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I’ve been told that the Balinese haven’t taken steps in the past to eradicate dirty stray dogs from their island because they need a constant reminder that they are still on dreary Planet Earth rather than in paradise. But be that as it may, I’m sure they are now harboring some pretty serious regrets about not wiping out the canine menace now that rabies is spreading like wildfire and threatening to harm the island’s only real industry – tourism.

So, so far, what’s the damage?

Well, at least 17 dead and possibly more (cases tend to be underreported for obvious reasons):

Age / Date of death / Place of residence
6 / 10 Oct 2009 / Tabanan
49 / 7 Oct 2009 / Tabanan
78 / 16 Sep 2009 / Tabanan
47 / 14 Sep 2009 / Tabanan
24 / 6 Sep 2009 / Tabanan
21 / 6 Sep 2009 / Tabanan
62 / 22 Aug 2009 / Tabanan (age also stated as 55)
46 / 26 Mar 2009 / Ungasan peninsula
46 / 23 Mar 2009 / Uluwatu
45 / 30 Jan 2009 / Ruken
32 / no date / Bukit
3 / no date / Kutuh
28 / 23 Nov 2008 / Ungasan
3 / no date / Ungasan
32 / 13 Nov 2008 / Ungasan
4 / 17 Sep 2008 / Ungasan

Source:
Flutrackers

As you can see, nearly all these cases are in the south of the island (Tabanan/Ungasan). There is one case in the north of the island (at Kutuh, just north of Amed), but the victim was most probably bitten by a rabid dog in south Bali or perhaps – just perhaps - a sick dog was transported to the north of Bali and it bit the person before being delivered to one of the notorious dog meat restaurants in Singaraja.

Everyone knows that rabies is very nasty and the very mention of the word conjures up the image of some hapless fellow who has gone delirious and is foaming at the mouth and crying out for a glass of water before his imminent demise.

But is rabies really this bad?

Well, unfortunately it is.

Because after contracting the virus (most likely from an animal bite), the virus will work its way slowly but steadily to the brain – taking anywhere from 8 days to 2 months to do so. And once there, death is virtually a foregone conclusion – only a handful of people have ever survived after developing the terrible symptoms of rabies – delirium, an unquenchable thirst, and of course, the strong desire to bite another person!

But this doesn’t mean there is no hope. There is – provided that the person who has contracted rabies receives specialized treatment -including a serious of injections - immediately after being bitten.

In Bali, the rabies epidemic is currently being spread by stray dogs in the south of the island. But could the disease be spread by other animals? And most worrying of all, could the disease spread to the many monkey populations in Bali like those in Ubud, Uluwatu and Sangeh – places which draw large numbers of domestic and foreign visitors every day?

Well for now the answer is that the monkeys are safe. So if you have been bitten by a monkey in Bali there is no need to worry. The point here – and it’s pretty obvious if you think about it - is that like us, monkeys also die pretty quickly from rabies once the symptoms show and as there have been no known deaths in the monkey populations of Bali then the monkeys must therefore be free of the disease (so far at least):

A monkey bite can infect a human with rabies just the same as any other animal infected with it can. Monkeys are NOT born with rabies. They need to be bit by another infected animal. If a monkey has never been exposed to rabies then no, its bite will not "cause" rabies. If however, the monkey has been around another rabid animal and it was bit, it can infect another animal or person if it bites them. Note, rabies is deadly in monkeys just as it is in humans, so a monkey with rabies would not live very long anyway.

Source:
PetMonkeyInfo

But this may change.

And if the monkeys in Bali were to get rabies there would be a proverbial shitstorm of such immense proportions that Bali’s tourism industry could really come under the kosh – and perhaps as badly as when the terrorists struck before.

The authorities in Bali have been criticized of being slow to react to the rabies epidemic and the biggest criticism is that the culling of the stray dogs is being done in a haphazard way. The other problem is that they have run out of vaccines, so if you are bitten by a dog in Bali you wouldn’t be able to get the vital injections on the island!

And as for the advise provided by most foreign embassies to avoid dogs, well that’s a bit of a joke when you think about it. I mean no one is asking to be bit, but I can clearly envisage many pissheads walking back to their hotels in the early hours from some club, staggeringly drunk, and then accidentally standing on the tail of some mangy and rabid hound….

Advice for Travelers
Follow these recommendations to protect you and your family from rabies:

Avoid animal bites.

• Avoid touching all animals, including wild animals and pets. Pets in other countries may not have been vaccinated against rabies.
• Resist the urge to rescue animals with the intent to bring them home to the United States. Dogs and cats may be infected with rabies but not show signs until several days or weeks after you first encounter them.
• Supervise children closely, especially around dogs, cats, and wildlife such as monkeys. This is important since children are more likely to be bitten by animals, may not report the bite, and may have more severe injuries from animal bites.
• If you are traveling with your pet, supervise your pet closely and do not allow it to play with local animals, especially strays.

Act quickly if an animal bites or scratches you.

