A recent publication report that in 2024, a farmer was bitten by his cow after the animal itself has been bitten by a suspected rabid stray dog. The farmer who had prior rabies vaccination immediately received postexposure prophylaxis (booster). Three weeks later the cow showed abnormal behavior and died; laboratory tests confirmed rabies.
Rabies remains endemic in Pakistan, causing 2,000–5,000 deaths annually, mainly among children and rural populations. However, this annual death toll is variable due to the unavailability of reliable rabies data. More than 1.5 million dog bites happen each year in Pakistan, especially in cities like Karachi.
While dogs are the primary source of human rabies, this case demonstrates that livestock can also transmit the virus, particularly in areas with limited veterinary oversight. Rabies in cattle is underreported and more common than often thought. The incident underscores the importance of strong surveillance and improved access to vaccines for both humans and animals.
Prevention: Avoid contact with animals and do not feed them! Travelers are advised to get a pre-exposure vaccination, especially those at higher risk, such as individuals working with animals, riding two-wheelers, visiting remote areas, young children, cave explorers, or anyone who may come into contact with bats.
Behavior after exposure: After an animal bite/scratch: immediately wash the wound with water and soap for 15 minutes, then disinfect and in any case visit a high-quality medical center for post-exposure vaccination as soon as possible!