Your urgent care clinic occasionally evaluates patients for travel advice, vaccinations, and malaria prophylaxis when indicated. A 24-year-old woman presents for a pretravel visit prior to a 2-month hiking and backpacking trip through rural and remote areas. She does not plan to go caving or spelunking, and doesn’t anticipate exposure to bats.
In which of the following countries would these activities be considered high risk for rabies exposure and warrant administration of, or referral for, rabies pre-exposure prophylaxis (PrEP)?
A. Australia
B. Japan
C. Jamaica
D. Nepal
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Answer: D. Rabies in canines and wild animals is most common in resource-limited areas of Africa and Asia. Travel to areas in central Asia (like Nepal) and India is particularly risky for rabies exposure, especially for outdoor adventurers. When clarification is needed, the CDC maintains a very helpful website for travelers and clinicians advising travelers: https://wwwnc.cdc.gov/travel.
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Last Updated on January 26, 2023
