Your dog got into a scrap at the edge of the woods with a fox that did not run when it saw you. Or a stray dog you only wanted to stroke bit you on the hand. Or, leafing through your rescue dog's paperwork, you found a single rabies stamp from three years ago. With rabies there is no "let's wait and see". Once the signs appear, it cannot be cured, in dogs or in people. It can, however, be prevented almost completely. What you need to know is what it looks like, what to do in the first few hours and what you never attempt on your own.
When to call today
Rabies is a viral disease of the nervous system. The virus lives in the saliva of an infected animal and gets in through a bite or through saliva landing on a wound or on the eyes, mouth or nose. From the bite it travels slowly along the nerves to the brain. That trip usually takes a few weeks, sometimes months, and the whole time the dog looks perfectly healthy. So call today, without waiting for any sign, if:
- your dog has been bitten or scratched by a fox, a bat, an unknown dog or cat, or a wild animal that was behaving oddly;
- your dog has bitten a person and you have no proof of a valid rabies vaccination;
- you or your child have been bitten by an animal whose vaccination status you do not know.
Call straight away, too, if you see any of the changes below in a dog, especially one who is unvaccinated or whose history you do not know:
- a sudden change of character: the friendly dog hides and turns irritable, the shy one clings to you or turns aggressive for no reason;
- heavy, frothy drooling because he can no longer swallow; the jaw hangs and the mouth stays open;
- a changed, hoarse bark;
- snapping at the air, at objects, at bars, lunging at things that are not there;
- an unsteady walk, back legs giving way, paralysis creeping forward;
- he stops eating and drinking even though he seems to want to.
That last one is the most deceptive. Not every rabid dog looks like the films. Vets describe a furious form and a paralytic, quiet form, and the quiet one looks like a dog with something stuck in his throat. Plenty of people have been infected by putting a hand in a dog's mouth to fish out a bone that was never there.
Once neurological signs appear, the disease kills within days, usually in under ten. That is where the observation rule comes from, which you will find below.
What you can do at home in the first few hours
With rabies, there is less to watch at home than with other illnesses. You are not the one making the diagnosis, and you cannot afford to take chances. Here is what you can do, in this order.
If an animal has bitten you
Wash the wound straight away, thoroughly, with soap and running water, for at least 15 minutes. Then see a doctor the same day (A&E, an urgent care centre or your GP, depending on where you live). Proper washing is the World Health Organization's first recommendation and it cuts the risk considerably. Do not wait to see what the dog does. Treatment for people after exposure works precisely because it starts before any signs. Write down where it happened, what the animal looked like, whether it had a collar and who it belonged to.
If your dog has been bitten
Put on gloves before you touch the wound, because the other animal's saliva may still be on his coat. Do not let him lick other people or children. Find his vaccination record or passport and check the date of his last rabies vaccination. Photograph the wound. Note what animal it was and where.
If a strange dog is behaving oddly
Do not go closer, do not try to catch it, do not hand-feed it. Keep children and your own dog well away. Call the local authority or the state veterinary service and tell them exactly where it is. If you find a dead wild animal, such as a fox by the roadside, do not touch it either; report it in the same way.
What else it could be, so you do not panic over nothing
| What you see |
Could it be rabies? |
More often it is |
| Heavy drooling, trying to swallow |
Yes, in an unvaccinated dog with exposure |
Something stuck in the mouth or throat, nausea, poisoning, a broken tooth |
| Unsteady, falling over |
Yes, in the paralytic stage |
Balance problem (inner ear), slipped disc, poisoning |
| Sudden aggression |
Yes |
Pain, fear, brain ageing |
| Snapping at the air |
Rarely |
Focal seizures, a compulsive habit |
The table is not there so you can rule rabies out yourself. It is there so you know that, in a dog with up-to-date vaccinations showing one of these changes, your vet will think of other causes first.
What your vet does
There is no blood test that tells you whether a living dog is infected. A definite diagnosis is made in the laboratory, on brain tissue, after death. So everything rests on the vaccination, the history and observation.
- Asks for the paperwork. The first thing your vet wants is the date of the rabies vaccination and who gave it. A vaccination recorded in the passport, with the label stuck in and the vet's signature, is worth its weight in gold on a day like this.
- Looks at the wound and asks about the exposure: what animal, where, when. A fox or a bat counts as a serious exposure from the start.
- A vaccinated dog bitten by a suspect animal usually gets a booster as soon as possible and stays under observation for a period set by the veterinary authorities.
- With an unvaccinated dog, or one whose vaccination has lapsed, who has been exposed, the decisions are no longer your vet's alone. The state veterinary service steps in, and the measures can be harsh, from long supervised isolation to euthanasia, depending on the rules in force. It is the best reason there is to keep the vaccination current.
- A dog who has bitten a person is placed under veterinary observation. The World Health Organization recommends ten days: if the dog is alive and well at the end, he did not have the virus in his saliva when he bit. The exact procedure (where he stays, who checks him, for how long) is set by the local authorities.
- A dog with neurological signs is isolated. The vet informs the authorities and takes protective measures for everyone who has been in contact. Rabies is a notifiable disease.
For a healthy dog, what counts is the routine visit. The rabies vaccine is given at the required age (the first one usually after 12 weeks), entered correctly in the record or passport, and boosted at the interval your vet gives you. In Romania, as in many countries, rabies vaccination of dogs is compulsory by law. To travel within the European Union on a pet passport, a first vaccination must be given at least 21 days before departure.
What you never do on your own
- Do not put your hand in the mouth of a drooling dog who seems to be choking if you do not know his vaccination status. Call first.
- Do not catch, feed or pick up a wild animal that seems tame. A fox that lets you touch it is not a healthy fox. The same goes for bats found on the ground in daylight.
- Do not hide a bite, whether your dog received it or gave it. A dog with up-to-date vaccinations, properly reported, goes through the procedure easily. A hidden one turns a formality into a risk for people.
- Do not kill or bury the dog or the suspect animal. If it dies, the body has to go for testing, otherwise nobody can say whether the people who were bitten need treatment.
- Do not rely on "he was vaccinated at some point". The date in the record is what counts. A vaccination a month out of date, faced with a bite, puts your dog in the unvaccinated group.
- Do not look for home remedies. For rabies there is no tea, ointment or recipe. People have a post-exposure treatment, and it only works if it starts quickly, with a doctor. For dogs, there is only prevention.
- Do not let your child keep quiet. Children often hide a bite from a strange dog for fear of being told off. Tell them now that a bite always gets reported and that nobody will be cross with them for it.
Out on the trail, on walks and at training
We work our dogs in woods, on the edges of villages and across fields that foxes use as their highways. Our rule is simple: every dog who comes to training has an up-to-date rabies vaccination, checked in the record. If you see a fox that does not run, that walks in circles or that seems friendly, shorten your dog's lead, leave and report it. It is not the moment for photos.
Rabies has all but disappeared from everyday city life precisely because people vaccinate their dogs and foxes are vaccinated with baits dropped from aircraft. Your part is a stamp in the record, on time, and a phone call the same day when something is not right.
The information on this page is educational and does not replace an examination. For full details and a diagnosis, consult your dog's own veterinarian.