Can rabies be contagious?

Written by Xiong Hong Hai
Infectious Disease
Updated on September 18, 2024
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Rabies is contagious and is primarily transmitted through bites from infected dogs, cats, or bats. During the onset of the disease, the saliva of rabid dogs contains a high concentration of the rabies virus. Similarly, the saliva of cats in the onset phase also contains a large amount of the rabies virus. If these rabies viruses enter the human body, there is a significant risk of infection. Currently, transmission of rabies from one person to another is extremely rare; it is mainly transmitted to humans through bites from infected animals during their symptomatic phase.

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Written by Xiong Hong Hai
Infectious Disease
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How long is the longest incubation period for rabies?

The incubation period of rabies is generally between one to three months, and it is rare for the disease to have incubation period longer than a year. Most cases usually fall within one to three months, according to the 2016 Rabies Prevention Guide. The longest recorded incubation period for rabies mentioned in the guide was six years, but such cases are extremely rare. Therefore, if a person is bitten by a dog and does not develop the disease within a year, it is generally considered that they were not infected with rabies at the time of the bite. Rabies is a fatal disease, with a 100% fatality rate upon infection, so prevention is crucial.

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Written by Xiong Hong Hai
Infectious Disease
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Rabies is transmitted through what?

Rabies is actually a relatively rare disease, but it is a very dangerous one with a 100% fatality rate once infected. In clinical practice, most cases of rabies are due to not being vaccinated after being bitten by a rabid dog. There are also frequent occurrences after being bitten or scratched by a cat without vaccination against rabies. Additionally, there is a risk of infection from bat bites as well. Rabies cannot be treated, and the main approach is prevention. There have been no cases of transmission from human to human, and it can be prevented through rabies vaccination.

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Written by Xiong Hong Hai
Infectious Disease
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Symptoms of the incubation period of rabies

Rabies has no obvious symptoms during the incubation period. Some people might feel as if ants are biting at the wound site, while others may display symptoms of fatigue and lack of energy; however, the vast majority of people do not show any clear characteristic symptoms. The incubation period for rabies can range from one to three months, and it is rare for it to extend beyond one year. The duration of the incubation period is highly dependent on the location of the bite; the farther from the head, the longer the incubation period. Conversely, the closer to the head and face, the shorter the incubation period.

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Written by Xiong Hong Hai
Infectious Disease
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Does rabies cause fever?

Rabies can indeed cause fever during the more obvious period of clinical symptoms, often accompanied by excessive neurological excitation, such as drooling, tearing, sweating, and tachycardia. There may also be agitation, hallucinations, and other typical neurological symptoms such as hallucinations, convulsions, bizarre behavior, hyperfunction, and neck stiffness. These symptoms manifest as extreme fear, hydrophobia, fear of wind, difficulty swallowing, and high sensitivity to bright light and noise; most cases result in death within 3-5 days, and it is very rare for cases to last more than two weeks.

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Written by Xiong Hong Hai
Infectious Disease
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Can rabies be cured?

Rabies is an incurable disease, and once symptoms develop, it is almost always 100% fatal. However, it is meaningful to use certain medications to control the patient's agitation and relieve their suffering. For example, sedatives such as Valium and phenobarbital can be used. After the onset of rabies, it is essential to isolate the patient and manage the symptoms according to the specific situation. Since rabies is incurable, prevention is critical. If bitten by animals such as dogs or cats, it is necessary to clean and disinfect the wound immediately and then promptly administer rabies vaccine and rabies immunoglobulin.