Rabies exposure assessment tool

Rabies is a fatal but preventable viral disease that affects the nervous system. It can spread to people and pets if they are bitten or scratched by an infected animal. To prevent rabies, vaccinate your pets, stay away from wildlife, and get medical care right away after possible exposure. Rabies in humans is nearly always fatal. To learn more about rabies in Utah, visit the Utah Department of Health and Human Services (DHHS) rabies webpage.

The risk of exposure to rabies varies by state. This tool was developed based on the epidemiology of rabies in Utah. If you are not a Utah resident, or if you may have been exposed to rabies while in another state, refer to the rabies guidance for the state where you were exposed, or call your local health department to talk about your unique situation.

This survey will ask you some questions to figure out your risk of exposure to rabies. Based on your responses and the determined level of risk, rabies control measures might be necessary. Control measures may include rabies testing of the animal, preventive rabies vaccination for you, and/or pet quarantine. You will be given detailed next steps about who to call for help. If you would like to speak to someone on the phone instead, call the local health department in your area.

Do you work for a rabies response entity (health department, animal control, DWR, veterinarian, healthcare provider, etc.)?

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Yes

No, I am a member of the public

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What type of rabies response agency are you a part of, if applicable:

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If you selected other, provide your job title or field of work:

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Are you using this tool to assess an actual situation in which a rabies exposure may have occurred?

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Yes

No, I am using this tool for educational or hypothetical purposes only. My responses are not related to an actual event.

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Read the following statement to the individual you are interviewing, and select the response of the interviewee:

"I am using a survey tool that asks some questions to figure out your risk of exposure to rabies. If you provide information in this survey, this information will be used by the Utah Department of Health and Human Services and your local health department. The responses you provide in this survey will only be used to determine if a rabies exposure may have occurred, and for anonymous data analysis of rabies exposures in Utah. The information you give in this survey will be saved in a confidential and secure database. Do you consent to the use of your information as described?"

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Yes

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Now read the following statement to the individual you are interviewing:

"Providing your contact information allows us to connect you with rabies prevention services if we feel this is necessary. Rabies prevention measures can be life-saving in the event of a rabies exposure. If you complete this survey without providing your contact information, we will not be able to help connect you with rabies prevention services."

Note: DHHS will only contact the person when we feel that it is necessary to fill a gap in rabies prevention.

Your first and last name (person filling out this survey):

Name of your organization or agency:

Your phone number:

Your email address:

First and last name of person(s) involved in the possible rabies exposure (bite victim, owner of exposed pet):

Best phone number to reach person(s) involved:

Best email address to reach person(s) involved:

County of residence of person(s) involved:

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State of residence of person(s) involved:

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Country of residence of person(s) involved:

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State where possible rabies exposure occurred:

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Country where possible rabies exposure occurred:

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County where possible rabies exposure occurred:

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Provide as much detail as possible about the exposure location (city, street, building, name of trail, park, or recreation area, etc.):

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If you provide information in this survey, you consent to this information being used by the Utah Department of Health and Human Services and your local health department. The responses you provide in this survey will only be used to determine if a rabies exposure may have occurred, and for anonymous data analysis of rabies exposures in Utah. The information you give in this survey will be saved in a confidential and secure database.

Providing your contact information allows us to connect you with rabies prevention services if we feel that this is necessary. Rabies prevention measures can be life-saving in the event of a rabies exposure. If you complete this survey without providing your contact information, we will not be able to help connect you with rabies prevention services.

First and last name of person(s) involved in the possible rabies exposure (bite victim, owner of exposed pet):

First and last name of person completing this survey, if different from above:

Phone number to contact for follow up:

Email address to contact for follow up:

County of residence of person(s) involved:

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State of residence of person(s) involved:

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Country of residence of person(s) involved:

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State where possible rabies exposure occurred:

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Country where possible rabies exposure occurred:

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County where possible rabies exposure occurred:

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Provide as much detail as possible about the exposure location (city, street, building, name of trail, park, or recreation area, etc.):

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You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.