Treatment FAQ

how long after being bitten can you still get treatment for rabies

by Alex Dickens Published 2 years ago Updated 1 year ago

Can You contract rabies without being bitten?

The transmission being bitten: Rabies virus is transmitted through broken skin or mucous membrane in the eyes, nose, or mouth with saliva or brain/nervous system tissue from an infected animal. Without being bitten transmission: odds of getting rabies / rabies transmission through non-bite exposure. People and animals can get rabies from non-bite exposures, which can include scratches, abrasions, or open wounds exposed to saliva or other potentially infectious material from a rabid animal.

What happens if rabies is untreated?

What happens if rabies goes untreated? Rabies is almost always fatal if it is left untreated. In fact, once someone with rabies starts experiencing symptoms, they usually do not survive. This is why it is very important to seek medical attention right away following an animal bite, especially if the bite is from a wild animal.

Will there ever be an effective rabies treatment?

Rabies is an overwhelmingly fatal disease, with only a few documented survivors. There is no effective curative treatment for rabies once clinical signs have appeared. All cases of suspected rabies exposure should be treated immediately to prevent the onset of clinical symptoms and death. Post-exposure prophylaxis (PEP) consists of wound treatment, the administration of rabies vaccines based on WHO recommendations, and if indicated, the administration of rabies immunoglobulin (See table below).

How do you know if an animal has rabies?

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How long can you wait to get rabies shot after being bitten?

Rabies is a very serious virus. Once a person is infected, there is not much a doctor can do to treat it. If a dog, cat, bat, or other mammal you might suspect has rabies has bitten you, get to the doctor. The first dose of the vaccine should be administered within the first 24 hours after exposure.

How late is too late to treat rabies in humans?

A patient who was bitten by a bat a few months ago is wondering if it is too late to receive rabies PEP. There is no time limit regarding the administration of PEP after an exposure.

How long until rabies is untreatable?

Without treatment, the symptoms of rabies will usually start after 3 to 12 weeks, although they can start sooner or much later than this.

Can I take rabies vaccine after 3 days?

The first dose of the four-dose course should be administered as soon as possible after exposure. Additional doses should be administered on days 3, 7, and 14 after the first vaccination.

Can I take rabies vaccine after 7 days?

The first dose of the 5-dose course should be administered as soon as possible after exposure. This date is then considered day 0 of the post exposure prophylaxis series. Additional doses should then be administered on days 3, 7, 14, and 28 after the first vaccination.

Can I get rabies vaccine after 10 days?

Rabies immunoglobulin for passive immunization is administered only once, preferably within 24 hours after the exposure (on day 0 along with the first dose of anti-rabies vaccine).

Can I take rabies injection after 2 weeks?

Once it enters the nerves, it is the end of the person. Therefore to neutralise, kill or inactivate the virus, immunoglobulins or rabies monoclonal antibodies must be injected into the wound. Then the vaccine must be given over a period of a month, multiple times; the antibodies from which form after 2 weeks," said Dr.

Can rabies occur after 20 years?

We report an unusual case of rabies, with very prolonged incubation period suspected to be more than 20 years, from the South Western state of India, Goa.

Can you survive rabies without treatment?

Once a rabies infection is established, there's no effective treatment. Though a small number of people have survived rabies, the disease usually causes death. For that reason, if you think you've been exposed to rabies, you must get a series of shots to prevent the infection from taking hold.

Can I take rabies vaccine after a month?

If you have not yet received the vaccine and were exposed to the rabies virus, you will need a total of 5 doses on 5 different days within a 1-month period. You will also receive a shot of rabies immune globulin. In order for the rabies vaccine to work properly, it is very important that you do not miss any doses.

Can I get a rabies shot just in case?

Rabies immune globulin and the first dose of rabies vaccine should be given by your health care provider as soon as possible after exposure. Current vaccines are relatively painless and are given in your arm like a flu or tetanus vaccine; rabies vaccines are not given in the stomach.

