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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
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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