Physical Sciences and Mathematics Commons^™

Defining County-Level Terrestrial Rabies Freedom Using The Us National Rabies Surveillance System: Surveillance Data Analysis, Amber Kunkel, Gabriella Veytsel, Sarah C. Bonaparte, Haillie Meek, Xiaoyue Ma, Amy J. Davis, Jesse Bonwitt, Ryan M. Wallace

USDA Wildlife Services: Staff Publications

Background: Rabies is a deadly zoonotic disease with nearly 100% fatality rate. In the United States, rabies virus persists in wildlife reservoirs, with occasional spillover into humans and domestic animals. The distribution of reservoir hosts in US counties plays an important role in public health decision-making, including the recommendation of lifesaving postexposure prophylaxis upon suspected rabies exposures. Furthermore, in surveillance data, it is difficult to discern whether counties have no cases reported because rabies was not present or because counties have an unreported rabies presence. These epizootics are monitored by the National Rabies Surveillance System (NRSS), to which approximately 130 …

Rabies Virus Serosurvey Of The Small Indian Mongoose (Urva Auropunctata) Across Multiple Habitats In Puerto Rico, 2014–21, Are R. Berentsen, Mel J. Rivera-Rodriguez, Fabiola B. Torres-Toledo, Amy J. Davis, Richard Chipman, Amy Gilbert

USDA Wildlife Services: Staff Publications

The small Indian mongoose (Urva auropuncata) is a rabies reservoir in Puerto Rico and accounts for over 70% of reported animal rabies cases annually. The presence of rabies virus-neutralizing antibodies (RVNA) is often used as a tool to measure exposure to rabies virus in wildlife populations. We conducted a serosurvey of mongooses at 11 sites representing six habitat types across Puerto Rico. We collected a serum sample from 464 individual mongooses during 2014–2021. Overall, 80/464 (17.0%; 95% confidence interval, 14.1–20.9%; 55 male, 23 female, and two sexes not recorded) of individual mongooses sampled across all habitats were RVNA …

Interspecific Oral Rabies Vaccine Bait Competition In The Southeast United States, Wesley C. Dixon, Jacob E. Hill, Richard Chipman, Amy J. Davis, Amy Gilbert, James C. Beasley, Olin E. Rhodes Jr., Guha Dharmarajan

USDA Wildlife Services: Staff Publications

The United States Department of Agriculture’s National Rabies Management Program (NRMP) has coordinated the use of oral rabies vaccination (ORV) to control the spread of raccoon rabies virus variant west of the Appalachian Mountains since 1997. Working with state and local partners, the NRMP deploys ORV baits containing a rabies vaccine, primarily targeting raccoon populations (Procyon lotor). Bait competition between raccoons and non-target species may limit the effectiveness of ORV programs, but the extent of bait competition remains poorly quantified, particularly in the southeastern United States. We placed placebo ORV baits in bottomland hardwood (n = 637 baits) and upland …

Use Of A Direct, Rapid Immunohistochemical Test For Diagnosis Of Rabies Virus In Bats, Charles E. Rupprecht, Lolita Van Pelt, April D. Davis, Richard B. Chipman, David L. Bergman

USDA Wildlife Services: Staff Publications

Rabies, a zoonotic encephalitis due to transmission of a lyssavirus, such as rabies virus (RABV), has the highest case fatality of any infectious disease. A global program for the elimination of human rabies caused by dogs is proposed for realization by 2030. Sensitive, specific, and inexpensive diagnostic tests are necessary for enhanced surveillance to detect infection, inform public health and veterinary professionals during risk assessments of exposure, and support overall programmatic goals. Multiple laboratory techniques are used to confirm a suspect case of rabies. One method for the detection of lyssavirus antigens within the brain is the direct rapid immunohistochemical …

Short Term Safety, Immunogenicity, And Reproductive Effects Of Combined Vaccination With Anti-Gnrh (Gonacon) And Rabies Vaccines In Female Feral Cats, Shiri Novak, Boris Yakobson, Shir Sorek, Liat Morgan, Smadar Tal, Ran Nivy, Roni King, Lauren Jaebker, Douglas C. Eckery, Tal Raz