How long does it take to show signs of rabies in humans?

In people, the incubation period (the time between initial contact with the virus and onset of the disease) generally ranges from two to eight weeks. In rare cases, it can vary from 10 days to 2 years. The incubation period is shorter in children and in people exposed to a large dose of the rabies virus.

How long does it take for a dog to show signs of rabies?

For instance: Pets and farm animals. Cats, dogs and ferrets that bite can be observed for 10 days to see if they show signs and symptoms of rabies.

What is a rabies shot?

Rabies shots include: A fast-acting shot (rabies immune globulin) to prevent the virus from infecting you. Part of this injection is given near the area where the animal bit you if possible, as soon as possible after the bite. A series of rabies vaccinations to help your body learn to identify and fight the rabies virus.

What happens if you get bitten by an animal?

If you've been bitten by an animal that is known to have rabies, you'll receive a series of shots to prevent the rabies virus from infecting you. If the animal that bit you can't be found, it may be safest to assume that the animal has rabies. But this will depend on several factors, such as the type of animal and the situation in which the bite occurred.

Do you need rabies shots if you bite an animal?

That way, if it's determined the animal is healthy, you won't need the shots.

Can you get rabies shots from wild animals?

Talk to your doctor and local public health officials to determine whether you should receive rabies shots. Wild animals that can be caught. Wild animals that can be found and captured, such as a bat that came into your home, can be killed and tested for rabies. Tests on the animal's brain may reveal the rabies virus.

Can you kill an animal with a shot?

Do not kill the animal with a blow or a shot to the head, as the resulting injuries may make it difficult to perform laboratory tests to determine whether the animal has rabies. Tell your doctor that you have captured the animal that bit you.

Can you die from rabies?

Though a small number of people have survived rabies, the disease usually causes death. For that reason, if you think you've been exposed to rabies, you must get a series of shots to prevent the infection from taking hold.

What to do if you have been bitten by a rabies?

If you’ve been in contact with any wildlife or unfamiliar animals, particularly if you’ve been bitten or scratched, you should talk with a healthcare or public health professional to determine your risk for rabies or other illnesses. Wash any wounds immediately with soap and water and then plan to see a healthcare provider.

Is rabies an emergency?

Remember that rabies is a medical urgency but not an emergency. Decisions should not be delayed. See your doctor for attention for any trauma due to an animal attack before considering the need for rabies vaccination.

Who should get rabies shots?

People at high risk of exposure to rabies should be offered pre-exposure rabies vaccination, including: Veterinarians, animal handlers, and veterinary students. Rabies laboratory workers.

How to contact CDC about rabies?

Call your local or state health department. Contact the Centers for Disease Control and Prevention (CDC): Call 1-800-232-4636 (1-800-CDC-INFO) or. Visit CDC’s rabies website. Many Vaccine Information Statements are available in español and other languages. See http://www.immunize.org/vis.

How does rabies affect people?

Most rabies deaths in people around the world are caused by bites from unvaccinated dogs. Rabies infects the central nervous system. After infection with rabies, at first there might not be any symptoms. Weeks or even months after a bite, rabies can cause general weakness or discomfort, fever, or headache.

What is the most common source of rabies?

Humans get rabies when they are bitten or scratched by infected animals. Human rabies is rare in the United States. Wild animals like bats, raccoons, skunks, and foxes are the most common source of human rabies infection in the United States. Rabies is more common in other parts of ...

Do you need rabies immunoglobulin?

A person who has been previously vaccinated should get 2 doses of rabies vaccine and does not need Rabies Immune Globulin. Your health care provider can give you more information.

Is rabies fatal to humans?

As the disease progresses, the person may experience delirium, abnormal behavior, hallucinations, hydrophobia (fear of water), and insomnia. If a person does not receive appropriate medical care after an exposure, human rabies is almost always fatal.

Can rabies cause a fever?

