Travel Vaccines - International Travel Vaccines Centre
Rabies
Travel Vaccines - International Travel Vaccines Centre

Rabies Information

  • Rabies is viral Infection transmitted by animal bites scratching or Licking where saliva coming in contact with broken skin or into the mouth or eyes
  • Most common animals concerned are Dogs, Cats, Bats, Monkeys other animals such as Squirrel, Raccoons, Fox and Wolf may also carry Rabies.
  • Any animal bites are automatically considered rabies bite as it is difficult to judge the nature of the stray or wilderness of the animals
  • Rabies present in most of the countries around the world and only a few countries are free of Rabies
  • Around 45 to 50000 people die every year from rabies, most are found in the developing and under develop countries
  • If untreated Unfortunately Rabies once contracted carry 100% mortality rate

Rabies vaccination strongly recommended for travellers travelling for long time back packing, repatriates, business people travelling and working for long time, community workers , VFRs (visiting friends and relatives) visiting for long times. and more so for children who are more exposed to animal bites due to their inquisitiveness to the animals

  • Pre exposure rabies vaccination is course three injection administered 0,7 and 21 days
  • Rabies vaccination taken as pre exposure regime prior to travel has got good protection
  • Unfortunately rabies vaccinations are expensive

If you are unable to take pre exposure vaccination it is strongly recommended to follow post exposure rabies vaccination regime with out fail (it is better to talk to Travel doctor during consultation for advice)

Post Exposure Vaccination procedure

During post exposure wound care is paramount

Always wash wound thoroughly with soap and water, Brush the wound if possible

Avoid using Alcohol to wash the wound as alcohol tend to fix the rabies viruses to the wound

You can use Betadine to wash the wound

Do not stich the wound as closure of the wound with stiches can bury the viruses under the wound (it is better to live with scar)

Preferably go to the nearest Hospital or vaccinations clinic as soon as possible to receive

HRIG (Human Rabies Immunoglobulin) is passive rabies vaccination part of the vaccine to be infiltrated around the wound (depends upon the size and depth of the wound and the remaining dosage has to be administered to the opposite arm or gluteal area

Dosage of the HRIG should be calculated depending upon the weight of the body, and size of the wound

In addition to this you also need Rabies vaccination HDCV Muriex, PCVC or Vera cell rabies vaccination as per recommended schedule on day 0,3,7,14 and 28 days regime to complete the post-exposure course of Rabies vaccinations

Unfortunately there is worldwide shortage of HRIG vaccines, vaccine is not available in some countries and the vaccine is expensive

Some countries use Equine rabies immunoglobulin derived from horse serum. This could cause some adverse side effects.

If HRIG is not available this could be next alternative as second line treatment

However in some countries where HRIG is not available, offer series of large volume of injection from 14 to 21 days, this could be mouse brain derived nerve tissue vaccines offered in some countries is not recommended option by WHO standard

In the event you are unable to get appropriate post exposure Rabies vaccinations and HRIG it is strongly recommended to contact your travel insurance organization requesting them to evacuate you to nearest country where you could able to obtain HRIG and post exposure rabies vaccination. This is not only expensive but also spoil your holidays

On the other hand if you receive pre exposure rabies vaccinations you are already carry rabies antibodies. If you happen to be bitten following the pre exposure vaccination you need to obtain one or two Rabies vaccination mentioned above to increase your rabies antibodies titer preferably on day 1 to 3 and second one 7th day. This vaccines are readily available in most of the countries

REMEMBER IF UNTREATED OR IMPROPERLY TREATED POST EXPOSURE RABIES IS ALMOST 100% FATAL

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About Us

Your health when you go overseas is important - whether you are travelling on a holiday, visiting your friends and relatives, going on a business trip or looking for adventure. Getting individual care and advice based on your itinerary can ensure you have a good trip and come home healthy.

The International Travel Vaccination Centre (ITVC) is a well established travel vaccination centre with over 15 years experience. We provide a full vaccination service and are Yellow Fever accredited.

Our doctors have completed the Certificate of Travel Health through the International Society of Travel Medicine (ITSM) and are specialised in delivering travel health and vaccination advice.

 

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