USDA Wildlife Services: Staff Publications

Overpopulation of free-roaming cats is a major problem leading to negative impacts on animal health and welfare, public nuisance, transmission of zoonotic diseases, and well-documented harm to wildlife. Surgical sterilization had failed to provide a practical solution to free-roaming cats’ overpopulation under field conditions; therefore, efficient and safe non-surgical immunocontraception methods are aspired. Rabies is a deadly virus that may infect people and animals. However, the safety and efficacy of combined vaccination with anti-GnRH and rabies vaccines in feral cats, which often suffer from disrupted health conditions and experienced high stress level, has never been studied. Therefore, our objective was …

Short Term Safety, Immunogenicity, And Reproductive Effects Of Combined Vaccination With Anti-Gnrh (Gonacon) And Rabies Vaccines In Female Feral Cats, Shiri Novak, Boris Yakobson, Shir Sorek, Liat Morgan, Smadar Tal, Ran Nivy, Roni King, Lauren Jaebker, Douglas C. Eckery, Tal Raz

USDA Wildlife Services: Staff Publications

Overpopulation of free-roaming cats is a major problem leading to negative impacts on animal health and welfare, public nuisance, transmission of zoonotic diseases, and well-documented harm to wildlife. Surgical sterilization had failed to provide a practical solution to free-roaming cats' overpopulation under field conditions; therefore, efficient and safe non-surgical immunocontraception methods are aspired. Rabies is a deadly virus that may infect people and animals. However, the safety and efficacy of combined vaccination with anti-GnRH and rabies vaccines in feral cats, which often suffer from disrupted health conditions and experienced high stress level, has never been studied. Therefore, our objective was …

Modeling Mongoose Rabies In The Caribbean: A Model-Guided Fieldwork Approach To Identify Research Priorities, Caroline C. Sauvé, Erin E. Rees, Amy T. Gilbert, Are R. Berentsen, Agathe Allibert, Patrick A. Leighton

USDA Wildlife Services: Staff Publications

We applied the model-guided fieldwork framework to the Caribbean mongoose rabies system by parametrizing a spatially-explicit, individual-based model, and by performing an uncertainty analysis designed to identify parameters for which additional empirical data are most needed. Our analysis revealed important variation in output variables characterizing rabies dynamics, namely rabies persistence, exposure level, spatiotemporal distribution, and prevalence. Among epidemiological parameters, rabies transmission rate was the most influential, followed by rabies mortality and location, and size of the initial infection. The most influential landscape parameters included habitat-specific carrying capacities, landscape heterogeneity, and the level of resistance to dispersal associated with topography. Movement …

Oral Rabies Vaccination Of Small Indian Mongooses (Urva Auropunctata) With Onrab Via Ultralite Baits, Are R. Berentsen, Israel Leinbach, Mel J. Rivera-Rodriguez, Amy T. Gilbert

USDA Wildlife Services: Staff Publications

The Ontario Rabies Vaccine (ONRAB) is a human adenovirus rabies glycoprotein recombinant oral vaccine immunogenic for small Indian mongooses when delivered by direct instillation into the oral cavity. We offered Ultralite baits containing ~1.8 mL 109.5 TCID50 ONRAB oral rabies vaccine to 18 mongooses, while 6 mongooses were offered identical baits in placebo form. We collected sera from individual mongooses at days 0, 14 and 30 post vaccination (pv) and quantified rabies virus neutralizing antibodies (RVNA) using the rapid fluorescent focus inhibition test, with titers greater than or equal to 0.1 IU/mL considered positive. All study subjects were RVNA negative …

Vampire Bats: Preparing For Range Expansion Into The U.S., Michael J. Bodenchuk, David L. Bergman

USDA Wildlife Services: Staff Publications

The common vampire bat apparently is expanding its range northwards in Mexico and seems poised to enter the southern United States. Climate models predict suitable habitat in the U.S. in south Texas and parts of southern Arizona. While vampire bats’ northward range expansion is not unexpected, the fact that this species brings a strain of rabies that impacts livestock and people warrants a strategic response. Annual economic damages from bats are estimated between $7M and $9M, largely associated with deaths of livestock from rabies. To prepare for the emerging rabies issue, USDA Wildlife Services programs in Texas and Arizona have …

Placebo Oral Rabies Vaccine Bait Uptake By Small Indian Mongooses (Herpestes Auropunctatus) In Southwestern Puerto Rico, Are R. Berentsen, Richard B. Chipman, Kathleen M. Nelson, Kenneth S. Gruver, Frank Boyd, Steven F. Volker, Amy J. Davis, Ad Vos, Steffen Ortmann, Amy Gilbert