Soreness, redness, swelling, or itching at the site of the injection, and headache, nausea, abdominal pain, muscle aches, or dizziness can happen after rabies vaccine. Hives, pain in the joints, or fever sometimes happen after booster doses.

How long after a bite can you get rabies?

Also the severity of wound is important to come to a conclusion. It will be of no use to take vaccine after 10 days of bite if the animal is alive during the observation period of 10 days. First reason being if you are alive at 3 months then it means you didnot get rabies virus in first place.

How soon can you give a dog rabies shots?

If a rabid animal bites a human, cow, goat, dog or cat, injections should be started as soon as possible (subject to a maximum of within 24 hours) in order to prevent the animal from getting rabies. Even if the animal has been vaccinated, it is best to contact a vet.

What to do if you get bit by an animal?

If an animal has been bitten, the caretaker should wear rubber gloves or two strong non-leaking plastic bags to prevent saliva from the rabid animal entering any wounds on their hands when cleaning the bite wound.

How long does it take for lassa to reach the CNS?

When the virus reaches the CNS its already too late, the usual span it takes is 0- 6 days, rare cases a month depending on location & proximity to nearest perihepral nerves. Later depending on the variety of the lassavirus strain it progresses at a speed of 2mm to 200mm in the nerves.

How long does it take for a bite to show symptoms?

The time between the infection (BITE) and onset of symptoms can be many weeks or months. But the time between the onset of symptoms and death is usually less than 10 days. The victim is infectious (through saliva/bite) only during these last few days, and no treatment is effective during this time.

How long after a dog bite can you get a tre?

If the animal is a pet, and is healthy - and can be kept confined for a period of ten days after the bite, the health department and your MD may recommend holding off starting treatment. If the animal is still healthy after this period of time, the decision is usually not to begin the tre. Continue Reading.

When to start a bite prophylaxis?

But the international guidelines provide for the course of treatment, when determined to be necessary, to start at any time - weeks, months, after the bite - up to a year.

How long should a dog be kept under control after rabies?

If the biting animal tested positive for rabies and the pet is NOT current on its rabies vaccination (i.e., it was vaccinated against rabies in the past, but is now overdue for a booster vaccination), it should immediately receive a booster vaccine and be kept under the owner's control and observed for 45 days.

How long does it take for a rabies shot to be given to a livestock?

As with domestic pets, livestock that have been vaccinated for rabies (with a vaccine approved by USDA for that species) should be revaccinated immediately and observed for 45 days. If the animal has not been vaccinated, it should be euthanized.

How many booster shots do you need for rabies?

If you have been vaccinated previously with one of the currently licensed vaccines, you will still need two booster doses of rabies vaccine. The first dose should be given as soon as possible and the second dose three days later. Rabies immunoglobulin should NOT be given.

What are the symptoms of rabies in animals?

For example, wild animals may lose their fear of humans or pets may become aggressive or withdraw. Often the animal does not eat, may fear water, and have an unsteady gait.

What is rabies virus?

What is rabies? Rabies is a viral infection that affects the nervous system of mammals. It invariably causes swelling of the brain and death after a relatively short illness.

How often should you check your antibody levels?

You should be tested for protective antibody every 2 years and booster vaccination is recommended for unacceptable antibody levels. If you are working in a rabies research laboratory or are a rabies biologic production worker then you should have your antibody level checked every 6 months.

Where is rabies found?

The rabies virus is found in the nervous tissue of infected mammals. As the virus works its way to the brain, it begins to be secreted in the saliva of the animal. People and mammals get rabies when infectious saliva is introduced into the body, usually through a bite from an infected animal. Rabies transmissions from other types ...

What is the treatment for rabies after a bite?

This is called post-exposure treatment . Post-exposure treatment involves: cleaning and disinfecting the wound.

What to do if you have rabies?

you plan to do activities that could put you at increased risk of exposure to animals with rabies, such as running or cycling. Visit a GP or travel clinic if you think you may need the vaccine. Most people will have to pay for the rabies vaccine if it's needed for protection while travelling.

