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Through Virus

In addition to aggression, the virus can induce hydrophobia ("fear of water")—wherein attempts to drink water or swallow cause painful spasms of the muscles in the throat or larynx—and an increase in saliva production. This aids the likelihood of transmission, as the virus multiplies and accumulates in the salivary glands and is transmitted primarily through biting. The accumulation of saliva can sometimes create a "foaming at the mouth" effect, which is commonly associated with rabies in animals in the public perception and in popular culture; however, rabies does not always present as such, and may be carried without typical symptoms being displayed.

Rabies kills an average of 70,000 people a year worldwide. Dogs are the primary cause of the virus infecting humans in most parts of the world, but in some countries, such as the United States and Canada, bats are the principal vector.

Stages of disease

Three stages of rabies are recognized in dogs and other animals.

  1. The first stage, known as the prodromal stage, is a one- to three-day period that occurs once the virus reaches the brain, and enters the beginning of encephalitis. Outwardly, it is characterized by behavioral changes such as restlessness, deep fatigue, and pain indications such as self-biting or itching. Some animals demonstrate more social behavior, while others conversely self-isolate; this is an early warning sign of the pathogen changing the hosts’ behavior to speed up transmission. Physical shifts such as fever, or nausea may also be present. Once this stage is reached, treatment is usually no longer viable. The onset of the prodromal stage can vary significantly, which can be attested to factors such as the strain of the virus, the viral load, the route of transmission, and the distance the virus must travel up the peripheral nerves to the central nervous system. The incubation period can be between months to years in humans but typically averages down to weeks or as little as a day in most mammals.
  2. The second stage is the excitative stage, which lasts three to four days. It is this stage that is often known as furious rabies due to the tendency of the affected animal to be hyperreactive to external stimuli and bite at anything near.
  3. The third stage is the paralytic or "dumb" stage and is caused by damage to motor neurons. Incoordination is seen due to rear limb paralysis and drooling and difficulty swallowing is caused by paralysis of facial and throat muscles. This disables the host's ability to swallow, which causes saliva to pour from the mouth. This causes bites to be the most common way for the infection to spread, as the virus is most concentrated in the throat and cheeks, causing major contamination to saliva. Death is usually caused by respiratory arrest.

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