1921
Volume 90, Issue 5
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

We surveyed Peace Corps Medical Officers (PCMOs) to determine the frequency of and responses to possible rabies exposures of U.S. Peace Corps volunteers (PCVs). Surveys were sent to 56 PCMOs serving in countries with moderate or high rabies vaccine recommendations from the U.S. Centers for Disease Control and Prevention (CDC), of which 38 (68%) responded. Thirty-seven PCMOs reported that, of 4,982 PCVs, 140 (3%) experienced possible rabies exposures. Of these, 125 (89%) had previously received rabies vaccination, 129 (92%) presented with adequately cleansed wounds, and 106 (76%) were deemed to require and were given post-exposure prophylaxis (PEP). Of 35 respondents, 30 (86%) reported that rabies vaccine was always accessible to PCVs in their country within 24 hours. Overall, the Peace Corps is successful at preventing and treating possible rabies exposures. However, this study identified a few gaps in policy implementation. The Peace Corps should continue and strengthen efforts to provide education, preexposure vaccination, and PEP to PCVs.

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2014-05-07
2017-09-26
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References

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  5. Centers for Disease Control and Prevention, 2013. Travelers' Health Destinations. Available at: www.cdc.gov/travel/destinations/list. Accessed February 8, 2013.
  6. Peace Corps, 2012. Fast Facts. Available at: http://www.peacecorps.gov/about/fastfacts/. Accessed February 8, 2013.
  7. Bernard KW, Fishbein DB, , 1991. Pre-exposure rabies prophylaxis for travelers: are the benefits worth the cost? Vaccine 9: 833836.[Crossref]
  8. Peace Corps, 2012. What about Safety? Available at: http://www.peacecorps.gov/learn/safety/. Accessed February 8, 2013.
  9. Jentes ES, Blanton JD, Johnson KJ, Petersen BW, Lamias MJ, Robertson K, Franka R, Briggs D, Costa P, Lai I, Quarry D, Rupprecht CE, Marano N, Brunette GW, , 2013. The global availability of rabies immune globulin and rabies vaccine in clinics providing direct care to travelers. J Travel Med 20: 148158.[Crossref]
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  • Received : 09 Sep 2013
  • Accepted : 05 Feb 2014

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