The odds of getting rabies in the U.S. are extremely low, with only about 1–3 human cases reported annually. While over 5,000 animals test positive for rabies yearly—primarily in wildlife like bats, raccoons, and skunks—prompt post-exposure treatment makes the disease rare in humans.

How common 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.

How likely am I to get rabies from a scratch?

Rabies is transmitted through saliva, so fortunately the chances of contracting rabies from a cat scratch are low. The only chance that it might be spread through a scratch is when scratching is accompanied by hissing and biting, which can aerosolize and transmit the virus to another individual.

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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.
 

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Is it rare to get rabies from a cat bite?

This doesn't mean you can get rabies if a cat licks or drools on you. The saliva needs to come in contact with a mucus membrane or broken skin. Animals most commonly transmit rabies to humans through bites. It is possible for a human to get rabies from an animal scratch, but it's very rare.

Is there any cure for rabies?

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.

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.

How many cases of rabies are there in 2025?

In terms of human cases, CDC data show there were zero reported in 2019 and 2020, five reported in 2021, zero in 2022 and 2023, four in 2024 and two so far in 2025. Rabies in humans is almost always fatal once symptoms appear.

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

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).

How likely is a cat scratch to cause rabies?

Approximately 98 percent of all rabies cases are transmitted through dog bites. “Cat scratches rarely transmit rabies, but there is still a risk if the wound is open and comes into contact with the saliva of an infected animal,” said dr Trisni.

Do all cats carry rabies?

Thankfully today rabies isn't common among cats largely thanks to the rabies vaccine, which is mandatory for household pets in most states to help prevent the spread of this deadly illness.

How do I tell if I had rabies?

You'd know you might have rabies if, after an animal bite, you develop flu-like symptoms (fever, headache) plus tingling/itching at the bite site, then progress to severe anxiety, confusion, hydrophobia (fear of water), agitation, hallucinations, and paralysis, leading to coma and almost always death; seek immediate medical care if exposed, as there's no cure once symptoms start. 

What is the cost of rabies vaccine?

Rabies vaccine prices vary significantly by species and need: for pets, it's typically $10–$75 per shot at low-cost clinics, but potentially more with exams. For humans, pre-exposure (preventative) shots cost hundreds of dollars ($800–$1,300 for the series), while post-exposure treatment after a bite can reach thousands ($2,500–$7,000 for the full protocol including immune globulin). 

What is the #1 carrier of rabies?

Worldwide, about 99% of human rabies cases come from dogs. Other sources of rabies in humans include bats, monkeys, raccoons, foxes, skunks, cattle, wolves, coyotes, cats, and mongooses (normally either the small Asian mongoose or the yellow mongoose).

Why is rabies 99% fatal?

As the virus moves to the central nervous system, progressive and fatal inflammation of the brain and spinal cord develops. Clinical rabies in people can be managed but very rarely cured, and not without severe neurological deficits.

Can I just get a rabies shot?

If vaccination is required and you haven't previously received the rabies vaccine, preexposure vaccination consists of a series of 3 intramuscular injections given on days 0, 7, and 21 or 28 in the deltoid muscle in the arm. An additional shot of Rabies Immune Globulin may also be necessary.

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