http://www.cdc.gov/eid/content/14/3/ICEID2008.pdf (board 362 pg 255)
Background: Rabies virus, an RNA virus of the Lyssavirus genus, causes an acute, incurable encephalomyelitis with a case-fatality rate approaching 100%. The virus is transmitted through the saliva of infected
mammals. In New York State (NYS), terrestrial rabies is found in the greatest numbers among raccoons, skunks, and red and grey foxes. Anecdotal evidence suggests that rabid grey foxes are more aggressive and are more likely to attack humans than rabid raccoons. The purpose of this investigation was to employ the NYS rabies surveillance data to determine whether rabid foxes were more likely than rabid raccoons to have been involved in a human exposure and whether they were more likely to have caused a direct exposure (such as a bite).
Methods:
The NYS Department of Health?s rabies laboratory data and human exposure and treatment data from 1999-2007 were examined. Data analysis was performed in SAS 9.1. Results: From 1999 to 2007, rabies was laboratory-confirmed in 3015 raccoons, 227 grey foxes, and 61 red foxes. Raccoons were associated with 1487 human exposure incidents and 2192postexposure prophylaxes (PEPs), compared to 156 human exposure incidents and 210 PEPs for foxes (red and grey foxes combined). Among all animals that caused a potential rabies exposure in NYS, foxes were more likely than raccoons to be linked to a human exposure (OR: 9.96; 95% CI: 5.63-17.62). Among the subset of animals linked to a human exposure, foxes were more likely than raccoons to have caused a bite (versus non-bite) exposure (OR: 4.58; 95% CI: 3.47-6.05). Similarly, rabid foxes were more likely to have had direct (versus indirect) contact with a human (OR: 4.37; 95% CI: 3.17-6.02).
Conclusions:
Although raccoons remain the leading terrestrial wildlife source of potential rabies exposures and PEPs in NYS, rabid foxes appear to be more likely to cause direct human exposures than rabid raccoons. More research needs to be done to determine whether the difference in human exposures is caused by the rabies infection or is indicative of inherent differences between the infected animal species. The findings should inform educational campaigns for the public as well as for animal control and law enforcement officials who are often called to investigate wildlife issues.
Background: Rabies virus, an RNA virus of the Lyssavirus genus, causes an acute, incurable encephalomyelitis with a case-fatality rate approaching 100%. The virus is transmitted through the saliva of infected
mammals. In New York State (NYS), terrestrial rabies is found in the greatest numbers among raccoons, skunks, and red and grey foxes. Anecdotal evidence suggests that rabid grey foxes are more aggressive and are more likely to attack humans than rabid raccoons. The purpose of this investigation was to employ the NYS rabies surveillance data to determine whether rabid foxes were more likely than rabid raccoons to have been involved in a human exposure and whether they were more likely to have caused a direct exposure (such as a bite).
Methods:
The NYS Department of Health?s rabies laboratory data and human exposure and treatment data from 1999-2007 were examined. Data analysis was performed in SAS 9.1. Results: From 1999 to 2007, rabies was laboratory-confirmed in 3015 raccoons, 227 grey foxes, and 61 red foxes. Raccoons were associated with 1487 human exposure incidents and 2192postexposure prophylaxes (PEPs), compared to 156 human exposure incidents and 210 PEPs for foxes (red and grey foxes combined). Among all animals that caused a potential rabies exposure in NYS, foxes were more likely than raccoons to be linked to a human exposure (OR: 9.96; 95% CI: 5.63-17.62). Among the subset of animals linked to a human exposure, foxes were more likely than raccoons to have caused a bite (versus non-bite) exposure (OR: 4.58; 95% CI: 3.47-6.05). Similarly, rabid foxes were more likely to have had direct (versus indirect) contact with a human (OR: 4.37; 95% CI: 3.17-6.02).
Conclusions:
Although raccoons remain the leading terrestrial wildlife source of potential rabies exposures and PEPs in NYS, rabid foxes appear to be more likely to cause direct human exposures than rabid raccoons. More research needs to be done to determine whether the difference in human exposures is caused by the rabies infection or is indicative of inherent differences between the infected animal species. The findings should inform educational campaigns for the public as well as for animal control and law enforcement officials who are often called to investigate wildlife issues.