How many shots of rabies do you need?

Post-exposure treatment involves: cleaning and disinfecting the wound. a course of the rabies vaccine – you'll need to have 4 doses over a month if you have not been vaccinated against rabies before, or 2 doses a few days apart if you have.

What to do if you have been bitten by an animal?

If you have been bitten or scratched by an animal in an area with a risk of rabies: immediately clean the wound with running water and soap for several minutes. disinfect the wound with an alcohol- or iodine-based disinfectant and apply a simple dressing, if possible.

How long does it take for rabies to show symptoms?

Without treatment, the symptoms of rabies will usually start after 3 to 12 weeks, although they can start sooner or much later than this. The first symptoms can include: a high temperature. a headache. feeling anxious or generally unwell. in some cases, discomfort at the site of the bite.

Where is rabies found?

Rabies is a rare but very serious infection of the brain and nerves. It's usually caught from the bite or scratch of an infected animal, most often a dog. Rabies is found throughout the world, particularly in Asia, Africa, and Central and South America. It's not found in the UK, except in a small number of wild bats.

Can you get rabies if you have been scratched?

Do not wait until you have returned to the UK. If you have already returned to the UK without getting medical advice, it's still a good idea to get help, even if it's been several weeks since you were bitten or scratched. It's unlikely you have been infected with rabies, but it's best to be safe.

Overview

  • Rabies is a deadly virus spread to people from the saliva of infected animals. The rabies virus is usually transmitted through a bite.Animals most likely to transmit rabies in the United States include bats, coyotes, foxes, raccoons and skunks. In developing countries of Africa and Southeast Asia, stray dogs are the most likely to spread rabies to people.Once a person begins s…
See more on mayoclinic.org
  • Rabies is a deadly disease caused by a virus that is spread in the saliva of infected animals. All mammals can get rabies. People usually get rabies from licks, bites, or scratches from infected dogs and other animals such as bats, foxes, raccoons, and mongooses.
See more on wwwnc.cdc.gov

Treatment

  • This is a fast-moving virus. If it is not treated soon after the symptoms have begun, the prognosis is poor. Therefore, if your cat has been in a fight with another animal, or has been bitten or scratched by another animal, or if you have any reason to suspect that your pet has come into contact with a rabid animal (even if your pet has been vaccinated against the virus), you must ta…
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  • Once a person has symptoms of rabies, there is no cure. At this stage immune globulin, vaccination and anti-viral drugs are of no benefit. A person can be kept alive indefinitely on a life-support system, but no-one has ever made a recovery from rabies. The usual care is to make the patient as comfortable as possible in the face of a painful and fearful death. High doses of pain…
See more on health24.com
  • Once a rabies infection is established, there's no effective treatment. Though a small number of people have survived rabies, the disease is usually fatal. For that reason, if you think you've been exposed to rabies, you must get a series of shots to prevent the infection from taking hold.
See more on drugs.com
  • There is no specific treatment for rabies once the infection develops in a child. There have been very few survivors of the infection. Therefore, prevention is extremely important.
See more on healthychildren.org

Symptoms

  • The first symptoms of rabies may be very similar to the flu and may last for days. Later signs and symptoms may include: 1. Fever 2. Headache 3. Nausea 4. Vomiting 5. Agitation 6. Anxiety 7. Confusion 8. Hyperactivity 9. Difficulty swallowing 10. Excessive salivation 11. Fear of water (hydrophobia) because of the difficulty in swallowing 12. Hallucinations 13. Insomnia 14. Partia…
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  • Initially, a dog whos become infected may show extreme behavioral changes such as restlessness or apprehension, both of which may be compounded by aggression. Friendly dogs may become irritable, while normally excitable animals may become more docile. A dog may bite or snap at any form of stimulus, attacking other animals, humans and even inanimate objects. T…
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  • There are two forms of rabies: paralytic and furious. In the early symptom (prodomal) stage of rabies infection, the cat will show only mild signs of CNS abnormalities. This stage will last from one to three days. Most cats will then progress to either the furious stage, the paralytic stage, or a combination of the two, while others succumb to the infection without displaying any major sym…
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  • From the point where the rabies virus entered the body, the virus moves towards the brain along the nerves. A person may show the first signs of rabies an average of 1 to 3 months after the virus enters the body. In humans, the first symptoms of the disease are non-specific and resemble other viral infections. They include: 1. pain or tingling at the bite site 2. a general feeling of illnes…
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Prevention

