As of late 2025, the CDC is tracking multiple rabies outbreaks across the U.S., with significant activity in Alaska, Arizona, California, Indiana, Kentucky, Maine, Maryland, North Carolina, Oregon, Vermont, and New York (particularly Nassau County). The highest number of animal cases in 2022 were in Texas, Virginia, Pennsylvania, New York, North Carolina, and California, with recent spikes in fox and skunk variants.

When was the last case of rabies in the US?

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.

How many cases of human rabies are there in 2025?

Thanks to the commitment of governments and people in the region, collaborative work between countries, and PAHO's technical support, the Americas have achieved a 98% reduction in cases of human rabies transmitted by dogs, dropping from 300 cases in 1983 to just 10 cases recorded in 2025 (as of September).

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.
 

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.

Rabies outbreak declared health threat in Nassau County

Which states don't require rabies vaccines?

To date (2023), only 16 states have laws or regulations that allow owners to seek a medical exemption from having their dogs vaccinated for rabies. One state (Hawaii) has no laws or regulations that require vaccination on a statewide basis.

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 rabies lay dormant in humans?

Rabies can lay dormant in your body for 1 to 3 months. Doctors call this the "incubation period." Symptoms will appear once the virus travels through your central nervous system and hits your brain.

Has a human ever survived rabies?

Human rabies has a very high fatality rate and there have only been about 34 well-documented survivors, defined as survival at 6 months after onset of clinical rabies. Many have had serious neurological sequelae.

Why can't we cure rabies?

Why is there no cure for 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.

What is the 10 day rule in 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.
 

Is the rabies shot painful?

Current rabies vaccines are relatively painless and are given in the arm, like a flu or tetanus vaccine. Human Rabies Immune Globulin (HRIG) will be administered around any wound(s) and may be more painful depending on the severity of the wounds. Adverse reactions to rabies vaccine and immune globulin are not common.

Can your body fight off rabies without a vaccine?

It had long been thought that Rabies is 100% fatal in humans who are not vaccinated. However, to the surprise of the medical world, Jeanna showed that fatal the virus can be beaten sans vaccination.

How do I check if I have rabies?

Symptoms of rabies

1. numbness or tingling where you were bitten or scratched.
2. seeing things that are not there (hallucinations)
3. feeling very anxious or energetic.
4. difficulty swallowing or breathing.
5. being unable to move (paralysis)

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 animal cannot get rabies?

Birds, fish, reptiles (snakes, turtles, lizards), amphibians (frogs, salamanders), and insects cannot get or spread rabies, as it only affects mammals; however, while small rodents like mice, squirrels, and chipmunks rarely get rabies, they usually don't transmit it, but opossums and large rodents (woodchucks) can, and it's crucial to vaccinate pets and livestock against this virus, notes.
 

How deep does a scratch have to be to get rabies?

It's important to remember, any contact with a bat, even very minor wounds like superficial scratches, can cause rabies.

Is there a death from rabies in 2025?

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. Three cornea recipients from the same donor underwent graft removal, received PEP, and remained asymptomatic.

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