This message is from: Robin Churchill <rbc...@yahoo.com>

I am a pediatric infectious diseases specialist and I have always vaccinated
all my horses for rabies every year with no problems. Horses can and do get
rabies and it is a significant problem when a horse contracts rabies because
many people can be exposed before it is determined the horse is infected, if
it is determined at all. There has never been an actual documented case
of rabies transmission from a horse to human but because rabies is essentially
a fatal disease no one wants to take a chance and there is a first time for
everything. If your horse contracts rabies, there is no treatment, the horse
will die. If you or anyone else is exposed and that means exposed to the
horses saliva, it doesn't have to actually bite you, then it will be
recommended that you undergo post-exposure prophylaxis. Currently if you are
not bitten, it consists of 1 injection of rabies immunoglobulin (if you are
bitten, the immunoglobulin is injected in the tissue
 around the bite which patients love) and 4 injections of rabies vaccine given
on days 0, 3, 7, and 14 after the exposure. This is very effective, but it is
inconvenient and if your health department no longer provides it as ours here
does not due to budget cuts, it is very expensive and I mean in thousands of
dollars for this treatment if you do not have insurance or your insurance does
not cover it. 
 
This past year in our county of Florida there were 2 cases of
rabid horses and I was involved with one of them. We had to vaccinate 18
people who were exposed to that one horse. In my opinion, that was a total
waste of health care resources when it could have all been avoided if the
horse had been vaccinated because the rabies vaccine is safe and effective.
Also, there was some mumbling about who was responsible for the fact that the
horse was not vaccinated since some of the exposed persons incurred bills of
$10 - 15,000 for the post-exposure prophylaxis, like they were
considering consulting a lawyer. I don't know that that went anywhere, but
keep in mind, people tend to be litigious in our country and even if it
doesn't go anywhere, it is a significant pain and expense to be sued. The
reason we don't have more rabies in humans in the US is because of the
requirement for vaccination of dogs and cats, which is not the case in some
developing
 countries. Any vaccine can cause a reaction but almost never is a vaccine
going to kill your horse like rabies definitely will if he/she contracts it.
 
I also know a relative of one of my former relatives by marriage who bought
a draft mare somewhere around WV and the horse fell ill and ended up dying on
the way to Ohio State with rabies. Same deal with the prophylaxis, everyone
who came in contact with the horses saliva had to be vaccinated.
 
Robin in
Florida where the weather is cooling down somewhat and drying out.    

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