Should I Worry About Rabies After a Possible Animal Scratch? - Family Medicine

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Hello doctor, could you please help determine if I need to be concerned about rabies?


Doctor, I live in the Zhongshan District of Taipei City, and I woke up on the fifth floor to find scratch marks that look like animal scratches.
Could these possibly be from a wild animal? Do I need to get a rabies vaccine? Based on the attached image, can we rule out animal scratches? Since Taipei City is not an endemic area, can we dismiss any concerns? Here is the link to the image: http://i.imgur.com/8s7g8kH.jpg

A Jie, 20~29 year old female. Ask Date: 2016/01/05

Dr. Gao Qingyun reply Family Medicine


Hello: Currently, the incidence of rabies has decreased, but we cannot completely rule out the possibility of an animal scratch regarding your wound.
It is recommended that you go directly to the Infectious Diseases outpatient clinic to discuss your concerns with a specialist.
Wishing you safety and health.
Sincerely, Dr.
Gao Qingyun, Director of Family Medicine, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/01/05

More Info


When it comes to potential rabies exposure from animal scratches, it's essential to consider several factors, including the type of animal involved, the nature of the scratch, and the local prevalence of rabies. Based on your description, it seems you are concerned about a scratch that may have been caused by a wild animal while living in Taipei City, which is generally not considered a rabies-endemic area.

First and foremost, rabies is primarily transmitted through the saliva of an infected animal, typically via bites. Scratches can pose a risk if they are from an animal that is rabid, but the risk is significantly lower than that from a bite. In your case, if the scratch was superficial and there was no direct contact with saliva, the likelihood of rabies transmission is minimal.

In Taiwan, rabies is not common, especially in urban areas like Taipei. The government has implemented effective vaccination programs for domestic animals, and the incidence of rabies in wildlife is relatively low. However, it is still crucial to be cautious, especially if the scratch was indeed from a wild animal, as they can carry other zoonotic diseases.

If you suspect that the scratch may have come from a wild animal, it is advisable to monitor the wound for signs of infection, such as redness, swelling, or discharge. If any of these symptoms occur, or if you develop fever or other systemic symptoms, you should seek medical attention promptly.

Regarding rabies vaccination, the general recommendation is to assess the risk based on the animal involved. If the animal was a domestic pet that is up-to-date on vaccinations, the risk is low. However, if it was a wild animal, especially one that is known to be a rabies vector (like bats, raccoons, or foxes), then it may warrant further evaluation.

In your case, since you live in a non-endemic area and the scratch appears to be minor, it is likely that you do not need rabies vaccination. However, if you have any doubts or if the scratch worsens, it is always best to consult with a healthcare professional. They can provide a more personalized assessment based on your specific situation and the characteristics of the scratch.

In summary, while the risk of rabies from a scratch in a non-endemic area is low, it is essential to remain vigilant about the wound and seek medical advice if there are any concerns. Always prioritize wound care and monitor for any signs of infection, and do not hesitate to reach out to a healthcare provider for guidance.

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