DOG BITE

MANAGEMENT
GUIDELINE

GAJKNS-2/2017

SARAWAK HEALTH
DEPARTMENT

THIS DOCUMENT CAN BE USED IN SARAWAK ONLY

For any inquiry, please forward to CPRC, Sarawak Health Department:
Telephone No.: 082-443248
Fax No.: 082-443098
Email: cprc_sarawak@moh.gov.my

This document is translated from Panduan Pengurusan Gigitan Anjing GAJKNS-2/2017

SARAWAK HEALTH DEPARTMENT | DOG BITE MANAGEMENT GUIDELINE

ABBREVIATION
CPRC Crisis Preparedness and Response Center
DBC Dog Bite Clinic
*A specific infrastructure for outpatient management of dog/animal bite,
permanent or temporary at outbreak locality that has:
1. Trained health care workers to treat and assess risk of rabies in human, and
2. Facility and trained health care workers to five human anti-rabies vaccine.
DVS Department of Veterinary Service
ETD Emergency and Trauma Department
GP General Practitioner
HC Health Clinic
JKN Sarawak Health Department (Jabatan Kesihatan Negeri)
JPBN State Disaster Management Committee
MOH Ministry of Health
PEP Post Exposure Prophylaxis
PKB Divisional Health Office
PKD District Health Office
RIG Rabies Immunoglobulin
SVDL Sarawak Veterinary Diagnostic Laboratory

SARAWAK HEALTH DEPARTMENT | DOG BITE MANAGEMENT GUIDELINE

Contents
FLOW CHART FOR DOG/ANIMAL BITE CASE MANAGEMENT AT OUTBREAK DIVISION .... 4
FLOW CHART FOR DOG/ANIMAL BITE CASE MANAGEMENT AT NON-OUTBREAK
DIVISION ................................................................................................................................................. 5
ANNEX 1 (GAJKNS-2/2017) .................................................................................................................. 6
FEEDBACK COMMENT ON DOG/ANIMAL BITE NOTIFICATION .................................................. 9
INVESTIGATION FORM GA-JKNS-2/2017 ....................................................................................... 10
DOG/ANIMAL BITE RETURN SUBMISSION FLOW CHART FROM DIVISION/DISTRICT
HEALTH OFFICE ................................................................................................................................... 14
ANNEX 2 (GAJKNS-2/2017) ................................................................................................................ 15
ANNEX 3(GAJKNS-2/2017) ................................................................................................................. 19

SARAWAK HEALTH DEPARTMENT | DOG BITE MANAGEMENT GUIDELINE

 FLOW CHART FOR DOG/ANIMAL BITE CASE MANAGEMENT AT
OUTBREAK DIVISION

ETD/ Health clinic/ Wound category 1 – Wound

Wound category 2 &
Hospital/ GP management & notify the case to
3 need to be referred PKB/PKD using Annex 1
to DBC

Annex 1 & Annex 3 (2 copies -

1 PKB/PKD dan 1 DBC)
DBC PKB/
PKD
PKB/PKD updates Annex 3 di
For cases that need DBC
URGENT attention
Annex 2 & Database
and action from DVS, Feedback Annex 1
Line Listing kes
please Whatsapp notification to DVS
Gigitan Anjing/Haiwan
Annex 1 to CPRC at through SVDL for
before 12:00 pm
H/P no. 011- all cases through
18658421 within 1 email or fax every
hour after the case is Monday of the
assessed following Epid
CPRC, Week.
JKN
Feedback

Annex 2 CPRC informs SVDL on

Before urgent cases within 1 hour
3:00 pm Daily after notification is
Report received.
(Whatsapp
CPRC, & email)
MOH before 3:00
pm SVDL

JPBN
Sarawak

Address:
State Veterinary Diagnostic Laboratory
(SVDL)
KM 2, Jalan Dato Mohd Musa,
93250 Kota Samarahan, Sarawak.
Tel: 082-612949/082-611607
Fax: 082-613460
Email: svdl@sarawak.gov.my
H/P and WhatsApp:
Mr Mohd: 0111-2029710

