Should I Get a Rabies Vaccine After Being Scratched by a Cat? A Guide for New Cat Owners

Cats are naturally equipped with sharp claws, and they tend to use them on anything that displeases them. Curtains, sofas, walls, and sometimes even their owners are susceptible to their sharp claws. When a cat owner is scratched, aside from pain and potential scarring, there is also the worry of rabies. As a result, "Should I get a rabies vaccine after being scratched by a cat?" has become a common concern for cat owners.

Do you need a rabies vaccine after being scratched or bitten by a cat? If you are scratched or bitten by your cat while playing, do you need to get a rabies vaccine? The answer, however, may be simpler than you think. Let's start by discussing what rabies is.

I. What is Rabies?

Rabies is a contagious disease caused by the rabies virus. Most mammals, including humans, can be infected with rabies. According to statistics, 99% of people worldwide who get rabies are infected by dogs, while cats have a less than 1% chance of transmitting rabies. Once rabies develops, the fatality rate is nearly 100%! However, there's no need to demonize rabies, as it's not as easily contracted as people might think.

While rabies might sound scary, there's no need to panic. Let's first understand how the rabies virus infects humans. Once the rabies virus enters the body, it doesn't immediately attack. Instead, it invades muscle cells and skin cells and remains dormant for a period of time. After this latency period, the rabies virus then enters nerve cells through the acetylcholine receptors found between muscle cells, skin cells, and nerve cells. It then slowly travels along the axons of nerve cells to the spinal cord and eventually reaches the brain.

Importantly, the rabies virus doesn't spread through the bloodstream. Once the rabies virus enters the brain, it infects the hippocampus, cerebellum, brainstem, and even the entire central nervous system. It then replicates massively in the gray matter and travels down the peripheral nerves to the salivary glands, cornea, nasal mucosa, lungs, and skin.

That might sound complex, so let me explain it in simpler terms. Essentially, the rabies virus needs to invade the animal's nervous system before it can reach the saliva. We all know that viruses have incubation periods. During the incubation period, the virus is still residing within muscle cells and skin cells and hasn't reached the saliva. Therefore, individuals in the incubation period are not contagious and cannot spread the disease to others. Only confirmed rabies cases who are in the symptomatic stage, who have been bitten, or scratched with saliva-laden claws, are at risk of contracting rabies.

II. How to Determine if Your Cat Has Rabies?

Does your cat frequently go outside? Does it interact with other animals? If your cat's origins are clear and it hasn't been bitten by a stray cat, dog, or other animal with rabies, it's unlikely to carry the rabies virus. The World Health Organization (WHO) Rabies Research Center explicitly states that healthy dogs (and cats) are not "infected." "Infected" is a medical term meaning "contagious". The fact that healthy dogs and cats are not "infected" means that even if they carry the rabies virus, they are not contagious until they exhibit symptoms.

Furthermore, cats and dogs only become contagious after rabies develops. A warm-blooded animal that has already developed rabies and bites a person is the only way rabies can be transmitted through saliva. In such cases, you need to get a rabies vaccine immediately to prevent infection. So, it's essential to keep a close eye on your cat, especially to prevent it from roaming freely.

Of course, cats that are vaccinated regularly will not carry the rabies virus. If your cat goes outside frequently and interacts with other animals, particularly if it's been bitten, there's a possibility it could contract rabies. However, if your cat never leaves the house, has no contact with other animals, and has been indoors for over two months, the likelihood of it contracting rabies is extremely low. Vaccinating your cat against rabies can also effectively prevent infection. Whether or not to vaccinate your cat depends on individual circumstances.

III. Symptoms of a Cat With Rabies in the Symptomatic Stage

Cats in the symptomatic stage of rabies typically exhibit four stages of symptoms:

1. Initial Stage: The cat may display unusual behavior, such as fatigue or hyperactivity. It may also exhibit sudden changes in temperament or daily habits.
2. Intermediate Stage: The cat may wander around aimlessly, engage in unconscious movements, become indifferent to its owner, and show signs of shallow, gasping breaths.
3. Terminal Stage: The cat becomes fearful of water and noise, sensitive to light and certain odors, experiences muscle spasms, and may salivate excessively. Cats in this stage are often aggressive.
4. Death Stage: The cat's mental state gradually deteriorates, leading to paralysis, difficulty breathing, frothing at the mouth, and organ failure, ultimately resulting in death.

IV. Do I Need a Rabies Vaccine?

If you can't be sure whether or not the cat that scratched or bit you has rabies, then you must get a rabies vaccine as soon as possible within 24 hours. If the cat was a stray, you should also get a rabies vaccine immediately. If you are anxious, unable to eat or sleep, and are extremely worried, don't hesitate—go get vaccinated.

It's important to discuss the 10-day observation period recommended by the World Health Organization. This is a method for rabies prevention. If the cat that injured you remains healthy and shows no signs of rabies after 10 days, it can be concluded that the cat was not in the symptomatic stage of rabies. In such cases, the bite would not have resulted in rabies infection.

However, it's still important to note that if you have been scratched or bitten by an animal suspected of having rabies symptoms, you should get vaccinated immediately. You can then use the 10-day observation period to determine whether you need to complete the vaccination series or not. This means that you should get the first dose of the rabies vaccine right away, even if you are not sure if you need it. The complete rabies vaccine series requires five doses and takes about a month to complete.

You can observe your cat while receiving the vaccinations. If after 10 days, you find that your cat is healthy and well, you can rule out the possibility of rabies infection in both the cat and yourself. You can then decide if you need to complete the rest of the rabies vaccine series. Many people misunderstand the 10-day observation period. They believe that they should observe for 10 days before receiving the vaccine, but this is incorrect. You should get the first dose of the vaccine immediately and then observe for 10 days. You can then decide whether to continue with the remaining doses of the rabies vaccine series based on your observations.

V. Prompt Wound Care

Besides determining if you need a rabies vaccine, it's crucial to know how to treat wounds promptly when you are scratched. It's common to not be able to see the wound with the naked eye. You can use a cotton swab dipped in alcohol and apply it liberally to the area where you suspect the scratch. If you feel pain, it indicates a wound. If the skin is broken or bleeding, you need to address it as soon as possible. The sooner the wound is treated, the lower the risk of rabies infection. If you are bitten by a cat showing symptoms of rabies, wash the wound thoroughly with soap and water or another mild alkaline cleanser for at least 15 minutes.

After washing the wound, disinfect it with povidone-iodine solution. Then, go to a hospital immediately. Let the doctor decide if the wound needs sutures based on the situation, and follow the recommended vaccination schedule. While cats are adorable, accidents are hard to control. It's better to be safe than sorry. Take scratches seriously, as their sharp claws can easily cause injury. Don't neglect to trim your cat's nails every 2-3 weeks! Even though you can't completely avoid accidental scratches or bites, always remember to protect yourself while enjoying your time with your cat.

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