  • To reduce your risk of coming in contact with rabid animals: 1. Vaccinate your pets. Cats, dogs and ferrets can be vaccinated against rabies. Ask your veterinarian how often your pets should be vaccinated. 2. Keep your pets confined. Keep your pets inside and supervise them when outside. This will help keep your pets from coming in contact with wild animals. 3. Protect small pets fro…
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  • Rabies is a 100% vaccine-preventable disease. Countries embarking on rabies elimination programmes have successfully experienced marked reductions, often progressing to the elimination of rabies. Elimination programs often revolve around mass dog vaccination campaigns, where at least 70% of the dog population should be covered in order to break the cy…
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  • Dogs who are not vaccinated or allowed outdoors without supervision have a higher risk of contracting rabies from an infected animal. Prevention is necessary to lower the risk of contracting or spreading this deadly disease.Dogs can be vaccinated for rabies. Some countries, such as the United Kingdom, don’t experience rabies and therefore don’t offer this vaccination. K…
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  • In many countries the risk of rabies is similar to the United States, including most of Europe, Japan, Canada, and Australia. However, in many other parts of the world, rabies in dogs is still a problem, and access to preventive treatment may be hard. These areas include much of Africa, Asia, and Central and South America. If traveling to a country where there is an increased risk of …
See more on wwwnc.cdc.gov

Diagnosis

  • Rabies is diagnosed by testing fluids of the brain, skin, saliva and urine of an animal, not its blood serum. Diagnosis in the U.S. is done using a post-mortem direct fluorescence antibody test performed by a state-approved laboratory for rabies diagnosis. Your veterinarian will collect fluid samples if your cat dies while in quarantine, or if it begins showing progressive signs of rabies; i…
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  • As in many diseases, clinical suspicion is critical to a timely diagnosis of rabies. Rabies should be included in the differential diagnosis of any case of encephalitis of unknown origin, particularly when the patient has a history of an animal bite and signs of autonomic disturbance in the absence of coma. Thus, hyperventilation, hypersalivation, aerophobia, and hydrophobia are all p…
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  • Tests are performed on the animal that bit a person in order to confirm the presence of rabies in the animal. This requires killing the animal, if possible. This step is necessary because a person will not immediately show antibodies to the virus after being in contact with a rabid animal. If the bite came from a pet that appears sick, the pet is euthanized so its brain can be tested for rabies…
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  • Rabies is usually recognised by the history of a bite or exposure, symptoms and signs. However, the disease is rare, and if you do not report a recent dog bite, it can be difficult for a health care professional to identify rabies in the early stages. Often the disease is only confirmed after death. By law, a post-mortem examination is required in cases of suspected rabies. Typical changes in …
See more on health24.com

