1. PUBH_224_Basic Medical Care in Primary Care Unit Topic Rabies Benjawan Nunthachai

3. http://www.who.int/rabies/en/ http://www.cdc.gov/rabies/symptoms /index.html

4. Rabies: A neglected zoonotic disease Zoonotic disease : a disease that is transmitted from animals to humans that is caused by a virus. Rabies is spread to people through close contact with infected saliva via bites or scratches. The main route of rabies transmission to humans is the bite of rabid dogs. Most of the deaths occur in the absence of post- exposure prophylaxis. Rabies is nearly always fatal when left untreated. Zoonotic disease : a disease that is transmitted from animals to humans that is caused by a virus. Rabies is spread to people through close contact with infected saliva via bites or scratches. The main route of rabies transmission to humans is the bite of rabid dogs. Most of the deaths occur in the absence of post- exposure prophylaxis. Rabies is nearly always fatal when left untreated.

5. Cause of death The incubation period for rabies is typically 1- 3 months. As the virus spreads through the central nervous system, progressive, fatal inflammation of the brain and spinal cord develops. The incubation period for rabies is typically 1- 3 months. As the virus spreads through the central nervous system, progressive, fatal inflammation of the brain and spinal cord develops.

13. What are the signs and symptoms of rabies? The first symptoms of rabies may be very similar to those of the flu including general weakness or discomfort, fever, or headache. These symptoms may last for days. There may be also discomfort or a prickling or itching sensation at the site of bite, progressing within days to symptoms of cerebral dysfunction, anxiety, confusion, agitation. As the disease progresses, the person may experience delirium, abnormal behavior, hallucinations, and insomnia. The first symptoms of rabies may be very similar to those of the flu including general weakness or discomfort, fever, or headache. These symptoms may last for days. There may be also discomfort or a prickling or itching sensation at the site of bite, progressing within days to symptoms of cerebral dysfunction, anxiety, confusion, agitation. As the disease progresses, the person may experience delirium, abnormal behavior, hallucinations, and insomnia.

14. What are the signs and symptoms of rabies? The acute period of disease typically ends after 2 to 10 days. Once clinical signs of rabies appear, the disease is nearly always fatal, and treatment is typically supportive. Disease prevention includes administration of both passive antibody, through an injection of human immune globulin and a round of injections with rabies vaccine. The acute period of disease typically ends after 2 to 10 days. Once clinical signs of rabies appear, the disease is nearly always fatal, and treatment is typically supportive. Disease prevention includes administration of both passive antibody, through an injection of human immune globulin and a round of injections with rabies vaccine.

15. Warning Signs of Rabies Signs of Rabies In Animals Acting sickly Overt Aggressive in a normally tame animal Tameness in a wild animal that is normally afraid of humans Animals that are biting or lunging at everything Excessive drool Trouble swallowing and an unwillingness to drink water Signs of Rabies In Animals Acting sickly Overt Aggressive in a normally tame animal Tameness in a wild animal that is normally afraid of humans Animals that are biting or lunging at everything Excessive drool Trouble swallowing and an unwillingness to drink water

16. WHO promotes  organization of sustainable mass dog vaccination campaigns  dog population management through reduction of strays, control of trade and movement of dogs  reduction of populations through spaying and neutering ( การทำหมัน )  public health education strategies.  organization of sustainable mass dog vaccination campaigns  dog population management through reduction of strays, control of trade and movement of dogs  reduction of populations through spaying and neutering ( การทำหมัน )  public health education strategies.

17. Prevent Rabies Infections Vaccinate your dogs and cats against the rabies virus Never approach a wild animal, regardless of how “friendly” it is acting. This might be a sign that is is carrying rabies. Spayed or neutered your pets. If you are bitten by an animal, follow our After Dog Bite Guidelines, washing the wound with soap and water for at least five minutes and see a doctor right away.After Dog Bite Guidelines Vaccinate your dogs and cats against the rabies virus Never approach a wild animal, regardless of how “friendly” it is acting. This might be a sign that is is carrying rabies. Spayed or neutered your pets. If you are bitten by an animal, follow our After Dog Bite Guidelines, washing the wound with soap and water for at least five minutes and see a doctor right away.After Dog Bite Guidelines

18. Any Question Answered (AQA)