rabiesProMEDのブログ

狂犬病臨床研究会から発信するProMEDの訳文です

狂犬病(34):南北アメリカ(アリゾナ、ニュージャージー) ネコ、イヌ、スカンク、コウモリ、ヒト曝露

ProMEDに投稿された世界の狂犬病情報を和訳してご紹介します。和訳は正確を期していますが、必ず原文をご参照下さい。

RABIES (34): AMERICAS, USA (ARIZONA, NEW JERSEY) CAT, DOG, SKUNK, BAT, HUMAN EXPOSURE

In this update:
[1] Arizona: cat, dog, skunk, human exposure
[2] New Jersey: bat, human exposure

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[1] Arizona: cat, dog, skunk, human exposure

アリゾナ:ネコ、イヌ、スカンク、ヒトへの暴露
Date: Tue 11 Jun 2019
Source: Green Valley News [edited] <https://www.gvnews.com/news/seven-amado-residents-undergoing-rabies-shots/article_b2603cc6-8c9a-11e9-a2c8-e386f89d4c56.html>

Seven Amado [Pima county] residents are going through a series of rabies shots after they were exposed to rabid kittens.

 アマード(アリゾナ州ピマ郡)の7人の住民が、狂犬病の子猫に接触したのち、一連の暴露後予防接種を受けている。


A quarantined cat is at the Pima Animal Care Center [PACC]. 15 cats and 2 dogs are in quarantine after being exposed to a rabid skunk and rabid kittens at an Amado home.

 ピマ動物愛護センター(PACC)では、1匹のネコが隔離されている。15匹のネコと2匹のイヌも、アマードの個人宅で狂犬病の子猫とスカンクに接触し、隔離されている。


An Amado resident called the Pima Animal Care Center on 4 Jun 2019 to report several of her kittens had recently died. She said her 2 dogs had been in a fight with a skunk 2 weeks earlier and asked whether thedeaths of the cats could be related, said PACC Director Kristen Hassen-Auerbach. The skunk was killed.

 2019年6月4日に、アマードの住民がPACCに電話し、彼女が飼っている子猫たちの何匹かが死んでしまったと報告した。彼女は、飼っている2匹の犬が2週間前にスカンクと闘ったと話し、子猫の死はこのことと何か関係があるのか尋ねた、とPACC局長のKristen Hassen-Auerbachは述べた。スカンクは殺されたという。


The woman had just been bitten by another kitten and was concerned about possible rabies exposure, Hassen-Auerbach said.

 

その女性は別の子猫に咬みつかれたばかりで、狂犬病に暴露したのではないかと心配している、とHassen-Auerbachは言った。

PACC took custody of 3 dead kittens and 1 sick kitten and provided the woman with outdoor cat enclosures so she could keep her remaining 15 cats and kittens quarantined, Hassen-Auerbach said. The county also asked her to keep her dogs -- which received rabies vaccinations years ago -- isolated. It was unclear whether the dogs' rabies shots were current [at the time of this writing. - Mod.TG].

PACCは3匹の死んだ子猫と1匹の病気の子猫を引き取り、その女性と外飼いの猫たちに囲いを提供した。そのため、彼女の15匹の猫、子猫たちは隔離したまま飼い続けることができる、とHassen-Auerbachは言った。郡はまた彼女に、彼女の犬たちも―1年前に狂犬病の予防接種を受けていた―隔離するように頼んだ。(この記事を書いている)現在、犬たちの暴露後予防接種がどうなっているかは不明である。


On 7 Jun 2019, PACC learned 2 of the kittens tested positive for rabies and PACC seized the rest of the woman's animals 8 Jun 2019.

6月7日には2匹の子猫が狂犬病陽性であったことがPACCに知らされ、翌8日にPACCは残っていた女性の動物たちを引き取った、


The skunk, which had been buried, couldn't be tested because it had been dug up and devoured, she said. It's unknown if it was eaten by the dogs or wildlife, said Michele Figueroa, PACC director of operations.

スカンクは埋められていたが、掘り起こされて食べられてしまっていたので(狂犬病の)診断はできなかったと彼女は言った。食べたのはその犬たちか野生動物かはわからない、とPACCの活動責任者であるMichele Figueroaは言った。


An investigation revealed the woman, 5 relatives, and a neighbor had direct contact with the kitten and will receive a series of 5 shots over the next 2 weeks, said Aaron Pacheco, a spokesman for the Pima County Health Department. There is no need to isolate any of those going through the vaccinations and studies show the vaccinations are 100 percent effective on people who receive the shots prior to displaying rabies symptoms, Pacheco said.

