Rabies is extremely rare in humans in the U.S., with typically only 1-3 cases reported annually, though about 100,000 Americans still get post-exposure treatment due to potential animal exposure, mainly from bats, raccoons, skunks, and foxes. While animal cases are common (around 5,000 yearly), effective pet vaccination, animal control, and PEP (Post-Exposure Prophylaxis) make human rabies almost unheard of, but it remains fatal without treatment.

How rare is rabies in the US?

In the U.S., around 4,000 animal rabies cases are reported each year, with more than 90% occurring in wildlife like bats, raccoons, skunks, and foxes. This is a big change from the 1960s, when domestic animals, mainly dogs, represented most of the rabies cases.

Is the USA high risk for rabies?

In the U.S., deaths from rabies are rare. However, about 55,000 persons are treated for potential rabies exposure annually. Mammals such as raccoons, skunks, foxes and bats are common carriers of the rabies virus.

Has anyone died from rabies in 2025?

Rabies is almost always fatal without postexposure prophylaxis (PEP). What is added by this report? In February 2025, CDC confirmed a fatal rabies case in a patient who had received a transplanted kidney from a deceased donor with undiagnosed rabies.

How likely are you to get rabies from a scratch?

Non-bite exposures to rabies are very rare. Scratches, abrasions, open wounds, or mucous membranes contaminated with saliva or other potentially infectious material (such as brain tissue) from a rabid animal constitute non-bite exposures.

Hefty price: Human rabies treatment can come with crippling debt

When was the last case of rabies in the USA?

In November 2024, a California art teacher died from rabies, about a month after being bitten by a bat she found in her classroom. In 2024, there was also a rabies human death in Minnesota (contracted from a bat), and a rabies human death in Kentucky (believed to have been acquired abroad).

Can rabies show up years later?

Symptoms of rabies usually take 3 to 12 weeks to appear, but they can appear after a few days or not for several months or years. Symptoms include: numbness or tingling where you were bitten or scratched. seeing things that are not there (hallucinations)

Should I get a rabies shot just in case?

If you're exposed, it's important to head to your nearest emergency department (ED) for post-exposure prophylaxis, which includes wound care and a series of vaccines. Fortunately, the rabies vaccine is extremely effective. “You just need to get treatment soon enough,” Dr. Grogan says.

Should I get rabies vaccine after cat scratch?

It is possible to get rabies from a cat scratch, but it is extremely unlikely. Most cases of rabies in the United States are caused by a bite from a bat or a domestic dog encountered while traveling overseas. Still, it is best to exercise caution whenever you are bitten or scratched by any animal, including your own.

Do I need a rabies shot if there was a bat in my house?

Yes, you likely need a rabies shot (post-exposure prophylaxis or PEP) if a bat was in your house, especially if anyone was sleeping, a child, or an impaired person was present, or if there was any direct contact (bite, scratch, even waking up with it in the room), because bat bites can be tiny and missed; contact your health department and doctor immediately to arrange for the bat to be tested and to start PEP if exposure is suspected. 

Can you survive rabies in the US?

Once a rabies infection is established, there's no effective treatment. Though a small number of people have survived rabies, the disease usually causes death. For that reason, if you think you've been exposed to rabies, you must get a series of shots to prevent the infection from taking hold.

Has a dog ever had rabies in the US?

While rabies is found in several wildlife species in the United States (including bats, foxes, raccoons, and skunks), the United States has been free of dog rabies since 2007.

Can I skip the rabies vaccine?

Don't skip any recommended dose: Skipping a scheduled dose can compromise your immunity against rabies. Make sure you complete the entire vaccination course as recommended.

What are the first signs of rabies?

Early rabies symptoms often mimic the flu (fever, headache, weakness) plus tingling/itching at the bite site, followed by anxiety, confusion, and difficulty swallowing, which progresses to delirium, paralysis, coma, and is almost always fatal once symptoms appear, making prompt treatment crucial.
 

Is 3 shots of anti-rabies enough?

Around 95% of people who have 3 doses of the rabies vaccine will have some protection from rabies. How long the protection lasts can vary, but it usually lasts at least 1 or 2 years. People at continued risk of rabies may need 1 or more booster doses of the rabies vaccine to make sure they stay protected.

Is there any cure for rabies?

Rabies symptoms usually appear 2 to 3 months after contact with the virus. But they can appear anywhere from one week to one year after exposure. Once symptoms of rabies appear, there is no treatment to cure rabies.

Why can't we cure rabies?

There's no cure for rabies once it's moved to your brain because it's protected by your blood-brain barrier. Your blood-brain barrier is a layer between your brain and the blood vessels in your head.

Is rabies 100% fatal in cats?

The most common side effects in dogs and cats are mild: tiredness and soreness at the injection site. Rarely, allergic reactions can occur. Still, the risk of rabies is greater than the risk of an adverse vaccine reaction – the disease is almost 100% fatal.

---