• Wash the wound well with soap and water.
• See a doctor right away, even if you don’t feel sick or your wound is not serious. To prevent rabies, you may need to start a series of vaccinations immediately.
• To get vaccinated, be prepared to travel back to the United States or to another area. (Adequate vaccination for exposure to rabies is not available in all parts of the world.)
• After you return home, tell your doctor or state health department that you were bitten or scratched during travel.

Before your trip, find out if your health insurance covers health care overseas and medical evacuation. If it does not, consider buying supplemental health insurance for your trip.

Source:
Centers for Disease Control and Prevention





15 comments

The Southern Belle said... @ 16 November 2009 13:07

Hi Tempo dulu,

Thanks for visiting my blog Tinkerbell's Momma Kat. Please visit often. I am honored to have someone visit from so far away and comment also.

Please be sure and visit a blogger friend's blog who is stationed in Guam with her husband right now. Sheila is a pediatrician and an incredible photographer also. She has many wonderful photographs from Bali and Guam on her blog at http://drcason.org

Please come visit often.

Bad Butch said... @ 28 February 2010 11:36

hehe nice post there! nice picture although the topic of rabid animals is in general, gruesome. Well talking about rabid hounds, I have a blog by that name!

http://rabidhound.blogspot.com/

Anyways, rabies is pretty serious and dangerous and thanks heaps for the advice given! I'm sure it'll come in handy for me some day or another sooner or later :-)

inparadisebali said... @ 9 September 2010 01:37

blog walking :)

Charley Beikoff said... @ 8 April 2011 19:02

i got bitten in bali 2 weeks ago.. i didnt get my first shot until 72 hours after i got bitten. I am from australia so we dont really know about rabies here so i wasnt worried. however i started googling rabies and i am getting really nervous.

this has put me at ease though, i got 1 shot 72 hours after i got bitten and by bite was very small and healed totally in 2 days. I have since had 2 shots home in australia and another 2 to go.

this is really scary stuff.

Tempo Dulu said... @ 8 April 2011 21:50

I'm sure you'll be alright Charley - the odds are stacked heavily in you favor. I can understand your concerns though, and that's why it's so important to avoid any contact with animals in Bali and be especially cautious of dogs.

Anonymous said... @ 15 April 2011 16:03

Hi Charley, hope you are doing ok since your bite experience in Bali.
I too was bitten just a week ago while visiting the Monkey forest.
I am now terrified that i may contract the herpes B virus.
I had the rabies vaccine at BIMC and the imunneglobulin here in australia. Its very mentally draining to think you could contract such a deadly disease from one of these unfortunate animals.

cathysmac said... @ 15 April 2011 16:14

Hey Charley..that happened to me also.
I'm undergoing rabies vaccinations and having unpleasant side effects

Tempo Dulu said... @ 15 April 2011 22:30

Anon: don't worry about contracting herpes B virus. I'm pretty sure there has never been a case of someone contracting this disease from a monkey bite (google it).

Anonymous said... @ 27 June 2011 21:44

i was bitten by one at the monkey forest ubud 1 week ago. i havent got any vaccination yet. im now terrified after reading lots about rabies. i will only be back to united states next week. im really terrified now!!

wongso said... @ 3 July 2011 01:09

hi cathysmac,
i was bitten by a monkey at monkey forest in ubud too 2weeks ago. and only got the vaccine and immuneglobulin 10days after the incident.
what are your side effects?
i am worried to death now, thinking about the possibility of me getting the rabies.
were you bitten at the monkeyforest in ubud too?

Anonymous said... @ 10 September 2011 13:01

so are u ppl who got bit still alive and ok?????

MichaelR said... @ 25 November 2011 12:37

Nah, they're all dead.... kidding.
I've been bitten too, a week ago today. So think about it.... A macaque has to firstly have the Rabies virus, and have become rabid. Some time between contracting the virus and dying, it bites you.... this wouldn't be more than a few weeks. Once you have been bitten, it has to be a skin piercing, and then you have to be unlucky enough for the virus to have been transmitted.
So you see, the chances are pretty slim that a) the macaque is rabid in the first place, b) when it does bite, it actually transmits the disease and c) that you're unlucky enough to have your immunisation fail.
Enjoy the Macaques, it's much more fun than worrying about catching a disease.

Anonymous said... @ 22 January 2012 05:55

My son was bitten 12 days ago in the Ubud forest. It was cleaned immediately by an on-site nurse who said rabies was not an issue in the forest. It is too late for my son to have anti-rabies shots now anyway, so we just have to hope he will be ok.

Anonymous said... @ 23 March 2012 08:28

I was bitten 2 weeks ago in the Ubud forest again it was cleaned immediately. I though nothing of it I visited my doctor of an unrelated matter and mentioned that I was bitten by a monkey - all hell broke lose I am waiting for my first injection this afternoon.

Matchew Tom said... @ 28 September 2012 16:35

For the January 22, 2012 entry, it's not too late for the rabies vaccine as long as symptoms haven't appeared in your son. Rarely, the virus can have a really long incubation period and if your son is vaccinated fully (4-5 shots) against the disease before symptom onset, he'll be one happy camper.

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