調査により、飼い主の女性、5人の親類、1人の隣人がその子猫に直接触れていることが明らかとなり、次の2週間に5回の暴露後予防接種を受けることになっている、とピマ郡保健局の広報担当であるAaron Pachecoは述べた。ワクチン接種を受けている間に隔離される必要はなく、狂犬病の症状が出る前なら、ヒトではワクチンは100%効果が出る、とPachecoは言った。


According to the Centers for Disease Control, an infected person could theoretically transmit rabies, but no such cases have been documented and contact with someone who is receiving rabies vaccination does mean they've been exposed to rabies or they're at risk for an infection.

米国疾病管理予防センター(CDC)によると、理論上は感染した人からの狂犬病の伝播はありうるが、そのような事例は記録に残っていない。また、狂犬病予防接種を受けている誰かとの接触は彼らが狂犬病にさらされた、または、彼らが感染しているリスクがあることを意味する。


Rabies symptoms can show up within a matter of weeks up to a year. "When they become symptomatic, the outcome is usually death," he said.

狂犬病の症状が現れるまでには、厄介なことに1週間から1年間の幅がある。「発症したら、普通は死ぬことになります。」と彼は言う。


The 2 dogs taken in by PACC will be in quarantine for 45 days and the felines will be in quarantine for 120 days.

 

PACCに収容された犬は45日間、猫たちは120日間隔離されることになる。

This is the 1st rabies case involving a domestic animal in several years in Pima county. According to the Arizona Department of Health Services, there have been 66 lab-confirmed animal rabies cases in Arizona this year [2019].

ピマ郡での家庭動物における狂犬病の最初の事例は数年前のものである。アリゾナ州保健局によると、今年(2019年)には66件の動物の狂犬病が確認されている。


Two of the cases were the Amado cats; a cat in Cochise county also tested positive, state records show. Skunks accounted for 34 cases, followed by 14 fox, 13 bats, 1 javelina, and 1 coyote.

そのうち2件はアマードの猫たちのもの。コチセ郡では1匹の猫が狂犬病陽性だった、と州の記録にある。スカンクは34件であり、キツネ14件、コウモリ13件、ペッカリー1件、コヨーテ1件と続く。


PACC chief veterinarian Jennifer Wilcox recommends booster rabies vaccinations for pets and livestock that may come into contact with wildlife, Hassen-Auerbach said.

PACCの主席獣医師であるJennifer Wilcoxは、野生動物と接触するおそれのあるペットや獣医師には、狂犬病ワクチンのブースター接種を勧めている、とHassen-Auerbachは述べた。


The doctor also believes all cats and dogs should be vaccinated against rabies, whether they reside inside or out.[Byline: Kim Smith]

獣医師はまた、すべての犬と猫は、部屋飼い、外飼いにかかわらず狂犬病ワクチンが接種されるべきだと信じている。


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Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>

[HealthMap/ProMED-mail map of Arizona, United States:
<http://healthmap.org/promed/p/65119>
Arizona county map:
<https://www.mapsofworld.com/usa/states/arizona/arizona-county-map.html/>]

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[2] New Jersey: bat, human exposure

ニュージャージー、コウモリ、ヒトへの暴露
Date: Tue 4 Jun 2019
Source: New Jersey Advance Media [edited] <https://www.nj.com/news/2019/06/bat-found-in-bedroom-of-nj-home-tests-positive-for-rabies.html>

A bat found in the bedroom of a home in Middlesex county last week [week of 27 May 2019] tested positive for rabies, health officials said.

先週(2019年5月27日)、ミドルセックス郡の住宅の寝室で発見されたコウモリが狂犬病陽性であったと、保健当局は述べた。


Animal control officers caught the bat after being called to a house in South Plainfield on [25 May 2019], the Middlesex County Office of Health Services said in a statement [Tue 4 Jun 2019]. The mammal was then brought to be tested at a state department of health laboratory.

(2019年5月25日に)サウスプレインフィールドの家から連絡を受けたのち、動物管理官がそのコウモリを捕まえた、とミドルセックス郡保健当局は(2019年6月4日に)州に向けて述べた。それから、この哺乳類は診断を受けるため、州の保健局研究所に連れていかれた。


The bat is the 5th rabid animal found in Middlesex county this year [2019] and the 1st in South Plainfield.Health officials advised the resident of the house where the bat was located to see a doctor for post-exposure treatment. All residents are asked to avoid wild animals, report bites immediately and make sure pets' vaccinations are up to date.

