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Dog Owner's Home Veterinary Handbook.pdf - Mr. Walnuts

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Treatment: Acute cases must be hospitalized for intensive veterinary<br />

treatment.<br />

Prevention: Vaccination is highly effective in preventing infectious<br />

canine hepatitis. Infectious canine hepatitis does not cause hepatitis in<br />

humans.<br />

RABIES<br />

INFECTIOUS DISEASES • 75<br />

Rabies is a fatal disease that occurs in nearly all warm-blooded animals,<br />

although rarely in rodents. In the United States, vaccination programs for<br />

dogs and other domestic animals have been remarkably effective. This has<br />

greatly reduced the risk of rabies in pets and their owners.<br />

The major wildlife reservoirs for rabies (with substantial overlap) are the<br />

skunk in the Midwest, Southwest, and California; raccoons in New England<br />

and the East; foxes in New York, neighboring eastern Canada, Alaska, and<br />

the Southwest; and coyotes and foxes in Texas. Bats, which are distributed<br />

widely, also carry rabies.<br />

The main source of infection for humans outside the United States continues<br />

to be a bite from an infected dog or cat. In India, for example, a country<br />

that lacks an effective rabies control program, it is estimated that several<br />

thousand people die of rabies each year. Travelers to countries where rabies is<br />

endemic should be aware of the risk of dog bites.<br />

The rabies virus, which is present in infected saliva, enters the body at the<br />

site of a bite. Saliva on an open wound or disrupted mucous membrane also<br />

constitutes exposure. The average incubation period in dogs is two to eight<br />

weeks, but it can be as short as one week or as long as one year. The virus travels<br />

to the brain along the nerves. The more distant the bite is from the brain,<br />

the longer the period of incubation. The virus then travels back along the<br />

nerves to the mouth. Entry into the salivary glands occurs less than 10 days<br />

before symptoms appear—which means animals can be infectious before they<br />

show any signs of rabies (this is unusual but is possible).<br />

<strong>Dog</strong>s can show either of two versions: the aggressive form, where they<br />

attack and act very boldly aggressive; or the “dumb” form, where they are<br />

ataxic (an inability to coordinate voluntary muscle movements) and may<br />

walk into objects. In both cases, you may notice extensive drooling due to<br />

paralysis of the muscles used for swallowing.<br />

Any dog who is bitten by an animal who is not absolutely known to be free<br />

of rabies must be assumed to have been exposed to rabies, until proven otherwise.<br />

The National Association of State Public Health Veterinarians recommends<br />

that if the dog has previously been vaccinated against rabies,<br />

revaccinate immediately and observe the dog under leash confinement at<br />

home for 45 days. If the dog has not been vaccinated, either euthanize the<br />

animal or confine him under strict quarantine without direct handling by

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