Yukon Rabies Risk Management - Guidelines - Health and Social ...

TABLE OF CONTENTS
ACRONYMS ............................................................................................................................................................ii
CONTACT INFORMATION .......................................................................................................................................iii
PRIMARY HEALTH CARE PROVIDER GUIDELINES ................................................................................................... 1
Rabies Risk Investigation Form A .............................................................................................................................. 5
YUKON COMMUNICABLE DISEASE CONTROL (YCDC) AND
CHIEF MEDICAL OFFICER OF HEALTH (CMOH) GUIDELINE ..................................................................................... 1
Release of Biologicals for Rabies Post-Exposure Prophylaxis (RPEP) ........................................................................... 8
The Medical Offi cer of Health must authorize all releases of RPEP .............................................................................. 8
How to Access RPEP ............................................................................................................................................... 8
Administration Arrangements – Location of Exposed Person ...................................................................................... 8
Rabies PEP Instruction Sheet ................................................................................................................................... 9
Rabies PEP Instruction Sheet - Dosage ................................................................................................................... 10
Record of Rabies Vaccine and Rabies Immune Globulin Administration ..................................................................... 11
Exposures in persons previously immunized against rabies (Adapted from BCCDC, 2011) ......................................... 12
Pre-Exposure Rabies Immunization (Adapted from BCCDC, 2011) ............................................................................ 13
Table 1: Pre-exposure Rabies Immunization ............................................................................................................ 13
ENVIRONMENTAL HEALTH SERVICES GUIDELINES ................................................................................................ 1
What will Environmental Health Services do? ............................................................................................................ 1
Rabies Risk Investigation Form B.............................................................................................................................. 3
Table 2: Forms A + B responses indicating that a public communication strategy should be recommended .................. 9
Rabies Post-Exposure Prophylaxis .......................................................................................................................... 10
Table 3: Form B Animal management section responses indicating that a public communication strategy
should be recommended ....................................................................................................................................... 11
ANIMAL HEALTH UNIT GUIDELINES ....................................................................................................................... 1
What Will the Animal Health Unit Do? ....................................................................................................................... 1
Animal Handling Guidelines for Possible Rabies Suspect Animals ............................................................................... 2
Euthanasia Guidelines for Rabies Suspect Animals .................................................................................................... 3
Carcass Handling Guidelines for Rabies Suspect Animals .......................................................................................... 4
CFIA role in Rabies Sampling and Management ........................................................................................................ 5
Rabies Testing Guidelines for Rabies Suspect Animals ............................................................................................... 6
Sample Handling Guidelines from Rabies Suspect Animals ........................................................................................ 7
Sample Shipping Guidelines from Rabies Suspect Animals ........................................................................................ 7
Common Rabies Sample Submission Concerns......................................................................................................... 9
BACKGROUND, LEGISLATION, DEFINITIONS, REFERENCES .................................................................................... 1
Clinical Presentation in Humans and Epidemiology .................................................................................................... 1
Legislative Authorities for Rabies Risk Management .................................................................................................. 6
References ............................................................................................................................................................. 9
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