このコウモリは、ミドルセックス郡では今年(2019年)で5番目、サウスプレインフィールドでは最初に見つかった狂犬病の動物となった。保健局はコウモリがいたその家の住民に、医者に行って暴露後治療を受けるよう助言した。またすべての住民に対し、野生動物との接触を避け、咬みつかれたらすぐに報告し、ペットが狂犬病ワクチンの接種を受け続けているか確認するよう要請した。


The rabies virus is found in the saliva of a rabid animal and is transmitted by bite, or possibly by contamination of an open cut, officials said. Bats, skunks, groundhogs, foxes, cats, and dogs account for 95 percent of animals diagnosed with rabies in the Unites States. Rabies can be fatal and any bite should be taken seriously, officialswarn. [Byline: Jeff Goldman]

狂犬病ウイルスは狂犬病の動物の唾液中に存在し、咬傷で伝播する。あるいは、開創が汚染されることによっても感染しうると当局は言う。コウモリ、スカンク、ウッドチャック、キツネ、イヌ、ネコはアメリカ合衆国狂犬病と診断された動物の95%を占める。狂犬病は致死的であるため、いかなる咬傷であっても深刻に扱うべきだと当局は警告している。


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[What a wonderful opportunity for these communities to educate the public regarding rabies. Yet these articles do not indicate any rabies drive or educational issues occurring in those areas.

これらのコミュニティにおいて、狂犬病に関する教育を市民に行う絶好の機会だ。しかしこれらの記事は、このような地域において、狂犬病の管理を行う上で、あるいは教育の上での問題を明らかにはしていない。


Rabies vaccination for most pets is required on annual or 3-year basis based on the age of vaccination, the number of rabies vaccination, and the rabies burden in the area. But vaccination of your pets is a measure of protecting both your pets and yourself.

狂犬病のワクチン接種はほとんどのペットで毎年、または接種歴や接種回数に基づいて3年に1回必要である。しかし、あなたのペットにワクチン接種を行うことは、あなたのペットとあなた自身を護る手段となる。


Rabies is fatal in almost all individuals without proper post exposure prophylaxis. Unfortunately, animals without a rabies prevention vaccination are destined for death, either by the disease or because there is no treatment for rabies for our pet.

狂犬病は、ほぼすべての個体において、適切な暴露後予防治療なしでは致死的となる。残念ながら、ペットにおける狂犬病の治療法は存在しないため、予防的なワクチン接種を受けていない動物は発症か安楽殺を迎えることとなる。

和訳管理者:以下は人の発症予防処置についての記述です。繰り返し多くの投稿に記述されていることと重複しますので和訳は省略します。
Humans need to have the wound cleaned and dressed. An individual will likely need to receive post exposure prophylaxis. For people who have never been vaccinated against rabies previously, post-exposure anti-rabies vaccination should always include administration of both passive antibody and vaccine. The combination of human rabies immune globulin (HRIG) and vaccine is recommended for both bite and non-bite exposures, regardless of the interval between exposure and initiation of treatment. People who have been previously vaccinated or are
receiving pre-exposure vaccination for rabies should receive only vaccine.

Adverse reactions to rabies vaccine and immune globulin are not common. Newer vaccines in use today cause fewer adverse reactions than previously available vaccines. Mild, local reactions to the rabies vaccine, such as pain, redness, swelling, or itching at the injection site, have been reported. Rarely, symptoms such as headache, nausea, abdominal pain, muscle aches, and dizziness have been reported. Local pain and low-grade fever may follow injection of rabies immune globulin.

The vaccine should be given at recommended intervals for best results. Talk with your doctor or state or local public health officials if you will not be able to have the shot at the recommended interval. Rabies prevention is a serious matter, and changes should not be made in the schedule of doses.

People cannot transmit rabies to other people unless they themselves are sick with rabies. The prophylaxis you are receiving will protect you from developing rabies, and, therefore, you cannot expose other people to rabies. You should continue to participate in your normal activities.

Rabies post-exposure prophylaxis consists of a dose of human rabies immune globulin and rabies vaccine given on the day of the exposure, and then a dose of vaccine given again on days 3, 7, and 14.

If a person has previously received post-exposure vaccinations or received pre-exposure vaccinations, only 2 doses of vaccine (on the day of exposure and then 3 days later) are needed. Human rabies immune globulin is not required. Your doctor and local health department will be able to guide you through the process
(<https://www.cdc.gov/rabies/medical_care/index.html>).


