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Mass human exposure to rabies in New Hampshire: Exposures, treatment, and cost

Author

Listed:
  • Noah, D.L.
  • Smith, M.G.
  • Gotthardt, J.C.
  • Krebs, J.W.
  • Green, D.
  • Childs, J.E.

Abstract

Objectives. This study assessed the rabies exposure and treatment that at least 665 persons in Concord, NH, received as a result of one proven rabid pet-store kitten in October 1994. Methods. All treatment recipients were interviewed by person or phone. Results. The median age of the treatment recipients was 14 years; 58% were female. The must common exposures were low risk (e.g., picking up, petting, nuzzling, or being scratched by a potentially rabid kitten). Local reactions to vaccine or immune globulin were reported by 76.5% of recipients, while 48.8% reported at least one systemic reaction. Cost for the biologicals was estimated at more than $1.1 million. Conclusions. Because of the inadequacy of pet store records, the inconsistent application of treatment guidelines, and other factors, many people received postexposure treatment as a result of contacts that were unlikely to transmit rabies. The rates of local and systemic adverse reactions experienced were consistent with previous reports.

Suggested Citation

  • Noah, D.L. & Smith, M.G. & Gotthardt, J.C. & Krebs, J.W. & Green, D. & Childs, J.E., 1996. "Mass human exposure to rabies in New Hampshire: Exposures, treatment, and cost," American Journal of Public Health, American Public Health Association, vol. 86(8), pages 1149-1151.
  • Handle: RePEc:aph:ajpbhl:1996:86:8:1149-1151_4
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