USDA Wildlife Services: Staff Publications

The small Indian mongoose (Herpestes auropunctatus) is a rabies reservoir in areas of the Caribbean including Puerto Rico, but no rabies vaccination program targeting this host exists. We used two derivatives of iophenoxic acid (IPA) to evaluate placebo oral rabies vaccine bait uptake by mongooses in southwestern Puerto Rico. We hand-distributed baits at an application rate of 200 baits/km² at three, 400 ha, sites during autumn 2016 and spring 2017. Each site contained 90–100 cage traps in a 100 ha central trapping area. We used ethyl-IPA as a biological marker during the autumn and methyl-IPA during the …

Safety, Immunogenicity, And Efficacy Of Intramuscular And Oral Delivery Of Era-G333 Recombinant Rabies Virus Vaccine To Big Brown Bats (Eptesicus Fuscus), Amy T. Gilbert, Xianfu Wu, Felix R. Jackson, Richard Franka, Gary F. Mccracken, Charles E. Rupprecht

USDA Wildlife Services: Staff Publications

Attenuated strains of rabies virus (RABV) have been used for oral vaccination of wild carnivores in Europe and North America. However, some RABV vaccines caused clinical rabies in target animals. To improve the safety of attenuated RABV as an oral vaccine for field use, strategies using selection of escape mutants under monoclonal antibody neutralization pressure and reverse genetics–defined mutations have been used. We tested the safety, immunogenicity, and efficacy of one RABV construct, ERA-g333, developed with reverse genetics by intramuscular (IM) or oral (PO) routes in big brown bats (Eptesicus fuscus). Twenty-five bats received 5×10⁶ mouse intracerebral …

Variation In Host Home Range Size Decreases Rabies Vaccination Effectiveness By Increasing The Spatial Spread Of Rabies Virus, Katherine M. Mcclure, Amy T. Gilbert, Richard B. Chipman, Erin E. Rees, Kim M. Pepin

USDA Wildlife Services: Staff Publications

1. Animal movement influences the spatial spread of directly transmitted wildlife disease through host-host contact structure. Wildlife disease hosts vary in home range- associated foraging and social behaviours, which may increase the spread and intensity of disease outbreaks. The consequences of variation in host home range movement and space use on wildlife disease dynamics are poorly understood, but could help to predict disease spread and determine more effective disease management strategies.
2. We developed a spatially explicit individual-based model to examine the effect of spatiotemporal variation in host home range size on the spatial spread rate, persistence and incidence of rabies virus …

Raccoon (Procyon Lotor) Response To Ontario Rabies Vaccine Baits (Onrab) In St. Lawrence County, New York, Usa, Kerri Pedersen, Amy T. Gilbert, Kathleen M. Nelson, Daniel P. Morgan, Amy J. Davis, Kurt C. Vercauteren, Dennis Slate, Richard B. Chipman

USDA Wildlife Services: Staff Publications

Oral rabies vaccination (ORV) campaigns have been conducted annually in the US over the past two decades to prevent raccoon (Procyon lotor) rabies, which is enzootic along the eastern region of the country from southeastern Canada to Alabama. Because raccoon rabies has been eliminated from neighboring Canadian provinces, continued detection of the variant in the US is of concern due to the potential for infected raccoons to cross the border via the St. Lawrence River. Ontario Rabies Vaccine Baits (ONRAB) containing a live, recombinant human adenovirus expressing the rabies virus glycoprotein have been under experimental use in the …

Analysis Of Iophenoxic Acid Analogues In Small Indian Mongoose (Herpestes Auropunctatus) Sera For Use As An Oral Rabies Vaccination Biological Marker, Are R. Berentsen, Robert T. Sugihara, Cynthia G. Payne, Israel Leinbach, Steven F. Volker, Ad Vos, Steffen Ortmann, Amy T. Gilbert

USDA Wildlife Services: Staff Publications

The small Indian mongoose (Herpestes auropunctatus) is a reservoir of rabies virus (RABV) in Puerto Rico and comprises over 70% of animal rabies cases reported annually. The control of RABV circulation in wildlife reservoirs is typically accomplished by a strategy of oral rabies vaccination (ORV). Currently no wildlife ORV program exists in Puerto Rico. Research into oral rabies vaccines and various bait types for mongooses has been conducted with promising results. Monitoring the success of ORV relies on estimating bait uptake by target species, which typically involves evaluating a change in RABV neutralizing antibodies (RVNA) post vaccination. This …

