Scientists are suggesting a radical idea to end rabies throughout the world; although it might seem crazy, this idea may well work. Wildlife veterinarian Felix Lankester, in a commentary published in Science, has said that the best way to combat the deadly disease might just be to vaccinate the world’s dog population.

The plan seems a little farfetched on the surface. It’s estimated that India alone has as many as 30 million street dogs, and according to estimates, as many as 70% would need to be vaccinated in order to reduce rabies cases to near extinct levels. But, Lankester has started an interesting child-based program that has been highly effective.

He and his team have traveled around the rural areas of Tanzania vaccinating dogs. They start around dawn with the goal of attracting as many children as possible. Generally, in these areas, street dogs are as much pets as anything else, and they will follow the children around. As interest picks up throughout the day, the clinical team ends up vaccinating around 1,000 dogs per day.

Since Lankester started the program, rabies fatalities in northeastern Tanzania have dropped from around 50 each year to nearly zero. Similar programs have been just as effective in other parts of the world, with cases in North and South America dropping to less than 20 last year.

While not a perfect system, Lankester’s idea has serious merit. The vast majority of rabies cases come from rabid dogs, and just a small percentage are caused by squirrels or bats that have contracted the disease. As was mentioned in a previous post, vaccinating humans against the disease isn’t the most feasible or cost effective option, but treating dogs directly may well be.

The average vaccination for a canine costs about $3, while rabies treatment in humans can cost as much as $50 per case in regions like Southeast Asia. Ultimately, funding will determine how well this program works. With limited funds, it will be very difficult to hit the 70% benchmark in some areas, but the World Health Organization goal of eliminating rabies in Africa and Asia by 2020 might help get some additional funds to this project.

Even a slight reduction in cases will have a significant impact, as nearly 70,000 cases of the virus occur each year.

What do you think the best way to combat rabies is? Tell us in a comment to this post!

You’re on vacation, having fun, eating all kinds of new foods, but, then, it happens. It starts with a headache that quickly becomes a fever, and, suddenly, your dream vacation has become the stuff nightmares are made of. That is what listeriosis can do.

Listeriosis is a serious infection usually caused by eating contaminated meat or produce. It usually only affects pregnant women, newborns, older adults and adults with weakened immune systems. It is possible, though unlikely, that someone without these risk factors could be seriously affected as well.

Symptoms are usually as simple as a fever and muscle aches combined with diarrhea or other forms of gastric distress. While for most individuals listeriosis is not that serious, for the groups listed above it can be very dangerous.

The Centers for Disease Control and Prevention (CDC) outline a few key tips for how to avoid the disease and stay happy and healthy while at home or far, far away.

1. Eat pasteurized cheeses and do not drink unpasteurized milk. Both of these food categories can be breeding grounds for listeria bacteria. Always be sure that the milk you purchase has been pasteurized and that cheese is marked as “MADE WITH PASTEURIZED MILK.” In some countries, it may be difficult to make this distinction, so you should avoid cheeses in this case and only drink evaporated milk, which should be safe.
2. You should be fine eating any kind of well-cooked seafood. However, be careful with smoked seafood like salmon or tuna as listeria can potentially grow in these environments. If it is a canned or shelf-stable product, you should be fine, but, otherwise, be extremely careful.
3. The CDC suggests that you remember ScRiDS, or Scrub, Rinse, Dry and Separate:
   • Scrub firm produce, such as melons and cucumbers, with a clean produce brush.
   • Rinse raw produce, like fruit and vegetables under running tap water before eating, cutting or cooking.
   • Dry the produce with a clean cloth or paper towel.
   • Separate uncooked meats and poultry from vegetables, cooked foods, and ready-to-eat foods.

For more information on listeriosis or any similar maladies, especially when related to travel, feel free to contact a Passport Health travel health specialist though our website or by calling 1-888-499-PASS (7277).

Happy Halloween! Nearly all of us are familiar with Halloween and the celebrations that come with this holiday. Throughout much of North America, children will go door to door hoping for tasty treats, and, in many other parts of the world, celebrations are very similar. However, in some cases, local traditions are extremely different from those of the US and Canada. Here are four different events throughout the world that all happen in the fall and all celebrate the dead: Allhallowtide, Día de los Muertos, Pitru Paksha, and Obon. After reading about these fascinating traditions, we bet you you are going to want to plan your next trip abroad during the end of October!

Allhallowtide

Allhallowtide is the triduum (three day period) that encompasses Hallowe’en, Hallowmas (All Saints’ Day) and All Souls Day. It is believed that the date of All Saints’ Day was established by Pope Gregory III around the year 740.

Hallowe’en goes by many names: Halloween (most commonly), All Hallow’s Eve, and a few others, but, while the name has changed, traditions have been more or less the same for many years.

All Saints’ Day (originally known as Hallowmas) takes place on November 1, and it is a holy day to honor saints and martyrs, both known and unknown. For many Christian sects, especially Catholics, it is a day to attend church and honor those who have passed.

All Souls’ Day falls on November 2, and it is a day to honor all faithful Christians.

Día de los Muertos

Día de los Muertos, or Day of the Dead, is a Latin American holiday observed mainly in Mexico. Much like All Saints’ Day, the holiday focuses on remembering the dead, but, instead of religious figures, it has a distinct focus on close family and friends who have passed. Building private altars called ofrendas, bringing gifts like candy skulls or marigolds to graves, and leaving possessions for the dead are all common practices. It is a very colorful and festive holiday, making it similar in this regard to Asia’s Diwali.

