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most cases the disease is transmitted via the bite of rabid animals which shed infectious virus with their
saliva.
A virus can enters the body through wound or direct contact of infectious material (i.e. saliva,
cerebrospinal liquid, nerve tissue) to mucous membranes or skin lesions.
Note: a virus cannot penetrate an intact skin
entry the virus binds to cell receptors. Viruses may replicate within striated muscle cells are
directly infect nerve cells.
virus then travels via retrograde axoplasmatic transport mechanisms to the central nervous
system
has reached the CNS, rapid virus replication takes place, causing pathologic effects on nerve cell
physiology.
virus then moves from the CNS via anterograde axoplasmic flow within peripheral nerves,
leading to infection of some of the adjacent non-nervous tissues, for example, secretory tissues
of salivary glands.
The virus is widely disseminated throughout the body at the time of clinical onset
https://www.who-rabies-bulletin.org/site-page/transmission-and-pathogenesis
There are 17 human rabies deaths from January to May, two of cases were confirmed by
laboratories as positive.
Highest death was in Negros Occidental with eight. Aklan and Iloilo province each has three
cases; Capiz has two; while Iloilo City has one death.
Six of the death cases were children less than 13 years old.
First quarter of the year, the region recorded 22,206 animal bites.
https://www.pna.gov.ph/articles/1073471