SARAWAK HEALTH DEPARTMENT | DOG BITE MANAGEMENT GUIDELINE

 FLOW CHART FOR DOG/ANIMAL BITE CASE MANAGEMENT AT
NON-OUTBREAK DIVISION

Refer dog/animal bite case to

ETD/HC/ FMS/Physician for vaccination
Hospital/ GP consultation through phone
calls if needed.
Wound management
& case notification to
PKB/PKD using
Annex 1. Fill in
PKB/PKD updates Annex 3 at the
Annex 3 (2 copies-1
health facility where patient receives
PKB and 1
vaccination.
For cases that HC/Hospital) if
vaccination is given.
need URGENT
attention and
action from DVS,
PKB/
please Whatsapp
Annex 1 to CPRC at
PKD
H/P no. 011- Annex 1
Annex 2 dan Database
18658421 within 1 Feedback notification to DVS
Line Listing kes Gigitan
hour after the case is through SVDL for
Anjing/Haiwan before
assessed all cases through
10:00 am every
Monday of the following email or fax every
Epid Week. Monday of the
following Epid
Week.
CPRC,
JKN Feedback

Annex 2
Monthly CPRC informs SVDL on
before 10th of urgent cases within 1 hour
the following after notification is
month. received.

CPRC, SVDL
KKM

Address:
State Veterinary Diagnostic Laboratory (SVDL)
KM 2, Jalan Dato Mohd Musa,
93250 Kota Samarahan, Sarawak.
Tel: 082-612949/082-611607
Fax: 082-613460
Email: svdl@sarawak.gov.my
H/P and WhatsApp:
Mr Mohd: 0111-2029710

SARAWAK HEALTH DEPARTMENT | DOG BITE MANAGEMENT GUIDELINE

 ANNEX 1 (GAJKNS-2/2017)
DOG/ANIMAL BITE CASE NOTIFICATION FORM

Please choose for ACTION:

URGENT/NOT URGENT
To:

Please tick in the Facility

appropriate box
()
Divisional/District Health Office:
…………………………………

State Veterinary Diagnostic Laboratory (SVDL)

Notification Date (DD/MM/YY): ___________

(√ ) Please tick in the appropriate box

STATUS PESAKIT

Patient’s Name
MyKad/ MyKid/ Passport No.
Sex
Age
Race

Mother/Father/Guardian’s Name

Current Home Address

Locality (To be filled by PKB/PKD)

Patient’s House Phone No. or H/P No.
Date of Dog/Animal Bite (DD/MM/YY)
Date of Treatment Received (DD/MM/YY)
( ) Category 1
Touching/feeding animal. Licking of intact skin.
Risk Category
( ) Category 2 Nibbling of uncovered skin. Superficial scratch, no
bleeding. Licking of broken skin.

SARAWAK HEALTH DEPARTMENT | DOG BITE MANAGEMENT GUIDELINE

 • Bites/scratches which penetrate the skin and
draw blood.
( ) Category 3
• Licking mucous membrane.
• Multiple bites.
• Any wild animals bites
•
STATUS HAIWAN •
•
( ) DOG ( ) CAT
•
Type of Animal ( )• OTHERS (Please justify:___________)
•

Address where dog/animal bite occurred

Locality (To be filled by PKB/PKD)

( ) PET FULLY CONFINED WITHIN HOUSE

COMPOUND
Status of the animal
( ) PET THAT MIXED WITH STRAYS
( ) STRAY (including unknown status)

Reason of the dog/animal bite?

Is the dog/cat behaving normally? ( ) YES ( ) NO ( ) DON’T KNOW

Is the animal still alive? ( ) YES ( ) NO ( ) DON’T KNOW

Can the animal be identified? ( ) YES ( ) NO

Can the animal be observed by the owner
for 14 days? ( ) YES ( ) NO

Notified by;

____________________
(Signature)

Name:___________________________________________
Designation:_________________________________________
Hospital (Ward/Unit) /Clinic: ______________
Reporting Hospital/Clinic’s Tel. No.: ___________________

NOTE : This form must be filled by the medical practitioner who manages the god/animal bite. Please make
sure all columns are filled.