The practices of remembrance have spread throughout Latin America, and there are a variety of variations on Dia de los Muertos in Brazil, Haiti, Bolivia, Ecuador, and even parts of the United States.

Obon

Held from mid-July through the end of August, depending on the region, Obon is a Japanese Buddhist festival that honors the spirit of one’s ancestors. It lasts for three days and features a variety of traditions and activities. Two of the most notable are the Bon Odori and Toro Nagashi.

The Bon Odori, or Bon Dance, is a traditional folk dance meant to welcome the spirits of the dead. Each region of Japan has its own version of the Bon Odori. Often, the dance will feature an important aspect of the area’s history.

Toro Nagashi is a ceremony in which paper lanterns are floated either down river or into a body of water. The ceremony represents the traditional belief that humans came from water and so will eventually return to it. Unlike many other ceremonies associated with holidays and the dead, Toro Nagashi will take place at different times throughout the year, generally to mark specific tragic events like the bombing of Hiroshima and Nagasaki or the 2011 Tsunami.

Pitru Paksha

Literally translated as “fortnight of the ancestors,” Pitru Paksha is a 16-day holiday during which Hindus celebrate their ancestors. It generally takes place between September and October, but, like Obon, it can vary by region within India and Southeast Asia. The most important ceremony of Pitru Paksha is the Shraddha, a ritual that helps ensure that the soul of an ancestor goes to heaven.

The Shraddha is performed on a specific date during the Pitru Paksha, usually when the ancestor or parent died. There are exceptions for this based on whether someone died in a particular manner or had achieved a certain status while still alive. The ceremony is generally carried out by the eldest son who takes a purifying bath before starting the ceremony. The Shraddha then involves offering food to the ancestors, and it is a very sacred rite. The offering is considered accepted if a crow, a symbol of Yama or the spirit of the ancestors, arrives and eats the food.

We’d love to hear about your Halloween and ancestral traditions as well, or if you celebrate one of the traditions we have listed above. Have you ever traveled overseas for a Halloween event? Comment below and tell us what you do!

Every day, news organizations throughout the world report on rabies and rabies exposure. It is one of the more common diseases that affects both humans and animals. News coverage has led many individuals to wonder whether they or their children need to be vaccinated for the disease. Let’s address those questions here.

Normally, preventative vaccination is recommended as one of the best methods to prevent a disease. Flu, measles, meningitis; these are common vaccinations that virtually everyone receives. But, there are some vaccines, like the rabies vaccination, that prevent diseases that are so uncommon that they become less necessary, at least across the board.

According to the Centers for Disease Control and Prevention (CDC), “People at high risk of exposure to rabies, such as veterinarians, animal handlers, rabies laboratory workers, spelunkers, and rabies biologics production workers should be offered rabies vaccine,” as well as international travelers who are likely to come in contact with animals in regions where the disease is widespread.

The average person in a developed nation will most likely never be exposed to rabies in a way that would require preventative vaccination. In 2012, the CDC reported that there was only one documented case of rabies in a human, and 93% of reported animal cases occurred in wild, not domesticated, animals. Unless you are traveling to a region where rabies is common, it is entirely possible that you will never see it.

The CDC wisely notes that staying away from wild animals is the best way to avoid exposure to rabies. However, if you are bitten by a wild animal, always seek immediate medical help, and your medical professional can decide whether you need to be given the vaccine (which is effective pre- and post-exposure).

For more information on rabies and where you can be vaccinated, feel free to contact a Passport Health vaccination specialist.

A new report shows that what you eat might affect how well the flu vaccine affects you. The study, published by Cell Press in Immunity, shows that microbes in the human stomach might help increase the effectiveness of flu vaccines.

“Our findings raise the possibility that antibiotic treatment prior to or during vaccination may impact immunity,” said Bali Pulendran, a senior study author.

Although it is still uncertain if taking antibiotics before or during vaccination will increase the effectiveness of the vaccine in humans, researchers found that there was a difference in how mice reacted to the vaccines depending on what was happening in their stomachs at the time of inoculation.

“Another potential implication of our study is that we may be able to manipulate gut microbes in order to improve immune responses to the vaccine,” continued Pulendran.

In developing nations, influenza vaccines have tended to be less effective leaving many, especially the very young and very old, still vulnerable to infection. The reasons for this are still unknown, generally because so little is known about the body’s response to vaccination. Pulendran’s study tries to narrow this knowledge gap.

Two sets of mice were used in the test. One group was raised in a relatively germ-free environment or treated with antibiotics while the other group was exposed to germs on a regular basis. Those that had been treated with antibiotics were found to be more vulnerable to the flu even after vaccination. Not only that, but mice that had been genetically modified to lack a gene called TLR5, which some humans lack as well, were found to react similarly to those that had been on antibiotics.

What exactly this means for future research is yet to be determined, but what has become apparent is that taking antibiotics or even eating certain foods could potentially affect how well a vaccine works in your immune system.

“In the future,” says Pulendran, “it will be important to determine the impact of antibiotic treatment on immunity to vaccinations in humans and to study whether differences in the composition of gut microbes in different populations can impact vaccine immunity.”

We will keep you updated as further studies are released about the impact antibiotics have on flu vaccine efficacy!

For more information on flu vaccinations or to schedule your own appointment with a Passport Health flu specialist, visit our website or call us at 1-888-499-PASS (7277).