Travel medicine update

Rabies immunisation: update for travellers

SONNY LAU

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© craigrjd/istockphoto.com
© craigrjd/istockphoto.com

Abstract

Rabies is a zoonotic disease prevalent throughout the world, particularly in underdeveloped countries. Although Australia is rabies-free, rabies-like lyssaviruses carried by bats pose a risk of infection. Australians travelling to and arriving from rabies-prone areas are also at risk of contracting rabies. Pre- and postexposure rabies immunisations are available in Australia and GPs should recommend these when indicated, and advise animal avoidance while travelling overseas.

Article Extract

Rabies is a fatal acute progressive encephalomyelitis that causes nearly 60,000 human deaths per year, mainly in resource-poor countries, due to a lack of awareness and access to safe and effective rabies vaccines and immunoglobulins. However, death from rabies is readily preventable with animal avoidance and proper pre-exposure management, and postexposure immunisation substantially enhances survival  (Box 11,2).

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© craigrjd/istockphoto.com
© craigrjd/istockphoto.com