Spatial Ecology Of Urban Raccoons In Northeastern Ohio: Implications For Oral Rabies Vaccination, Are R. Berentsen, Mike R. Dunbar, Chadd E. Fitzpatrick, W. David Walter

The Prairie Naturalist

In 1977, rabies was detected in a raccoon (Procyon lotor) in West Virginia, and since the mid-1980s raccoon variant rabies has spread throughout the eastern United States and moved west as far as the eastern edge of Cleveland, Ohio. The primary tool to combat this spread is the distribution of oral rabies vaccine (ORV) baits. A thorough knowledge of raccoon space use is critical in determining bait placement, particularly in urban areas. We monitored nine raccoons in urban areas of Cleveland, Ohio, calculated home range sizes, monitored raccoon movement with respect to potential movement barriers, and used resource selection functions …

Evaluation Of Rhodamine B As A Biomarker For Raccoons, Tricia L. Fry, Todd C. Atwood, Mike R. Dunbar

USDA Wildlife Services: Staff Publications

The USDA/APHIS/Wildlife Services (WS) oral rabies vaccination program uses tetracycline, a broad-spectrum antibiotic and relatively reliable biomarker, to quantify vaccinebait uptake by raccoons (Procyon lotor). However, obtaining samples (e.g., bone or teeth) to assess tetracycline uptake is highly invasive, and sample preparation can be expensive. By contrast, rhodamine B, a commercially available dye, is absorbed systemically in growing tissues, including hair and whiskers, and can be observed under ultraviolet (UV) light as fluorescent orange bands. Our goal was to evaluate whether rhodamine B can be used as a biomarker to monitor bait uptake by raccoons. We began by …

Evaluation Of An Oral Vaccination Program To Control Raccoon Rabies In A Suburbanized Landscape, Jason R. Boulanger, Laura L. Bigler, Paul D. Curtis, Donald H. Lein, Arthur J. Lembo Jr.

Human–Wildlife Interactions

We evaluated the efficacy of an oral rabies vaccination (ORV) program conducted in Erie County, New York, from July through September, 2002–2005. Ingress of the raccoon (Procyon lotor) rabies variant first occurred along the southern border of Erie County, New York, during 1992 and began to spread northward at a velocity of 31 km/year. Fixed-wing aircraft dropped ORV baits in rural landscapes; helicopters, hand baiting, and bait stations distributed baits in suburban landscapes (&#;x bait densities ranged 59–118 baits/km²). Our study objectives were to quantify rabies case densities, evaluate efficacy of intervention efforts, and determine biological, …

Development Of Polymorphic Microsatellite Loci For The Common Vampire Bat, Desmodus Rotundus (Chiroptera: Phylostomidae), Antoinette J. Piaggio, John J. Johnston, Susan L. Perkins

USDA Wildlife Services: Staff Publications

The common vampire bat (Desmodus rotundus) is one of three haematophagous species of bats and the only species in this genus. These New World bats prey on mammals and create significant economic impacts through transmission of rabies in areas where livestock are prevalent. Furthermore, in some portions of their range, it is not uncommon for them to prey upon humans. It is critical to the management of this species and for understanding the spread of bat rabies that detailed studies of D. rotundus population structure be conducted. To further such studies, we have characterized 12 microsatellite loci for …

Skunk Rabies In California (1992–2003)—Implications For Oral Rabies Vaccination, Ray T. Sterner, Ben Sun, Jean B. Bourassa, Robert L. Hale, Stephanie A. Shwiff, Michele T. Jay, Dennis Slate

USDA Wildlife Services: Staff Publications

Skunk-variant rabies is endemic in California (United States), and the development of oral vaccines and baits to vaccinate skunks is in progress. In 2003, the California Department of Public Health (CDPH) began to quantify the impacts of skunk-variant rabies and to assess the feasibility of using oral rabies vaccination (ORV) as a containment measure. The CDPH rabies case data for skunks were spatially depicted and analyzed using a geographic information system. Statewide, rabid skunks (1992–2003) primarily occurred in seven physiographic regions: Central Coast, North Coast, North Sierra, Sacramento Valley, San Francisco Bay and Delta, San Joaquin Valley, and South Sierra. …

