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March 15, 1976

Treatment of Persons Exposed to Rabies-Reply

Author Affiliations

Center for Disease Control Atlanta

JAMA. 1976;235(11):1107. doi:10.1001/jama.1976.03260370017013

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In Reply.—  We agree that it is important to have a veterinarian's expert evaluation of the possibility of rabies being present in an animal that may have exposed a person to rabies. Certainly, the veterinarian's evaluation is one of the most important factors the physician should consider in deciding whether to start postexposure rabies prophylaxis. The second question raised in this letter is whether or not an unvaccinated dog that may have exposed a person to rabies should be sacrificed. As we stated before, we recommend that dogs involved in human exposures should be sacrificed and examined for rabies unless they are normally behaving and vaccinated. This is our opinion and recommendation, but we respect the alternative point of view presented by Dr Rosefsky and Mssrs Dunstan and Huse. We heartily concur, as will anyone who has worked with rabies, that close cooperation between physicians and veterinarians is crucial to