35 research outputs found

    Rabies Virus in Raccoons, Ohio, 2004

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    In 2004, the raccoon rabies virus variant emerged in Ohio beyond an area where oral rabies vaccine had been distributed to prevent westward spread of this variant. Our genetic investigation indicates that this outbreak may have begun several years before 2004 and may have originated within the vaccination zone

    Development of a GIS-based, real-time Internet mapping tool for rabies surveillance

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    BACKGROUND: Oral rabies vaccination programs have been implemented to control the spread of wildlife rabies in the United States. However, current surveillance systems are inadequate for the efficient management and evaluation of these large scale vaccine baiting programs. With this in mind, a GIS-based rabies surveillance database and Internet mapping application was created. This surveillance system, RabID, provides a new resource for the rapid mapping and dissemination of data on animal rabies cases in relation to unaffected, enzootic, and baited areas where current interventions are underway. RESULTS: RabID is a centralized database for diagnostic and demographic information collected by local, state, and federal agencies involved in rabies surveillance. The geo-referenced database remits data to an Internet-accessible mapping application that displays rabies surveillance data in relation to environmental and geographic features. CONCLUSION: RabID provides a pioneering example of the power of geographically based Internet-accessible, infectious disease surveillance. This surveillance system was developed from existing technology and is readily adaptable to other infectious diseases and may be particularly useful for zoonoses. The development and application of public health informatics technology may enhance the effectiveness of public health interventions and allow better evaluation of public health interventions

    Skunk and Raccoon Rabies in the Eastern United States: Temporal and Spatial Analysis

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    Since 1981, an epizootic of raccoon rabies has spread throughout the eastern United States. A concomitant increase in reported rabies cases in skunks has raised concerns that an independent maintenance cycle of rabies virus in skunks could become established, affecting current strategies of wildlife rabies control programs. Rabies surveillance data from 1981 through 2000 obtained from the health departments of 11 eastern states were used to analyze temporal and spatial characteristics of rabies epizootics in each species. Spatial analysis indicated that epizootics in raccoons and skunks moved in a similar direction from 1990 to 2000. Temporal regression analysis showed that the number of rabid raccoons predicted the number of rabid skunks through time, with a 1-month lag. In areas where the raccoon rabies virus variant is enzootic, spatio-temporal analysis does not provide evidence that this rabies virus variant is currently cycling independently among skunks

    Human rabies postexposure prophylaxis during a raccoon rabies epizootic in New York, 1993 and 1994.

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    We describe the epidemiology of human rabies postexposure prophylaxis (PEP) in four upstate New York counties during the 1st and 2nd year of a raccoon rabies epizootic. We obtained data from records of 1,173 persons whose rabies PEP was reported to local health departments in 1993 and 1994. Mean annual PEP incidence rates were highest in rural counties, in summer, and in patients 10 to 14 and 35 to 44 years of age. PEP given after bites was primarily associated with unvaccinated dogs and cats, but most (70%) was not attributable to bites. Although pet vaccination and stray animal control, which target direct exposure, remain the cornerstones of human rabies prevention, the risk for rabies by the nonbite route (e. g., raccoon saliva on pet dogs' and cats' fur) should also be considered

    Rabies-Specific Antibodies: Measuring Surrogates of Protection against a Fatal Disease

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    Antibodies play a central role in prophylaxis against many infectious agents. While neutralization is a primary function of antibodies, the Fc- and complement-dependent activities of these multifunctional proteins may also be critical in their ability to provide protection against most viruses. Protection against viral pathogens in vivo is complex, and while virus neutralization—the ability of antibody to inactivate virus infectivity, often measured in vitro—is important, it is often only a partial contributor in protection. The rapid fluorescent focus inhibition test (RFFIT) remains the “gold standard” assay to measure rabies virus–neutralizing antibodies. In addition to neutralization, the rabies-specific antigen-binding activity of antibodies may be measured through enzyme-linked immunosorbent assays (ELISAs), as well as other available methods. For any disease, in selecting the appropriate assay(s) to use to assess antibody titers, assay validation and how they are interpreted are important considerations—but for a fatal disease like rabies, they are of paramount importance. The innate limitations of a one-dimensional laboratory test for rabies antibody measurement, as well as the validation of the method of choice, must be carefully considered in the selection of an assay method and for the interpretation of results that might be construed as a surrogate of protection

    Comparison of an anti-rabies human monoclonal antibody combination with human polyclonal anti-rabies immune globulin

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    The World Health Organization estimates human mortality from endemic canine rabies to be 55,000 deaths/ year. Limited supply hampers the accessibility of appropriate lifesaving treatment, particularly in areas where rabies is endemic. Anti-rabies antibodies are key to protection against lethal rabies. Currently, only human and equine polyclonal anti-rabies immune globulin (HRIG and ERIG) is available. Replacement of HRIG and ERIG with a safer and more widely available product is recommended. We have recently identified a combination of 2 human monoclonal antibodies (MAbs), CR57 and CR4098, that has high potential. We here describe a head-to-head comparison between an CR57/CR4098 MAb cocktail and HRIG. The MAb cocktail neutralized all viruses from a panel of 26 representative street rabies virus isolates. In combination with vaccine, the MAb cocktail protected Syrian hamsters against lethal rabies when administered 24 h after exposure, comparable with the results obtained with HRIG. Furthermore, the MAb cocktail did not interfere with rabies vaccine differently from HRIG. These results demonstrate that the human MAb cocktail of CR57 and CR4098 is a safe and efficacious alternative to RIG in rabies postexposure prophylaxis. A recent World Health Organization publication estimated human mortality from endemic canine rabies to be 55,000 deaths/year Mouse MAbs, as well as human MAbs, have been shown to protect rodents from lethal RV challeng

    Considerations for lmmunocontraception Among Free-Ranging Carnivores: The Rabies Paradigm

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    The raging North American controversy over the reintroduction of wolves into the ecosystem of the greater Yellowstone National Park area exemplifies the emotive relationship between humankind and the Carnivora. What forces act in concert to portray this much maligned Order in unfavorable light? Control of free-ranging carnivore populations by Homo sapiens has been practiced for centuries as part of a pastoral lifestyle, with the intent of protecting one\u27s own life and livelihood from becoming freshly killed prey in the onslaught from mammalian competitors. Traditionally, control is equated most commonly with population reduction through direct elimination of individuals (e.g., typically social canids or solitary large-bodied felids) via lethal means including shooting, poisoning, trapping, gassing of dens, and habitat modification (Lewis 1968, U.S. Department of Agriculture 1992). In addition to reducing direct predation upon domestic livestock (sheep and cattle losses alone in the United States are estimated in excess of $80,000,000 annually [U.S. Department of Agriculture, National Agricultural Statistics Service 1991j), other perceived beneficial aspects of free-ranging carnivore population reduction include conservation of endangered species, such as Australian marsupials, subject to predation by introduced European red foxes (Boyle 1994), conservation of otherwise desirable species (game fowl and wild ungulates), and the alleviation of objectionable human-carnivore interactions (Wynne-Edwards 1964)
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