Volume 11, Number 12—December 2005
Research
Rabies Postexposure Prophylaxis, New York, 1995–2000
Table 4
Characteristic | 1993–1994* | 1995–2000 |
---|---|---|
PEP cases (annual mean) | 1,173 (587) | 2,216 (369) |
Annual PEP incidence | 32/100,000 urban, 123/100,000 rural | 23/100,000 urban, 57/100,000 rural |
Season | Summer to early autumn | Summer to early autumn, July–August for 1998–2000 |
Sex | 55% male (47/100,000), 45% female (38/100,000) | 51% male (27/100,000), 49% female (25/100,000) |
Age (y)† | 10–14 and 35–55 | 5–9 and 30–34 |
Exposure source (%) | ||
Wild | 67 | 51 |
Raccoon | 50 | 12 |
Bat | 5 | 31 |
Other | 12 | 8 |
Domestic | 33 | 49 |
Cat | 17 | 24 |
Dog | 14 | 23 |
Other | 2 | 2 |
Exposure type (%) | ||
Bite | 30 | 51 |
Scratch | 6 | 5 |
Direct‡ | 14 | 16 |
Indirect§ | 51 | 28 |
Group size | 47% >2 persons exposed | 40% >2 persons exposed |
*Data from Centers for Disease Control and Prevention (9).
†Age groups with highest annual incidence.
‡Direct exposure of saliva or neural tissue to wound or mucous membrane.
§Indirect exposure to saliva or neural tissue to wound or mucous membrane, includes unidentified exposures from 1995 to 2000.
References
- Currier RW, McCroan JE, Dreesen DW, Winkler WG, Parker RL. Epidemiology of antirabies treatment in Georgia, 1967–71. Public Health Rep. 1975;90:435–9.PubMedGoogle Scholar
- Anderson LJ, Nicholson MB, Tauxe RV, Winkler WG. Human rabies in the United States, 1960 to 1979: epidemiology, diagnosis, and prevention. Ann Intern Med. 1984;100:728–35.PubMedGoogle Scholar
- Noah DL, Drenzek CL, Smith JS, Krebs JW, Orciari L, Shaddock J, Epidemiology of human rabies in the United States, 1980–1996. Ann Intern Med. 1998;128:922–30.PubMedGoogle Scholar
- Messenger SL, Smith JS, Orciari LA, Yager PA, Rupprecht CE. Emerging pattern of rabies deaths and increased viral infectivity. Emerg Infect Dis. 2003;9:151–4.PubMedGoogle Scholar
- Chang HH, Eidson M, Noonan-Toly C, Trimarchi CV, Rudd R, Wallace BJ, Public health impact of reemergence of rabies, New York. Emerg Infect Dis. 2002;8:909–13.PubMedGoogle Scholar
- Jackson AC. Human disease. In: Jackson AC, WunnerWH, editors. Rabies. San Diego: Academic Press; 2002. p. 232.
- Centers for Disease Control and Prevention. Human rabies prevention—United States, 1999. Recommendations of the Advisory Committee on Immunization Practices. MMWR Morb Mortal Wkly Rep. 1999;48:1–24.
- Helmick CG. The epidemiology of human rabies postexposure prophylaxis, 1980–1981. JAMA. 1983;250:1990–6. DOIPubMedGoogle Scholar
- Wyatt JD, Barker WH, Bennet NM, Hanlon CA. Human rabies postexposure prophylaxis during a raccoon rabies epizootic in New York, 1993 and 1994. Emerg Infect Dis. 1999;5:415–23. DOIPubMedGoogle Scholar
- US Census Bureau. American FactFinder [database on the Internet]. [cited 2003 Feb]. Available from http://factfinder.census.gov/home/saff/main.html
- Debbie JG, Trimarchi CV. Prophylaxis for suspected exposure to bat rabies. Lancet. 1997;350:1790–1. DOIPubMedGoogle Scholar
- Eidson M, Schmit K, Keegan M, Trimarchi CV, Tserenpuntsag B, Willsey A. Development and evaluation of bat rabies education materials. Evidence-Based Preventive Medicine. 2004;1:85–91.
- Gibbons RV, Holman RC, Mosberg SR, Rupprecht CE. Knowledge of bat rabies and human exposure among United States cavers. Emerg Infect Dis. 2002;8:532–4.PubMedGoogle Scholar
- Pape WJ, Fitzsimmons TD, Hoffman RE. Risk for rabies transmission from encounters with bats, Colorado, 1977–1996. Emerg Infect Dis. 1999;5:433–7. DOIPubMedGoogle Scholar
- Centers for Disease Control and Prevention. Human rabies—New York, 1993. MMWR Morb Mortal Wkly Rep. 1993;42:799–806.PubMedGoogle Scholar
- Centers for Disease Control and Prevention. Human rabies—Connecticut, 1995. MMWR Morb Mortal Wkly Rep. 1996;45:207–9.PubMedGoogle Scholar
- Centers for Disease Control and Prevention. Human rabies—Texas and New Jersey, 1997. MMWR Morb Mortal Wkly Rep. 1998;47:1–5.PubMedGoogle Scholar
- Centers for Disease Control and Prevention. Human rabies—Washington, 1995. MMWR Morb Mortal Wkly Rep. 1995;44:625–7.PubMedGoogle Scholar
- Leventhal A, Gandacu D. Transitory changes in public and physician behavior following the reappearance of human rabies in Israel. Harefuah. 2001;140:898–902.PubMedGoogle Scholar
- McCombie SC. The politics of immunization in public health. Soc Sci Med. 1989;28:843–9. DOIPubMedGoogle Scholar
- Bell TA. Public health repercussions of a child's death from bat rabies. Washington Public Health [serial on the Internet]. 1996 Feb [cited 2004 Feb 15]. available from: http://healthlinks.washington.edu/nwcphp/wph/batrabie.html
- Centers for Disease Control and Prevention. Human death associated with bat rabies—California, 2003. MMWR Morb Mortal Wkly Rep. 2004;53:33–5.PubMedGoogle Scholar
- Centers for Disease Control and Prevention. Recovery of a patient from clinical rabies—Wisconsin, 2004. MMWR Morb Mortal Wkly Rep. 2004;53:1171–3.PubMedGoogle Scholar
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