Besides some isolated countries that are
regarded rabies free classical rabies occurs worldwide. The disease is
transmitted by rabid animals. Carnivors and viverids represent the principal
reservoir species and are responsible for the maintenance of the infectious
cycle and hence for the presence of the disease.
Hereby, a sylvatic and urban transmission
cycle is differentiated.
Sylvatic
rabies is characterized by the establishment of transmission cycles in one
ore more carnivorous wildlife species. For example, in Europe the red fox (Vulpes
vulpes) is the main reservoir species. In parts of Asia the racoon dog (Nyctereutes
procyonoides) is a reservoir species for rabies. In eastern Europe, introduced
raccoon dogs may be implicated in sustaining the chain of infection, too.
Within one geographic region different
infection cycles may occur simultaneously, as in the Americas where independent
rabies infectious cycles in raccoons (Procyon lotor), skunks (memphetis ssp),
red foxes (Vulpes vulpes), grey foxes (Urocyon cinereoargenteus), coyotes (Canis
latrans) and arctic foxes (Alopex lagopus) exist. Sporadically, rabies virus is
transmitted to humans and domestic animals. Bat species can act as a virus
reservoir, too. (See Rabies and Bats)
Urban rabies is by far more
important for public health. Stray and feral dogs maintain and transmit the
disease through bite inflictions, causing more than 50.000 human casualties
annually. Mainly developing countries from Asia and Africa suffer from the
burden of the disease. The WHO regards Rabies as a neglected disease and efforts
are promoted to establish wider access to appropriate post-exposure treatment
for humans. Dog rabies control by mass vaccination campaigns and dog population
management are supported.
