狂犬病(36):アメリカ合衆国 動物、ヒト



In this posting:

[1] Illinois (Lake County): bat, human death

[2] New York (Oneida County): cat, dog and human exposure

[3] Maryland (Frederick County): cat, human exposure

[4] Pennsylvania (Berks County): cat, human exposure

[5] Florida (Martin County): raccoon, dog


[1] Illinois (Lake County): bat, human death


Date: Wed 29 Sep 2021 11:26 AM ET

Source: National Public Radio (NPR) [edited]

https://www.npr.org/2021/09/29/1041457232/rabies-illinois-man-death-rare-public- health

Be aware if you've got bats in your home. That's the message from the Illinois Department of Health as it announced an 80-year-old man died of rabies after waking up to find a bat on his neck. [Other sources report the bat that but him tested positive for rabies. - Mod.TG] It is the 1st human case of rabies in the state since 1954.

もしコウモリを家の中で見つけたなら注意しろ。朝起きたら首の上にコウモリを見つけた 80 歳男性が死亡したと発表したイリノイ州保健局は、同時にこのメッセージを発した。【筆者 注:他の筋によると、彼のほかにこのコウモリも狂犬病陽性だったと報じている】これは、 1954 年以来この州では初めてのヒト狂犬病の事例だ。

The man refused rabies treatment at the time of the incident in mid-August [2021], health officials said in a press release. A month later, he started experiencing rabies symptoms such as neck pain, headache, difficulty controlling his arms, finger numbness, and difficulty speaking.

この男性は、この事故が起こった(2021 年)8 月半ば当時、治療を拒否したと保健当局はプ レスリリースで述べている。1 か月後、首の痛み、頭痛、腕がうまく動かせなくなる、指の痺 れ、うまく話せなくなるなどの狂犬病の症状が現れ始めた。

Rabies infections in humans are extremely rare in the United States since the disease is preventable and treatable. Typically, 1 to 3 cases are reported each year, and there were no cases reported in 2019, according to the most recent data available from the CDC.

合衆国ではこの疾病は予防も治療も可能であるため、ヒトへの感染は極めてまれだ。CDC が 公表する直近のデータによると、通常は毎年 1~3 の事例が報告され、2019 年ではゼロであっ た。

But rabies exposure is far more common; 60 000 Americans receive the post-exposure treatment every year. Without prompt treatment, though, the virus infects the nervous system and is typically fatal [without post-exposure treatment].

しかし、狂犬病への暴露はよりありふれたものであり、毎年 6 万人のアメリカ人が暴露後の 予防治療を受けている。早期の治療なしでは、ウイルスは中枢神経系に感染し、一般的には死 に至る。

Lake County Health Department Executive Director Mark Pfister said the case of the man who died this week emphasizes the need for more public health awareness of the risks of rabies.

レイク郡保健局常任理事の Mark Pfister は、今週起こったこの男性の死亡例は、狂犬病のリ スクについて更なる啓発が必要だと強調していると述べた。

"Rabies infections in people are rare in the United States; however, once symptoms begin, rabies is almost always fatal, making it vital an exposed person receive appropriate treatment to prevent the onset of rabies as soon as possible," Pfister said.

「合衆国では狂犬病の人への感染は稀だが、一度発症してしまうと、ほとんどは死に至る。 暴露した人は発症を抑えるため、できる限り早く適切な処置を受けなければならない」と Pfister は言った。

Illinois health officials say bats are the most common animal found with rabies in the state. The man who died had a colony of bats living in his home.

イリノイ州保健当局は、この州ではコウモリは狂犬病をもつもっともありふれた動物だと述 べた。死亡した男性の家の中には、コウモリが住んでいる巣があった。

[Byline: Deepa Shivaram]
Communicated by:
promed@promedmail.org" target="_blank">promed@promedmail.org

[HealthMap/ProMED map of Illinois, United States: http://healthmap.org/promed/p/4361
Illinois county map: https://geology.com/county-map/illinois-county-map.gif] ******

[2] New York (Oneida County): cat, dog and human exposure

Date: Fri 10 Sep 2021
Source: CNY Central [edited]

https://cnycentral.com/news/local/cat-tests-positive-for-rabies-in-oneida-county-two- people-exposed

Two Marcy [Oneida County] residents have received medical care to treat rabies after being exposed to a rabid cat.


The cat was sent to the New York State Department of Health Wadsworth Center, which reported the positive rabies test results on [8 Sep 2021].

そのネコはニューヨーク州立ワズワースセンターに送られ、(2021 年 9 月 8 日に)狂犬病陽 性と報告された。

According to the CDC, rabies treatment postexposure prophylaxis (PEP) includes a dose of human rabies immune globulin (HRIG) and a rabies vaccine.

