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Donald Burton, DVM
Rabies is an ancient curse dating back to 2300 B.C. when it was
described as a fatal disease acquired by humans from the bite of a mad dog. Fear and
superstition have fueled some of the most fantastic stories and misperceptions surrounding
rabies. Many of these stories concern the clinical signs common to humans with terminal
rabies. Symptoms include: severe pain in the bite area; difficulty swallowing, especially
with fluids (hydrophobia); restlessness; muscle spasms; convulsions; coma and death.
Bizarre behavior associated with agitation, aggression, and crying and shouting all day
and night, have been reported.
In the United States, rabies has historically been associated with dogs
until the early 1960's. Humans were commonly exposed by their close association with their
canine companions. Upon development of effective rabies vaccine protocol for pets combined
with local leash laws, canine rabies has been largely controlled. As the number of
domestic animal cases began to decline, there began a rise in the reported cases of rabies
in wildlife species. Since 1976, greater than 85% of all rabies cases reported have been
found in wild animals. In the 1990's, greater than 92% of all cases occurred in wildlife.
The principal reservoirs are skunks, raccoons, bats, and foxes. Raccoons emerged as a
common host starting in 1979 as the Mid-Atlantic states rabies epizootic was beginning to
be recognized. The first case of raccoon rabies outside the southeastern endemic zone was
reported from West Virginia near the Virginia state line in 1977. More than three thousand
raccoons captured in southeastern states and transported to Mid-Atlantic states for
recreational hunting purposes are thought to have first introduced rabies into this new
area.
Rabies has spread from this epicenter northward at the rate of more
than 25 miles per year. Rabies was first confirmed in New York in 1990 and since then 7851
animal cases have been identified (6637 in raccoons). The Mid-Atlantic state rabies
epizootic spread southward and converged with the southeastern states epizootic in North
Carolina in early 1995, forming a continuous east coast raccoon rabies infected area. Ohio
was protected to some extent by geographic barriers, to our south by the Ohio River, and
on our eastern border, the Allegheny mountain range.
Ohio has only recently recognized confirmed rabies cases in raccoons.
In May 1996, one raccoon and one cat were the first indigenous cases of rabies confirmed
near the village of Poland in northeastern Ohio. On April 5, 1997, raccoon rabies was
again confirmed in Poland, Ohio. Since then and continuing into September 1997, 51
raccoons, 2 cats, and a skunk have been found positive for raccoon rabies in Trumball,
Mahoning, and Columbiana counties. This cluster of raccoon rabies cases has prompted swift
response from a number of local, county, state and federal health agencies, as well as the
Ohio Division of Wildlife. Currently, state and local health agencies have initiated a
rabies prevention protocol utilizing enhanced active surveillance for raccoon rabies,
promoting public awareness through education programs, advocating rabies immunizations of
pet dogs and cats, and distributing an oral vaccination, Raboral (Rhone Merieux), to
immunize wild raccoons. Vaccines have been distributed over 695 square miles by helicopter
and by hand through vehicle transported ground teams into areas judged as raccoon
populated. A total of 101,309 vaccine baits were distributed with 78,277 by hand and
20,880 by helicopter. In a post vaccine dispersal study, 34.5% of raccoons randomly trapped
and blood tested, demonstrated rabies serum neutralizing antibodies, indicative of vaccine
bait consumption. Vaccine bait distribution continued this fall with a proposed 250,000
being distributed over 1,150 square miles. This was done as an effort to create an immune
barrier approximately 10 miles wide, extending from Lake Erie on the north to the Ohio
River. Further vaccine distribution is planned for spring of 1998.
Together with raccoon rabies, cases of bat rabies have generated a
great deal of media exposure, especially in the Columbus and central Ohio area. To date,
34 documented cases of rabies have been diagnosed in bats statewide. In the Columbus, Ohio
area, cases of bat rabies have been documented in pairs in the Upper Arlington,
Reynoldsburg, and west side Columbus areas. Each time, the media coverage has fueled what
may be termed irrational public fears. At least one case, fumigation and extermination of
a local bat colony in an unoccupied residential home, was followed by subsequent building
demolition.