Direct And Indirect Costs Of Rabies Exposure: A Retrospective Study In Southern California (1998–2002), Stephanie A. Shwiff, Ray T. Sterner, Michele T. Jay, Shefali Parikh, Amy Bellomy, Martin I. Meltzer, Charles E. Rupprecht, Dennis Slate

USDA Wildlife Services: Staff Publications

The direct and indirect costs of suspected human rabies exposure were estimated for San Luis Obispo and Santa Barbara counties, California, USA. Clinic, hospital, and county public health records (1998–2002) were examined to determine direct costs for postexposure prophylaxis (PEP), and 55 (41%) former patients were contacted to voluntarily provide estimates of their indirect costs associated with receiving PEP. Additional costs due to public health and animal control personnel responses to rabid animals were collected, including diagnostic testing and wages. The mean total cost of a suspected human rabies exposure was $3,688, the direct costs per case were $2,564, and …

Oral Rabies Vaccine (Orv) Bait Uptake By Captive Striped Skunks, Susan M. Jojola, Stacie J. Robinson, Kurt C. Vercauteren

USDA Wildlife Services: Staff Publications

Aerial delivery of oral rabies vaccine (ORV) baits has proven effective in large-scale efforts to immunize wildlife against rabies, and in North America this strategy currently is being used to immunize foxes (Urocyon cinereoargenteus and Vulpes vulpes), raccoons (Procyon lotor), and coyotes (Canis latrans). Skunks are also a major reservoir and vector of rabies, but at present oral vaccines for use in skunks are not licensed. Furthermore, given differences in morphology (smaller jaws) and behavior (food handling and consumption), it is unknown if baits currently used in ORV campaigns would be effective for skunks. …

Overview Of The First Use Of Gps 1991/Gis 1992 During A Wyoming Skunk Rabies Epizootic, Craig A. Ramey, Kenneth H. Mills, Marshall Robin

USDA Wildlife Services: Staff Publications

Striped skunks (Mephitis mephitis) are one of the most important reservoirs of wildlife rabies on the Great Plains of North America. During a skunk rabies epizootic in a previously rabies-free area of northwestern Wyoming, we studied the spread of rabies from the index case occurring in 1988 until the Shoshone River epizootic ended in 1993. All specimens were sent to the Wyoming State Veterinary Laboratory for Fluorescent Antibody Testing for rabies. The goal of federal, state, county, and local agencies was to address the public's fear about the health and safety of humans and animals. Following several rabid …

A Review Of Biomarkers Used For Wildlife Damage And Disease Management, Tricia L. Fry, Mike R. Dunbar

USDA Wildlife Services: Staff Publications

Biomarkers are distinctive biological indicators used to identify, often through indirect means, when an event or physiologic process of interest has occurred in an animal. Historically, a variety of biomarkers, as well as bait-markers, have been used in wildlife management including radioactive isotopes, stable isotopes, fatty acids, systemic and physical biomarkers. The ability to successfully track, monitor, and identify animals using minimally invasive techniques is becoming increasingly important as wildlife-human interactions increase. This paper is an overview of the benefits and limitations of previously and presently used biomarkers in wildlife damage and disease management with emphasis on the use of …

Use Of Infrared Thermography To Detect Signs Of Rabies Infection In Raccoons (Procyon Lotor), Mike R. Dunbar, Kathleen A. Maccarthy B.S.

USDA Wildlife Services: Staff Publications

Infrared thermography was evaluated as a technique to determine if raccoons (Procyon lotor) experimentally infected with rabies virus could be differentiated from non-infected raccoons. Following a 10-day adjustment period, raccoons (n = 6) were infected with a virulent rabies street strain raccoon variant by injection into the masseter muscle at a dose of 2 x 10⁴ tissue-culture infectious dose (TCID₅₀) in 0.2 ml (n = 4) or 10⁵ TCID₅₀ in 1 ml (n = 2). Five of the six raccoons developed prodromal signs of rabies 17 to 22 days post-inoculation …

Evaluation And Significance Of Tetracycline Stability In Rabies Vaccine Baits , J. J. Johnston, T. M. Primus, T. Buettgenbach, C. A. Furcolow, M. J. Goodall, D. Slate, R. B. Chipman, J. L. Snow, T. J. Deliberto

