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Volume 11, Number 12—December 2005
Research

Rabies Postexposure Prophylaxis, New York, 1995–2000

Jesse D. Blanton*Comments to Author , Nadine Y. Bowden*, Millicent Eidson†, Jeffrey D. Wyatt‡, and Cathleen A. Hanlon*
Author affiliations: *Centers for Disease Control and Prevention, Atlanta, Georgia, USA; †New York State Department of Health, Albany, New York, USA; ‡University of Rochester School of Medicine & Dentistry, Rochester, New York, USA

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Table 4

Human rabies postexposure prophylaxis (PEP), 4 counties, New York, 1993–2000

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.

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References
  1. Currier  RW, McCroan  JE, Dreesen  DW, Winkler  WG, Parker  RL. Epidemiology of antirabies treatment in Georgia, 1967–71. Public Health Rep. 1975;90:4359.PubMed
  2. 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;100:72835.PubMed
  3. 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;128:92230.PubMed
  4. Messenger  SL, Smith  JS, Orciari  LA, Yager  PA, Rupprecht  CE. Emerging pattern of rabies deaths and increased viral infectivity. Emerg Infect Dis. 2003;9:1514.PubMed
  5. 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;8:90913.PubMed
  6. Jackson  AC. Human disease. In: Jackson AC, WunnerWH, editors. Rabies. San Diego: Academic Press; 2002. p. 232.
  7. 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;48:124.
  8. Helmick  CG. The epidemiology of human rabies postexposure prophylaxis, 1980–1981. JAMA. 1983;250:19906. DOIPubMed
  9. 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;5:41523. DOIPubMed
  10. US Census Bureau. American FactFinder [database on the Internet]. [cited 2003 Feb]. Available from http://factfinder.census.gov/home/saff/main.html
  11. Mlot  C. Bat researchers dispute rabies policy. Science. 2000;287:23912. DOIPubMed
  12. Debbie  JG, Trimarchi  CV. Prophylaxis for suspected exposure to bat rabies. Lancet. 1997;350:17901. DOIPubMed
  13. 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;1:8591.
  14. Gibbons  RV, Holman  RC, Mosberg  SR, Rupprecht  CE. Knowledge of bat rabies and human exposure among United States cavers. Emerg Infect Dis. 2002;8:5324.PubMed
  15. Pape  WJ, Fitzsimmons  TD, Hoffman  RE. Risk for rabies transmission from encounters with bats, Colorado, 1977–1996. Emerg Infect Dis. 1999;5:4337. DOIPubMed
  16. Centers for Disease Control and Prevention. Human rabies—New York, 1993. MMWR Morb Mortal Wkly Rep. 1993;42:799806.PubMed
  17. Centers for Disease Control and Prevention. Human rabies—Connecticut, 1995. MMWR Morb Mortal Wkly Rep. 1996;45:2079.PubMed
  18. Centers for Disease Control and Prevention. Human rabies—Texas and New Jersey, 1997. MMWR Morb Mortal Wkly Rep. 1998;47:15.PubMed
  19. Centers for Disease Control and Prevention. Human rabies—Washington, 1995. MMWR Morb Mortal Wkly Rep. 1995;44:6257.PubMed
  20. Leventhal  A, Gandacu  D. Transitory changes in public and physician behavior following the reappearance of human rabies in Israel. Harefuah. 2001;140:898902.PubMed
  21. McCombie  SC. The politics of immunization in public health. Soc Sci Med. 1989;28:8439. DOIPubMed
  22. 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
  23. Centers for Disease Control and Prevention. Human death associated with bat rabies—California, 2003. MMWR Morb Mortal Wkly Rep. 2004;53:335.PubMed
  24. Centers for Disease Control and Prevention. Recovery of a patient from clinical rabies—Wisconsin, 2004. MMWR Morb Mortal Wkly Rep. 2004;53:11713.PubMed

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The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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