rabid animals that were killed but did not expose anyone to a bite or to their saliva are not counted in these statistics.
Who are the main culprits? Nearly 80 percent of these cases were raccoons, followed at a distant second by skunks, then foxes. Encouraging wildlife into our yards is a dangerous practice. Those cute raccoons are all potential rabid animals. Think of your children.
Among domestic animals, the No. 1 culprit by far is cats. This is not surprising since most people are much more diligent about having their dogs vaccinated and the cats, not so much. Over the same time period, there were 195 confirmed cases of rabies in cats in North Carolina. There were 73 confirmed cases of rabies in dogs.
It cannot be stressed enough that for the safety of your family, have all of your pets vaccinated.
Dr. Mari Maristany is the veterinarian with the Rowan County Animal Shelter.