If a patient comes to you for treatment of an animal bite or reports an animal bite during a visit, you may need to file a report[attach form] with the county's Environmental Health. Any mammal can contract rabies however smaller mammals, like squirrels, chipmunks, rats, and mice, are unlikely to survive an initial encounter with a rabid animal. If they survive the initial encounter, their injuries are generally serious enough that they do not survive through the incubation period. Bites from these animals do not need to be reported.
Bites From Wild Mammals
If a patient has been bitten by any wild mammal larger than a squirrel you should ask if they have the animal so that we can submit it for testing. We can get results within 24 hours, Monday through Friday and may delay recommending post exposure treatment until test results are received. We have two facilities in Tompkins County that can provide treatment 7 days a week, 365 days a year. If the animal is not available, the bite occurs during a long weekend when testing may be delayed, or we have concerns about delaying treatment, we will discuss the most appropriate course of action with you and the patient.
Bites From Cats and Dogs
You may find that the most common bite you see is from a patient’s own pet or that of a family member. Even though the patient knows the animal and the vaccination status of the animal, you will still need to submit a report to the county. We will arrange a 10-day observation period with the patient or owner once we receive the report and call the patient at the end of the 10 days to verify the health of the pet. The only pets that notice a change in their routine would be the pets that are used to being off-leash or taken out in public.
If the biting cat or dog is not owned by the patient or the patient’s family member, we will need all contact information or as much information as the patient is able to provide. Even if the patient does not know the owner of the cat or dog, we will often attempt to locate the animal using the information provided. The risk of rabies is very low with owned animals and it is better to attempt to locate the animal rather than put the patient through unnecessary treatment. Patients often focus on whether a biting cat or dog is up to date on rabies vaccination, but vaccination status of the biting animal is not the deciding factor for whether a patient needs treatment.
When a Patient Refuses to Give Information
Sometimes, a patient is reluctant to provide information about the biting animal because they are afraid the animal will be taken away or euthanized. Reassure the patient that the report is only provided to Tompkins County Whole Health and is to protect them from contracting rabies. We will verify the rabies vaccinations status of the dog or cat and we will arrange a 10-day observation period for the biting animal. If the patient still refuses to provide information, let them know that you will still be providing the contact information of the patient to Whole Health's Community Health Services and that we will be contacting them to make alternate arrangements.
Feral Versus Stray Cats
You may have a patient report that they were bitten by a “feral” cat that they have been feeding. While this can sound alarming, we often find that the person was bitten by a stray cat and not a feral cat. Feral cats, by definition, are cats that have not been socialized to humans. These cats may be seen eating at feeding stations that people have put out for them but will otherwise avoid human contact. Feral cats cannot be pet, picked up, and will not willingly enter your home and adopt you as their new family. They are easily frightened, and most feral cat bites occur during Trap/Neuter/Release events. Stray cats are cats that show up at someone’s home or at a feral cat colony feeding station and may rub against people, allow a person to pet them, allow a person to pick them up, or may even waltz into a person’s home and pick their person to hang out with. While these cats may be skittish or easily frightened, they still intentionally seek out human company. Stray cats may have a microchip that can be checked to verify their owner and their vaccine status.
If a patient has been bitten by a feral or a stray cat, we can arrange for a 10-day observation period for the cat at the Tompkins County SPCA. If the cat is regularly seen by the patient, we can also discuss a modified 10-day observation period, where the patient attempts to observe the cat daily to verify it is healthy. Sometimes the patient is not confident that they can identify the biting cat, so we will discuss treatment options at that time.