Rabies Consultation
Hello Dr.
Chen: I went to a clothing store to buy some clothes.
After trying on two pieces, I noticed a small 0.5 cm cut on my hand when I got home.
It didn't bleed and hasn't fully scabbed over.
If the previous customer had touched a dog or was a rabies patient, and if their saliva was left on the clothing just a few minutes before I tried it on, could I potentially get infected if it came into contact with my cut? Is this an effective route for indirect transmission? I'm feeling very anxious! I know Taiwan is not an endemic area, so I shouldn't have such fears, but I can't help but feel this way.
I kindly ask for your response, is there any risk? I am extremely grateful to you!
Mrs. Lin, 40~49 year old female. Ask Date: 2013/06/03
Dr. Chen Bozhang reply Family Medicine
Hello: Rabies is transmitted through the saliva of infected animals.
If a person or another animal is bitten or scratched by an infected animal, they can contract rabies.
Instances of infection through inhalation of aerosolized rabies virus are rare and typically only occur when the concentration of the virus in the air reaches extremely high levels.
General contact between humans does not transmit rabies; theoretically, only if a rabid person bites a healthy individual is there a possibility for the bitten person to contract rabies.
Additionally, a rabid individual or someone in the early stages of the disease may potentially transmit the rabies virus through sexual contact.
The likelihood of infection through contaminated objects used by a rabid person is very low, but there is a significant risk if organs or tissues, such as corneas, from a rabid individual are transplanted into a healthy person.
In the event of a bite or scratch from an animal, it is crucial to immediately wash the wound or scratch with soap and water, and then seek medical attention.
If possible, observe the animal for signs of rabies for 7-10 days.
Reply Date: 2013/06/03
More Info
When it comes to concerns about rabies transmission through indirect contact, such as trying on clothes in a store, it's important to understand the nature of the rabies virus and its transmission routes. Rabies is primarily transmitted through the saliva of an infected animal, typically via bites or scratches. The virus does not survive long outside of a host, and it is highly unlikely to be transmitted through clothing or surfaces.
In your scenario, the risk of contracting rabies from trying on clothes that may have been previously handled by someone who had contact with an infected animal is extremely low. The rabies virus does not remain viable for long periods outside of a living host, and it is particularly sensitive to environmental conditions. Once exposed to air, the virus quickly becomes inactive. Therefore, even if an infected person had saliva on their hands and then touched the clothing, the likelihood of the virus being present in a transmissible form by the time you tried on the clothes is minimal.
Moreover, rabies is not transmitted through casual contact or through surfaces. The primary mode of transmission remains through bites or direct exposure to saliva from an infected animal. The small, non-bleeding wound on your hand, while it is always wise to keep wounds clean and protected, does not significantly increase your risk of rabies infection in this context.
To further alleviate your concerns, here are some general recommendations regarding rabies and wound care:
1. Wound Care: Always clean any cuts or abrasions thoroughly with soap and water. If you have concerns about infection, especially if the wound becomes red, swollen, or painful, seek medical attention.
2. Rabies Vaccination: If you are in an area where rabies is a concern (such as regions with high populations of unvaccinated stray animals), consider discussing rabies vaccination with your healthcare provider, especially if you are frequently in contact with animals.
3. Awareness of Animal Behavior: Be cautious around wild animals or unvaccinated pets. If bitten or scratched by an animal, seek medical attention immediately, as post-exposure prophylaxis can be highly effective if administered promptly.
4. Mental Health: If anxiety about potential infections is affecting your quality of life, consider speaking with a mental health professional. They can help you manage your fears and provide coping strategies.
In summary, while your concern is understandable, the risk of rabies transmission through trying on clothes is exceedingly low. Maintaining good hygiene practices and being aware of your surroundings can help mitigate risks associated with various infections. If you have further concerns or experience any unusual symptoms, do not hesitate to consult a healthcare professional for personalized advice.
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