Understanding Rabies Vaccination and Minimizing Reactions In today’s society, medical treatments, including vaccines, often face scrutiny. With growing awareness of potential vaccine reactions, many pet owners seek to reduce the number of vaccinations their pets receive. Rabies Vaccine Concerns The rabies vaccine is one of the most questioned. Despite a significant decrease in rabies cases, the disease remains a threat. In 2023, Wisconsin reported 36 rabies-positive bats1. Vaccinating pets nearly eliminates their risk of rabies and reduces human exposure. Rabies is fatal for animals and requires intensive medical intervention for humans. Legal and Health Considerations Veterinarians understand concerns about vaccine reactions but are bound by laws. Wisconsin state statute 95.21(2)(a) mandates rabies vaccination for dogs. The AVMA and National Association of State Public Health Veterinarians recommend it for cats. Compliance with these laws reduces quarantine restrictions if pets are exposed to rabies or bite someone. Veterinary Responsibilities Veterinarians must advocate for rabies vaccination to protect their licenses and ensure the safety of their staff and pets. Unvaccinated pets pose a higher risk if they bite a staff member, leading to stricter quarantine and more intensive medical care. Minimizing Vaccine Reactions Veterinarians can help reduce vaccine reactions by: Avoiding vaccinations for ill animals, even with mild symptoms. Spacing out vaccines by at least two weeks, giving only 1-2 per visit. Minimizing compounds in a single vaccine, as multi-virus vaccines have higher reaction rates. Using adjuvant-free or safer adjuvant vaccines, like thimerosal-free rabies vaccines. For pets with a history of reactions, using titers to check immune status and providing antihistamines or monitoring during vaccination. While rabies titers exist, they do not equate to immunity under state laws. Pets not current on vaccinations, even with a positive titer and medical waiver, face stricter quarantine. For a complete simplified version of Wisconsin state statues regarding rabies visit https://www.dhs.wisconsin.gov/rabies/algorithm/quarantinefactshandout.htm