--- title: Current Status of Rabies in the United States description: Rabies causes approximately 59,000 deaths annually around the world. 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[Tweet](https://twitter.com/share) A recent issue of MMRW addressed the current trends in human rabies exposure and deaths, specifically discussing exposure to bats as being a major factor in rabies transmission.  Each year, rabies causes approximately 59,000 deaths throughout the world and, fortunately for the US, only 1 – 3 deaths are reported annually.  The infection is transmitted through saliva most commonly from the bite or scratch of an infected animal.   --- --- In evaluating cases of human rabies in the US from 1960 – 2018, there were 62 human infections attributable to exposure to infected bats.  This represented approximately 70% of the cases of human infection.   Since 2015, bats have surpassed raccoons as the largest source of US rabies infection.   Public health laboratories and the US Department of Agriculture Wildlife Services currently test approximately 100,000 animals/year for rabies and approximately 5000 are positive for the rabies virus.  The CDC reported that in 2018 approximately 55,000 patients sought post exposure prophylaxis after contact with a potentially rabid animal, including skunks, foxes, raccoons and most importantly, bats. Before 1960, dogs were a common reservoir of rabies in the US but with the introduction of rabies vaccine the prevalence of canine rabies virus variant (CRVV) experienced a tenfold decrease.  This represents one of the most important public health successes of the 20th century.     Points to ponder: 1. Our patients need to understand that bats are a major source of rabies in the US. Any contact with a bat which cannot be tested for rabies, including patients sleeping who might have had unrecognized contact with a bat identified after waking, need be evaluated for post-exposure prophylaxis. Likewise, any patient in contact with wild animals where there has been exposure and the animal cannot be rabies tested needs evaluation for post exposure prophylaxis. 2. CDC Travelers’ Health provides vaccination recommendations for international travelers ([https://www.cdc.gov/travel](https://www.cdc.gov/travel)) and should be consulted prior to visiting parts of the world where unvaccinated dogs might provide exposure or if they will be working with animals or come into contact with wild animals while traveling. [https://www.cdc.gov/mmwr/volumes/68/wr/mm6823e1.htm?s\_cid=mm6823e1\_w](https://www.cdc.gov/mmwr/volumes/68/wr/mm6823e1.htm?s_cid=mm6823e1_w) [For more information on rabies, check out this article from Wild Life Removal.](https://www.wildliferemoval.com/rabies-in-humans-and-animals/) *Also, don't forget to stay connected and join our [Quality Lab Group](https://www.linkedin.com/groups/12067669?utm_campaign=E-Newsletters&utm_source=hs_email&utm_medium=email&utm_content=2&_hsenc=p2ANqtz-8fnN3G8A11fmX7PhJNxW_Wtfi3CDDVARgIRfAs8HwAr6ydFt7YraMnW2InLvTIwRI9QTU1v2P88WiYX_Ei0mg6CGcKIQ&_hsmi=2) on LinkedIn!*   [News](https://blog.cola.org/insider/topic/news), [accurate test results](https://blog.cola.org/insider/topic/accurate-test-results), [laboratory medicine](https://blog.cola.org/insider/topic/laboratory-medicine), [clinical laboratory](https://blog.cola.org/insider/topic/clinical-laboratory) ### Related posts [The Next Big Thing in Diagnosis of Ebola](https://blog.cola.org/insider/fda-warning-potential-false-negative-cardiac-tests-0) December 04, 2019 [The Continued Rise in Cost of Healthcare](https://blog.cola.org/insider/the-continued-rise-in-cost-of-healthcare) February 06, 2020 [The A to Z of Testing for Folate Deficiency](https://blog.cola.org/insider/the-a-to-z-of-testing-for-folate-deficiency) January 16, 2020 [Scarlet Fever: The Comeback Kid](https://blog.cola.org/insider/scarlet-fever-the-comeback-kid) October 31, 2019 [FDA Warning: Potential False Negative Cardiac Tests](https://blog.cola.org/insider/fda-warning-potential-false-negative-cardiac-tests) November 14, 2019 [Declining Reimbursement in the Clinical Laboratory](https://blog.cola.org/insider/declining-reimbursement-in-the-clinical-laboratory) January 30, 2020 About the author ### Dr. John Daly ![](https://blog.cola.org/hubfs/John%20Daly%20-%20COLA_Headshot37.jpg) John T. Daly, M.D. received his MD degree at Weill Cornell University Medical College, performed his internship and residency in Anatomic and Clinical pathology at Duke University Medical Center and a residency in Forensic Pathology at the Office of the Chief Medical Examiner in Chapel Hill, N.C. He is board certified in anatomic, clinical