EO 003.02. RABIES. RABIES. References : Control of Communicable Diseases Manual, 18 th Edition, 2004 Borden - Registration & Control of Domestic Animals; ftp://borden.mil.ca/bor/english/bbsai/208_e.doc C. Ontario Public Health Standards – Rabies Prevention & Control
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C. Ontario Public Health Standards – Rabies Prevention & Control
a rhabdovirus of the genus Lyssa-virus;
all genus are antigentetically related but antibody & nucleotide sequencing shows differences according to animal species or geographical location of origin.
A potential problem if the disease is newly introduced in an area where there are
many stray dogs or wild animals
Strict compliance by common carriers and
travellers with national laws and regulations
in rabies-free countries
Immunization of animals, certificates of health and origin or microchip identification of animals may be required
Protection in humans is provided by administration of Human (HRIG) or Equine (ERIG) rabies IMMUNE GLOBULIN at the site of the bite as soon as possible after exposure to neutralize the virus, and then giving the VACCINE at a different site to elicit active immunity.
Not Previously Vaccinated:
Management of suspected rabies exposure:
Any person who has information concerning an animal bite or contact that may result in rabies in persons shall notify the medical officer of health with the information;
Name, sex, DOB
address & phone #;
Species and description;
Animals name and age;
previous animal contacts;
rabies immunization status; and
the status of any other animals residing with the suspect animal.
Rabies prophylaxis administration
The board of health shall ensure individuals that have been bitten by a bat who require treatment have access to rabies PEP within 24 hours after the decision is made that PEP is required.
Other animal-related rabies administration:
3. If the suspected animal is a cat, dog or ferret, and is available for observation, then immunization of the human may be withheld pending the animal’s status during the 10 day observation period. If the animal shows signs of rabies during the period, PEP should be initiated. If the animal rabies test returns negative, then the PEP can be discontinued.
4. For bites to the head, face or neck: Incubation period could be as little as 7 days. For these bites, prophylaxis should begin immediately & not be delayed for lab testing. Considerations that could delay this include:
i. if the animal is a pet;
ii fully vaccinated;
iii the bite was provoked; and
iv there is a low prevalence of rabies in the area
6. The vaccine series may be discontinued after consultation with public health experts if the FAT is negative;
7. Serological testing:
The board of health shall report data for individuals receiving PEP as specified in the integrated Public Health Information System (iPHIS) or any other method specified by the ministry and shall comply with the minimum data elements identified in:
Human Case Management
Disposition of a dead animal
Disposition of a fallen animal