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Rabies Guide 2010.pdf - the South African Veterinary Council

Rabies Guide 2010.pdf - the South African Veterinary Council

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<strong>Rabies</strong> contact animals<br />

Contact animals are animals that have been, or are<br />

suspected to have been, bitten or scratched by a rabid<br />

animal, or received saliva, brain or o<strong>the</strong>r infectious<br />

material from a rabid animal into a wound, <strong>the</strong><br />

mouth or eyes. This includes <strong>the</strong> unweaned offspring<br />

of infected animals.<br />

and/or destroyed by an authorised person subject<br />

to conditions determined by <strong>the</strong> state veterinarian.<br />

Unvaccinated contact livestock including cattle, sheep,<br />

goats and horses may, in exceptional cases and subject<br />

to written permission and conditions determined<br />

by <strong>the</strong> state veterinarian, be immunised and held in<br />

isolation and close observation for six months.<br />

The management of contact domestic animals<br />

exposed to rabies can be complicated by <strong>the</strong> lack<br />

of an immediate perceived threat to human life. As<br />

human exposure is likely should a domestic animal<br />

develop rabies, <strong>the</strong> recommendation is normally to<br />

cull <strong>the</strong> exposed animal.<br />

Management of <strong>the</strong>se<br />

cases is difficult because<br />

of emotional attachment<br />

to <strong>the</strong> animal, <strong>the</strong> value<br />

of <strong>the</strong> animal, difficulties<br />

in determining vaccination<br />

status and <strong>the</strong> democratic<br />

rights of individuals.<br />

It is imperative that<br />

contact animals be traced, identified, safely confined<br />

and reported to <strong>the</strong> state veterinarian without delay.<br />

Failure to report such cases may subsequently result<br />

in <strong>the</strong> spread of <strong>the</strong> disease to humans or o<strong>the</strong>r<br />

animals. The state veterinarian will determine which<br />

contact animals pose a risk and what control measures<br />

are necessary to prevent any fur<strong>the</strong>r spread of <strong>the</strong><br />

disease.<br />

Where rabies is confirmed in wild carnivores,<br />

mongooses, dogs and cats, all dogs and cats that<br />

were in close contact with <strong>the</strong> infected animal, for<br />

example those of <strong>the</strong> same household, must be<br />

euthanised under <strong>the</strong> supervision of a veterinary<br />

officer or authorised person, if <strong>the</strong>y do not have a<br />

valid vaccination certificate.<br />

Livestock known to have been bitten should be<br />

slaughtered immediately. 153 Equines must be isolated<br />

It is imperative that contact<br />

animals be traced, identified,<br />

confined safely and reported<br />

to <strong>the</strong> state veterinarian<br />

without delay<br />

Tissue and milk from a rabid animal should not be<br />

used for human or animal consumption. Meat that<br />

has been cooked and milk that has been pasteurised or<br />

refrigerated should not pose a danger. People drinking<br />

raw milk and butchering a carcass should, however,<br />

be regarded as a category 2 contact and should be<br />

vaccinated.<br />

After taking samples from<br />

an animal with rabies or<br />

suspected of having rabies,<br />

carcasses must be burnt or<br />

buried.<br />

A test to determine rabies<br />

antibody titre in previously<br />

vaccinated cats and dogs after an exposure to rabies<br />

occurred is available at OVI. This test can determine<br />

whe<strong>the</strong>r efficient antibody titres were obtained after<br />

vaccination that will protect against rabies virus<br />

infection. However this test cannot indicate whe<strong>the</strong>r<br />

<strong>the</strong> animal is incubating <strong>the</strong> virus.<br />

Vaccinated dogs and cats with neutralising antibody<br />

titres exceeding of 0,5 IU/ml can be considered<br />

to have responded to vaccination, although <strong>the</strong><br />

presence of neutralising antibodies does not guarantee<br />

protection against challenge. This result may assist<br />

in managing contact animals. It is essential that a<br />

full history is obtained and that blood samples are<br />

taken before booster vaccination (within 1–2 days<br />

post-exposure). Fur<strong>the</strong>rmore, <strong>the</strong> date(s) and type of<br />

contact, for example bite, scratch, and information<br />

on blood sampling and rabies vaccination(s) must be<br />

submitted with <strong>the</strong> serum samples.<br />

51

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