1. RABIE S Awareness and Prevention Symposium Kristoffer G. Villareal R.N, LPT

2. RABIES RA 9482 “Anti-rabies Act of 2007”

3. Definition - a human infection that occurs after a transdermal bite or scratch by an infected animal, like dogs and cats.

4. Causal Agent Lyssaviruses of the Rhabdoviridae family.

5. Host A ll biting animals B ats C ats D ogs A ll biting animals B ats C ats D ogs

6. Transmission - Usually SALIVA, comes into direct contact with a victim’s fresh skin lesions.

7. Incubation Period Few DAYS to Several YEARS (3-8 Weeks) Few DAYS to Several YEARS (3-8 Weeks)

8. Signs and Symptoms EARLY SIGNS F ever H eadache A gitation N ausea and V omiting A nxiety C onfusion H yperactivity EARLY SIGNS F ever H eadache A gitation N ausea and V omiting A nxiety C onfusion H yperactivity

9. Signs and Symptoms EARLY Common SIGNS 1.Hydrophobia 2.Anemophobia 3.Photophobia EARLY Common SIGNS 1.Hydrophobia 2.Anemophobia 3.Photophobia

10. Signs and Symptoms CHRONIC SIGNS C onvulsions P aralysis D elirium CHRONIC SIGNS C onvulsions P aralysis D elirium

11. Signs and Symptoms LATE SIGNS DEATH (Within 7-10 Days) - Due to respiratory Failure LATE SIGNS DEATH (Within 7-10 Days) - Due to respiratory Failure

12. Diagnostics FAT (Flourescent Antibody Test) ELISA (Enzyme-linked Immunosorbent Assay) FAT (Flourescent Antibody Test) ELISA (Enzyme-linked Immunosorbent Assay)

13. Management and Treatment Pre-Exposure Prophylaxis (PrEP) 4 doses (1ml) Post- Exposure Prophylaxis (PEP) 3 doses Pre-Exposure Prophylaxis (PrEP) 4 doses (1ml) Post- Exposure Prophylaxis (PEP) 3 doses

14. First Aide When Bitten Wash Wound with Soap and Running Water Apply antiseptic solution:  Hydrogen Peroxide  Povidone Iodine Visit Animal Bite Center or hospital Wash Wound with Soap and Running Water Apply antiseptic solution:  Hydrogen Peroxide  Povidone Iodine Visit Animal Bite Center or hospital

15. What will I do to the Dog? Monitor the dog and note the changes. Secure the dog, from biting again. Bring the DOG to the D.A for further management. If the Dog died, bring the Head to the D.A for inspection and further studies. Monitor the dog and note the changes. Secure the dog, from biting again. Bring the DOG to the D.A for further management. If the Dog died, bring the Head to the D.A for inspection and further studies.

16. Fatality and Preventability 100 % Fatality PREVENTABILITY 200-300 Patient Mortality

17. Prevention For Dogs Yearly Dog Vaccination For Humans Prophylaxis, Pre-Exposure For Dogs Yearly Dog Vaccination For Humans Prophylaxis, Pre-Exposure

18. Manolo Fortich – D.A Animal Bite Center – BPH Annex HUMANS

19. Manolo Fortich – D.A Shots: 1 – Tetanus Toxoid 4 Shots of Anti-rabies Vaccine Shots: 1 – Tetanus Toxoid 4 Shots of Anti-rabies Vaccine HUMANS

20. Manolo Fortich – D.A 2015 – 3,341 dogs are vaccinated 2016 – 4,706 dogs are vaccinated 2015 – 3,341 dogs are vaccinated 2016 – 4,706 dogs are vaccinated DOGS

21. Manolo Fortich – D.A Schedule Every RQPS per Barangay Walk- In ( 8-5PM) Per barangay request Free of Charge Schedule Every RQPS per Barangay Walk- In ( 8-5PM) Per barangay request Free of Charge DOGS

22. Manolo Fortich – D.A REQUIREMENT - Dog must be 3 months of age and above REQUIREMENT - Dog must be 3 months of age and above DOGS

23. THANK YOU