In most cases unreported bat encounters were postulated. Human rabies is a rare event in the United States, usually occurring once or twice a year. However, there have been six cases in 1994 and three cases through October 1995. The physician's role has two elements - early assessment and identification of exposures with Department of health consultation, and early diagnosis of symptomatic cases, although these are rare. Early diagnosis is important to limit contacts with the patient's saliva, which would require immunization.
Neck stiffness is also a common initial feature.
Maintain vigilance for bats that might be present during sleep. This bulletin is sponsored by The Children's Dream Foundation. The contents have been adapted from Bat Rabies in New York State, State of New York Department of Health. This public service message is offered to the friends of The Children's Dream Foundation in association with the Westchester County Department of Health. A special thanks to Dr. Mark S. Rapoport, Commissioner.