A suspected case plus history of contact with suspected rabid animal. A suspected case that is laboratory-confirmed. Case-based and aggregated data must be sent regularly from peripheral to intermediate and central level. Rapid exchange of information with services in charge of animal rabies surveillance and control is required. Where the disease is endemic or could be reintroduced, surveillance of animal rabies and similar conditions in wild and domestic species most likely to be reservoirs of disease must be undertaken.
Surveillance is laboratory-based.
Immediate submission of brain specimen of suspected animal for laboratory diagnosis when human exposure occurs. Suspected domestic animals at the origin of human exposure that cannot be killed must be kept under observation for 10 days. Rapid exchange of information between services in charge of human and animal rabies surveillance and control is required. Determine high-risk areas for intervention. Rationalise the use of vaccine and immunoglobulin.