Intended for healthcare professionals

Letters Management of rabies

Post-exposure prophylaxis against rabies is still needed after a bite from a vaccinated animal

BMJ 2016; 352 doi: (Published 09 February 2016) Cite this as: BMJ 2016;352:i730
  1. Florence Ribadeau Dumas, infectious disease specialist and former head, Paris Pasteur Institut anti-rabies centre1,
  2. Nadia Haddad, professor in contagious diseases, zoonoses & epidemiology, and director, joint research unit UMR BIPAR (ENVA-Anses-INRA)2,
  3. Philippe Gautret, head of Marseille travel clinic and anti-rabies centre3
  1. 1Paris Dauphine University, PSL Research University, Paris, France
  2. 2Université Paris-Est, Ecole Nationale Vétérinaire d’Alfort, UMR BIPAR ENVA, Anses, INRA, Maisons-Alfort, France
  3. 3Assistance Publique Hôpitaux de Marseille, and Aix Marseille University, Marseille, France
  1. fribadeaudumas{at}

Crowcroft and Thampi’s review on rabies reports that, according to 2013 WHO recommendations, risk assessment for post-exposure prophylaxis should take the biting animal’s vaccination status into account.1 This change—WHO previously recommended not normally considering the animal’s vaccination status in developing countries2—might have important consequences.3

Every year, worldwide, 15 million people receive post-exposure …

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