Rabies

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epidemiology

  • endemic >150 countries
  • 55,000 deaths/year
    • mostly children in Asia and Africa
    • mainly in rural areas
  • most endemic in India followed by Bangladesh and China as well as Pakistan
  • Latin "rabere" = to rage, to rave
  • Sanskrit "rabhas" = to do violence

pathogen

  • family Rhabdoviridiae, genus Lyssavirus
    • Rabies lyssavirus
    • Duvenhage lyssavirus
    • European bat lyssavirus
  • negative polarity, monostrand RNA virus
  • enveloped
  • 5 component proteins
    • N, P, M, G, L
    • G (glycoprotein) is ligand to cellular invasion
      • target of vaccine
    • human receptor: nAChR, NCAM, p75NTR - all developed only in nerve cells

responsible animals

  • domestic animal - dog, cat in Asia and Africa
  • wildlife - bat, fox, raccoon, coyote in Europe and Americas
  • Lyssavirus circulates within a same animal species
    • sometimes transmitted to other species - "spillover" phenomenon