Emerging Epidemiology of Bat-Associated Cryptic Cases of Rabies in Humans in the United States
In the United States, during the past half-century, the number of humans to die of rabies dramatically decreased to an average of 1-2 per year. Although the number of deaths is low, most deaths occur because individuals are unaware that they had been exposed to and infected with rabies virus, and, t...
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Veröffentlicht in: | Clinical infectious diseases 2002-09, Vol.35 (6), p.738-747 |
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description | In the United States, during the past half-century, the number of humans to die of rabies dramatically decreased to an average of 1-2 per year. Although the number of deaths is low, most deaths occur because individuals are unaware that they had been exposed to and infected with rabies virus, and, therefore, they do not seek effective postexposure treatment. Molecular epidemiological studies have linked most of these cryptic rabies exposures to rabies virus variants associated with insectivorous bats. In particular, virus variants associated with 2 relatively reclusive species, the silver-haired bat (Lasionycteris noctivagans) and the eastern pipistrelle (Pipistrellus subflavus), are the unexpected culprits of most cryptic cases of rabies in humans. |
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Although the number of deaths is low, most deaths occur because individuals are unaware that they had been exposed to and infected with rabies virus, and, therefore, they do not seek effective postexposure treatment. Molecular epidemiological studies have linked most of these cryptic rabies exposures to rabies virus variants associated with insectivorous bats. In particular, virus variants associated with 2 relatively reclusive species, the silver-haired bat (Lasionycteris noctivagans) and the eastern pipistrelle (Pipistrellus subflavus), are the unexpected culprits of most cryptic cases of rabies in humans.</description><subject>Animal bites</subject><subject>Animals</subject><subject>Bats</subject><subject>Biological and medical sciences</subject><subject>Bites and stings</subject><subject>Chiroptera - virology</subject><subject>Emerging Infections</subject><subject>Epidemiology</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Medical sciences</subject><subject>Public health</subject><subject>Rabies</subject><subject>Rabies - epidemiology</subject><subject>Rabies - transmission</subject><subject>Rabies virus</subject><subject>Rabies virus - isolation & purification</subject><subject>Seasons</subject><subject>United States - epidemiology</subject><subject>Viral diseases</subject><subject>Viral diseases of the nervous system</subject><subject>Viruses</subject><issn>1058-4838</issn><issn>1537-6591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0E1v1DAQBmALUdFS4BcgFA5wS_Fn7BzbaGFLKyEBRRUHrInXWVySONiOxP57kmbVPSFOHmkez2hehF4QfEawKt4xTpmSj9AJEUzmhSjJ46nGQuVcMXWMnsZ4hzEhCosn6JhQihmR9AT9WHU2bF2_zVaD29jO-dZvd5lvsgtI-XmM3jhIdpNVYTckZ7IKoo1z_zPUbqpcn63HDvr7Kv202U3vZv8lTd_iM3TUQBvt8_17im7er75W6_z604fL6vw6N1zJlENNa1Pbxm5KwqjhoBhIsIYJ0whrKAchC2ItLkVBFaFNyeqJcCEpYAOSnaK3y9wh-N-jjUl3LhrbttBbP0Ytp3slnYb_DxJVzFYcoAk-xmAbPQTXQdhpgvUcuV4in-Cr_cSx7uzmwPYZT-DNHkA00DYBeuPiwbGSlFzNG18vzo_Dv5e9XMxdTD48KM4LSu6vy5e2i8n-eWhD-KULyaTQ69vvulp_-3hL1ZWu2F_7qKnf</recordid><startdate>20020915</startdate><enddate>20020915</enddate><creator>Messenger, Sharon L.</creator><creator>Smith, Jean S.</creator><creator>Rupprecht, Charles E.</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>20020915</creationdate><title>Emerging Epidemiology of Bat-Associated Cryptic Cases of Rabies in Humans in the United States</title><author>Messenger, Sharon L. ; Smith, Jean S. ; Rupprecht, Charles E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c487t-ab2bcbefed9132c4a83a7aec35cf5ec24a5761ee09562812f93b83a4572a0ca73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Animal bites</topic><topic>Animals</topic><topic>Bats</topic><topic>Biological and medical sciences</topic><topic>Bites and stings</topic><topic>Chiroptera - virology</topic><topic>Emerging Infections</topic><topic>Epidemiology</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Medical sciences</topic><topic>Public health</topic><topic>Rabies</topic><topic>Rabies - epidemiology</topic><topic>Rabies - transmission</topic><topic>Rabies virus</topic><topic>Rabies virus - isolation & purification</topic><topic>Seasons</topic><topic>United States - epidemiology</topic><topic>Viral diseases</topic><topic>Viral diseases of the nervous system</topic><topic>Viruses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Messenger, Sharon L.</creatorcontrib><creatorcontrib>Smith, Jean S.</creatorcontrib><creatorcontrib>Rupprecht, Charles E.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Messenger, Sharon L.</au><au>Smith, Jean S.</au><au>Rupprecht, Charles E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Emerging Epidemiology of Bat-Associated Cryptic Cases of Rabies in Humans in the United States</atitle><jtitle>Clinical infectious diseases</jtitle><stitle>Clinical Infectious Diseases</stitle><addtitle>Clinical Infectious Diseases</addtitle><date>2002-09-15</date><risdate>2002</risdate><volume>35</volume><issue>6</issue><spage>738</spage><epage>747</epage><pages>738-747</pages><issn>1058-4838</issn><eissn>1537-6591</eissn><coden>CIDIEL</coden><abstract>In the United States, during the past half-century, the number of humans to die of rabies dramatically decreased to an average of 1-2 per year. 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subjects | Animal bites Animals Bats Biological and medical sciences Bites and stings Chiroptera - virology Emerging Infections Epidemiology Human viral diseases Humans Infections Infectious diseases Medical sciences Public health Rabies Rabies - epidemiology Rabies - transmission Rabies virus Rabies virus - isolation & purification Seasons United States - epidemiology Viral diseases Viral diseases of the nervous system Viruses |
title | Emerging Epidemiology of Bat-Associated Cryptic Cases of Rabies in Humans in the United States |
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