Bat rabies was first recognized in Florida, in 1953. Since then, bats
have been found rabies positive in 31 of 43 species in all of the contiguous lower 48
states. Unlike most hosts, infected bats rarely demonstrate clinical signs of aggression,
but instead become paralyzed. Additionally, colonies do not experience outbreaks as many
terrestrial species do. Usually, only one in one thousand bats becomes infected with
rabies. Despite previous reports, bats do not become healthy infected carriers. Rabid bats
may show abnormal behavior such as activity during daylight hours, paralysis, or become
grounded. Transmission of rabies from an infected bat to a human occurs usually as the
result of a bite. Under exceptional circumstances, in a bat cave, bat rabies was highly
suspected of being transmitted through an aerosol mode to humans, and has been proven in
laboratory animal studies. It is very rare to contract rabies by merely entering a bat
roost, unless direct contact with an infected bat occurs.
The best advice to home owners in the prevention of bat rabies, is not
to handle bats and to keep their homes in good repair by caulking and plugging cracks or
holes greater than one quarter inch. Bats can be effectively excluded by good building
maintenance. If a bat enters a home and it is certain it has not had direct contact with
humans or pets, it can be released outside by opening doors and windows, and encouraging
the bat to leave passively. If that fails, with gloved hands, using a coffee can, or
similar container, cover the bat while sliding cardboard under the can as a lid; the bat
can be captured and released outside. Other methods employing a one way bat check-valve,
allowing bats to leave with no re-entry can help evict bats from an attic or other area,
after plugging all but one of the entry ports. This process should only be used outside of
the breeding season, which extends from May to August. Widespread or local bat roost
extermination or killing is unnecessary, ecologically unsound, inhumane as well as
ineffective. As long as the habitat remains unchanged, bats will find their way back.
Because bat bites are more difficult to recognize than bites of larger
animals, post exposure treatment should be considered for any physical contact with a bat
when a bite, scratch or contamination of any open wound or mucous membrane (eye, nose, or
mouth) cannot be ruled out. when possible, the offending bat should be collected without
damaging its head and submitted to the Ohio Department of Health (ODH) for rabies testing.
If the testing results are positive or the bat cannot be captured and brought to the ODH
laboratory, post exposure treatment should be administered.
Rabies is a disease which has been known for thousands of years and
continues to evade total eradication. Wildlife have become and probably will continue to
be the primary reservoirs for maintaining the rabies virus. With continued surveillance,
wide-scale rabies vaccination of high-risk individuals, effective wound management and
post exposure prophylaxis along with common sense, the actual threat of becoming infected
with rabies is very small. However, those of us who handle potential rabies vector
species, should continue to respect the possibility of rabies in the next animal admitted.
Reference: Raccoon Rabies Update, September 1997, ODH,
Kathleen Smith, DVM
The clinical signs of raccoons infected with rabies virus or canine
distemper virus must be considered indistinguishable as both diseases are progressive
debilitating neurological diseases. The range of clinical manifestation can include
literally no overt or obvious signs to convulsions, coma, and death. The terminal signs
are so incapacitating that they render the animal unable to resist any restraint effort.
The gamut of signs proceeding the terminal events may appear as increased aggression (33 -
47%), lack of fear of humans, wandering into open garages, buildings, etc. and inability
to find a way out, increased wondering, activity in daytime hours, increased probability
of hit by car (3-6%), turning whole body in tight circles, self mutilation, chewing limbs
and feet or scratching head and signs of face, dullness, lethargy, ataxia, uncoordinated,
paralysis, inability to climb, attempts to lead to falling, and / or increased salivation.
116 confirmed cases of rabies statewide:
| Species |
County |
| 59 raccoons |
Mahoning(43), Columbiana(8), Trumble(8) |
| 52 bats |
3.8% of specimens tested,widespread throughout state |
| 2 skunks |
Mahoning and Tuscarawas |
| 2 cats |
Mahoning |
| 1 dog |
Holmes |
The dramatic decrease in the number of positive raccoons in the last
few months of the year indicates that the ODH vaccine bait program is effective.
| For Central Ohio wild animal emergencies, call (614) 793-WILD |
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Ohio Wildlife Center 2661 Billingsley Rd. Columbus, OH 43235
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