Yes, human rabies cases are extremely rare in the U.S. (fewer than five per year), thanks to vaccination and control efforts, but the virus is common in wildlife like bats, raccoons, and skunks, leading to about 100,000 potential exposures annually requiring post-exposure shots. While animal cases are common (thousands reported yearly), human deaths are very infrequent, often linked to bat bites where the exposure wasn't recognized.

How common is rabies in the USA?

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.

How long until rabies kills a human?

Once rabies symptoms appear, death typically occurs within 7 to 10 days, usually from respiratory or cardiac failure, as the disease causes fatal brain inflammation (encephalitis); survival after symptoms start is almost unheard of, making immediate treatment after animal exposure critical during the incubation period (days to months) before the virus reaches the brain.

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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.

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.

How many people died of rabies in the US in 2025?

Of the two cases and subsequent deaths reported in 2025, one occurred in a child who was exposed to rabies in India through a dog bite and died after coming to the U.S.

What are the first signs of rabies in humans?

Early signs of rabies in humans are often flu-like (fever, headache, weakness, discomfort) and include unusual tingling, itching, or pain at the bite site, lasting several days before more severe neurological symptoms like anxiety, confusion, and hallucinations develop as the virus reaches the brain.
 

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 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 is the 10 day rule for rabies?

The 10-day observation period for a biting dog, cat, or ferret is a standard public health practice to determine rabies risk: if the animal remains healthy for 10 days after biting someone, it wasn't shedding the rabies virus in its saliva at the time of the bite, meaning the exposed person usually doesn't need rabies post-exposure shots (PEP). This quarantine ensures the animal is available for monitoring, preventing unnecessary euthanasia for brain testing and avoiding expensive PEP for the bite victim if the animal stays healthy.
 

Who is at higher risk for rabies?

Children between the age of 5 and 14 years are frequent victims. Rabies infects mammals, including dogs, cats, livestock and wildlife. Rabies spreads to people and animals via saliva, usually through bites, scratches, or direct contact with mucosa (e.g. eyes, mouth, or open wounds).

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. 

Is rabies curable in 2025?

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.

Is rabies 100% preventable?

Among animals, there were 3,579 reported cases of rabies in the U.S. in 2022. You can help prevent rabies infections by vaccinating your animals and keeping them away from wildlife that can spread the disease. Rabies is 100% preventable.

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