I looked at the CDC website before posting Aunt. It says the only indication for treatment is a bite or a scratch from species known to carry rabies. It doesn’t say anything about testing for mere exposure.
I guess I see the counterpoints.
It’s a kid.
The duration of the exposure is unknown.
Whether there was any contact is unknown.
Bat.
Bites or scratches can be invisible.
Bires or scratches could be mistaken.
What’s the scuttlebutt here, your saying in this situation to test the kid or administer a vaccine?
I’m certain the medical staff 's determination of The credibility of a fact attested to by a child is not a factor.
We’re also assuming this kid isn’t a straight up victim of healthcare inequality. The article is light on details. Perhaps the parents considered this, searched the web, searched for bites or scratches, and the cost of seeking care felt too great for this family? I didn’t catch if this happened in a civilized nation with universal health.
Fuck, this story is terrifying. Reminds me in some ways of when a kid dies in a hot car.
You can’t test the kid. What I’m saying is a lot of people in here are quick to judge the parents, but clearly even to medical professionals the situation is not cut and dry.
As I mentioned in another comment, I’ve been there. I have been through PPE, and I had to seriously advocate for myself to the ER doctor for him to go consult an infectious disease specialist before they agreed.
Post-exposure prophylaxis or testing of a bat is generally recommended after direct contact with the bat (refer to Bat Exposure) because it is very difficult to ensure that a bite did not take place
Bat exposure: Post-exposure rabies prophylaxis following bat contact is recommended when both of the following conditions apply:
There has been direct contact with a bat, AND
A bite, scratch, or saliva exposure into a wound or mucous membrane cannot be ruled out.
Direct contact with a bat is defined as a bat touching or landing on a person.
In a child, a bat landing on clothing could be considered a reason for intervention, as a history to rule out a bite, scratch or mucous membrane exposure may not be reliable.
From 1998 to 2009, NACI recommended that people who may not be aware of or able to report a bat bite (e.g., sleeping person, young child, cognitively impaired) be offered intervention if a bat was found in the room with them. This recommendation was revised (as described above) in 2009 based on the rarity of human rabies related to bats (one case in Canada reported approximately every 5 years). Analysis conducted in Canada estimated that a case of human rabies related to bedroom exposure to a bat (i.e., finding a bat in the room of a sleeping person with no recognized physical contact with the bat) is expected to occur in Canada once every 84 years. In addition, it has been determined that, to prevent one case of rabies from bedroom exposure to a bat, using a conservative estimate, 314,000 people would need to be treated.
I looked at the CDC website before posting Aunt. It says the only indication for treatment is a bite or a scratch from species known to carry rabies. It doesn’t say anything about testing for mere exposure.
I guess I see the counterpoints.
It’s a kid. The duration of the exposure is unknown. Whether there was any contact is unknown. Bat. Bites or scratches can be invisible. Bires or scratches could be mistaken.
What’s the scuttlebutt here, your saying in this situation to test the kid or administer a vaccine?
I’m certain the medical staff 's determination of The credibility of a fact attested to by a child is not a factor.
We’re also assuming this kid isn’t a straight up victim of healthcare inequality. The article is light on details. Perhaps the parents considered this, searched the web, searched for bites or scratches, and the cost of seeking care felt too great for this family? I didn’t catch if this happened in a civilized nation with universal health.
Fuck, this story is terrifying. Reminds me in some ways of when a kid dies in a hot car.
You can’t test the kid. What I’m saying is a lot of people in here are quick to judge the parents, but clearly even to medical professionals the situation is not cut and dry.
As I mentioned in another comment, I’ve been there. I have been through PPE, and I had to seriously advocate for myself to the ER doctor for him to go consult an infectious disease specialist before they agreed.
Health Canada guidance is a bit more nuanced