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leidelaohu
Board Lord
Joined: June 11, 2007
Posts: 5739
Status: Online!
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 Posted:
Aug 31, 2007 - 11:25 AM |
 
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| Post subject: Rabies - an impending health hazard ? |
Was in the local hospital the other day for a little cleanup after a small bicycle-scooter intersection (I was more solid than the red light Donny Dickwit zoomed thru) when an unusual thing happened - they brought a guy in with rabies. Foaming at the mouth and having a fit and everything. Learned that they later put him to sleep as there is no cure for rabies once it gets to that point. However ... there's about five cases of rabies per year in the US because rabies shots for dogs are the norm.
Every city in China has bunches of people selling puppies in baskets. What happens to the unsold ones ? What about the country people who have dogs which have puppies ? Does anyone think they will spend ten cents to get shots for all the puppies ? Do Chinese people know how to take care of pets at all ?
Rabies shots for dogs were the primary vehicle for reducing the incidence of rabies in the West. Un-vaccinated dogs are the primary reservoir of rabies viruses.
Looks to me like we're due for a big increase in a bad disease  Sinned69, you have more to say about this ?
BTW, just heard that Hangzhou has banned large dogs. Either their owners find them homes or the city will destroy them. From a rabies-control perspective this is ridiculous but from a dogitarian point of view, good. Trophy Newfoundlands in 50sq meter apartments is cruel and unusual punishment, imo . Wonder if Shanghai will follow suit ? Yorkshire, you're dogpoop problem may solve itself ! |
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scotsladdy
Barker
Joined: July 29, 2004
Posts: 175
Status: Offline
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Aug 31, 2007 - 05:43 PM |
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wait, they put him to sleep? you mean they killed him or just induced a coma? I know he will have passed his expiry date if it really was rabies but why would they 'put him to sleep'? Maybe I'm reading it wrong, maybe 'he' was a dog and you were in a vetinary surgery? Please clarify |
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leidelaohu
Board Lord
Joined: June 11, 2007
Posts: 5739
Status: Online!
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Aug 31, 2007 - 06:48 PM |
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| scotsladdy wrote: |
| wait, they put him to sleep? you mean they killed him or just induced a coma? |
I meant they sedated him very very heavily until nature could take its course. Guess you could read it the other way too, tho ... Survival rate for rabies is what, 0% ? Apparently there is one documented case of a person surviving in 2004 - and they did a bunch of stuff which a local Chinese hospital probably isn't equipped to do ?
Hadn't thought about it at all until that happened but all those sad little puppies being sold on the street ... building a nice little rabies farm there, we are we are
Yes, it really was rabies. Apparently it is not uncommon at all, but that may be rumour ? Where's sinned69 now that we need hm ? |
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iara
Fire-eater
Joined: June 09, 2006
Posts: 2653
Location: brazil-shanghai
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Sep 01, 2007 - 06:51 PM |
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People survive after rabbies.
have one cousin, he was bitten by his own dog, which had rabbie.
they gave my cousin a lot of injections, everyday, in his belly.
and it was more than 20 years ago, supose nowadays with all those modern medicines it becomes easier! |
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leidelaohu
Board Lord
Joined: June 11, 2007
Posts: 5739
Status: Online!
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Sep 01, 2007 - 07:37 PM |
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| iara wrote: |
People survive after rabbies.
have one cousin, he was bitten by his own dog, which had rabbie.
they gave my cousin a lot of injections, everyday, in his belly.
and it was more than 20 years ago, supose nowadays with all those modern medicines it becomes easier! |
Sorry.
IF you get the shots (there are now two types, don't have to have the seven shots in stomach kind anymore) before the virus incubates to the symptomatic stage (need terminology help, sinned69 !) then you will probably survive. Otherwise, once you've gone symptomatic, you are dead.