USDA Wildlife Services: Staff Publications

Tetracycline is widely used as a biomarker for bait consumption by wildlife; tetracycline is incorporated into bones and teeth and can be detected by fluorescence microscopy several weeks postconsumption. During 2003, the United States Department of Agriculture distributed more than 10 million tetracycline-containing rabies-vaccine baits to control the spread of wildlife vectored rabies to humans, pets, and livestock. To estimate the percentage of target species consuming the baits, raccoons and skunks were collected in baited areas and teeth were analyzed for the presence of the biomarker. Several incidents of low biomarker detection rates prompted an investigation of the stability of …

Oral Rabies Vaccination—A Progress Report, Dennis Slate, Charles Rupprecht, Mike Dunbar, Robert Mclean

USDA Wildlife Services: Staff Publications

Oral rabies vaccination (ORV) targeting specific wild Carnivora species has emerged as an integral adjunct to conventional rabies control strategies to protect humans and domestic animals. ORV has been applied with progress toward eliminating rabies in red foxes (Vulpes vulpes) in western Europe and southern Ontario, Canada. Beginning in the 1990’s, coordinated ORV was implemented in Texas to contain and eliminate variants of rabies virus in the gray fox (Urocyon cinereoargenteus ) and coyote (Canis latrans ) and in several eastern U.S. States with the goal of preventing spread of raccoon (Procyon lotor ) rabies. …

Relative Factor Costs Of Wildlife Rabies Impacts In The U.S., Ray T. Sterner, Ben Sun

USDA Wildlife Services: Staff Publications

A comprehensive cost model of wildlife rabies is presented. A total of 11 factors were viewed to comprise the diverse agricultural, insurance, medical, and veterinary expenses associated with rabies (i.e., pet vaccinations, livestock vaccinations, pet replacements, livestock replacements, pre-exposure prophylaxis for humans, post-exposure prophylaxis for humans, adverse medical reactions, animal control activities, public health charges, quarantine costs, and human death settlements). These factor costs form the basis of potential savings to be gained from rabies control activities. Irrespective of incidence, per unit costs and ranges were found to be greatest for livestock replacement, post-exposure prophylaxis, adverse medical reactions, and human …

Oral Rabies Vaccine (Orv) Bait Uptake By Striped Skunks: Preliminary Results, Susan M. Jojola, Stacie J. Robinson, Kurt C. Vercauteren

USDA Wildlife Services: Staff Publications

Aerial delivery of rabies vaccine-laden bait is effective and efficient for large-scale vaccination of wildlife. Oral rabies vaccine (ORV) contained in a sachet (or blister pack) inside baits that serve as the mode of delivery currently are used for orally immunizing foxes, raccoons, and coyotes. The technique remains in the vaccine-development stage for oral immunization of skunks. Since skunks are a major vector of the rabies virus, concurrent development of a bait that is sufficiently attractive to skunks would facilitate an immediate mode of delivery once a vaccine is developed. We ran a palatability experiment with different shapes and flavors …

Oral Rabies Vaccination: Reducing Economic Uncertainty Via Response Surface Analysis, Ray T. Sterner, Matthew A. Kling, Stephanie A. Shwiff, Dennis Slate

USDA Wildlife Services: Staff Publications

Economic uncertainty surrounds the distribution of Raboral V-RG7 as an oral rabies vaccine (ORV) bait for the containment or elimination of raccoon-variant rabies in the United States. This paper describes a costs-savings model of ORV. It also describes Excel XP7 code that was prepared to compute potential net savings (NS) and benefit-cost ratios (BCRs) associated with Raboral V-RG7 bait distributions. Currently, baits and bait distributions are relatively expensive; individual baits are produced at a cost of $1.27 for federal use and typically dispensed at >75 baits/km2. Distribution is estimated at $8.62/km², $15.80/km², and $33.30/km² for …

Oral Rabies Vaccination: A National Perspective On Program Development And Implementation, Dennis Slate, Richard B. Chipman, Charles E. Rupprecht, Thomas J. Deliberto

USDA Wildlife Services: Staff Publications

Persistence of unique rabies virus variants in a diverse array of terrestrial carnivores and insectivorous bats makes rabies control in the US. a complex task The public health system in the U.S. is effective in keeping human deaths near zero each year in the face of enzootic wildlife rabies, but the annual cost of coexistence with the disease is high, exceeding $300 million. In addition, each year tens of thousands of people are impacted by anxiety, fear, and trauma associated with potential or actual rabies exposure to themselves and their domestic animals. Exclusion, proper storage and disposal of garbage, and …