Rabies is rare in humans in the US, with only 1–2 deaths annually, but it remains a serious, fatal, yet preventable disease requiring caution. While cases are uncommon, over 100,000 Americans receive post-exposure prophylaxis (PEP) annually due to potential exposures, primarily from wildlife like bats, raccoons, skunks, and foxes.

Is rabies a concern in the US?

Only about 10% of animal rabies cases in the US occur in domestic animals such as dogs and cats. Due to pet vaccination, animal control programs, surveillance, testing, and post-exposure prophylaxis (PEP), human rabies is rare in the US.

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.

Is the USA a rabies risk country?

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. Bats have caused 62 out of 89 (70%) human rabies cases in the U.S. since 1960.

How likely are you to get rabies from a dog in the US?

Due to a robust vaccination program, domestic dogs and cats are rarely infected and have not been responsible for a human case of rabies since the early 1990s. Small mammals like mice, rats, squirrels, hamsters, and rabbits have never infected a human with rabies.

Do you need to get a rabies shot after a dog bite?

Is 7 days too late for rabies vaccine?

Even if you have been bitten a few days, weeks or months ago, it is never too late to start. The rabies virus can incubate for several years before it causes symptoms. If you wait until you get symptoms, it will be too late – there is no treatment for established rabies …

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.

When was the last death in the US from rabies?

In 2022, there was no human death due to rabies. In November 2024, a California art teacher died from rabies, about a month after being bitten by a bat she found in her classroom.

Do US citizens get rabies shots?

The only people who typically get vaccinated before exposure are those at high risk for exposure, such as laboratory workers, veterinarians, animal handlers, cave explorers, and travelers going to parts of the world where exposure to rabies is likely.

Do I need a rabies vaccine if a bat was 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. 

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.

What percent of people have survived rabies?

Calculated against an annual incidence of 59.000 rabies cases worldwide, which likely is an underestimation, the rabies survival rate is extremely low (<0.00001 %).

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.
 

How effective is the rabies vaccine?

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.

What are the odds of getting rabies in the USA?

Yes, but it is very rare for people to get rabies in the United States. Of the 55,000 people who die of rabies every year around the world, only one or two of those deaths occur in the United States.

Is rabies treatable if caught early?

You can survive rabies exposure if you're treated within a few days of exposure, before you have symptoms. Once you have rabies — that is, you're showing symptoms of the virus affecting your brain — there aren't any effective treatments available.

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.

What is the deadliest virus on Earth?

Using the “case fatality rate” metric to determine what virus is the deadliest, rabies would likely come out on top. That's because, if an infection becomes symptomatic, rabies is fatal to humans in more than 99 percent of cases. Globally, approximately 59,000 people die from rabies every year.

Who rabies zero by 30?

Zero by 30: the global strategic plan to end human deaths from dog-mediated rabies by 2030. Why eliminate rabies? An estimated 59 000 people die from rabies each year. That's one person every nine minutes of every day, 40% of whom...

---