Been scraped by a monkey, Have rabies vaccination.

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Been scraped by a monkey, Have rabies vaccination.

Avatar for Adrianoregan
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Hey Guys,
In Vietnam at the mo. Went to Monkey Island and was slightly scraped by a monkey while there. Didn’t get bitten or anything. He just jumped up to grab some food and scraped my arm a bit. Small bit of blood drawn. Have my Rabies vaccinations. Should I head to hospital or do ya reckon I’m over reacting.
Adrian.

     
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i was under the impression that getting your rabies jabs just meant if you did get bitten or scratched then you need fewer needles during treatment than if you didnt have the jabs before you went away. personally, it drew blood and your in a place where they have rabies so id get it checked out. better safe than sorry. when did it happen? i think you get 48hrs after the incident if you have had your jabs already. good luck!!!

     
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Just happened today. About 6 hours ago. Going diving in the morning. So I’d say I’ll get it checked out after that. In Nha Trang. Not sure what the hospital facilities are like round these parts. Hopefully I’ll be able to find somewhere tho.

     
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i think the hospitals will be decent around there, its quite modern compared to some parts of se asia.

     
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Cool, ya I was just looking the hospital up on-line. It’s seems pretty modern. I’ll have a walk down to it tomorrow. I reckon I’d be fine but as you were saying, better safe than sorry. Thanks for the info.

     
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Cool, ya I was just looking the hospital up on-line. It’s seems pretty modern. I’ll have a walk down to it tomorrow. I reckon I’d be fine but as you were saying, better safe than sorry. Thanks for the info.

i doubt your in danger of getting rabies, but it would be awful if you didnt get it checked out and 2 days time you started frothing at the mouth 8O

     
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You have 24 hours after the scratch before you’re in the danger zone. Get to the hospital as soon as you can. Rabies vaccines only gives you 24 hours after exposure to seek medical attention. If you start getting symptoms it’s too late.

     
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Went to the hospital. Was sent to a disease center then because they don’t have the rabies shots in the hospital. The doc had a look at my vaccination card and told me i didn’t need anymore shots. I told her the monkey scraped me and the vaccination only gave your more time to get to a hospital. She kept insisting I didn’t need anymore shots cause I still had enough anti-bodies in my blood from the dates I had my first 3 shots. No matter what i said, she wouldn’t give me the rabies shots. Dunno what to do now?

     
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alexandra, i was under the impression that if you dont have any jabs previously you have 24hrs to get to hospital, whereas you have 48hrs if you have had the jabs done already.

if it was me, being such a worrier, id try another hospital if possible. rabies isnt something you mess with. as alexandra said, once the symptoms start showing your as good as dead.

     
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alexandra, i was under the impression that if you dont have any jabs previously you have 24hrs to get to hospital, whereas you have 48hrs if you have had the jabs done already.

if it was me, being such a worrier, id try another hospital if possible. rabies isnt something you mess with. as alexandra said, once the symptoms start showing your as good as dead.


This is what i was told at the travel clinic i went to in london

 

     
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hi, when i had my rabies vaccanations a month or so ago the nurse told me that the jabs actually give you full immunisation against the disease. If you do get scratched/bitten etc then she said you should go to a clinic to get ‘top-up’ vaccanation (normally 2-3) to ensure that there are enough antibodies. It is only if you have had no vaccanations at all that you need to get to a clinic ASAP in order to get the immuglobin stuff.

May be some info on wikipedia or similar that could be worth checking out.

     
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Sorry guys - please have a read of this…

Post-exposure immunisation and immunoglobulin
Treatment, including cleaning the wound as above, must not be delayed, and
should be started as soon as possible while enquiries are made about the local
epidemiology of rabies in the country concerned (see above) and, where
possible, the ownership and condition of the biting animal.
As the incubation period for rabies can be prolonged, treatment should still be
considered even if the interval from exposure is lengthy. Specialist advice
should be sought (as above).”

The site and severity of the wound

High-risk exposures are those with broken skin, including single or multiple
transdermal bites or scratches, or where mucous membranes or an existing
skin lesion have been contaminated by the animal’s saliva or other body fluid.
Intact skin is a barrier against infection. Bites represent a higher risk than
scratches. Proximal bites (e.g. face, fingers) represent a higher risk than distal
wounds. Bat bites and scratches may not be visible.”

The circumstances of the bite (or other contact)
An unprovoked attack carries a higher risk than one that is provoked.
The species, behaviour and appearance of the animal
A frantic or paralysed dog or cat represents a high risk of infection. The name
and address of the owner of the animal should be obtained, if possible. The dog or cat should be observed for 15 days to see if it begins to behave abnormally; the relevant period is not known for animals other than cats and dogs. If the dog or cat is feral or stray and observation is impossible, try to
contact a local doctor or veterinarian who may know whether rabies occurs in
the locality. Bat rabies may be suspected if the bat is sick or grounded without
injury, or if an uninjured bat is found dead. Apparently healthy bats may
have rabies.”