There must be more of this happening than we are aware of because the medical staff at our local hospital is very concerned about animal bites. And there are a lot of bats all around this area .... |
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iara
Fire-eater
Joined: June 09, 2006
Posts: 2653
Location: brazil-shanghai
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Sep 01, 2007 - 09:15 PM |
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it's why people need to run to the nearest hospital after an animal bite...
but I think the problem here is not about allowing or not dogs, bigs or smalls, the problem is that most people don't get the dog license and
don't take them to the vet.
once you have the license the government give the rabbies shot (you MUST take the dog there for the vaccinations or you don't get the license)
In Brazil vets used to go house by house to get free vaccinate to dogs, everywhere, it's why we are now rabbies-free.
maybe chinese government should think in give it for free instead of make people get the license first, it would help a lot! |
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Adrienne
SuperStar
Joined: Mar 01, 2003
Posts: 1433
Location: Shanghai, China
Status: Offline
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Sep 01, 2007 - 09:30 PM |
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Sadly, we lost an expat to rabbies in 2000. He'd bought a puppy at a market and must have been bitten when playing with it. He didn't take much notice of it and forgot about it. He got sick a few months later but the local doctors couldn't work out what was wrong with him. By the time he was medivaced out it was too late. It was a terribly sad event. Since then I've kept my distance with dogs here. I think it is easy to be complacent about these diseases when coming from countries without these concerns.
Adrienne
http://www.shanghaiprops.com |
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tnmom
PopStar
Joined: Mar 04, 2004
Posts: 1082
Location: No longer in Shanghai
Status: Offline
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Sep 02, 2007 - 09:55 AM |
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Last year the doctor at World Link recommended the rabies vaccine for my children and suggested getting it in the US over the summer. Apparently the issue is that you need to have that first shot very quickly after a bite and that the stuff is rare in China - you have to go to Hong Kong to get it? The vaccination gives you some added time.
I didn't have a chance to get it done though - anyone know if it can be done here? |
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Adrienne
SuperStar
Joined: Mar 01, 2003
Posts: 1433
Location: Shanghai, China
Status: Offline
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Sep 02, 2007 - 07:37 PM |
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The guy who passed away was an Australian and I believe the nurse at the Australian Consulate now stores it. I'd check with the nurse at the US Consulate (if they still have one).
Adrienne
http://www.shanghaiprops.com |
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MinniMe
Barker
Joined: Sep 09, 2006
Posts: 163
Status: Offline
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Sep 03, 2007 - 12:42 PM |
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I remember reading in Shanghai Daily that last year more people died because of rabies than because of bird flu
Rabies is a VERY big problem in China. I've never been afraid of dogs before but here I am |
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Angie
LoopKicker
Joined: Feb 01, 2004
Posts: 848
Status: Offline
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Sep 03, 2007 - 01:56 PM |
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sinned69
Veejay
Joined: Sep 01, 2004
Posts: 1814
Location: China, Middle East, Asia Pacific
Status: Offline
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Sep 04, 2007 - 07:47 AM |
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| Quote: |
The guy who passed away was an Australian and I believe the nurse at the Australian Consulate now stores it. I'd check with the nurse at the US Consulate (if they still have one).
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no unfortunately the clinic wound up back in 2004. the RN ended up working for/with me as a clinical educator for a time when i was shanghai based. not sure if she is still around as i have been out of shanghai (residing/employed) for more than 2 years... |
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Adrienne
SuperStar
Joined: Mar 01, 2003
Posts: 1433
Location: Shanghai, China
Status: Offline
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Sep 04, 2007 - 08:28 AM |
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Thanks sinned69 for clarifying the nurse/clinic status as US Consulate. I guess some consulate services are going by the wayside as larger service providers move in to fill the need. I would hope somewhere has the vaccine here as it seems quite a serious situation.
Adrienne
http://www.shanghaiprops.com |
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sinned69
Veejay
Joined: Sep 01, 2004
Posts: 1814
Location: China, Middle East, Asia Pacific
Status: Offline
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Sep 04, 2007 - 08:30 AM |
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| Post subject: rabies |
ok about rabies...
here goes...
rabies
狂犬病
kuang quan bing
Description;
a virus that affects mammals Central Nervous System (CNS). its a negative stranded RNA genome, family Rhabodoviridae, genus Lyssavirus.
Etiology;
epidemiology
>30,000-70,000 worldwide cases/year
>common in south east Asia, Philippines, Africa, south America and Indian subcontinent.
>dogs and foxes are the main reserviors
>USA has about ~3 cases/year usually as a result of overseas travel
>wild animals account for ~93% with domesticated animals making up the remainder
>bats, skunks, foxes, pigs, raccoons, rats, mice, hamster, guinea pigs, rabbit, squirrels and a few other animals are reservoirs for the virus.
