rabies in SD area...

dv8

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Sep 27, 2006
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hoy reports two separate cases of rabies in children in SD area. one died and the other one is currently in a coma while doctors work on saving his life. he was bitten in october but received no vaccination and now has developed all the symptoms. those who may be familiar with milwaukee protocol know there are only handful of survivors so fingers crossed for the small one.
here is a link to the story:
Pa?s tiene una epidemia de rabia; SC?zona?alto riesgo - Hoy Digital

i wanted to post this as a warning to everyone in the area and maybe in a whole country. if you have cats and dogs that go outside and have contact with other animals - vaccinate them. try to keep them in because they may be killed if they wander about.
if your child, or yourself, have been bitten or scratched by a dog, cat, or any other small mammal that can spread rabies (bats in particular) seek immediate help and a vaccination. it is no longer painful injection in a stomach so don't worry, it will not hurt.
you should do it ASAP after being attacked but you have a small window of time to find a vaccine.
 

Givadogahome

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Sep 27, 2011
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Really? I took a nip on Tuesday while out sterilizing some street dogs (that stuff seems to burn them for a short while), maybe I should get myself off to the docs.

I don't believe those figures, 13%, (do you?) that is early epidemic stage. If this is the case then they need to get out and get the dogs off the street asap. A cull is in order, although that is a horrible thought here, I imagine they would not be done humanely.
 

dv8

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Sep 27, 2006
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i think it's 13% of all the dogs presenting the symptoms that were caught. i presume they were looking specifically for dogs that looked like they might have been affected.

as far as your case goes: anyone working with homeless animals in DR should get vaccinated. with a follow up booster dose may give rabies immunity for about 10 years. so get yourself going, man :)
 

Givadogahome

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I was done last year, I think it was my booster but not sure, in the top of my arse and it did make my toes curl, am I supposed to get another hit every time I take a bite? I think rabies might be less uncomfortable.
 

Castle

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Sep 1, 2012
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One or two cases is hardly epidemic. For the past several years, no more than one death per year has been reported in the country. So, one or two cases are still within the expected. Another thing that I find hard to believe is that a person who has been bitten on THE FACE takes 2 moths to present the first symptoms. That would be OK if the bite is on legs or even arms. Usually bites on the head work their way up to the brain much faster than that.
People need to understand that Centros de Atencion Primaria are better qualified than hospitals to take care of these kind of situations, even though the note says the child received poor treatment at the CAP. I believed it because this is DR, but staff at CAPs are continuously trained to treat and therefore report even suspected cases of a group of diseases, rabies among them.
 

mountainannie

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I had a friend whose brother was visiting here in Gazcue a few years back and was essentially attacked by a pack of street dogs at 2AM walking back to her apartment from the casino at the Meliz/Sheraton. He was not given the protocol here but back in the States. The doctors there told him that he should have gone IMMEDIATELY to the doctors here. He had waited a few days.,

Are the shots still the painful in your stomach ones? That was always the incentive in the States.. well, no. there are no street dogs to speak of in the States .. we have animal control. And if you have a dog, you must have a rabies certificate. I guess that varies state to state.. i only know north carolina and rhode island. That is an aside but I do not want to hijack onto the US policies.

I know that the project in LT for sterilizing and vacinnating is ongoing.

Is there an organization that does that here in the Disticto Nacional?

I would volunteer
 

Givadogahome

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Sep 27, 2011
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One or two cases is hardly epidemic.
No one said that 2 cases was. What was said that if 13% of the street dogs have rabies then it is almost early epidemic. Meaning that if 13 out of every 100 dogs living on the street are ill then that could easily spiral out of control within very short time.

If this is not the case which I don't believe is, or at least hope not then no, it probably isn't as serious a concern, but still a concern.
 

dv8

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Sep 27, 2006
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yes, i also find it strange that a bite in the face, on a small child, took so long to present symptoms. rabies travels very slowly along the nervous system at the rate of 1-2 cm a day which is why it may take many months (sometimes even years) to develop symptoms after initial bite in one of the limbs. but a face? i'm guessing he might have started to present some signs of disease earlier on. normally they are very non specific: fever, weakness, headache, cough. so it might have gone undiagnosed for a number of days.

in any case, i think his chances are very slim. i understand that only about 5 people have survived rabies through treatment, after the symptoms have appeared.

give, normal course of rabies vaccine with booster is vaccine today, booster a year later. even without the booster the immunity of vaccine alone is 2 to 3 years, so you should be fine :)
 

dv8

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MA, the vaccination now is a shot in the butt. 3 of them: day 0, day 7, day 21 or 28.
post exposure injections are day 0, day 3, day 7, day 14.
 

dv8

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no, MA, the vaccine is multiple injections, from what i can understand. but you are right, it's the arm, not the butt :)
 

Givadogahome

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I'm confused about what I have had now, I think I'll have to call the docs and ask for a rundown of my treatment. I did get one in the arm also but what would the one in the arse have been, that was painful.
 

dv8

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give, i did a quick search and it says the vaccine is administered by intramuscular injection into the arm. maybe the nurse received an order to do IM injection and she did your butt because it was easier or faster? i wonder if the area matters. because children are supposed to receive their shots in a thigh.
 

Castle

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No one said that 2 cases was. What was said that if 13% of the street dogs have rabies then it is almost early epidemic. Meaning that if 13 out of every 100 dogs living on the street are ill then that could easily spiral out of control within very short time.

If this is not the case which I don't believe is, or at least hope not then no, it probably isn't as serious a concern, but still a concern.
I know you didn't. I was referring to the headlines from HOY. It is a shame how they throw these headlines, making people panic and start killing dogs left and right (as if they need much encouragement here)...
I'm sorry if my choice of words made you think I was talking about your post.
 

Givadogahome

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I know you didn't. I was referring to the headlines from HOY. It is a shame how they throw these headlines, making people panic and start killing dogs left and right (as if they need much encouragement here)...
I'm sorry if my choice of words made you think I was talking about your post.
No that's cool, I'm a bit overly aggressive at times, especially when we're talking about mass dog poisoning, which is now inevitable with stuff like this being printed. You're correct.

:bored:
 

Joe Boots

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Jun 16, 2008
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Hey been there done that......welcome to my world. I was bit by a cat in La Caleta. First stop was a Hospiten I believe they are french private hospitals. I was cleaned up and got a shot of Gamagobulin I think. Then I was sent to the Centro Anti Rabitico. Something like that. It was near Caribe tours under the elevated expressway in Santo Domingo. The DR treatment for me was about 8 shots. I was getting them in the top of the buttucks "High Cheek" area and it was painless. The hospiten cost me like 130$USD the Centro Anti Rabitico was free. I left DR before the treatment was over and went on Rabavert US treatment that was 2 shots in the arm. Bottom line dont take a chance my doctor told me. Medicine is 100% effective if treated immediately. If you contract it your done! It was easy JUST MAKE SURE YOU GET THE SHOTS!!!!
 

Joe Boots

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Oh PS in the Center the government was more concerned about a little ferret looking creature. Probably more in the campo, not so much as domestic animals. But apparently there is a recognition that is is a dangerious disease therefor the AntiRabitico CDC Centro. They treated me very well in there, gave me a wonderful transition document to give the doctor when I came to the states explaining what vaccine treatment I had already received.:)
 

Givadogahome

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Sep 27, 2011
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Yeh, I see a lot of mongoose/ferret/pol cat looking things, I'd never seen them until the last couple of years but they are in larger numbers now, I presume anyway as they are a regular sight.