Tropical, Travel and Emerging Infections (L Chen, Section Editor)

Current Infectious Disease Reports

, 16:394

First online:

Rabies in Travelers

  • Philippe GautretAffiliated withAix Marseille Université, Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes (URMITE), UM63, CNRS 7278, IRD 198Institut Hospitalo-Universitaire Méditerranée Infection, Pole Maladies Infectieuses, Assistance Publique Hôpitaux de MarseilleAix Marseille Université, URMITE Email author 
  • , Philippe ParolaAffiliated withAix Marseille Université, Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes (URMITE), UM63, CNRS 7278, IRD 198Institut Hospitalo-Universitaire Méditerranée Infection, Pole Maladies Infectieuses, Assistance Publique Hôpitaux de Marseille

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access

Abstract

Most cases of rabies in travelers are associated with dog bites and occur in adults who are commonly migrants. The incidence of injuries to travelers caused by potentially rabid animals is approximately 0.4 % per month of stay. Dogs account for 51 % of cases, but nonhuman primates are the leading animals responsible for injuries in travelers returning from Southeast Asia. Travel to Southeast Asia, India and North Africa, young age, and traveling for tourism are risk factors for potential exposure. More than 70 % of travelers are not immunized prior to departing and do not receive adequate care when injured. The intradermal vaccination route has been proven economical, safe and immunogenic in travelers. The immunity provided by the three-dose series is long-lasting and should be considered an investment for future travel. Abbreviated schedules may be used for last-minute travelers.

Keywords

Rabies Rabies exposure Travel Vaccine