and forensic pathology. Through the course of his career, Dr. Daly has had extensive experience directing and advising laboratories of all sizes including physician office practices, Federal Health Clinics, surgical centers, Community Hospitals and the integrated academic health system clinical laboratories of Duke Medicine. He retired as Director of Laboratories of Duke Medicine, and continues his affiliation as a member of the emeritus staff. Advertisement - [The Continued Rise in Cost of Healthcare](https://blog.cola.org/insider/the-continued-rise-in-cost-of-healthcare) February 06, 2020 - [Declining Reimbursement in the Clinical Laboratory](https://blog.cola.org/insider/declining-reimbursement-in-the-clinical-laboratory) January 30, 2020 - [The A to Z of Testing for Folate Deficiency](https://blog.cola.org/insider/the-a-to-z-of-testing-for-folate-deficiency) January 16, 2020 - [The Next Big Thing in Diagnosis of Ebola](https://blog.cola.org/insider/fda-warning-potential-false-negative-cardiac-tests-0) December 04, 2019 - [FDA Warning: Potential False Negative Cardiac Tests](https://blog.cola.org/insider/fda-warning-potential-false-negative-cardiac-tests) November 14, 2019 Advertisement ### Posts by Tag - [accurate test results (20)](https://blog.cola.org/insider/tag/accurate-test-results) - [bitcoin (1)](https://blog.cola.org/insider/tag/bitcoin) - [cancer (1)](https://blog.cola.org/insider/tag/cancer) - [clia (1)](https://blog.cola.org/insider/tag/clia) - [clia 1988 regulations (1)](https://blog.cola.org/insider/tag/clia-1988-regulations) - [clia accreditation (1)](https://blog.cola.org/insider/tag/clia-accreditation) - [clia guidelines (1)](https://blog.cola.org/insider/tag/clia-guidelines) - [clia regulations (1)](https://blog.cola.org/insider/tag/clia-regulations) - [clinical laboratory (57)](https://blog.cola.org/insider/tag/clinical-laboratory) - [cms clia (1)](https://blog.cola.org/insider/tag/cms-clia) - [colon (1)](https://blog.cola.org/insider/tag/colon) - [cost effective lab management (2)](https://blog.cola.org/insider/tag/cost-effective-lab-management) - [health care costs (1)](https://blog.cola.org/insider/tag/health-care-costs) - [health care trends (2)](https://blog.cola.org/insider/tag/health-care-trends) - [healthcare finance (1)](https://blog.cola.org/insider/tag/healthcare-finance) - [lab equipment (1)](https://blog.cola.org/insider/tag/lab-equipment) - [lab test (5)](https://blog.cola.org/insider/tag/lab-test) - [lab test utilization (7)](https://blog.cola.org/insider/tag/lab-test-utilization) - [lab tests (7)](https://blog.cola.org/insider/tag/lab-tests) - [lab utilization (2)](https://blog.cola.org/insider/tag/lab-utilization) - [Laboratory Management (9)](https://blog.cola.org/insider/tag/laboratory-management) - [laboratory medicine (23)](https://blog.cola.org/insider/tag/laboratory-medicine) - [Laboratory Operations (10)](https://blog.cola.org/insider/tag/laboratory-operations) - [laboratory test utiliazation (3)](https://blog.cola.org/insider/tag/laboratory-test-utiliazation) - [News (56)](https://blog.cola.org/insider/tag/news) - [patient outcomes (1)](https://blog.cola.org/insider/tag/patient-outcomes) - [patient satisfaction (1)](https://blog.cola.org/insider/tag/patient-satisfaction) - [Personnel Competence (1)](https://blog.cola.org/insider/tag/personnel-competence) - [reference laboratory (1)](https://blog.cola.org/insider/tag/reference-laboratory) - [test utilization (2)](https://blog.cola.org/insider/tag/test-utilization) See all   Search Blog: [Careers](http://www.cola.org/careers/) | [Press Room](http://www.cola.org/press-room/) ![ColaUpdatedLogoStackedWhiteBackground-1](https://blog.cola.org/hs-fs/hubfs/ColaUpdatedLogoStackedWhiteBackground-1.png?width=175&height=64&name=ColaUpdatedLogoStackedWhiteBackground-1.png) 9881 Broken Land Pkwy Suite 200 | Columbia, MD 21046-3016 Phone (800) 981-9883 | Fax (410) 381-8611 | Email [info@cola.org](mailto:info@cola.org) [Privacy Policy](http://www.cola.org/privacy-policy/) | [Terms Of Service](http://www.cola.org/terms-of-service/) | [Interested In Advertising?](https://education.cola.org/cola-adnetwork) - follow us: - - - - Visit: [Near Patient Testing Matters](http://www.nearpatienttestingmatters.org/) [Lab Testing Matters](http://www.labtestingmatters.org/) [My Consultant Central](http://www.myconsultantcentral.com/) Member Login: [COLAcentral](https://www.colacentral.com) [Board of Directors](http://board.cola.org/) site development by [![](https://blog.cola.org/hubfs/COLA-Jun2017/images/NL_bug.png)](http://www.nextlogik.com) © 2004 - 2017 COLA All Rights Reserved ![](https://dc.ads.linkedin.com/collect/?pid=169932&fmt=gif)