>modes of transmission include; saliva through bites or non-bites like scratches, abrasions, bat aerosol exposure, or mucous membrane exposure through saliva i.e.. infected dog licking face, organ transplants...
>low risk mode/behaviours include; petting rabid animal, contact with blood, urine, or faeces of rabid animal.
Progression of disease;
>virus multiplies in local tissue (muscle)
>virus taken up into peripheral nerves through acetylcholine receptors
>virus transported to CNS via retrograde axoplasmic flow
>once in CNS rapid replication and dissemination causes encephalitis
>centrifugal spread of virus to peripheral nerves including salivary glands
there are 5 stages of the illness which i wont go into here unless anyone wants to know...
but know that a latent period can be anything from 1-3 months (range of 10 days to >6 years!) virus incubation more likely to occur in peripheral tissues e.g. legs or lower body, shorter period for bites to head or neck.
Treatment;
prehospital; wash wound thoroughly with soap and water
hospital;
>wound cleansing with virucidal agent
>possible wound debridement
>tetanus immunisation
>active immunisation (IM injection) with rabies vaccine on days 0, 3, 7, 14, 28.
>IM injection given in deltoid (upper arm) in adults and anterior thigh (front of thigh) in children. IM injection not given in gluteus muscle due to reported failures due to dose injected into subcutaneous fat. (in other words the injection shouldn't be given in the bum!)
>rabies vaccine considered safe in pregnancy
documented clinical cases of survivability only when rabies vaccine given, without it death is the result. there are no recorded cases of a confirmed positive rabies surviving without rabies vaccine.
http://www.who.int/rabies/rabies_maps/en/index.html
http://scholar.ilib.cn/abstract.aspx?A=gxyfyx200106001
http://www.cdc.gov/ncidod/EID/vol11no12/04-0775.htm
http://www.cdc.gov/ncidod/EID/vol11no12/05-0271.htm
www.who.int/vaccine_research/diseases/zoonotic/en/index5.html
www.wpro.who.int/china/media_centre/speeches/speech_20060519.htm
http://www.who.int/rabies/animal/en/ |
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Last edited by sinned69 on Sep 04, 2007 - 09:07 AM; edited 1 time in total |
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sinned69
Veejay
Joined: Sep 01, 2004
Posts: 1814
Location: China, Middle East, Asia Pacific
Status: Offline
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| Posted:
Sep 04, 2007 - 09:04 AM |
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| Quote: |
| Thanks sinned69 for clarifying the nurse/clinic status as US Consulate. I guess some consulate services are going by the wayside as larger service providers move in to fill the need. |
i was referring to the RN and clinic of the Shanghai Australian Consulate.
| Quote: |
| I would hope somewhere has the vaccine here as it seems quite a serious situation. |
yes, the vaccine is available in PR China |
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qing nin shao deng |
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tnmom
PopStar
Joined: Mar 04, 2004
Posts: 1082
Location: No longer in Shanghai
Status: Offline
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Sep 04, 2007 - 02:45 PM |
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sinned69
Veejay
Joined: Sep 01, 2004
Posts: 1814
Location: China, Middle East, Asia Pacific
Status: Offline
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| Posted:
Sep 04, 2007 - 05:49 PM |
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though it is still advisable to seek medical advice following a bite from anything or anyone. having a vaccination (of any kind) does not guarantee immunity... |
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qing nin shao deng |
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leidelaohu
Board Lord
Joined: June 11, 2007
Posts: 5739
Status: Online!
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| Posted:
Sep 04, 2007 - 06:10 PM |
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| sinned69 wrote: |
| ...advisable to seek medical advice following a bite from anyone. |
Uh-oh  |
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yu888
Board Deity
Joined: Jan 25, 2003
Posts: 19240
Location: ZhongShanParkArea SH
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Sep 04, 2007 - 06:21 PM |
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bougie
Board Buddha
Joined: Nov 20, 2004
Posts: 14629
Location: Wuhan Hubei China
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Sep 04, 2007 - 08:31 PM |
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| leidelaohu wrote: |
| sinned69 wrote: |
| ...advisable to seek medical advice following a bite from anyone. |
Uh-oh |
Is a check-up trip recommended for a kinda rough nibble also ?  |
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