Cause

  • Rabies infection is caused by the rabies virus. The virus is spread through the saliva of infected animals. Infected animals can spread the virus by biting another animal or a person. In rare cases, rabies can be spread when infected saliva gets into an open wound or the mucous membranes, such as the mouth or eyes. This could occur if an infected animal were to lick an open cut on yo…
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  • This severe, and often fatal, viral polioencephalitis also has zoonotic characteristics, and can therefore be transmitted to humans. Rabies is usually transmitted through the saliva of an infected animal and is most commonly spread through bites. It is still possible to get rabies from a cat scratch or a scratch from any infected animal, but it is less common. Some other less com…
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  • The bite of a rabid animal (an animal infected with rabies virus) is by far the most common cause of rabies. The virus is carried in the saliva of the rabid animal and is able to enter the body through an opening in the skin, such as a bite wound. Although it is possible to get rabies from a non-bite exposure, this is very rare. For example, non-bite exposures include inhalation of aerosol particle…
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  • Rabies is caused by the rabies virus and other related rabies-like viruses. Once the virus has entered the body, it enters peripheral nerves and is carried towards the brain. The virus multiplies in the brain, causing brain dysfunction and ultimately death. The disease is spread from animal to animal, and occasionally from animals to humans. Human to human transmission is theoreticall…
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Epidemiology

  • With the exception of Antarctica, rabies is endemic on all continents. Of the tens of thousands of deaths occurring annually due to rabies, 95% of cases are reported in Asia and Africa.
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  • Rabies is found around the world, except Antarctica. Travelers who may come into contact with wild or domestic animals are at risk for rabies. This includes travelers spending a lot of time outdoors (such as campers and cavers), travelers with occupational risks (such as veterinarians and wildlife professionals), and long-term travelers and expatriates. Children are also at higher ri…
See more on wwwnc.cdc.gov
  • The epidemiology of human rabies is an exact reflection of the epizootiology of the disease in animals. From the viewpoint of public health, the dog or other canid species are the only important vector for humans, being responsible for most infections in Asia, Africa, and Latin America. However, with the retreat of canine rabies from most of the developed world, rabies tra…
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  • 1. Rabies occurs in all continents of the world except Antarctica, although some countries are rabies-free (including the UK). 2. Knowledge exists to eliminate the threat of canine rabies but lack of motivation by governments, cultural issues and lack of funding prevent progress. 3. There are estimated to be up to 61,000 deaths from rabies worldwide every year. 95% of these deaths occ…
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Risk Factors

  • Factors that can increase your risk of rabies include: 1. Traveling or living in developing countries where rabies is more common, including countries in Africa and Southeast Asia 2. Activities that are likely to put you in contact with wild animals that may have rabies, such as exploring caves where bats live or camping without taking precautions to keep wild animals away from your cam…
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Prognosis

  • The true burden of the disease is likely to be underestimated due to chronic underreporting and political neglect in many developing countries. Improved reporting systems are required to address the lack of accurate data and validate these estimates in a number of regions.
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  • Rabies affects the central nervous system, ultimately causing brain disease and death. Once symptoms of rabies appear, the disease is nearly always fatal, so prevention is especially important.
See more on wwwnc.cdc.gov
  • It is essential to administer post-exposure prophylaxis correctly. Death is almost certain if early treatment fails to prevent progression to infection and prodromal symptoms.Only a handful of cases of survival of human rabies have been documented, mostly in people who had either been previously vaccinated or who had received post-exposure prophylaxis.
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Pathophysiology

Image
Once the virus enters the cat's body, it replicates in the cells of the muscles and then spreads to the closest nerve fibers, including all peripheral, sensory and motor nerves, traveling from there to the CNS via fluid within the nerves. The incubation of rabies is, on average, between one and three months, but can be as little as a day …
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  • The virus is transmitted in the saliva of rabid animals and generally enters the body via infiltration of virus-laden saliva from a rabid animal into a wound (e.g. scratches), or by direct exposure of mucosal surfaces to saliva from an infected animal (e.g. bites). The virus cannot infiltrate intact skin. Once the virus reaches the brain, it further replicates, resulting in presentation of clinical si…
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  • 1. Any mammal can carry rabies but transmission occurs to humans most commonly worldwide from dogs (over 99% of cases). 2. In some countries, bats, monkeys and cats can also transmit rabies. Even in countries which are free of terrestrial rabies, bats may carry a rabies-like virus. (The only case acquired in the UK in the last century was attributed to a bat.) Foxes, racoons an…
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