Concerns about rabies are growing in the United States following unusual incidents involving humans and rabid animals, prompting a health advisory from the Centers for Disease Control and Prevention (CDC). However, experts indicate it is unclear whether there has been an actual increase in cases of the fatal disease.
Recent months have seen rabid beavers attack three people in Maryland and hundreds of individuals exposed to goats with rabies at a petting zoo in North Carolina. In response, the CDC issued an advisory on September 10, noting increased human exposures to rabid or possibly rabid animals.
Despite the uncertainty over actual exposures versus perceived risks, experts suggest the heightened news coverage and public awareness are beneficial for public health. Zak Mertz, CEO of the New England Wildlife Center, stated that increased coverage allows people to learn how to stay safe.
Historically, measures such as vaccines and animal control programs have reduced annual rabies deaths in the US to fewer than 10. However, the CDC reported a 17% increase in rabies-related inquiries from July to August compared to the same period last year, including reports of mass exposure events. State health departments also noted an increase in post-exposure prophylaxis treatments.
One incident involved a wild skunk entering a pen of baby goats on a North Carolina farm in July, leading to hundreds of people interacting with the goats, some of which tested positive for rabies. Those exposed were monitored, and hundreds received prophylaxis treatment, with no reported deaths.
In Maryland, a 13-year-old was attacked by a beaver while swimming, requiring three surgeries for nerve damage. Meghan Davis, an associate professor at Johns Hopkins University, attributed such incidents to "a little bit of bad luck," noting that the goats were too young to be vaccinated and beavers rarely contract rabies.
Tonji Durant, a retired CDC epidemiologist, shared a personal story about her sister's death from rabies in 2011, which she believes was preventable due to a lack of guidance from local officials. She emphasized the critical importance of communication between clinicians, health departments, and communities.