CDC によると、狂犬病の暴露後予防治療(PEP)にはヒト由来の抗狂犬病免疫グロブリンと狂 犬病ワクチンの投与が含まれる。

Two dogs were also exposed to the rabid cat.

2 匹のイヌもまた、この狂犬病のネコに接触した。

Health Department officials recommend vaccinating all cats, dogs, and ferrets older than 3 months. The Oneida County Health Department offers rabies vaccination clinics throughout the year for the convenience and safety of county residents.

保健局はすべてのネコ、イヌ、そして三か月齢以上のフェレットへのワクチン接種を推奨し ている。また、オネイダ郡保健局は、住民の便と安全のため、通年で狂犬病のワクチン接種を 提供している。

Signs of rabies include animals acting strangely, getting too close, and drooling or foaming at the mouth. If you see an animal exhibiting these signs do not approach it; call your local animal control officer for help.

動物の狂犬病の症状は、奇妙な振る舞いや、不自然に近寄ってくる、よだれや泡が口にみら れる、などが挙げられる。もしこのような症状を呈する動物を見かけたら、近寄らず、地元の 動物管理官に助言を求めること。

[Byline: JeanneTyler Moodee Lockman]

Communicated by:
promed@promedmail.org" target="_blank">promed@promedmail.org [HealthMap/ProMED map of New York, United States: http://healthmap.org/promed/p/33035
New York county map: https://geology.com/county-map/new-york-county-map.gif] ******
[3] Maryland (Frederick County): cat, human exposure メリーランド ネコ、ヒトへの暴露
Date: Tue 21 Sep 2021
Source: 7News [edited]

https://wjla.com/news/local/stray-cat-attacks-person-in-frederick-tests-positive-for- rabies

A stray cat that attacked a person in Frederick has tested positive for rabies. The Frederick County Health Department says it happened on Hansonville Road last Thursday [16 Sep 2021]. It's a small gray intact male cat with black stripes, probably a young adult.

フレデリックで人を襲った 1 匹のネコは狂犬病陽性だった。フレデリック郡保健局は、これ は直近の木曜日(2021 年 9 月 15 日)にハンソンビル・ロードで起こったと述べた。このネコ は灰色で黒い縦じまの小さな雄で、恐らくは若年である。

Anyone who came into contact with it this month [September 2021], should contact their doctor and the health department.

今月(2021 年 9 月)にこのネコに接触したものは誰であれ、かかりつけ医と保健局に連絡し てほしい。

Rabies is almost always deadly if it's not caught and treated early.

狂犬病は早期に見つけて治療を受けなければ、ほぼ死に至る。 --

Communicated by:
ProMED from HealthMap Alerts
promed@promedmail.org" target="_blank">promed@promedmail.org

[HealthMap/ProMED map of Maryland, United States: http://healthmap.org/promed/p/8090
Maryland county map: https://geology.com/county-map/maryland-county-map.gif]

[4] Pennsylvania (Berks County): cat, human exposure ペンシルベニア州(バークス郡) ネコ、ヒトへの暴露
Date: Fri 24 Sep 2021
Source: Berks Weekly [edited] https://berksweekly.com/news/cat-in-birdsboro-tests-positive-for-rabies-virus/

A Birdsboro resident has received medical care to treat rabies after being exposed to a rabid cat, Animal Rescue League (ARL) of Berks County officials announced Friday night [24 Sep 2021].

金曜日(2021 年 9 月 21 日)の夜、バークス郡の動物救護連盟(ARL)は、バーズボロの住民 1 人が狂犬病のネコに暴露し、治療を受けていると発表した。

The ARL was notified earlier in the day of a cat impounded in Birdsboro by ARL's Department of Animal Protection tested positive for rabies.

ARL はその日の早いうちに、バーズボロに保管されていたそのネコが、動物保護部局の検査 の結果、狂犬病陽性だったと明らかにした。

The cat, a medium-sized short hair calico, was captured near the intersection of E Main Street and N Water Street after a call for assistance from the Birdsboro Police Department.

そのネコは中型で短毛のぶちで、イースト・メイン・ストリートとノース・ウォーター・ス トリートの交差点付近で、通報ののちバーズボロ警察の協力によって捕獲された。

"We immediately responded to the patrol officer's call and secured the cat," said Sergeant Hayden Carroll from the ARL's Department of Animal Protection. "At the moment, we know this cat bit a resident, who was already notified and received proper

treatment. If anyone else was bitten or scratched by an animal in this area they should seek medical attention immediately."

