The modern rabies vaccine (teeka) is safe, effective, and given in the arm - NOT in the stomach like the old days! Rabies is 100% preventable with timely vaccination after a dog bite. Don't believe outdated myths - getting the vaccine promptly after any animal bite can save your child's life.
Understanding Rabies Vaccination in India
Watch: First Year Vaccination Schedule for Baby | Pain VS Painless Vaccine | Babynama Vaccination Package
India accounts for over a third of global rabies deaths. Most victims are children who don't receive timely vaccination due to:
Fear of painful injections (outdated!)
Belief in home remedies
Myths about the vaccine
Not recognizing minor bites as dangerous
Let's bust the myths and learn the facts!
Common Myths vs. Facts
MYTH 1: "Rabies vaccine is given in the stomach and is very painful"
FACT: This is completely WRONG in 2025!
Old nerve tissue vaccines (NTV) were given in the stomach
Modern cell culture vaccines are given in the ARM
They're no more painful than any regular vaccination
Available at all government hospitals (often free) and private clinics
MYTH 2: "If the dog is healthy/pet dog, no vaccine is needed"
FACT: Even healthy-looking dogs can carry rabies!
Dogs can transmit rabies up to 10 days before showing symptoms
Pet dogs that aren't vaccinated can get rabies
Always get evaluated by a doctor
The "10-day observation" period doesn't mean you should wait 10 days to start treatment
MYTH 3: "Minor scratches don't need treatment"
FACT: Even minor scratches can transmit rabies!
Rabies virus is in saliva
Any break in skin is enough for transmission
Dogs often lick their paws
When they scratch you, saliva transfers to the wound
MYTH 4: "Putting chili/haldi on the wound helps"
FACT: This is DANGEROUS!
Home remedies delay proper treatment
They can introduce infection
Some substances cause more tissue damage
Only soap, water, and proper antiseptics should be used
MYTH 5: "If the dog dies within 10 days, you need more injections"
FACT: Actually, it's the opposite!
If the dog dies or shows rabies symptoms, it confirms exposure
This may require adding immunoglobulin (if not already given)
But if the dog survives healthy for 10 days, you may stop vaccination early
Either way, start vaccination immediately - don't wait!
MYTH 6: "The vaccine causes serious side effects"
FACT: Modern vaccines are very safe!
Mild arm soreness is common (like any vaccine)
Slight fever may occur
Serious reactions are extremely rare
Benefits FAR outweigh minimal risks
MYTH 7: "Pregnant women and babies can't get rabies vaccine"
FACT: Rabies vaccine is safe for everyone!
Pregnancy is NOT a contraindication
Babies can and should receive it if bitten
Breastfeeding mothers can safely receive it
There's no age restriction
MYTH 8: "If we missed one dose, the whole course is wasted"
FACT: The course can be continued!
Missed doses can be given later
The schedule can be adjusted
Consult doctor about catching up
Don't abandon the course!
The Truth About Modern Rabies Vaccines
How They Work:
The vaccine trains your body to recognize and fight the rabies virus before it can cause disease.
PVRV (Purified Vero Cell Rabies Vaccine) - e.g., Verorab
All are equally effective and safe.
Standard Schedule (WHO Recommended):
Day
Dose
Notes
Day 0
1st dose
Same day as bite
Day 3
2nd dose
3 days after first
Day 7
3rd dose
7 days after first
Day 14
4th dose
14 days after first
Day 28
5th dose
May be optional for Category II
What is Rabies Immunoglobulin (RIG)?
Provides immediate protection while vaccine works
Given around the wound
Required for Category III exposures (deep bites, face bites)
Only needed once on Day 0
What to Expect After Vaccination
Common Side Effects (Normal - Don't Worry):
Mild pain at injection site
Slight redness or swelling at site
Low-grade fever
Tiredness
Mild headache
When to Contact Doctor:
High fever (>102°F)
Severe allergic reaction (rare)
Unusual swelling
Difficulty breathing (very rare)
Age-Specific Information
Infants and Toddlers
Vaccine is safe at any age
Dose is the same (not weight-based)
Given in the thigh for very young babies
May be more fussy temporarily
School-age Children
Most common victims of dog bites
Can help understand the importance of the vaccine
Involve them in counting remaining doses
Adults and Elderly
Same vaccine and schedule
Pre-exposure vaccination available for high-risk individuals
Where to Get Vaccinated
Government Hospitals:
Usually free of cost
Available at district hospitals
Government medical colleges
Primary Health Centers (PHCs) in some areas
Private Hospitals and Clinics:
More accessible
May have shorter wait times
Cost: Rs. 350-500 per dose typically
Pre-Exposure Vaccination
Who Should Consider It?
Veterinarians
Animal handlers
Lab workers handling rabies virus
Travelers to high-risk areas
Children in areas with many stray dogs
Schedule:
3 doses on Days 0, 7, and 21-28
Provides protection even before a bite
If bitten later, only 2 booster doses needed (no RIG)
Expert Insight: As our pediatricians remind parents: 'Milestones have wide ranges. Focus on progress, not comparison.'
FAQs
Q: My child is scared of injections. What can I do?
A: Distract with videos or toys during the injection. Apply EMLA cream 30 minutes before (numbs the skin). Explain that this will keep them safe. The injection is quick and much easier than old stomach injections.
Q: Can we space out the doses more?
A: It's best to follow the recommended schedule. However, if a dose is missed, consult your doctor - it can usually be adjusted. Don't skip the entire course.
Q: Do we need vaccine if the dog was vaccinated?
A: Even if the dog appears vaccinated, consult a doctor. They'll assess the risk and may still recommend prophylaxis, especially if vaccination records are uncertain.
Q: How much does the full course cost?
A: At government hospitals, it's often free. At private clinics, 5 doses may cost Rs. 2000-3000 total. Immunoglobulin (if needed) adds more. Health insurance may cover it.
Q: Is there a cure for rabies if symptoms start?
A: Unfortunately, no. Once symptoms appear, rabies is almost always fatal. This is why prevention through immediate vaccination is so crucial.
Q: How long is the vaccine effective?
A: Protection lasts for years. If bitten again after completing a full course, only 2 booster doses are needed on Days 0 and 3.
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This article was reviewed by a pediatrician. Last updated: January 2025
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