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Lyssaviruses are the etiological agents of rabies, one of the
oldest documented and feared maladies in medical history. The last
century has been particularly fruitful in regard to progress in
Iyssavirus phylogenetic affinities, diagnostics, pathogenesis,
molecular virology and epidemiology, pro phylaxis and control. Yet,
despite these academic and practical advances in research, the
age-old horror evoked by rabies is still very real, with only four
documented human recoveries once symptoms are realized. After
decades of intense scrutiny and four recent books describing rabies
and its viral relatives, there is still much to be learned. The
great authority on rabies, Karl Habel, once related an incident of
a very distraught elderly woman, who showed symptoms of
neurological disease. She told Habel, "I don't need a physician. I
know I have rabies. My beloved dog had rabies and died. Look", she
exclaimed, while flinging down a goblet of water, "I have
hydrophobia". Habel asked for her confinement for psychiatric
examination.
Rabies is one of the oldest known pathogens, is incurable, and has
the highest fatality rate of all infectious diseases. The Americas
is the only region with bat rabies virus, including vampire bat
rabies. The region is rich in cultural references and notable for
many discoveries in the field, including the current vaccine
potency test, diagnostic assay, conception of oral vaccines for
wildlife, the first human survivor and the first successful canine
rabies program executed at a broad level. Rabies remains the most
important viral zoonosis, with tens of thousands of human
fatalities and tens of millions of exposures annually, which can be
used to model for other pathogens, such as COVID-19. There is an
international effort to eliminate human rabies caused by dogs over
the next decade, and the Americas represent the primary region with
the greatest proof-of-concept evidence to accomplish this
goal. This two-volume set addresses the medical history and
modern results of rabies in countries throughout the Americas,
including the implications of and on cultural, economic,
sociological, and research developments in the region. Volume I
presents an overview of concepts critical to the study of rabies in
the region, including evolutionary aspects, reservoir ecology and
control, elimination efforts, vaccine development, and disease
hallmarks and progression. It also analyzes the
long-term cultural, social, and economic impacts of the
disease in the Americas.Â
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