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Learn why animal bite cases are crucial for public health and how to properly document them with demographic and exposure details. Follow guidelines for effective case management and ensure rabies risk mitigation.
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Animal Bite Case Review: WVEDSS Issues Or, why your animal bite cases keep coming back, and coming back, and . . . . .
What MUST Be Present • Demographic Information • Name • Address • DOB • Other demographic information as available
What MUST Be Present • Date of Bite/Exposure • Type of Exposure • Species of Animal • Public Health Investigation • At least: • Final status of animal after 10 day confinement • Date completed and checked
If Minimum Data Not Completed… • Local health dept or Regional Epidemiologist will get animal bite report reassigned to them to correct missing vital data • If this information is in the NOTES section, it should still be filled out in proper section of WVEDSS form
West Virginia Exposure, Out-of-State Resident • An animal bite that happens in West Virginia, but the patient is an out-of-state resident should not be entered into WVEDSS • Home state of patient should be notified • DIDE can help with notification of other states, if needed
About Confinement • From 2007–2009, nearly 70% of exposures resulted in confinement of animal • 93% were observed at day 10 or after • Important to adhere to full 10-day period (start counting on the day of the exposure-Day 0) • Only true for cats, dogs and ferrets • Livestock: 14 days
dog cornered rabbit in yard by fence, child picked it up & took inside where it bit her--set it free; thinks was tame rabbit set loose by owner/got loose; encourage to keep PET appts; 03.22-have called & left numerous msgs for call back; _________ Hosp. states only had 1 rabies/RIG injection. Close <<PEP not typically warranted for exposures to rabbits; additionally, scratches are very low risk. Case reviewed and closed. 4/1/2011 jml/DIDE>>
Summary • Animal bites represent an important impact on the public’s health • Proper case management is essential to mitigating rabies risk • New, shortened form coming for NBS • Try to avoid common WVEDSS issues
Sam Mills • USDA Wildlife Biologist