Provincial Governor Imelda ‘Angging’ Quibranza-Dimaporo joins Monday’s flag raising ceremony, September 17, 2018, hosted by Kauswagan Provincial Hospital headed by Dr. Shorayna Tucal in front of Governor Arsenio A. Quibranza Provincial Government Center, Pigcarangan, Municipality of Tubod.

Monday’s convocation discussed September 28 as “World Rabies Day” and the importance of prevention against rabies and the needed treatment when an individual has been exposed to the said virus based on the signs and symptoms.

Dr. Tucal said that there are two ways a person can acquire rabies, either through Bite Exposure such as injection of infectious saliva into the break of a skin, or through Non-bite Exposure by licking of scratches, abrasions, open wounds or intact mucous membranes.

There are Four (4) Clinical Signs and Symptoms that a person will exhibit when he is exposed to the virus:

Prodromal Stage – Signs: Healed wound or scar at bite site, extensive excoriations at the bite site due to pruritus. Symptoms: Non-Specific; fever, malaise, fatigue, headache and anorexia,pain and numbness, intense pruritus at the bite site.

Acute Neurological Phase: Encephalitic Furious Rabies 80 percent and Paralytic Rabies 20 percent.

Encephalitic Stage: Fluctuating Consciousness (Agitation, Depression, Aggressiveness), Phobic Spasms (Hydrophobia), Autonomic Dysfunction (Fixed Dilated Pupils), and Paralysis.

Paralytic Stage: Complete Paralysis.

Dr. Tucal explains that “a person is not comfortable or is afraid of water it is because the muscles of the throat has already been infected by the virus that it forced to contract when the patient tries to take-in water and could feel the water will choke him. The rabies virus will target the nervous system of the person.”

There are Three (3) Categorization and Management of Rabies Exposure: First Category – (A) Feeding or touching an animal, (B) Licking of intact skin, (C) Exposure to patient with signs and symptoms of rabies by sharing of eating or drinking utensils, (D) Casual Contact (Talking to, Visiting and feeding suspected rabies cases) and routine delivery of health care to patient with signs and symptoms of rabies. Management to the first category is to wash exposed skin immediately with soap and running water. No vaccine or RIG (Rabies Immune Globulin) is needed. Pre-exposure prophylaxis may be considered for high risk person.

Second Category – (A) Nibbling of uncovered skin with or without bruising or hematoma, (B) Minor Superficial Scratches or abrasions without spontaneous bleeding, including those induced to bleed. Management for these – Wash wound with soap and running water, Start vaccine immediately, RIG is not indicated.

Third Category – (A) Transdermal bites (Puncture wounds, Lacerations, Avulsions), or Scratches or Abrasions with spontaneous bleeding, (B) Licks on broken skin, (C) Exposure to a rabies patient through bites, contamination of mucous membranes (Eyes, Oral Mucosa), or Open skin lesions with body fluids through splattering and mouth resuscitation, (D) Unprotected handling of infected carcass or ingestion of raw infected meat, (E) All Category 2 exposures on head and neck area. Management for the third category – Wash wound with soap and running water, Start vaccine and RIG immediately.

In Lanao del Norte, three Provincial Hospitals are accredited as Animal Bite Treatment Center. These Provincial Hospitals are: Kapatagan, Baroy and Kolambugan.

Governor Angging praised Dr. Tucal and her staffs for a very informative presentation and hope that the information will help bring awareness not only to the provincial government employees but as well share it to their neighbours and friends who have pets like dogs, cats, monkeys. Employees were also surprise when Dr. Tucal mentioned that animals like cows, horses and hogs are also carriers of the rabies virus. PIO-LDN