Rabies transmission routes

Written by Xiong Hong Hai
Infectious Disease
Updated on January 27, 2025
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Rabies is an extremely deadly disease, with a 100% fatality rate once infected, so prevention is crucial. According to clinical and laboratory research, the majority of cases result from bites by rabid dogs who were not vaccinated against rabies. Additionally, there are cases resulting from bites or scratches by cats who were not vaccinated. In places like the United States and Europe, bat bites are relatively common. In rabies cases involving dogs and cats, their saliva contains a high concentration of the virus, making infection likely if one comes into contact with it. Proper prevention is essential.

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Written by Xiong Hong Hai
Infectious Disease
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Is rabies contagious?

Rabies is contagious; in fact, most cases of rabies result from being bitten by rabid dogs, cats showing symptoms of the disease, or bats carrying the rabies virus. There have been no reports of transmission from human to human. Rabies is a fatal disease, with a 100% mortality rate once infected. The saliva of dogs showing symptoms contains a high concentration of the virus. If one is bitten and does not receive timely prevention and intervention, there is a high likelihood of contracting the infection.

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Can rabies be cured?

Rabies cannot be cured, and once infected and symptomatic, it is 100% fatal with no existing therapeutic strategies. Treatment only involves symptomatic care to alleviate some symptoms of patients but does not improve prognosis; generally, death occurs. Therefore, prevention of rabies is crucial. If exposed to potentially rabid dog or cat bites, it is essential to promptly administer rabies vaccine, and sometimes, it is necessary to concurrently inject rabies immunoglobulin.

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Does rabies cause headaches and dizziness?

During the apparent symptomatic phase of rabies, symptoms like headache and dizziness may occur, although they are not the main symptoms. More typical symptoms of rabies include hydrophobia, fear of wind, photophobia, and difficulty drinking water. Exposure to bright lights and loud noises can cause whole-body spasms and pain. The disease can also cause facial muscle spasms, leading to distorted facial expressions. Subsequently, opisthotonus may occur, along with drooling, tearing, and tachycardia. Eventually, the patient may fall into a coma and die. Fever may also be present.

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How long can rabies antibodies last?

Antibodies for rabies generally last for a relatively long time. According to the 2016 rabies prevention guidelines, if the rabies vaccine is administered systematically and sufficient levels of rabies antibodies are produced, then three to five years later, the vast majority of people can still detect effective levels of rabies antibodies. Nowadays, the detection of rabies antibodies is also quite convenient, so if one has been vaccinated against rabies before and is exposed again, it is possible to first test for rabies antibodies to determine whether there is a need to vaccinate again.

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Written by Xiong Hong Hai
Infectious Disease
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rabies probability

Rabies is actually a fatal disease, with a 100% death rate once infected, so there are no treatment options available, only prevention can be strengthened. Rabies is also a very rare disease; across our country, there are approximately 40 million exposure cases each year, but only about 1,000 cases of rabies occur annually. If someone is bitten or scratched by a dog, cat, or bat, it is necessary to administer a rabies vaccine. For wounds with broken skin, rabies immunoglobulin must also be administered to ensure proper prevention.