SARAWAK HEALTH DEPARTMENT | DOG BITE MANAGEMENT GUIDELINE

Duration of Feedback from the DVS to PKB following priority:
No. Category Duration of feedback

1 URGENT case <1 minggu

2 NON-URGENT case For info

SARAWAK HEALTH DEPARTMENT | DOG BITE MANAGEMENT GUIDELINE

 FEEDBACK COMMENT ON DOG/ANIMAL BITE NOTIFICATION

To:

CPRC, JKN/Divisional/District Health Office:

…………………………………
Date:_______________

Patient’s Name

MyKad / MyKid/ Passport No.

Division / District

Date of notification received

(DD/MM/YY)

Please Tick () Category Feedback Description

A SUSPECTED RABIES (Animal with two or more Typical Signs of

Rabies)

B PROBABLE RABIES (Animal with signs of sickness but Not

Typical / Non-Specific sign of Rabies)

C NOT LIKELY RABIES (Animals don’t show any clinical sign of

disease ie: healthy and NO history of being bitten by other
animals or biting other animals)

D NOT SURE AND NEED MONITORING (Animal is healthy but

has history of bitten by other animals or biting other animals)

E ANIMAL NOT FOUND/UNKNOWN

Reported by,

____________________
(Signature)

Name:___________________________________________
Designation:_________________________________________
Sarawak Department of Veterinary Services
SARAWAK HEALTH DEPARTMENT | DOG BITE MANAGEMENT GUIDELINE
 INVESTIGATION FORM GA-JKNS-2/2017

DOG/ANIMAL BITE CASE INVESTIGATION FORM

Date of Notification:____________________(Epid Week:________)

Investigation Date:__________________________________
Siri number (Filled by PKB/PKD): _____________/PKD___________ (*locality of dog/animal bite)

A: BIODATA OF CASE
Name (Uppercase):

Nationality: ( ) Malaysian
Please tick ( √ ) ( ) Non Malaysian
MyKad/ MyKid/ Passport No./ Birth Cert No.:
Sex: Male/Female
Age:
Race:

Mother/Father/Guardian’s Name
(If case is a child)

Phone number (H/P or House)

Current Home Address
Division: __________________________
District: ____________________________
Locality: ________________________________
Home Address: ___________________________
________________________________________

B. HISTORY OF BITE

Date of bite: Date: EW:

Division: __________________________
Place of Incident:
District: ____________________________
(for mapping purposes: MANDATORY to be
Locality: ________________________________
filled)
Address of Incident:
________________________________________
__________________________

SARAWAK HEALTH DEPARTMENT | DOG BITE MANAGEMENT GUIDELINE

 GPS Reading:
Latitude:___________________
Longitude:_________________

C. TREATMENT HISTORY
( ) Yes ( ) No
Received Treatment:
If Yes, where: Hospital / Health Clinic / Private
*Pick one
Clinik or Private Hospital*
Date of Treatment:
Name of Hospital/Clinic of treatment:
Case is treated as: Outpatient ( )
*Please tick ( √ ) Inpatient ( )
IM Anti Tetanus Toxoid (ATT) Injection ( ) Yes ( ) No
Wound was washed with clean running water
and soap for 15 minutes as soon as possible ( ) Yes ( ) No
after bitten

Body part bitten:

FRONT BACK SIDE

Touching/feeding animal.
( ) Category 1
Licking of intact skin.

Risk Category (MANDATORY to be filled) Nibbling of uncovered skin.

Superficial scratch, no
( ) Category 2 bleeding. Licking of broken
skin.

