1.In a situation with Rabid Dog bitten by Cow and people in a village consumed milk(Possibility of raw milk consumption), Should Anti rabies be given?
2. Should Anti rabies be given for Domestic rat bite ?
3. Should Anti-rabies be given for Pet vaccinated dog bite?
I will attempt to answer the first two questions.
1. Yes, PEP is recommended since you consumed the raw milk from a cow bitten by a dog confirmed or suspected to be rabid. Here's why:
Rabies virus is found in the saliva of rabid animals, and a cow can be infected by the bite.
While clinical rabies in cows is unusual and the transmission of rabies through milk is very unlikely, raw milk has potential, especially in the case of contamination during or after milking. Pasteurised or boiled milk is thought to be safe, as the virus is inactivated by heat.
Therefore:
Even if the source of milk is raw, however, PEP is indicated as a preventive. If the milk was boiled or had undergone pasteurisation, PEP is not usually indicated. You should always look for advice from a local health body or medical professional to figure out the actual risk and need for treatment, based on details of your specific situation.
2. Domestic Rat Bite
Recommendation: No, unless anti-rabies immunisation is indicated. Reason: Rats and other small rodents (mice, squirrels, guinea pigs, etc.) are not reservoirs of the virus that causes rabies.
Tetanus prophylaxis and wound care are the only treatments indicated, unless there are exceptional circumstances.
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