LosLobo

I think this has been discussed before. I would suggest that routinely self monitoring titer levels for rabies in Thailand would be beyond the scope and resources of most people unless they were in the higher risk categories. Most of the available documention on this subject is from the west (WHO, CDC etc) and they refer to management regimes of immunised persons by risk category. They have high risk for laboratory workers, frequent risk for animal workers and low risk for travellers in rabies enzootic regions but they don't seem to have a category or regime for local people permanently living in those areas (including most expats) who are at more risk than the average traveller. The average vaccinated traveller they say has lifetime immunity. I have read a lot of studies on the rabies immune response and about how the two post exposure boosters can still trigger a successful response even if there is no titer. Though more of a successful response is available after a booster is given one year after the initial vaccination. This regime evidently gives at least 10 years immunity before another booster is required. Personally, as I had a booster a year after my primary I will have another 10 years later and in the event of exposure I will perform the essential wound care and seek medical attention immediately. Canada Communicable Disease Report STATEMENT ON TRAVELLERS AND RABIES VACCINE http://webarchive.bac-lac.gc.ca:8080/wayback/20071116023105/http://www.phac-aspc.gc.ca/publicat/ccdr-rmtc/02vol28/28sup/acs4.html