Rabies, how serious is this in real life on Bali?

Adam

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Jul 21, 2006
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Hi Noodles,

Hope everything came good of your dog bite/rabies treatment in Kuta/Legian.

Quite pathetic that something like this could happen in one of the busiest area's of a major international tourist destination. Balinese priorities bewilder me sometimes....... :roll:
 

MiSO

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Jul 29, 2009
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Adam said:
Hi Noodles,

Hope everything came good of your dog bite/rabies treatment in Kuta/Legian.

Quite pathetic that something like this could happen in one of the busiest area's of a major international tourist destination. Balinese priorities bewilder me sometimes....... :roll:

S-o-m-e-t-i-m-e-s ? :wink:
 

MiSO

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Woman/ 46 years old/ Tabanan died on Jan. the 14th in Denpasar.
Rabies symptoms.
She got bitten by a rat 2 months ago.

When a rabid rat eats a piece of a mango, and you eat the same mango, will this make you sick?
 

JohnnyCool

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Jan 10, 2009
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Sanur
Mr(?) nimisandoroz

I think you're on the wrong website for your "cubefield project" - if not, you're definitely in the wrong thread here.

Unless you've caught rabies, that is.
If so, I suggest you seek medical attention as soon as possible and forget about computer games.

:shock:
 

JohnnyCool

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Jan 10, 2009
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When a rabid rat eats a piece of a mango, and you eat the same mango, will this make you sick?
Possibly. The virus needs an entry point to your body. Any cuts or scratches you have that are licked by a rabid animal is an entry point. If a rabid animal bites you, it makes its own entry point. Got any scratches inside your mouth, on your tongue, lips, etc? The rat's saliva in the mango might be able to infect you that way.

Why would you eat a mango with rats on it in the first place (rabid or otherwise)?

:cry:
 

MiSO

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JohnnyCool said:
When a rabid rat eats a piece of a mango, and you eat the same mango, will this make you sick?
Possibly. The virus needs an entry point to your body. Any cuts or scratches you have that are licked by a rabid animal is an entry point. If a rabid animal bites you, it makes its own entry point. Got any scratches inside your mouth, on your tongue, lips, etc? The rat's saliva in the mango might be able to infect you that way.

Why would you eat a mango with rats on it in the first place (rabid or otherwise)
?

:cry:

A way of bonding... :wink:
Nah...just a question.
So a lick is enough...
 

MiSO

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There is an article about rabies in the Bali advertiser, 1 entire page and a block text on page, I believe, 62.
 

tintin

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Sep 13, 2005
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Quoted in Bali Updates of March 1, 2010,

Concerning to Dr. Wirasandi is the fact that at least 5 of those who have died of rabies received two of three treatments with anti-rabies serum, with one having received the complete regime of 3 shots. Post-mortem studies revealed that two of the patients receiving two sets of serum did, in fact, died of rabies.
When will the Bali doctors learn that the protocol for a proper post-exposure anti-rabies vaccination is not 3 shots.

First of all, the wound cleansing is most important in rabies prevention since, it has been shown that wound cleansing alone, without other post-exposure prophylaxis, markedly reduces the likelihood of rabies. Tetanus prophylaxis should also be administered if you have not been immunized in ten years.

Second, for persons who have never been vaccinated against rabies previously, post-exposure anti-rabies vaccination should always include the administration of BOTH the combination of human rabies immune globulin (HRIG) and vaccine for both bite and non-bite exposures.

Rabies Immune Globulin

Human rabies immune globulin (HRIG) is administered only once, at the beginning of anti-rabies prophylaxis, in order to provide immediate antibodies until they responds to the vaccine by actively producing antibodies of their own.

Rabies Vaccine

A regimen of FOUR, 1-mL doses of HDCV vaccines should be administered intramuscularly. The first dose of the four-dose course should be administered as soon as possible after exposure. Additional doses should be administered on DAYS 3, 7, and 14 after the first vaccination. Please note that a fifth dose on Day 28 used to be administered until recently, but is no longer judged necessary.

Persons who have been previously vaccinated or are receiving pre-exposure vaccination for rabies should receive only the vaccine.


Finally,

There is also a growing problem securing a sufficient supply anti-rabies serum. A 5 year old boy died of rabies in Bali on Sunday, February 21, 2010. The child, who came to the hospital for treatment after being bitten in the face by a dog, did not receive the needed serum, apparently because officials had no supply of the serum to give the child.
How can this be possible in Bali? Bali is not exactly the backwater of Indonesia…What about worrying a little less about the spirits of the departeds and more about the spirits of the livings?
 

Jesse

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Feb 16, 2010
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I haven't thought about rabies vaccination is quite complicated in other terms. Maybe that's the reason why doctors have to be careful with the dosage especially if the risk is quite minimal.
 

tintin

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"rabies vaccination is quite complicated?" You must be kidding. What's complicated about giving a 1ml shot to a patient 4 times over a 2-week period? One does not even need a medical doctor; a nurse can do it, and, in most cases, probably better. As for the risk being "quite minimal", think again...a bat, a dog, or any other rabid animal bits you, and you're a goner unless you get the anti-rabies treatment.

And this was the point of my first comment. The anti-rabies treatment, according to every medical sources I have consulted, including CDC, is 100% effective, when used in time.
 

MiSO

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First of all, the wound cleansing is most important in rabies prevention since, it has been shown that wound cleansing alone, without other post-exposure prophylaxis, markedly reduces the likelihood of rabies.

The advice 'cleansing the bite with running water' (Bali Advertiser) confuses me. Is tapwater clean enough not to infect the wound?

How can this be possible in Bali? Bali is not exactly the backwater of Indonesia…What about worrying a little less about the spirits of the departeds and more about the spirits of the livings?

Nicely put.
 

tintin

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Sep 13, 2005
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MiSO,

The advice 'cleansing the bite with running water' (Bali Advertiser) confuses me. Is tapwater clean enough not to infect the wound?
I have not read the recommendations of the Bali Advertiser, but just water would not be sufficient. First, one needs to wash the bite with water AND soap, and do a thorough job.

The point is to dilute and clean the wound from as much of the rabies virus as possible. Any other bacteria contained in the running water should be the least of your problem at the time.
 

MiSO

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MiSO,

I have not read the recommendations of the Bali Advertiser, but just water would not be sufficient. First, one needs to wash the bite with water AND soap, and do a thorough job.

The point is to dilute and clean the wound from as much of the rabies virus as possible. Any other bacteria contained in the running water should be the least of your problem at the time.

:) You're so right about this...
 

MiSO

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This week it was my turn... I got bitten by a dog. Gladly I wore trousers made of thick fabric, so it is only swollen and purple.
It wasn't one of the streetdogs that was chasing after me when I was on my sepeda, push-bike. It was the dog of my house owner. An other lucky thing: the dog had been injected (anti rabies)
 

MiSO

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That doggie has been licking the whole family, so I am not worried. I do feel sick, feverish, sore throat, nautious, but that's because I used th AC against the mozzies (catched a cold) I hate the AC. But I have mozzies even more.