「我々は巡査からの連絡を受け、すぐにそのネコを確保しました」と、ARL 動物保護部局の Hayden Carroll 係官は述べた。「間もなく、このネコに住民 1 人が嚙みつかれたと分かりまし たが、すでに知らせて適切な治療を受けてもらっています。もし他のだれかがこの地域の動物 に噛みつかれたり引っかかれたりしているなら、すぐに探し出して治療を受けさせなければな りません」

According to the CDC, rabies is a neurological virus infecting the central nervous system of mammals, ultimately causing disease in the brain and death in 99.9% of human cases if left untreated. Although 90% of reported cases of rabies in animals occur in wildlife – mainly skunks, raccoons, bats, coyotes, and foxes -- the virus can be transmitted to dogs, cats, and cattle who have not received vaccination.

CDC によると、狂犬病は向神経性のウイルスが哺乳類の中枢神経系に感染するもので、治療 を受けなければ、ヒトの事例では最終的に脳の疾患により 99.9%が死に至る。報告された事例 の 90%は野生動物―主にスカンク、アライグマ、コウモリ、コヨーテ、そしてキツネ―である が、このウイルスはワクチン接種を受けていないイヌ、ネコ、そして家畜に感染しうる。

Common signs of rabies in animals include general sickness, problems swallowing, excessive drool or saliva, an animal who bites at everything, an animal who appears tamer than you would expect, an animal who is having trouble moving or may be paralyzed, or a bat on the ground. (Source: CDC)

動物の一般的な狂犬病の症状は、病気の一般的症状や、嚥下困難、唾液の異常分泌、すべて に噛みつく、不自然な懐きかた、運動障害や麻痺、コウモリなら地面に落ちている、などがあ る。

"The most important action to prevent rabies in dogs and cats is to make sure that their rabies vaccine is up-to-date and keeping them away from unknown animals, especially wildlife," said Dr Jason Banning, Medical Director of the ARL.


"If an owner suspects their pet was bitten or scratched by a rabid animal, they should call animal control or their local police department to capture the animal and seek immediate veterinary care."


For humans who have been exposed to rabies, the incubation period could last for weeks to months and may vary based on how far the exposure location is from the brain. Common symptoms of rabies in humans include discomfort or a prickling or itching sensation at the site of the bite, progressing within days to acute symptoms of cerebral dysfunction, anxiety, confusion, and agitation. As the disease progresses, the person may experience delirium, abnormal behavior, hallucinations, hydrophobia (fear of water), and insomnia.


"Residents should be alert for other animals in the area with signs of rabies and should not allow their pets outside unsupervised," said Sergeant Carroll.


If you suspect that an animal is infected with rabies, call immediately the animal control provider of your municipality or your local police department and do not approach the animal by any means.

Communicated by:

promed@promedmail.org" target="_blank">promed@promedmail.org

[HealthMap/ProMED map of Pennsylvania, United States: http://healthmap.org/promed/p/32318
Pennsylvania county map: https://geology.com/county-map/pennsylvania-county-map.gif] ******

[5] Florida (Martin County): raccoon, dog
Date: Mon 27 Sept 2021

Source: Treasure Coast Palm [edited]

https://eu.tcpalm.com/story/news/local/martin-county/2021/09/26/racoon-trapped- monday-jensen-beach-park-tested-positive-rabies/5874254001/

A raccoon found 20 Sep 2021 at Indian RiverSide Park in Jensen Beach has tested positive for rabies, according to the Florida Department of Health in Martin County.

マーティン郡のフロリダ保健局によると、2021 年 9 月 20 日、ジェンセンビーチ内のインデ ィアン・リバーサイドパークで見つかった 1 匹のアライグマが狂犬病陽性であった。

Results from testing the trapped raccoon came back Friday [24 Sep 2021] showing the animal was positive for rabies, spokeswoman Renay Rouse said Sunday.

日曜日に、広報官の Renay Rouse は、捕まったアライグマの検診結果が金曜日(2021 年 9 月 24 日)に戻ってきており、狂犬病陽性であったと述べた。

There was no human exposure to the raccoon, Rouse noted, and a dog having had contact with it had been previously vaccinated for the viral disease and is expected to be treated with a booster shot.

そのアライグマに暴露した者はいないと Rouse は強調し、1 匹のイヌが接触したが、以前に ワクチンを接種しており、ブースター接種を受ける見込みだとも述べた。

Rabies, often carried by wild animals, is a disease of the nervous system and is fatal to warm-blooded animals and humans. The only treatment for human exposure to rabies is rabies-specific immune globulin and rabies immunization. Appropriate treatment started soon after exposure will protect the person from the disease.


