Rabies - vaccination

Rabies is a rare but serious infection that's usually caught from a bite or scratch of an infected animal. It's almost always fatal once symptoms appear, but vaccination and early treatment can prevent it.

Check if you're at risk of rabies

Rabies is found throughout the world, but it's very rare in the UK.

Although the risk of getting it while travelling is small, rabies is more common in parts of:

• Asia

• Africa

• Central and South America

Rabies is spread by mammals, such as dogs, bats, raccoons and foxes. In the UK, it's only found in some bats.

You can get rabies if:

• you're bitten or scratched by an infected animal

• an infected animal licks your eyes, nose or mouth, or you have a wound that's licked by an infected animal

How to reduce your risk of rabies

If you're travelling abroad, there are some things you can do to reduce your risk of getting rabies.

Do

• get advice from a travel health clinic around 8 weeks before you travel – they may recommend getting vaccinated against rabies

• find out where you'll be able to get urgent medical help while abroad

• wash any animal bites or scratches with soap and water, and get medical help immediately

Don’t

• do not touch or go near wild or stray animals, even if they do not seem unwell (animals with rabies may not have any symptoms)

• do not feed any animals, including in zoos or animal sanctuaries

Rabies vaccination

The rabies vaccine is recommended if you're travelling to a part of the world where rabies is more common, especially if:

• you're going somewhere where it may be hard to get medical help quickly

• you might come into contact with infected animals – for example, you'll be doing lots of outdoor activities like cycling or running

• you're staying for over a month

Some people at risk of rabies through their work should also get vaccinated.

You have to pay for the rabies vaccine for travel. You can get it from travel health clinics and pharmacies with travel health services.

Treatment for possible rabies

If you've been bitten, scratched or licked by an animal that may have rabies, a doctor will check if you need treatment.

Treatment usually involves:

• 2 or more doses of the rabies vaccine

• a medicine called rabies immunoglobulin, which is a liquid given into the wound or by injection (this is only needed if you've not had the rabies vaccine before or have a weakened immune system)

If treated quickly, treatment is usually very effective at preventing rabies. Rabies cannot be treated if symptoms appear.

If you had treatment while abroad, contact your GP when you get back to the UK. They can check if you need any more treatment.

Symptoms of rabies

Symptoms of rabies usually take 3 to 12 weeks to appear, but they can appear after a few days or not for several months or years.

Symptoms include:

• numbness or tingling where you were bitten or scratched

• seeing things that are not there (hallucinations)

• feeling very anxious or energetic

• difficulty swallowing or breathing

• being unable to move (paralysis)

Once symptoms appear, rabies is almost always fatal.