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Australia - Boy critically ill with rabies-like bat virus (Lyssavirus)

Gert van der Hoek

In Memoriam - Editor, Senior Moderator
Qld boy ill with rabies-like bat virus

15 FEB 2013

A north Queensland boy was likely bitten or scratched by a bat or a flying fox carrying Australian bat lyssavirus, and he's now critically ill in hospital.
An eight-year-old Queensland boy is critically ill with a bat-borne virus that causes fits, paralysis and death.


It's only the third confirmed case of the rabies-like Australian bat lyssavirus recorded in the country.

The other two victims, both infected in Queensland, died.

It's assumed the north Queensland boy was bitten or scratched by a bat or a flying fox carrying the deadly virus.

It's believed he was infected about two months ago and a few weeks ago developed a brain infection that led to fits.

He's now so unwell he cannot give doctors any clues about how he came to be infected.

"We're not sure of the circumstances because the child is now too sick to tell us," Queensland Chief Health Officer Jeannette Young told reporters on Friday.

"He's critically unwell. The previous two cases did not survive and the vast majority of people who contract rabies overseas die, unfortunately."

The other two cases were recorded in 1996 and 1998.

Dr Young said the family was incredibly distressed given the prognosis for the boy.

The time from exposure to the virus to the development of symptoms is variable.

Of the two known human cases, one became ill several weeks after being bitten by a bat while the other became ill more than two years after a bat bite.

The virus causes paralysis, delirium and convulsions. Death is usually caused by respiratory paralysis.

It's theoretically possible that the virus could be passed from human to human but that is considered very unlikely.

And so far the boy's family has not shown any signs of symptoms but they've been given post-exposure drugs as a safeguard.

Dr Young said it's assumed any bat in Australia could carry the disease, and bat behaviour is not an accurate guide to infection.

She said the best protection against the virus was to avoid handling any bat or flying fox.

"Only people who have been trained in the care of bats, and who have been vaccinated against rabies, should ever handle bats or flying foxes," she said.

"It is important to also encourage young children to never handle bats, particularly if they should come across a sick or injured one."

Federal MP Bob Katter, who holds the north Queensland seat of Kennedy, says it's time to revisit the idea of culling bats.

The independent MP has long supported culling because bats spread disease, ruin farmers' crops and are a pest.

He says Premier Campbell Newman has broken a pre-election promise to do something about bat colonies that have invaded some Queensland towns.

"Clearly the Liberal National Party puts the welfare of bats over the lives of human beings," Mr Katter told reporters on Friday.

He said bat populations were out of control thanks to laws preventing farmers and others from killing them.

SBS
 
Re: Australia - Boy critically ill with rabies-like bat virus (Lyssavirus)

Press release Queensland Government

15 February 2013

Lyssavirus confirmed in Queensland

Chief Health Officer Dr Jeannette Young today confirmed a young child was in intensive
care in Brisbane with confirmed Australian Bat Lyssavirus infection (ABLV).
“This is a terribly difficult and distressing time for the family concerned, and I would ask
everyone to respect their privacy at this time,’’ Dr Young said.
Dr Young said the child was bitten or scratched by a bat approximately two months before
becoming ill.

This is only the third case to be confirmed in Australia.
All cases have been in Queensland – one in 1996 and one in 1998.

“Lyssavirus is closely related but not identical to the rabies virus,’’ Dr Young said.
“It is assumed any bat in Australia could potentially carry the disease.
“How a bat looks or behaves is not an accurate guide as to whether it may be carrying the
virus.’’
Dr Young advised the best protection against being exposed to the virus was to avoid
handling any bat or flying fox.

“Only people who have been trained in the care of bats, and who have been vaccinated
against rabies, should ever handle bats or flying foxes,’’ she said.
“It is important to also encourage young children to never handle bats, particularly if they
should come across a sick or injured one.”

Queensland Health advises that any person who has been scratched or bitten by a bat,
who did not seek medical attention at the time, should now seek advice by calling 13
HEALTH (13 43 25 84).
“If you have been bitten or scratched, it is very important to properly clean the wound,” Dr
Young advised.

“Wash the wound thoroughly with soap and water for at least five minutes. If available,
apply an antiseptic such as iodine or alcohol after washing.
“If bat saliva comes into contact with the eyes, nose or mouth, flush the area thoroughly
with water, and always seek medical attention.’’
She said the time between exposure to the virus and development of symptoms varied
widely, and that treatment following a bat scratch or bite required a series of injections.

The injections were designed to prevent infection, regardless of how long ago the bite or
scratch occurred.

• Anyone who comes into contact with an injured bat should contact the Department
of Environment and Heritage Protection on 1300 130 372, or the RSPCA on 1300-
ANIMAL.

• For further information, please phone the 13 HEALTH information line (13 43 25 84).

ENDS
 
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