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Originally posted by Edod:
For what it is worth, I saw a specialist in ID who does a lot of pre-safari type consultations. Her recommendation was, for my 10 day DG hunt in Zimbabwe, to not take the rabies vaccine. She said the risk of exposure, although real, is very small. I have elected to follow her advise.

Thanks again, to all who have contributed to this thread.

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Originally posted by ledvm:

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Since 1980, most patients with human rabies in the United States have not had definite exposure through a bite wound, making total understanding of the mechanism of transmission somewhat elusive.

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however, because a history of an animal bite is obtained in less than one half of US cases, diagnosis is problematic. Presentation of a patient in the rabies prodromal stage without a clear exposure history is so nonspecific and rare that making the diagnosis in the ED is essentially impossible.