Rabies Risks After a Dog Encounter: What You Need to Know - Family Medicine

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Rabies Issues


About ten days ago, I went out to buy lunch.
After I made my purchase and came out, a dog suddenly ran towards me, and I couldn't dodge in time, resulting in it bumping into my right calf.
It hurt a bit at the moment, but when I got home, I checked and found no wounds.
I rinsed it with water and didn't pay much attention to it afterward.
The dog that bumped into me looked healthy, and it seemed like someone owned it because after it hit me, someone chased after it.
I live in New Taipei City, and to my knowledge, there haven't been any rabies cases reported.
Ten days have passed, and I haven't seen any news about rabies.
I'm a bit worried, as I've heard that you can only contract it if bitten.
Please answer my foolish question, doctor.

Wang, 30~39 year old female. Ask Date: 2017/07/14

Dr. Chen Bozhang reply Family Medicine


Dear Mr.
Wang,
In your letter, you mentioned that you were bumped by a dog on your right calf about ten days ago, and there was no wound.
Generally, rabies infection requires contact with the saliva or bodily fluids of a mammal through an open wound or mucous membrane for transmission to occur.
Therefore, this situation does not pose a risk of infection.
Currently, there is no rabies outbreak among stray dogs in Taiwan, so there is no need for excessive concern.

Reply Date: 2017/07/14

More Info


Rabies is a serious viral infection that primarily spreads through the saliva of infected animals, most commonly through bites. The rabies virus affects the central nervous system and can lead to severe neurological symptoms and death if not treated promptly. Understanding the risks associated with rabies is crucial, especially after encounters with dogs or other animals that may be carriers of the virus.

In your situation, you mentioned that you were bumped by a dog but did not sustain any visible injuries. Since rabies is primarily transmitted through bites or scratches that allow saliva from an infected animal to enter the bloodstream, the risk of contracting rabies in your case appears to be very low. The fact that you did not have any open wounds or breaks in the skin at the time of the encounter significantly reduces the likelihood of transmission.

It is important to note that rabies is not transmitted through casual contact, such as being bumped by a dog. The virus is not airborne and cannot be spread through sneezing or coughing. Therefore, even if the dog had been infected, the mere act of being bumped would not pose a risk of rabies transmission.

You also mentioned that the dog appeared healthy and that there have been no reported cases of rabies in your area. This is reassuring, as rabies is more common in certain regions and among specific animal populations. In many urban areas, especially where pet vaccination programs are in place, the risk of rabies is significantly reduced.

If you had been bitten or scratched, the recommended course of action would be to wash the wound thoroughly with soap and water and seek medical attention immediately. Post-exposure prophylaxis (PEP), which includes a series of rabies vaccinations, is highly effective if administered promptly after exposure to a potentially rabid animal.

In summary, based on your description, the risk of contracting rabies from being bumped by a dog is negligible. However, it is always wise to remain vigilant and aware of your surroundings, especially when encountering unfamiliar animals. If you ever have concerns about potential exposure to rabies or if you experience any unusual symptoms following an animal encounter, it is best to consult with a healthcare professional for personalized advice and assessment.

In conclusion, while your concern is understandable, the circumstances you described do not warrant significant worry regarding rabies. Maintaining awareness of local rabies cases and ensuring that pets are vaccinated can help mitigate risks in the future. If you have any further questions or concerns, do not hesitate to reach out to a healthcare provider for guidance.

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