Abstract

Flagstaff, Arizona, USA, experienced notable outbreaks of rabies caused by a bat rabies virus variant in carnivore species in 2001, 2004, 2005, 2008, and 2009. The most recent epizootic involved transmission among skunk and fox populations and human exposures. Multiple, wide-ranging control efforts and health communications outreach were instituted in 2009, including a household survey given to community members. Although the Flagstaff community is knowledgeable about rabies and the ongoing outbreaks in general, gaps in knowledge about routes of exposure and potential hosts remain. Future educational efforts should include messages on the dangers of animal translocation and a focus on veterinarians and physicians as valuable sources for outreach. These results will be useful to communities experiencing rabies outbreaks as well as those at current risk.

Highlights

  • Flagstaff, Arizona, USA, experienced notable outbreaks of rabies caused by a bat rabies virus variant in carnivore species in 2001, 2004, 2005, 2008, and 2009

  • More than 90% of rabies cases in the United States are in wild animals

  • The area around Flagstaff, Arizona (Coconino County), USA, was free of sustained rabies virus transmission until 2001, when a spillover of a bat rabies virus variant was followed by a suspected host shift, with increased transmission in striped skunk (Mephitis mephitis) populations [5]

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Summary

Introduction

Arizona, USA, experienced notable outbreaks of rabies caused by a bat rabies virus variant in carnivore species in 2001, 2004, 2005, 2008, and 2009. Future educational efforts should include messages on the dangers of animal translocation and a focus on veterinarians and physicians as valuable sources for outreach These results will be useful to communities experiencing rabies outbreaks as well as those at current risk. The area around Flagstaff, Arizona (Coconino County), USA, was free of sustained rabies virus transmission until 2001, when a spillover of a bat rabies virus variant was followed by a suspected host shift, with increased transmission in striped skunk (Mephitis mephitis) populations [5]. Given the size of this epizootic, the potential for spread to other areas, and several notable human exposures, a large, interagency effort was launched to control the resurgence of rabies in Flagstaff.

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