Oct 2018 Kelly H Giesbrecht DVM MPH KY State Public Health Veterinarian Agenda Rabies in KY 2017 amp 2018 Cases Vaccination Clinic Regulation Updates Quarantine Regulations Rabies in Kentucky ID: 1045739
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1. Rabies Updates Environmental Health DirectorsOct 2018Kelly H. Giesbrecht, DVM, MPHKY State Public Health Veterinarian
2. AgendaRabies in KY2017 & 2018 CasesVaccination Clinic Regulation UpdatesQuarantine Regulations
3. Rabies in KentuckyTerrestrial:Skunk VariantBat VariantSo are these the only animals in Kentucky that can transmit rabies?
4. Other Rabid Animals Seen in KentuckyFox: 2018Cattle: 2017 Dog: 2017Cat: 2016Raccoon (1991)Horse (2015)Rat (1989)Goat (2002)
5. 10 Years: Oct 2007-Oct 2017 Positive Rabies in KY
6. 2017 Positive Rabies KY
7. Animal Rabies Cases- 20171/3/20171SkunkBarrenKY DPH1/26/20171Skunk ButlerKY DPH1/26/20171DogClintonKY DPH1/27/20171CattleWarrenKY DPH3/1/20171SkunkToddKY DPH4/3/20171SkunkClintonKY DPH6/13/20171BatOldhamKY DPH6/20/20171BatFayetteKY DPH10/2/20171BatDaviessKY DPH10/20/20171BatJeffersonKY DPH
8. 2018 Positive Rabies by Month
9. 2018 Positive Rabies by County
10. 2018 Positive RabiesUKVDL Rabies Map2018 Cases
11. Information…Go To UKVDLRabies Map: Kentucky Rabies Tests On the horizon…Bat Bytes… Quarterly Rabies Updates
12. Canine Head for Rabies Testing
13. Canine Brainstem for Rabies Testing
14. Bat for Rabies Testing
15. Bat Brain
16. Brain Removed
17. Rabies Vaccination lawsKentucky Revised Statute 258Kentucky Administration Reg 2:070Dogs, cats and ferrets: Vaccinate by 4 months Revaccinate 1 year laterBooster according to vaccine (1 or 3 year)Certification for ownersCan vaccinate horse, cattleRabies Clinics
18. Rabies Vaccination ClinicsKRS 258.043 Mass Immunization ClinicsLocal Health Departments can sponsor mass immunization clinics for rabies vaccinationCost cannot exceed $5 to help defray the cost of the clinic: Ends July 1, 2019902 KAR 2:070 Rabies ControlThree year vaccines shall be used in mass immunization clinics sponsored by local health departments
19. $5.00 CapRemoved starting July 1, 2019 HB 327Set in 1978, 40 years oldVeterinarians complain they lose money due to personnel costs Limits the number of clinics being offeredCreate a flexible and fair solution6% Tax added to $5.00
20. 10 Days: Dogs, cats, ferrets Re-Vaccinate at end of 10 daysLivestock: Varies, call for consultWildlife: Euthanize & TestAnimals that get ill or die during quarantine: TestManagement of Animal Quarantine:Animals Biting Humans
21. Animal Bites (to humans)PHYSICIANS ARE REQUIRED TO REPORTTO LHD (WITHIN 12 HOURS OF TREATMENT OR NEXT WORKING DAY)IF NOT TREATED, PARENT OR GUARDIANREQUIRED TO REPORTLHD DESIGNATES QUARANTINE SITE(10 - 180 DAYS AT OWNERS EXPENSE)PET OWNER RESPONSIBLE for COST of QUARANTINE or test, DAMAGES, AND/OR PEP
22. MANAGEMENT OF ANIMALS bitten by (possibly) RABID animalsVACCINATED DOGS, CATS & FERETS - REVACCINATE, QUARANTINE & OBSERVE 45 DAYSUNVACCINATED DOGS, CATS & FERRETS – EUTHANIZEALTERNATIVE -STRICT QUARANTINE:Dogs & Cats: 4 monthsFerrets: 6 months VACCINATE IMMEDIATELY (within 96 hours) Consider increasing quarantine to 6 monthOTHERS – Consult with KDPH ISOLATE & HANDLE WITH CARE FOR 180 DAYSMay be changed in Reg to KY Dept of Agriculture to administer quarantine in livestock
23. Dog Bites Man:Quarantine 10 daysVaccinate at END of quarantineWildlife bites Dog:Vaccinate at Start of quarantineQuarantine:45 days if current on vacc’sNot vaccinated:EuthanizeVaccinate & 4-6 month quarantineOverdue on Vacc:Vaccinate: 45 day-6 month Quarantine
24. Human PEP Indications:Urgent NOT EmergencyExposureBroken Skin to salivaSaliva on mucus membraneAnimal Tests PositiveUnable to observe or test animalBite was unprovokedExceptions: Small rodents, lagomorphs
25. Bats are cryptic bitersBite may not be felt or seenBite after a bat brushed byLast Human Death due to Rabies in Kentucky: 1996 (Bat)
26. Unvaccinated:1. HRIG (Immediate, passive) around wound2. Rabies vaccine in deltoidPreviously VaccinatedNO HRIG2 doses Rabies vaccine in deltoidRabies PEP: Urgent not Emergency0371428 Immunocompromised)03DaysDays
27. Final Thoughts: Don’t think of bats like this…
28. They are cute & cuddly!Questions?
29. Questions?Kelly Giesbrecht, DVM, MPHState Public Health Veterinarian502-564-3418x4313Kelly.Giesbrecht@ky.gov