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Rabies Situation In
N & S Carolina Critical 

From Patricia Doyle, PhD
5-29-7

Hello Jeff -- I have been warning for some time that Rabies is going to become a problem...that his year was going to be a very bad year for Rabies. Note the situation in the following report from Promed.
 
Jeff...look at the Mecklenburg cases. Amazing. There needs to be more scientific study of Rabies and monitoring of any changes in virus strains.
 
I do not normally recommend vaccines, but, in the case of Rabies,*++ I do urge people, especially in any areas where Rabies has been active, to have their pets and livestock vaccinated against rabies.
 
 
Patty
 
RABIES, HUMAN, ANIMAL - USA
(FLORIDA, NORTH CAROLINA, SOUTH CAROLINA)
North and South Carolina Mon 28 May 2007
By James Kirley
 
The Charlotte Observer online
 
Charlotte-Mecklenburg [North Carolina] Animal Control officials say they are alarmed that rabies cases might be on the rise again in the area. Earlier this month [May 2007], [a resident of the Cotswold community of southeast Charlotte] was working in his yard when a raccoon jumped on his back and started biting him. "I didn't hear him coming, and all of a sudden he was on me," he told WCNC-TV, the Observer's news partner. "I could not break him loose." [The man] had to undergo a series of [vaccine] shots to avoid coming down with rabies, a neurological virus usually fatal to mammals. He is one of 2 cases of people exposed to rabies in Charlotte recently. Other cases of attacks involving family pets, which then had to be euthanized, also show rabies exposure increasing, authorities say.
 
"I think the problem is somewhat cyclical, and there are some signs that it is increasing," said Mary Blinn, veterinarian at the Charlotte-Mecklenburg Animal Control Bureau. There were 19 cases in Mecklenburg County between last 1 Jul 2006, the start of the fiscal year, and 15 May 2007, compared to 16 the year before [2005-2006], and the number is still growing. On Sunday [27 May 2007], for example, Animal Control officers were called to Connan Lane, off Carmel Road, to deal with a possible rabid animal.
 
Numbers are not available for other nearby counties, but Cabarrus, Iredell, and Union counties have averaged about a dozen cases over the last 4 years. Fewer cases have been reported in Gaston and Lincoln counties. [South Carolina] health officials also say the number of cases is climbing.
 
Mecklenburg's current number is still less than the 50 cases reported in fiscal year 2003 and the 32 cases in 2004. The last fatal rabies case in North Carolina was in Cherokee County, 54 years ago.
 
While the spread of rabies can threaten people, the problem is bigger for domestic animals that have not received rabies vaccinations. "If your pet is exposed to an animal and has not been vaccinated, the choices are sad," said Melissa Knicely-Berry of the Animal Control Bureau. Pet owners can either pay about USD 3000 to have their dogs, cats, or ferrets quarantined for 6 months, or by law, they must have the pets euthanized. "With the expense involved, most people choose euthanization," Knicely-Berry said. "And that's sad, because it's all preventable."
 
The Charlotte-Mecklenburg Animal Control Bureau has rabies shot clinics planned, as do most nearby counties. "People should stay away from wild animals, eliminate things that attract those animals to yards, and make sure their pets are vaccinated," Blinn said.
 
Rabies is a preventable disease of mammals, most often transmitted by the bite of a rabid animal. It is sometimes spread by saliva or other body fluids of animals to people through skin cuts. The rabies virus infects the central nervous system, eventually causing death. So-called "dumb rabies" affects about one-quarter of animals that catch the disease, causing them to withdraw and quietly die. More common is "aggressive rabies," in which infected animals exhibit aggressive characteristics.
 
In the Carolinas, rabies is spread most often by bats, foxes, raccoons, and skunks, but there also have been cases involving bobcats, coyotes, and groundhogs.
 
[North Carolina] law requires the owners of dogs, cats, and ferrets to have their animals vaccinated by age 16 weeks, then again after one year, and then every 3 years.
 
[South Carolina] law requires pets to be vaccinated by 4 months, with additional shots every one year or 3 years, depending on the vaccine.
 
Sources: [North Carolina] Department of Health and Human Services.; [South Carolina] Department of Health and Environmental Control
 
Mecklenburg cases:
------------------
 
The 19 confirmed cases of rabies by wild animals in Mecklenburg County since 1 Jul 2006. In some cases, records weren't clear as to whether the exposed animal was euthanized. - Allen Black Road (Mint Hill), 6300 block -- 2 dogs killed raccoon; one dog was current on its rabies shot; the other was not, and was euthanized. - Ambleside Drive, 7000 block -- dog bitten on the nose; dog was current on its rabies shots. - Brittany Court, 5700 block -- person found dead raccoon. - Byrum Drive, 8300 block -- bat found in barn at Animal Control Bureau. - Charmapeg Avenue, 4900 block -- man attacked by raccoon. - Chestnut Avenue, 1800 block -- 2 dogs killed raccoon. - Crestridge Drive, 3900 block -- person killed raccoon. - Dixie River Road, 5100 block -- dog exposed to fox. - Eastbrook Road, 5600 block -- dog killed raccoon. - Garvin Drive, 4200 block -- dog attacked by raccoon. - Greencastle Drive, 8400 block -- cat exposed to bat. - Linden Forest Lane, 4800 block -- dog found in garage with dead raccoon. - Queens Road, 1400 block -- dog attacked by raccoon. - Parkwood Avenue, 9800 block -- dog carried dead raccoon into house. - Poindexter Drive, 900 block -- dog killed raccoon. - Sebring Circle, 2900 block -- dog fought with a raccoon. - Somerdale Lane, 4100 block -- dog came in contact with rabid raccoon; owner also was exposed. - Tanktown Road (Matthews), 1600 block -- specifics not available. - Well Spring Drive, 1100 block -- dog playing with a bat; dog not current on rabies shots and was euthanized.
 
http://www.charlotte.com/217/story/138226.html
 
 
 
Florida (Indian County)
TCPalm Local News
5-26-7
 
 
(The following report is a response to a ProMED-mail post entitled "Rabies, human, otter - USA (FL): Request for information 20070522.1636", which concerned what appeared to be a previously unrecorded attack by a rabid otter on golfers at a course in Indian County, Florida.
 
