As the temperature gradually climbs
Kittens and puppies also enter the estrus and moulting periods
Easily agitated and aggressive
In addition, people's clothing is gradually thinning
Cats and dogs have entered a high incidence period
The danger posed by these small wounds is extremely high
It can cause dangerous rabies
Once flare-ups, there is no effective treatment
The case fatality rate is almost 100%
According to the First People's Hospital of Xiaoshan District, Hangzhou City, Zhejiang Province, the average daily number of visits to the canine injury clinic in the hospital has reached about 150 recently, an increase of nearly half compared with usual. The doctor reminds the general public to avoid places with many pets such as cats and dogs when outdoors, do not pet pets that they are not familiar with, and let children keep a certain distance from cats, dogs and other pets when taking them out.
01
A 48-year-old man was diagnosed with rabies
He died three days later
According to the First People's Hospital of Hangzhou, Zhejiang Province, the hospital recently received a 48-year-old patient, Master Yang (pseudonym), when he arrived at the outpatient hall, he was restless, found a corner where no one was around, curled up, spat on the ground, and refused to come out until the doctor called him. Master Yang said that he has always had a low-grade fever recently, a feeling of tightness in his pharynx, and a gust of wind blowing like it was going to drill into his bones, and he couldn't eat or sleep.
The infectious disease specialist saw that his symptoms were not good and immediately asked if he had been exposed to animals such as cats and dogs, or had been bitten. Master Yang said that he had indeed been scratched by a dog, but it was not very serious at the time, so he didn't take it seriously, let alone get vaccinated against rabies. The doctor judged that Master Yang was likely to have "rabies".
After cerebrospinal fluid NGS examination, Master Yang was diagnosed with "rabies". But even if the cause is found, it's too late. Three days later, the doctor returned to the patient and got the news that Master Yang had passed away.
02
Is there no cure for rabies once it has flare-up?
Huang Wenbao, deputy chief physician of the Department of Infectious Diseases of Hangzhou First People's Hospital, said that rabies is an acute zoonotic infectious disease caused by rabies virus, which can be transmitted from animals to animals and from animals to humans through exposure to saliva or other substances containing the virus. At present, this disease is a preventable and incurable disease.
Doctors say that the most important reason why rabies is scary is that it has a very high mortality rate. The global fatality rate of rabies is about 99%, meaning that about 99 out of 100 infected people will eventually die.
The clinical manifestations of rabies are mainly high fear, mania, hydrophobia, wind, light, sound, etc., and gradually appear throat muscle spasm, drooling, paralysis, respiratory paralysis and other symptoms.
The incubation period of rabies varies, generally within 1-3 months, and in rare cases, the incubation period may exceed 1 year.
03
If you are bitten by a dog or cat, please see a doctor as soon as possible
"At present, rabies is mainly prevented, once bitten by a cat or dog, the wound should be cleaned as soon as possible and rinsed with soap or water. Go to the nearest hospital as soon as possible to get the rabies vaccine, and if you are scratched or scratched by a stray cat or dog, you should also be given rabies immunoglobulin in addition to the rabies vaccine. Xu Xiang, an infectious disease doctor at a hospital in Hangzhou, introduced.
Rabies vaccination should be given within 24 hours of being bitten and scratched, generally within six months of vaccination, and if you are bitten by a suspicious animal, you do not need to be vaccinated again. If it is more than half a year, the bite will need to be boosted.
04
What is the source of rabies?
Dogs are the main source of rabies in mainland China, accounting for more than 95%, followed by cats.
Wild or stray carnivorous mammals have a high risk of transmission, and ferrets, badgers, foxes, raccoon dogs, and wolves are important sources of wildlife infection in mainland China.
Bats are high-risk animals for spreading rabies.
Domestic animals such as cattle, sheep, horses, and pigs, and rodents such as rabbits and rats have a low risk of bites.
Birds, fish, insects, lizards, turtles, snakes and other animals are not infected with and transmit the rabies virus.
05
There are many misconceptions about rabies
There is no chance of a fluke
Some people think that if you are scratched and bitten by an animal, as long as you don't bleed, you will be fine, is it true?
Wang Chuanlin, chief physician of the emergency surgery department of Peking University People's Hospital, said that many people mistakenly believe that small wounds and no obvious bleeding can be left untreated. However, it is not safe, and it is necessary to carefully rinse the wound and get a rabies vaccine.
And it's not just animals with rabies that carry the virus, dogs, cats and other animals that appear healthy can also have rabies in their saliva. If you accidentally get caught and bitten by it, you may also be infected with the virus.
According to experts, the rabies virus can enter the wound through saliva to cause viral infection, so the skin is rubbed in the process of contact with animals, or the animal saliva comes into contact with the skin and mucous membranes, and the wound is licked by the animal, and the rabies vaccine should be vaccinated as soon as possible, the sooner the better.
It is important to note that patients who are injured by animals need to be prevented not only from rabies but also from wound infection, which is even more important because animal injuries are high-risk exposures to tetanus.
(Source: Hubei Daily, Morning News, Hangzhou Traffic 918, Hangzhou TV, Xiaoshan Daily, Beijing Daily)
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