The majority of rabies cases reported to the Centers for Disease Control and Prevention each year occur in wild animals such as bats, raccoons, skunks, and foxes, although any mammal can get rabies.


The 1st symptoms of rabies may be nonspecific and include lethargy, fever, vomiting, and anorexia. Signs progress within days to weakness, paralysis, seizures, difficulty breathing, excessive salivation, and abnormal behavior, according to the CDC.

Residents can avoid rabies by:
- Avoiding contact with wild animals.
- Keeping outside garbage cans sealed.

- Calling your local animal control agency to remove any stray animals from your neighborhood. Martin County Animal Control is at 772-463-3211.

- Keeping rabies vaccinations up to date for all pets.

- Keeping your pets under direct supervision so they do not come in contact with wild animals.

- If your pet is bitten by a wild animal, seek veterinary assistance for the animal immediately and contact Martin County Animal Control at 772-463-3211.

[Byline: Melissa E Holsman]

Communicated by:
promed@promedmail.org" target="_blank">promed@promedmail.org

[HealthMap/ProMED map of Florida, United States: http://healthmap.org/promed/p/32353
Florida county map: https://geology.com/county-map/florida-county-map.gif

The news of this man in Illinois dying for lack of post-exposure prophylaxis (PEP) is very sobering. One wonders if he was aware of the bats in his home before one bit him or if this was a bat colony in the attack and there was an access point into the house and he was unaware of it.

イリノイ州で、暴露後予防治療(PEP)を受けなかった男性が死亡したというニュースは考え させられる。1 匹が彼に噛みつく前に、家の中にいたコウモリに彼は気づかなかったのか、彼 に攻撃を仕掛けたコウモリの巣には、家に出入りできる箇所があったはずだが、彼はそれに気 づいていなかったのかは疑問だ。

While officials cannot force someone to obtain treatment, it serves as a warning to all of us to have our homes and attics checked. Bats can make it through very small spaces and into our homes. Tiny holes in window screens can also sever as a place of ingress to the dwelling. Especially our elderly may be unaware of some noises or

cracks in a roof or ceiling or window screen. We need to be checking on our older family, friends, and neighbors, keeping an eye for bats.

公的機関は治療を強いることはできないが、我々に家や屋根裏部屋をチェックするよう注意 を喚起することはできる。コウモリはとても小さな隙間を通って家の中に入ることができる。 網戸に開いた小さな穴は、切り裂かれ住処への侵入口へと成りうる。特に身近な年配者は、屋 根裏の騒音や、網戸やシーリングに開いた穴に気づかないかもしれない。我々は年配者の家族 や友人、そしてご近所さんがコウモリに気を付けているか確認する必要がある。

Rabies is a deadly disease when untreated in human beings. It is also deadly for our unvaccinated pets. Please vaccinate your pets and follow your veterinarian's recommendations on the interval between vaccinations. Please protect yourself and your pets. Protecting your pet with vaccinations can build a barrier between you and the disease.


Wild animals can come at us, or our pets, at very unexpected moments in places we may think are safe. The only way to build the barrier of protection is to vaccinate your pets, and report any bites you receive.


If you are bitten, wash the wound with soap and water and seek medical attention. The post-exposure prophylaxis treatment must be given within a short time from the bite. It is very effective and can save your life.


"In the United States, PEP consists of a regimen of one dose of immune globulin and 4 doses of the rabies vaccine over a 14-day period. Rabies immune globulin and the 1st dose of rabies vaccine should be given by your healthcare provider as soon as

possible after exposure. Current vaccines are relatively painless and are given in your arm like the flu or tetanus vaccines; rabies vaccines are not given in the



"Postexposure prophylaxis (PEP) consists of a dose of human rabies immune globulin (HRIG) and rabies vaccine given on the day of the rabies exposure, and then a dose of vaccine given again on days 3, 7, and 14. For people who have never been vaccinated against rabies previously, PEP should always include administration of both HRIG and

rabies vaccine. The combination of 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 preexposure 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 to your doctor or state or local public health officials if you will not be able to have your

shots at the recommended interval. Rabies prevention is a serious matter, and changes should not be made in the schedule of doses. Patient assistance programs that provide medications to uninsured or underinsured patients are available for rabies vaccine and immune globulin.


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

(https://www.cdc.gov/rabies/medical_care/index.html) - Mod.TG]


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Rabies (37): Americas (USA) cat, fox, raccoon, human exp http://promedmail.org/post/20190707.6555131

Rabies (34): Americas (USA) cat, dog, skunk, bat, human exp http://promedmail.org/post/20190613.6517390
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 (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) racoon, alert http://promedmail.org/post/20190313.6363251

and other items in the archives] .................................................sb/tg/mj/jh