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

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<strong>Rabies</strong> Post-Exposure Prophylaxis<br />

Question 1: Was rabies post-exposure prophylaxis recommended?<br />

The decision to administer rabies post-exposure prophylaxis (RPEP) is made by the CMOH. If the risk to the exposed<br />

person (patient) is high enough that RPEP is either administered or offered, the public may need to be informed of a<br />

past or ongoing risk to public health due to the presence of a rabid animal. This is necessary in order to assess <strong>and</strong>/<br />

or treat unreported exposures, <strong>and</strong> to prevent further exposures to both humans <strong>and</strong> other animals.<br />

Question 2: If yes, is a public communications strategy required?<br />

The decision to recommend RPEP may incorporate some or all of the information used to determine whether or not<br />

to carry out a public communications strategy. However, other information will also be used, such as the vaccination<br />

status of the exposed person. Therefore, it’s important to know why rabies post-exposure prophylaxis was or was<br />

not administered or offered.<br />

To determine whether or not to recommend a public communications strategy based the decision for rabies postexposure<br />

prophylaxis, consult with the CMOH <strong>and</strong> follow their direction.<br />

Animal <strong>Management</strong><br />

Question 1: Was an animal management strategy implemented?<br />

Animal management strategies are determined by the Chief Veterinary Offi cer (CVO) in consultation with the CFIA.<br />

Depending on the specifi c animal management strategy, the public may need to be informed of a possible risk to<br />

public health due to the presence of a rabid animal. This is necessary in order to assess <strong>and</strong>/or treat unreported<br />

exposures to both humans <strong>and</strong> other animals. Refer to Animal <strong>Health</strong> Tab for details.<br />

Question 2: If yes, is a public communications strategy required?<br />

Decisions on appropriate animal management strategies may incorporate some or all of the information used to<br />

determine whether or not to carry out a public communications strategy. However, information may be interpreted<br />

or weighted differently, <strong>and</strong> tolerances may be lower when considering the risk an animal poses to human health<br />

(e.g., if available, a wild or feral domestic animal that bites someone will always be euthanized, but not necessarily<br />

because rabies is suspected). Therefore, it’s important to know why a particular animal management strategy was<br />

put in place.<br />

To determine whether or not to recommend a public communications strategy based the decision for an animal<br />

management strategy, consult with the CVO <strong>and</strong> follow their direction.<br />

Question 3: If an animal management strategy was implemented, what were the results?<br />

The result of an animal management strategy is important to know because one possible outcome is that the<br />

animal could develop clinical signs consistent with rabies. The animal may also die for other reasons, or may remain<br />

healthy. Depending on the results, the public may need to be informed of a possible risk to public health due to<br />

the presence of a rabid animal. This is necessary in order to assess <strong>and</strong>/or treat non-reported exposures to both<br />

humans <strong>and</strong> other animals.<br />

10<br />

ENVIRONMENTAL HEALTH SERVICES GUIDELINES | October 2011

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