So far this year [2007], 10 people have been bitten by rabid animals in Indian County, Florida: 3 by the otter in the incident described below, and the others by raccoons and a stray cat. - Mod.CP)
 
A rabid otter bit a female golfer at the 7th hole of Grand Harbor's Harbor Course, on 7 May 2007, shortly after biting another woman while she was walking her small dog.] Both were chased by the unprovoked animal, which later bit a man at his home before being caught and hauled off by county Animal Control. The otter tested positive for rabies, causing all 3 bite victims to begin a series of vaccine [injections] to prevent a disease that usually is fatal.
 
The woman walking her dog] said the animal chased her at least 100 yards (approx 91 m), onto a neighbor's porch. No one answered the door and the otter continued to attack until she winged it with a doormat. "I was terrified," she said. "I had been bit and it just kept coming. You have a creature that's crazy, chasing you. There's very little you can do."
 
The 1st victim] said Wednesday (23 May 2007), she has one more shot to go in a series of vaccines to prevent her from getting the disease. "There's a pond on that hole -- it's a short par 3," she said. "(The otter) was on the grass. He or she was just staring at me. "All of a sudden he charged me and bit my ankle," she said. "There are 3 punctures." [Her] golf partner was some distance behind her on the men's tee. "[He] caught up -- of course, he had a golf club," she said. "He was swinging the club at the otter." The animal chased them until they crossed a street. The couple then drove to Indian River Medical Center, where [the other victim] already was being treated. "He broke the skin in 12 different places," she said. "The 4 big bites that I had all would have required stitches." Instead, the wounds were left open to drain -- a common precaution against infection with animal bites.
 
Both women said they thought Grand Harbor management should have moved more quickly to notify residents about the otter attack. Some e-mails reportedly were sent to River Club residents the following morning [8 May 2007], and a flier left on doorsteps throughout the community was dated 9 May 2007 -- the same day Becker said health officials told her the otter had tested positive for rabies. "Warning. Beware of aggressive otters," the flier read in part. "Otters have recently attacked residents in the area...Otters may carry rabies." Grand Harbor Director of Golf, Frank Mentzer, referred questions to attorney and Grand Harbor Senior Vice President, Annabel North, who did not return phone messages left Tuesday and Wednesday (22 and 23 May 2007).
 
"It is not unusual for otters to be rabid," said Cheryl Dunn, county director of environmental health. She said rabies virus is always in the population of local raccoons, the chief animal carrier during last fall's [2007] countywide rabies alert. "(Otters) compete with raccoons for the same food and that puts them into contact," Dunn said. "I know of a few (instances) in Brevard County of otters getting right into fishing boats on the St. Johns River."
 
Dunn said one rabid otter does not indicate a widespread problem among other otters living in the ponds at Grand Harbor. "They wanted me and Animal Control to go out there and trap," Dunn said. "But we don't go out and trap and remove entire populations." Instead, officials have asked Grand Harbor residents to report any otters behaving strangely. "If (an otter) moves toward you, be aware that it may attack," the Grand Harbor flier warned. "Retreat immediately."
 
Since 4 Jan 2007, when Indian River Count lifted a 3-month-old countywide alert for the disease, 10 people bitten or exposed to raccoons, a stray cat, and an otter have been vaccinated against rabies. In this most recent incident on 7 May 2007, the otter bit 3 people on a Grand Harbor golf course. Rabies is a virus transmitted to humans through the bite or saliva of a warm-blooded animal. Left untreated, it is usually fatal.
 
Tips to avoid exposure - 1. Vaccinate dogs, cats, ferrets and horses against rabies. Unvaccinated pets can be a bridge between wildlife and humans for the rabies virus. 2. Don't feed wildlife or place food outside for domestic pets. 3. Be careful of places in your yard where raccoons might nest, such as under tarps, covered boats, or piles of debris. 4. Don't handle wild animals and avoid stray dogs and cats.
 
If you are bitten, [consult immediately] a doctor, hospital, or county Health Department. A series of vaccine [injections] administered soon after a person is bitten or exposed to animal saliva prevents the disease. The recommended deadline for getting rabies shots is 10 days after exposure, but sooner is safer. - Indian River County Department of Environmental Health.
 
 
http://www1.tcpalm.com/tcp/local_news/article/0,2545,TCP_16736_5556049,00.html
 
 
Communicated by ProMED-mail Rapporteur Joseph P. Dudley, Ph.D
 
 
Florida (FL), North Carolina (NC), and South Carolina (SC) are located in the eastern United States and can be found on the map at <http://www.infoplease.com/atlas/unitedstates.html>http://www.infoplease.com/atlas/unitedstates.html. - CopyEd.MJ
Patricia A. Doyle DVM, PhD
Bus Admin, Tropical Agricultural Economics
Univ of West Indies
 
Please visit my "Emerging Diseases" message board at:
http://www.emergingdisease.org/phpbb/index.php
Also my new website:
http://drpdoyle.tripod.com/
Zhan le Devlesa tai sastimasa
Go with God and in Good Health

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