Year’s first rabies death prompts warning

The Nation
Safety guidelines have been issued after a 32-year-old man in Surin became the first person this year to die of rabies.

Disease Control Department director-general Dr Suwannachai Wattanayingcharoenchai did not reveal the name of the man who was bitten by a stray dog in November, after which he failed to seek an anti-rabies vaccination.
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The man developed fever and had difficulty swallowing before lab tests confirmed he had rabies, Suwannachai said.



“If a cat or a dog scratches or bites you or licks your wound, you have to promptly clean the wound with soap and water repeatedly for about 10 minutes,” he advised.


“Then add Povidone-iodine [betadine] to lower the chance of rabies infection and see a doctor immediately for diagnosis and vaccination.”
Once vaccinated, continue consulting the doctor as per appointments.


“It’s also crucial that the animal be monitored for any abnormal symptoms or dies within 10 days,” he said.


Dr Suwannachai said people should avoid provoking animals lest they be scratched or bitten and take care to avoid stepping on any part of them.


You shouldn’t try to break up a cat or dog fight with your bare hands or take away any food they might be eating. Avoid all contact with unknown animals.


He urged people to have their pets vaccinated annually, which local administrative bodies administer for free from March to June.


More details are available from the department’s hotline, 1422.


Year?s first rabies death prompts warnings

Ms P was bitten by a dog last evening while cycling to the gym with daughter, only about 200m from home.
Straight to the local hospital and jumped the queue of coughing spluttering old folks, wound cleaned and given first dose of vaccinations TRCS Speeda as 'post-exposure immunization'.
Goes back on Wednesday for two more, again next Sunday, then the final dose 4 August.
Not a stray/soi dog, but one that shouldn't have been on the loose.
She said the doctor told her they have to notify the police, my guess a report that goes nowhere
Meantime, hoping no reaction to the vaccinations

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Originally Posted by prawnograph

Ms P was bitten by a dog last evening while cycling to the gym with daughter, only about 200m from home.
Straight to the local hospital and jumped the queue of coughing spluttering old folks, wound cleaned and given first dose of vaccinations TRCS Speeda as 'post-exposure immunization'.
Goes back on Wednesday for two more, again next Sunday, then the final dose 4 August.
Not a stray/soi dog, but one that shouldn't have been on the loose.
She said the doctor told her they have to notify the police, my guess a report that goes nowhere
Meantime, hoping no reaction to the vaccinations

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most worrying would be,are the vaccine's GENUIN.
keep a close eye for any symptoms.

genuine . . . I hope so; she said they were well-organised interms of the dog-bite procedures and jabs, 5 in all 2 for rabies, guessing others would be tetanus and, no I have no idea on 4 and 5

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all covered by her work's medical insurance cover; it's a decent little hospital I spent time there 2013 after a cycling crash then ongoing checkup visits, no complaints

But then again I wasn't bitten by a dog

I'll ask her to check - when I was going as an 'outpatient' I was photographed for a series of blood pressure, x-ray pics for their noticeboard, something along the lines of 'we treat anyone with insurance, even New Zealanders!'
I was on the wall near their display of the most common venomous snakes

keep us all informed as to how she is feeling,as for the OWNER of the dog,dont bother,the useuall excuse,someone left the gate open.

Good information, stray dogs worry me, I have had 3 or 4 go me just for the hell of it.

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Originally Posted by headhunter

keep us all informed as to how she is feeling,as for the OWNER of the dog,dont bother,the useuall excuse,someone left the gate open.

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My dog jumps over the gate if a farang passes by :)

From what I hear the vaccine is very expensive. but better than the other option I guess.

I was considering getting this vaccine in Farangland prior to moving here, doctor told me there was only one medical institute doing this, so expect a long waiting time and costly... and if bitten you still have to get half of the shots you would get if not vaccinated. I guess the vaccine is more useful to people who got bitten often (people working with animals etc) not common people, even for Thailand.

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Originally Posted by Mozzbie47

From what I hear the vaccine is very expensive. but better than the other option I guess.

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my wife is a community health volunteer and has to visit everyone who has animals on their property,goes in through one ear and out the other.
as for vaccine being expensive yes if its genuine,with all whats happening here[this raid last week] we have to be vigilant that we are getting the genuine medication.

I went to the hospital on Sunday 14th with Ms P for her checkup, bite wound has healed over ok but will scar, and yad her third round of rabies vaccinations

First lot were on the 7th - 5 jabs - 2 rabies, rabies immune globulin (two I think) plus tetanus
Wednesday 10th - two more rabies, one each shoulder
Fourth and final jabs at 28 days, 4 August

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Human rabies immune globulin (HRIG) is administered only once, at the beginning of anti-rabies prophylaxis, to previously unvaccinated persons. This will provide immediate antibodies until the body can respond to the vaccine by actively producing antibodies of its own.

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So there it is, under control. Top marks to the medical staff, fortunate to have a hospital so near.

She asked about cost on Sunday, told 3000 baht I'm unsure though if this as just for Sunday's vial or the whole four-week course