ペットが咬まれた場合の対応について
However, animals who have been vaccinated will need their wounds cleaned and cared for. They will be re-vaccinated and, depending upon the specific state, are likely to be quarantined for a period of time. If the bitten animal has not been vaccinated, the animal is likely to be euthanized, as it presents a risk of rabies to its owners.

The lesson is to keep your animals vaccinated. Check with your veterinarian regarding your state and county law on frequency of vaccination for your pets. Pets include dogs, cats, horses, cattle, and other animals you have contact with. - Mod.TG

HealthMap/ProMED-mail map of New Jersey, United States: <http://healthmap.org/promed/p/36415>
New Jersey county map: <https://www.mapsofworld.com/usa/states/new-jersey/newjersey-county-map.html/>]

[See Also:
Rabies (32): Americas, Brazil (PA) susp, RFI
http://promedmail.org/post/20190604.6503047
Rabies (30): Americas, USA (FL, NC) cat, fox, dog, human exposure
http://promedmail.org/post/20190526.6488419
Rabies (28): Americas, USA, cattle, imported dogs, corr.
http://promedmail.org/post/20190512.6466342
Rabies (28): Americas (USA) cattle, imported dogs
http://promedmail.org/post/20190511.6465671
Rabies (26): Americas (USA) fox, raccoon, dog, human exposure
http://promedmail.org/post/20190507.6459317
Rabies (15): Americas, Brazil (RS) bat, cattle
http://promedmail.org/post/20190409.6413470
Rabies (13): Americas, USA (CO, PA) dog, cow, human exposure
http://promedmail.org/post/20190327.6390272
Rabies (12): Americas, USA (SC, CT) raccoon, dog, human exp.
http://promedmail.org/post/20190322.6380311
Rabies (11): Americas, USA (FL) raccoon, alert
http://promedmail.org/post/20190320.6375303
Rabies (10): Americas, USA (SC) goat, human exposure
http://promedmail.org/post/20190313.6365399
Rabies (09): Americas, USA (NY) raccoon, alert
http://promedmail.org/post/20190313.6363251
2018
----
Rabies (48): Americas (USA) raccoon, human exp., susp.
http://promedmail.org/post/20180921.6044436
Rabies (37): Americas (USA) raccoon, feline, human exposure
http://promedmail.org/post/20180707.5893249
Rabies (36): Americas (USA) bat, alert
http://promedmail.org/post/20180704.5888152
Rabies (35): Americas (USA)
http://promedmail.org/post/20180701.5884464
Rabies (33): Americas (USA) bat, comment
http://promedmail.org/post/20180615.5858003
Rabies (30): Americas (USA) bat, comment
http://promedmail.org/post/20180608.5846452
Rabies (29): Americas (USA) bat, human exposure
http://promedmail.org/post/20180606.5843054
Rabies (17): Americas (USA) bat, human exp.
http://promedmail.org/post/20180328.5714194
Rabies (10): Americas (USA) fox, susp., human exposure
http://promedmail.org/post/20180215.5630732
Rabies (06): Americas (USA) human, bat, canine exposure
http://promedmail.org/post/20180116.5562905
Rabies (05): Americas (USA) fox, susp., human exposure
http://promedmail.org/post/20180112.5556138
Rabies (04): Americas (USA, Brazil) bat, human, Milwaukee protocol
http://promedmail.org/post/20180111.5553455
2017
---
Rabies (42): Americas (USA) bat, human exp.
http://promedmail.org/post/20171002.5355205
Rabies (38): Americas (USA)
http://promedmail.org/post/20170731.5216276
Rabies (36): Americas (USA) wildlife, multiple human exposures
http://promedmail.org/post/20170725.5203948
Rabies (34): Americas (USA) bat, human exp.
http://promedmail.org/post/20170719.5188826
Rabies (33): Americas (USA) bobcat, canine & human exposures
http://promedmail.org/post/20170718.5186364
Rabies (28): Americas (USA) bat, human exp.
http://promedmail.org/post/20170707.5157811
Rabies (27): Americas (USA) feline
http://promedmail.org/post/20170702.5145002
Rabies (23): Americas (USA)
http://promedmail.org/post/20170530.50704232016
2010
---
Rabies, raccoon - USA (04): (NYC) vaccination
http://promedmail.org/post/20100217.0555
Rabies, raccoon - USA (NY) http://promedmail.org/post/20100122.0246
2009
---
Rabies, raccoon - USA: New York City alert
http://promedmail.org/post/20091207.4172
and other items in the archives]