SARAWAK HEALTH DEPARTMENT | DOG BITE MANAGEMENT GUIDELINE

 • Bites/scratches which
penetrate the skin and
draw blood.
• Licking mucous
membrane.
( ) Category 3
• Multiple bites.
• Any wild animals bites

D. OBSERVATION STATUS FOR EARLY SIGNS AND SYMPTOMS:

Early signs and symptoms
*Please tick ( √ ) ( ) Fever ( ) Pain & numb at bitten body part
( ) Lethargy ( ) Headache ( ) Cough
( ) Flu
( ) Others:_________________________ (Please
justify)

E. STATUS OF THE ANIMAL INVOLVED

Type of animal: ( ) DOG
*Sila tanda ( √ ) ( ) CAT
( ) OTHERS (Please justify:___________)

( ) PET FULLY CONFINED WITHIN HOUSE

COMPOUND
Status of the animal
( ) PET THAT MIXED WITH STRAYS
Please tick ( √ ) ( ) STRAY (including unknown status)

( ) Still alive 14 days after date of bite

( ) Died within 14 days after date of bite
Current status of the animal involved
( ) Not known
* Please tick ( √ )
Please justify cause of death __________________
_______________________________________

F. COMMENT & ACTION BY THE INVESTIGATOR

SARAWAK HEALTH DEPARTMENT | DOG BITE MANAGEMENT GUIDELINE

Notification to Sarawak Veterinary Services Department:
( ) Yes (Date of Notification:___________________(Refer Annex 1)
( ) No

Other comment and action taken:

Name & Designation:

Office Address:
Stamp & Signature: Date:

SARAWAK HEALTH DEPARTMENT | DOG BITE MANAGEMENT GUIDELINE

DOG/ANIMAL BITE RETURN SUBMISSION FLOW CHART FROM
DIVISION/DISTRICT HEALTH OFFICE

PEJABAT KESIHATAN
DBC / CLINIC / HOSPITAL BAHAGIAN
- Vaccination status (Annex 3 )

ETD/OPD/KK/K1M/Dog Bite Clinic Linelisting Gigitan Anjing

Private Clinic/Hospital DATABASE_GA_JKNS_12017
- Case detection at health
facility

ACD
- Case detection at home

Pharmacy at Hospital/Clinic
- Vaccine dan Immunoglobulin

Health Education Unit ANNEX 2

-Health Education Activity

Hospital
-Inpatient
CPRC, JKN

Frequency of ANNEX 2 & Linelisting

Annex 2
return submission:

• Outbreak Division: DAILY

CPRC, MOH
• Non-outbreak Division: WEEKLY

SARAWAK HEALTH DEPARTMENT | DOG BITE MANAGEMENT GUIDELINE

 ANNEX 2 (GAJKNS-2/2017)

DAILY/WEEKLY REPORT
DOG/ANIMAL BITE CASE
DIVISIONAL HEALTH OFFICE _________

A. DOG/ANIMAL BITE INCIDENT

(1) Status of reported of dog/animal bite incident

Date/Epid. Week: __________

No. Subject Total

1a. No. of dog/animal bite reported (current)
1b. No. of dog/animal bite reported (previous)
No. of dog/animal bite received outpatient treatment
2a.
(current)
No. of dog/animal bite received outpatient treatment
2b.
(previous)
No. of dog/animal bite cases received anti-rabies
3.
vaccination (current)
3a) Dose 1 (Day 0)
3b) Dose 2 (Day 3)
3c) Dose 3 (day 7)
3d) Dose 4 (Day 14 or 21 or 28)
4. No. of dog/animal bite cases admitted to the ward (current)
No. of dog/animal bite cases taken specimen for Rabies
5.
virus (current)
6. No. of confirmed Rabies case (current)
7. No. of dog/animal bite cases died (current)

(2) Status of cumulative no. of dog/animal bite case from _____ to _______
No. Subject Total
Cumulative no. of dog/animal bite reported.
1. (Cumulative no. of dog/animal bite cases reported
previously = (1a + 1b)
Cumulative no. of dog/animal bite case received outpatient
treatment.
2.
Cumulative no. of dog/animal bite case received outpatient
treatment previously = (2a + 2b)
Cumulative no. of dog/animal bite case received anti-rabies
3.
vaccination
3a) Dose 1 (Day 0)
3b) Dose 2 (Day 3)
3c) Dose 3 (day 7)
SARAWAK HEALTH DEPARTMENT | DOG BITE MANAGEMENT GUIDELINE
 3d) Dose 4 (Day 14 or 21 or 28)
Cumulative no. of dog/animal bite case still under follow up
4.
for vaccination (PEP)
Cumulative no. of dog/animal bite case completed
5.
vaccination (PEP)
6. Cumulative no. of dog/animal bite case admitted to ward
Cumulative no. of dog/animal bite cases taken specimen for
7.
Rabies virus
8. Cumulative no. of confirmed Rabies case
9. Cumulative no. of dog/animal bite cases died

