Caspian Journal of Veterinary Sciences

Caspian Journal of Veterinary Sciences

Rabies in animals with emphasis on dogs and cats compared to humans

Document Type : Review article

Authors
1 Department of Pathobiology, Faculty of Veterinary Medicine, Amol University of Special Modern Technologies, Amol, Iran.
2 Faculty of Veterinary Science, Research and Science Branch, Tehran, Iran.
Abstract
Despite over four thousand years of recognition and the availability of effective vaccines, rabies kills 59,000 people annually. Once clinical signs appear, the disease is always fatal. With urbanisation and changing patterns of human–animal contact, the role of dogs as the primary reservoir and the growing role of cats as spillover hosts in urban settings require updated evaluation. This review aimed to assess published evidence on rabies in animals and humans. A systematic search was conducted across five databases using terms including Rabies, carnivorous, zoonosis, post-exposure prophylaxis (PEP), and catch-neuter-vaccinate-release (CNVR). Inclusion criteria: original studies, systematic reviews, meta-analyses, and case reports. Exclusion criteria: studies with poor methodology and duplicate publications. Dogs account for > 99% of human rabies deaths in endemic countries. In some locations, cats are responsible for more human exposure incidents than dogs. The direct fluorescent antibody test remains the diagnostic gold standard; however, its sensitivity drops below 70% with degraded tissue. The direct rapid immunohistochemistry test is an alternative for low-resource settings. PEP is approximately 100% effective when administered correctly; failures are linked to delayed initiation or incorrect rabies immunoglobulin infiltration. Mass dog vaccination at ≥ 70% coverage, combined with CNVR, universal PEP access, and integrated epidemiological surveillance in a One Health framework, is the pathway to achieving Zero by 2030. Incorporation of cat vaccination into national rabies control programmes is urgently needed.
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Al-Zahrani, M; Elassouli, MZ and Albayghany, YA (2025). Epidemiology, transmission dynamics, risk factors, and future directions of rabies in the Arabian Peninsula using one health approach. Eur. J. Public Health., 35: i14–i22.
Aluska, M; Mead, DG and Stallknecht, DE (2026). A systematic review of historical and contemporary rabies epidemiology and management in Alabama, USA. J. Wildl. Dis., 62: 1–25.
Amani, H; Saber, A and Neshat Iranpour, M (2023). Trends in animal bites and related public health challenges in Mazandaran Province. J. Health Care. [In Persian]
Asres, GD; Gessesse, YK; Salew, D; Semie, NS; Kindie, E; Minwagaw, MT; Tafere, W; Belay, Z; Alebachew, H; Bantie, GM and Zeru, T (2025). Traditional medicine use among rabies exposed individuals in Ethiopia: a systematic review and meta-analysis. PLoS Negl. Trop. Dis., 19: e0013319.
Fehlner-Gardiner, C; Nadin-Davis, SA and Wandeler, AI (2024). Rabies in cats an emerging public health issue. Viruses., 16: 1635.
Fishbein, DB; Sawyer, LA; Reid-Sanden, FL and Weir, EH (1988). Administration of human diploid-cell rabies vaccine in the gluteal area. N. Engl. J. Med., 318: 124–125.
Jackson, AC (2023). Neuroimmunology of rabies: new insights into an ancient disease. J. Med. Virol., 95: e29042.
Jane Ling, MY; Halim, AFNA; Ahmad, D; Ramly, N; Hassan, MR; Syed Abdul Rahim, SS; Saffree Jeffree, M; Omar, A and Hidrus, A (2023). Rabies in Southeast Asia: a systematic review of its incidence, risk factors and mortality. BMJ Open., 13: e066587.
Kaye, AD; Perilloux, DM; Field, E; Orvin, CA; Zaheri, SC; Upshaw, WC; Behara, R; Parker-Actlis, TQ; Kaye, AM; Ahmadzadeh, S; Shekoohi, S and Varrassi, G (2024). Rabies vaccine for prophylaxis and treatment of rabies: a narrative review. Cureus., 16: e62429.
Lodha, L; Ananda, AM and Mani, RS (2025). Advancing rabies diagnosis: time for a new ‘gold standard’? Mol. Diagn. Ther., 29: 153–159.
Ludmer, S; Crum, D; Wallace, R and Hutson, J (2025). Rabies outbreak in an urban, unmanaged cat colony Maryland, August 2024. MMWR Morb. Mortal. Wkly. Rep., 74: 480–483.
Merck Veterinary Manual (2024). Rabies in animals. 2024 ed. Available from: https://www.merckvetmanual.com/generalized-conditions/rabies/rabies-in-animals.
National Surveillance of Laboratory-Confirmed Animal Rabies Cases in Iran (2024). SID. [In Persian].
Reddy, MR; Burns, KE and Levine, M (2025). Rabies. In: StatPearls. Treasure Island (FL), StatPearls Publishing.
Reinhardt, F; Wendt, S; Pfeffer, M; Freuling, C; Müller, T and Lübbert, C (2026). Rabies in Europe: epidemiology, clinical management, and prevention. Dtsch. Arztebl. Int., 123: 108–114.
Taghbakhsh, H; Marandi, MV; Rahmanian, V and Hosseini, SM (2023). Tracking lethal threat: in-depth review of rabies. Open Vet. J., 13: 1385–1399.
Tidman, R; Larkins, A; Auplish, A; Benfield, C; Cleaveland, S; Fahrion, AS; Leopardi, V; Ghimire, R; Morucci, K; Sila, S; Castillo-Neyra, R and Okello, A (2025). Evaluating cross-cutting opportunities for dog-mediated rabies control: a scoping review. Front. Microbiol., 16: 1473929.
Warrell, MJ (2023). Single visit rabies pre-exposure prophylaxis: a literature review. Travel Med. Infect. Dis., 54: 102612.
Whitehouse, ER; Mandra, A; Bonwitt, J; Beasley, EA; Taliano, J and Rao, AK (2023). Human rabies despite post-exposure prophylaxis: a systematic review of fatal breakthrough infections after zoonotic exposures. Lancet Infect. Dis., 23: e167–e174.
WHO (2023). Rabies key facts. Geneva: World Health Organization. Available from: https://www.who.int/news-room/fact-sheets/detail/rabies.
WHO/FAO/OIE/GARC (2023). Zero by 30: the global strategic plan to end human deaths from dog-mediated rabies by 2030. Geneva: WHO. Available from: https://www.who.int/docs/default-source/rabies/zero-by-30-strategy.pdf.

Articles in Press, Accepted Manuscript
Available Online from 12 November 2026

  • Receive Date 08 June 2026
  • Revise Date 02 July 2026
  • Accept Date 02 July 2026