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Memo: Disposition of Ferrets that Bite a
Person
The following letter represents a big change in North Carolina. This is
the
closest thing we have to an official policy regarding ferrets, rabies
vaccination, and bite cases. The full text of the letter is below.
We also have
an image of the letter and an Adobe Acrobat version of the letter.
Please note that you will need the Acrobat Reader in order to
read the
Acrobat version. The scanned images are faxes of faxes and are
quite
blurry; we will provide more high-quality scans of the official letter
when we
receive snail-mailed copies.
North Carolina
Department of Health and Human Services
Division of Epidemiology
October 6, 1998
MEMORANDUM
To: Local Health Directors
Local Animal Control Departments
From: Lee Hunter, D.V.M., M.P.H.
Public Health Veterinarian
Medical Evaluation and Risk Assessment Branch
Occupational and Environmental Epidemiology Section
Stephanie Kordick, D.V.M.
Public Health Veterinarian
Medical Evaluation and Risk Assessment Branch
Occupational and Environmental Epidemiology Section
Subject: Disposition of Ferrets that Bite a Person
The 1998 Compendium of Animal Rabies Control, produced by the
Centers for Disease Control and Prevention (CDC) and the National
Association of State and Public Health Veterinarians (NASPHV),
includes some changes regarding vaccination of ferrets for rabies
and management of ferret bites with respect to rabies control.
Studies conducted by CDC have demonstrated that the interval
between the time that rabies virus first shows up in saliva and the
appearance of signs of rabies in ferrets is similar to that in dogs
and cats. Because of the information learned in these studies, the
NASPHV has recommended that ferrets that bite a person should be
confined and observed for 10 days from the time of the bite as long
as the ferret is healthy and not demonstrating signs compatible
with rabies. This is the procedure currently recommended for dogs
and cats. As is also recommended for dogs and cats, the ferret
should be evaluated by a veterinarian at the first sign of illness
during confinement, and such illness should be reported the local
health department. If rabies is suspected the ferret should be
tested immediately.
If the ferret does not exhibit signs compatible with rabies during
the 10-day confinement period, post-exposure treatment may not be
warranted. However, the final decision regarding initiation of
treatment remains between the patient and his or her physician.
We have contacted the Attorney General's Office regarding this
matter, and they have determined that the current statutes allow
for a 10-day confinement and observation period for ferrets as an
alternative to laboratory testing.
Additionally, RM Imrab 3 rabies vaccine, which is produced by
Meriel, is approved for use in ferrets. It is license for use in
a 1mL dose to be given subcutaneously on an annual basis. Rabies
tags and certificates may be distributed along with vaccination at
the discretion of the veterinarian.
If you have any questions about this memorandum, please feel free
to contact Dr. Stephanie Kordick at (919) 733-3372 or Dr. Lee
Hunter at (919) 715-6421.
lh
cc: HMT Members
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