I have copied this directly from the Department of Health Green Book on Tropical Diseases. This is what travel clinics use when diagnosing tropical illnesses and working out vaccines. PLEASE READ THIS!!!!!!

http://www.dh.gov.uk/en/Publichealth/Healthprotection/Immunisation/Greenbook/DH_4097254?IdcService=GET_FILE&dID=115850&Rendition=Web

You must always seek medical attention as soon as possible after being injured by a mammal.

Please read my post below too:
http://www.gapyear.com/boards/index.php?op=vt&c=4&f=121&t=297900&o=0#298188

For those of you who know this already, forgive me.

For those of you who don’t - take it in.

Rabies
Rabies is an infection of the central nervous system that can affect all warm-blooded creatures, including humans.

It can be transmitted through the bite or lick of an infected mammal. This does not just mean dogs. This is cats, monkeys, bats, rats etc. Check with your travel health professional or http://www.fitfortravel.scot.nhs.uk to find out if you are going to a rabies risk area.

Once the disease has established itself into the body, death is inevitable.

Rabies vaccination
The rabies vaccination is an expensive, 3 injection course. It often costs around £100 but this varies from place to place so shop around. You have the first jab on day 0, the second on day 7, and the third on day 28.

Once you have been vaccinated, it will last for three years.

What happens if you get bitten by a rabid animal?

If you have been vaccinated: You must scrub the wound thoroughly and clean it with alcohol, antiseptic, iodine or soap and water if that’s all that’s available. Then go immediately to the nearest hospital or clinic and tell them you have been bitten. The vaccinations give you around 24 hours to make it to a hospital.

They will then give you two further injections, one when you arrive, and one 3-7 days later.

If you fail to do this and have been bitten by a rabid animal, all you can do is be kept comfortable while you endure certain death.

If you have not been vaccinated: You must scrub the wound thoroughly and clean it with alcohol, antiseptic, iodine or soap and water if that’s all that’s available. Then go immediately to the nearest hospital or clinic and tell them you have been bitten. You must get to the hospital within the day you are bitten.

They will then give you 5 doses of the treatment over a 30 day period. First on day 0, then days 3, 7, 14, 30. You will also need to be given an immunoglobulin product, which is basically a human blood product which contains antibodies to help you fight the virus.

Conclusion

The problem with not being vaccinated against rabies is that many clinics/hospitals do not have adequate supplies of rabies medicine and also the immunoglobulin product is harder to come by in more remote destinations.

Often human immunoglobulin is replaced with that of a cow or other animal which is neither healthy nor safe (risks of diseases such as vCJD), and even with the human immunoglobulin you may be at increased risk of HIV/AIDS or Hepatitis B.

If you are potentially at risk of rabies, is it really worth the risk of death on the basis of spending a bit of extra money?

For more detailed information about rabies, see the World Health Organisation Guide to Pre and Post Exposure Rabies Vaccinations (.pdf)
and
The Department of Health Green Book Chapter on Rabies (.pdf)

     
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Did anyone see the documentary about the girl who survived rabies?
She got bitten by a bat and started showing symptoms, unusually quite a while after she was infected - the only thing they could do was put her into a coma, starving the brain of oxygen. That gave them time to treat the rabies, but It was pretty radical treatment and she was left brain damaged :?

Yeah, I wouldnt leave it too long.
ie - cancel anything else you’ve got planned and get to the hospital.
I know someone who lost his wife to rabies here in the uk, she was bitten by her own dog.

     
Avatar for Daniellep89
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I didnt get the rabies shot before i left for India, i was told it wasnt worth it, it didnt immuize against the diseas just gaveu more time to get to a hospital, and i wasnt going anywhere to remote without a hospital. But that doesnt mean i didnt avoid all the cute puppies on the side of the road or the monkeys in the monkey temple lol

     
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Did anyone see the documentary about the girl who survived rabies?
She got bitten by a bat and started showing symptoms, unusually quite a while after she was infected - the only thing they could do was put her into a coma, starving the brain of oxygen. That gave them time to treat the rabies, but It was pretty radical treatment and she was left brain damaged :?

Yeah, I wouldnt leave it too long.
ie - cancel anything else you’ve got planned and get to the hospital.
I know someone who lost his wife to rabies here in the uk, she was bitten by her own dog.

Yeah I saw that, it was crazy.  She’s the ONLY person I think to ever have survived rabies…very clever doctors. 

 

     
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that girl survived the rabies bite and she was fine, it showed her learning to drive! she didnt have brain damage.

i got the rabies jab before i left because it lessens the amount of jabs you need if you do get bitten/scratched and i didnt fancy getting 8 jabs in some dingy little indian hospital!!