The Refill #6: Rabies
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We're revisiting Episode 12 with fresh, urgent context: On Sept. 10, 2026, the CDC issued a Health Alert Network advisory warning of a nationwide increase in rabies exposures and post-exposure prophylaxis (PEP) administration errors. Rabies vaccine use is up an estimated 33% year-over-year and rabies immunoglobulin use is up 76%, with at least eight state health departments reporting mistakes in how PEP is being given — including wrong injection sites and missed or unnecessary immunoglobulin doses. We also cover a real-world example of exactly this kind of mass-exposure event: In late August, North Carolina health officials confirmed rabies in four baby goats from Farm Adventures, a mobile petting zoo that visited 10 public events across six counties, including a back-to-school bash and an assisted living facility, before the exposure was caught.
Rabies is nearly 100% fatal once symptoms appear but fully preventable with timely, correctly administered PEP — which is why we're topping off this episode with what's changed.
Sources:
- CDC HAN Advisory: Nationwide Increase in Reported Human Rabies Exposures
- NCDHHS: Rabies Confirmed at Mobile Petting Zoo
- NCDHHS: Additional Exposure Details, Mobile Petting Zoo