Thursday, September 24, 2015

What Every Malaysian Must Know About Rabies

With the recent announcement of rabies occurring in Malaysia, there is a lot of misconception going on about the disease and how preventable and treatable it is. Allow me to dispel some of these myths with reference sources.

Myth 1: Anyone who gets bitten by a rabid dog cannot be saved and will soon die a terribly painful death

It is true that rabies will result in a painful death through inflammation of the central nervous system. Rabies in humans is untreatable upon the onset of clinical symptoms such a tingling, fear, anxiety which progress to hyperactivity and paralysis.

The key point here, as stated in this WHO fact sheet, is that the incubation period between contact with rabies and onset of symptoms is typically 1 to 3 months. Only very rarely do symptoms in humans show up within less than a week. Sometimes symptoms only show in humans after a year! This gives anyone who suspects they have contacted a rabid animal, either by touching their saliva, getting scratched or bitten, ample time to get the series of rabies vaccination shots which will be 100% effective in preventing the onset of symptoms, hence no death.

The same WHO Fact Sheet also states that “Rabies is a neglected disease of poor and vulnerable populations whose deaths are rarely reported and where human vaccines and immunoglobulin are not readily available or accessible.”

Is Penang a poor and rural state? Is it devoid of advanced medical facilities? Why is it so difficult for the local authorities to share these facts and educating the public?

Malaysians are now panicking and rushing to get rabies vaccinations, which has resulted in shortage of rabies vaccinations for humans. This means anyone who ACTUALLY has contacted a rabid animal and NEEDS the vaccine runs the risk of not being able to get the vaccine in time because of unnecessarily panicked Malaysians using up the stock.

Myth 2: ALL rabid dogs will become unnaturally ferocious biting monsters
Rabies automatically brings to mind the image of mad dogs foaming at the mouth. However, not all rabid dogs become ferocious, or exhibit ‘Furious Rabies’. The Baker Institute for Animal Health explains that there are 3 stages of rabies - prodromal, furious, and paralytic (dumb). Animals at prodromal stage exhibit non-specific symptoms like apprehension, restlessness, loss of appetite, temperament changes and sometimes vomiting. This is followed by either furious, and paralytic (dumb) form.

Only 25-30% of infected animals develop Furious Rabies. The MOST common form infected animals will develop is ‘Dumb Rabies’ where they drool excessively, become paralyzed, easily frightened, unusually tame and generally NOT very dangerous at all to anyone!

Below is a screenshot of a Youtube video of a helpless paralyzed dog with dumb rabies. 

A helpless dog wth dumb rabies.
Myth 3: We are having an emergency rabies outbreak
To date, the current number of reported dog bites cases tested positive for rabies is less than 50. Out of those cases including only TWO dog bite cases in Penang, there have so far been ZERO human deaths in the whole of Malaysia.

If this is classified as an ‘emergency outbreak’, then authorities are hypocritical by not similarly declaring dengue and leptospirosis as ‘emergency outbreaks’. As of 20 June 2015, there were 53,823 cases of dengue with 158 dengue-deaths reported in Malaysia for 2015. Last year there were over 7000 cases of leptospirosis or ’rat urine disease’, and 92 deaths from this disease. Both diseases are endemic to Malaysia, meaning they have been in this country all this time. Therefore it is illogical to declare rabies an outbreak when vector-borne diseases have proven to be a significantly higher threat in Malaysia.



Myth 4: Rabies injections are now necessary for all our pets
The local authorities have been advising dog owners to get rabies shots for their pets, resulting in another mad rush by pet owners and shortage of vaccine supplies for dogs.

What the authorities have not told, is that priority of rabies vaccinations should be given to pets that are kept outdoors, where they have a higher risk of coming in contact with an infected animal. Many Malaysians keep small breed dogs indoors where they have very little risk of contacting a rabid animal. While small breed owners should ensure their small breed dogs receive normal vaccinations to protect aainst other diseases, over-vaccinating a small breed unnecessarily also poses a risk. Rabies vaccines, like all vaccines are essentially a small dosage of deactivated rabies viruses, meant to stimulate the body to naturally produce the required antibodies to fight rabies. However, dosages of vaccines are usually given to small dogs is the same dosage given to dogs of all sizes, which is sometimes too much for the immune system of small breeds to handle. Therefore over-vaccinating small breeds can result in adverse and sometimes fatal reactions, such as in this story where a pug broke out in horrible rashes after a rabies shot. 

Therefore if you have a small breed dog which is primarily kept indoors and does not come in contact with stray animals, rabies vaccinations are not necessary! Vaccinating a small breed that has close to zero risk of getting rabies is depriving supply of the vaccine for pets that are at higher risk. 

What is the real agenda?
It is clear, given the facts, that the authorities have created unnecessary fear and paranoia over rabies. This is posing an even greater danger to both humans and pets who actually need the vaccines because of the resulting shortages, when what should have done is proper education on rabies facts and how Malaysians should protect themselves and their pets.

It is not a big secret that dogs are disdained by certain local communities under the pretense of religion, however what most people may not know is that Lim Guan Eng has publicly stated his desire to make Penang a stray –free state.

Rabies is being used as a poor reason to exterminate strays simply because the authorities find it easier than educating Malaysians and creating proper legislation to promote responsible pet management to control the stray population. We all want this country to be developed, but if the process of that development, 40,000 innocent lives are needlessly taken, it will never be a development any Malaysian with a soul can be proud of. 


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