Human Rabies Prevention (Comment From a Canine-Rabies-Endemic Region)

is a summaryof current human rabies exposure managementfrom the perspective of the developed world wherebiologicals are available, public health staff handle mostrabies-exposed subjects and mostly for free to thepatients. The situation is different in rabies-endemicregions where rabies vaccines and immunoglobulinsare often not available or affordable to the averagecitizen. The fear of rabies, the adverse side effectsfrom old brain-tissue-derived vaccines, the lengthypostexposure treatment schedules, and the dreadfuldeath are still remembered. They discourage somepatients from seeking professional help. This isparticularly true in countries where World HealthOrganization (WHO)-level treatment is only availableat private hospitals, which most victims cannot afford.The article by Sibunruang and colleagues