5.3.3. Human component

Health-care personnel (medical and nursing staff)
Health care personnel should be trained in:
- Correct assessment of what constitutes a rabies exposure (in relation to the clinical history of animal exposure). This will be important to ensure that unnecessary use of costly vaccine does not occur.
- When administration of anti-rabies serum/rabies immunoglobulin (RIG) and anti-rabies vaccine (ARV) is appropriate, as described here and here.
- Provide appropriate medical advice to affected individuals.
- Importance and correct methods of management of animal-bite injuries, as described here and here.
- Current WHO recommended human vaccines listed here.
- Storage (including duration of vaccine storage after reconstitution) and transportation of vaccine.
- Administration of RIGs and intramuscular and less expensive intradermal regimens for administration of vaccine.
- Treatment of adverse reactions to vaccination.
- Patient care.
- Accurate recording of hospital data (e.g. animal-bite injury data, human rabies deaths, vaccine doses delivered) and reporting to relevant government bodies (these may vary between countries).
- Collection of human diagnostic samples, described here.
- Legislation, including notification. Read also here to learn about legislative frameworks.
- Need for exchange of information between human and animal health sector (e.g. monitoring of biting animals).

RIG = Rabies immunoglobulin
ARV = Anti-rabies vaccine
WHO = World Health Organization

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Version 4 - last updated May 2017