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    "en": "Rabies is a vaccine preventable zoonotic disease causing acute encephalitis which can progress towards coma and death typically within 7 to 10 days of the first signs if no intensive care is instituted. It is a disease of public health concern (adapted from WHO, 2018, 2020). <br /> <p>WHO, 2018. <a href=\"https://apps.who.int/iris/bitstream/handle/10665/272364/9789241210218-eng.pdf?ua=1\">WHO Expert Consultation on Rabies. Third report. WHO Technical Report Series, No. 1012. World Health Organization (WHO)</a>. Accessed 12 October 2020.</p>"
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      "Rabies is a zoonotic disease (a disease that is transmitted from animals to humans), caused by the rabies virus, of the Lyssavirus genus, within the family Rhabdoviridae. Domestic dogs are the most common reservoir of the virus, with more than 99% of human deaths caused by dog-mediated rabies. Human infection occurs from bites of infected animals (usually dogs) and occasionally via penetrating scratches or licking of broken skin and mucosa. Domestic dogs, wild carnivore species and bats (Carnivora and Chiroptera) present a higher risk for rabies transmission than other mammals, as they are the reservoirs of the virus. Although monkeys, like any other mammal, are susceptible to rabies, the risk of rabies transmission from monkeys is extremely low. Infected animals may not appear rabid (NHS, no date). Rabies is an acute, invariably fatal viral encephalitis. Initial signs include apprehension, headache, fever, malaise and sensory changes around the bite area. Excitability, hallucinations and abnormal fear of drafts of air (aerophobia) are common, followed in some cases by fear of water (hydrophobia) due to spasms of the swallowing muscles. Days after onset, the disease progresses to delirium, convulsions and death. Paralytic rabies is less common and is characterised by paralysis and loss of sensation, weakness and pain. Once clinical symptoms appear, rabies is virtually 100% fatal (WHO, 2018). Rabies is present on all continents, except Antarctica, with over 95% of human deaths occurring in the Asia and Africa regions (WHO, 2021). Although effective human vaccines and immunoglobulins exist for rabies, they are not readily available or accessible to those in need (WHO, 2020). Metrics and numeric limits Not applicable."
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