(3) Detail of cumulative inpatient case (Probable/Suspected/Confirmed Rabies)

NO NAME F/M AGE DIAGNO LOCALITY DATE DISCHAR WARD PROGRE

SIS OF GE SS
ADMIS DATE/DIE
SION D

B. CONTROL MEASURES/HEALTH EDUCATION ACTIVITY

1. ACTIVE CASE DETECTION (ACD) ACTIVITY

TOTAL OF TOTAL TOTAL
No. DIVISION TEAM NAME OF LOCALITY HOUSEHOLD POPULATION
1
1 DIVISION: _______
2
3
4
5
6
7
8
9
TOTAL
CUMULATIVE

2. List of health education activities

Division:_____

Current Cumulative
No. Health Education Activity
Session Attendance Session Attendance

1 Health talk

SARAWAK HEALTH DEPARTMENT | DOG BITE MANAGEMENT GUIDELINE

 2 Individual Advice

3 Pamphlets

4 Dialogue session

5 Video display

6 Small group discussion

7 Poster/Fish tail/Banner

3. No. of dog/animal bite cases referred to DVS:

Current Cumulative
No. of dog/animal bite case details fax to DVS

C. RABIES VACCINE/RABIES IMMUNOGLOBULIN (RIG) INFORMATION

a) Vaccine:
Previous Additional Remark
Quantity Balance
Date Facilty Balance stock
used Dose Dose
Dose 1 Dose 2
3 4

Total

Cumulative of vaccines used:

b) Rabies Immunoglobulin (RIG):

Type of Original Additional

Date Quantity used Balance
RIG quantity Quantity
Human

Equine

Total

Cumulative of RIG used:

SARAWAK HEALTH DEPARTMENT | DOG BITE MANAGEMENT GUIDELINE

D. REMARK BY OFFICER

Prepared by:
Name :
Designation :
Date :
Time :

Checked by:
Name :
Designation :
Date :
Time :

Verified by:
Name :
Designation :
Date :
Time :

SARAWAK HEALTH DEPARTMENT | DOG BITE MANAGEMENT GUIDELINE

 ANNEX 3(GAJKNS-2/2017)
DETAILS ON VACCINATION OF DOG/ANIMAL BITE CASE

To:

DIVISIONAL/DISTRICT HEALTH OFFICE: ……………………………………

NAME OF ‘DOG-BITE CLINIC’/ CLINIC : …………………………………………………

DATE OF REPORTING: …………….

Patient’s name
MyKad/ MyKid/ Passport
Current home address

1st day seen in DBC:

Name of referral facility:

Assessment at Dog-Bite Clinic (New ( ) Category 1

Case only)
( ) Category 2
( ) Category 3
Vaccination status ( ) Dose 1 Date given:
( ) Intramuscular Date given:
( ) Dose 2
( ) Discontinued
( ) Intradermal
Date given:
( ) Dose 3
( ) Discontinued
Date given:
( ) Dose 4
( ) Discontinued
( ) Not given
Rabies Immunoglobulin (RIG) given
( ) Yes ( ) No
If vaccine is NOT GIVEN or ( ) Dog/animal involved is still alive 14 days after the
DISCONTINUED bite.
Please state for other reason:

Name of Officer:
Designation:

SARAWAK HEALTH DEPARTMENT | DOG BITE MANAGEMENT GUIDELINE

This guideline is translated Panduan Pengurusan Gigitan Anjing GAJKNS-2/2017 on 8th February
2018 for the use in SARAWAK ONLY.

Document translated by:

Dr Lai Hui Yee

Medical Officer
Surveillance Unit
Sarawak Health Department

Davidson Clinn Tayus

Environmental Health Officer
Surveillance Unit
Sarawak Health Department

SARAWAK HEALTH DEPARTMENT | DOG BITE MANAGEMENT GUIDELINE