Harimau Selatan bermula garang

Piala pertama JDT musim ini, setelah 29 tahun akhirnya piala sumbangsih milik JDT. Tahniah.

Kemarau Kejuaraan Berakhir

Dahagakan kejuaraan selama 23 tahun, pasukan bola sepak JDT akhirnya ditabalkan sebagai Juara Liga Super 2014. Tahniah TMJ dan JDT

MAQIS

Logo Malaysian Quarantine and Inspection Services, Jabatan baru dalam Kementerian Pertanian dan Industri Asas Tani

Dua Tokoh Politik Negara Paling Berkarisma

Seorang telah pergi ke rahmatullah dan seorang lagi dikuarantin pengaruh politiknya.

Sultan Johor

Baginda bertitah GST tidak masuk akal

JDT CIPTA SEJARAH BOLASEPAK ASIA TENGGARA

JDT menjadi pasukan bolasepak pertama dari Malaysia dan juga Asia Tenggara merangkul Piala AFC.

PEREYRA DIAZ

Setelah beria ia kembali pada pasukan JDT. Pemain tiada disiplin ini akhirnya belot terhadap pasukan JDT.

Kehilangan MH370 pesawat MAS

Dunia dikejutkan dengan kehilangan pesawat MH370 milik MAS pada 8hb Mac 2014. Pesawat yang menuju ke China tersebut membawa 239 penumpang.

Import Keempat Harapan JDT 2016

Pemain yang berasal daripada Argentina ini menjadi pertaruhan dan harapan JDT untuk perkuatkan pasukan.

Zika Virus

Tiba-tiba virus ini menular di seluruh dunia. Malah virus ini memberi kesan kepada bayi dalam kandungan.

Jumaat, 29 Mac 2013

Why Banks Love Debit Cards Again

By Martha C. White | Time.com

Debit cards were supposed to be toast. The industry started writing their obituary when financial reform targeted overdraft fees and interchange or “swipe” fees, which had made debit cards extremely lucrative for banks. So why is it that banks are now pushing debit cards like never before? 
A couple years ago, the banking industry warned federal regulators that reform efforts could lead to both an increase in fees and a decrease in debit card usage. “Banks and credit unions could charge for various debit card‐related products and services that are now offered free of charge, such as free debit cards and free debit card transactions,” a consortium of financial industry executives wrote in a 2011 letter to the Federal Reserve arguing against reform. “Issuers could also be forced to discourage the use of debit cards for certain transactions … there could also be a reduction or termination of various products and services associated with debit card programs.”
As it turned out, none of that really happened. After an initial retrenchment, banks now are marketing debit cards as aggressively as ever. They’re even adding back debit card rewards programs, which many had discontinued in anticipation of the hit the regulations would deliver to their bottom lines.
New Federal Reserve data shows that the caps on interchange or swipe fees are working as intended. The average fee — the amount card issuers (banks) charged to merchants for each card swipe — dropped to 24 cents from 50 cents before the legislation took effect in 2011. CardHub.com crunched the numbers and estimated that big banks are losing about $8 billion a year as a result.
Because banks are earning less from debit cards, you might think that they’d want to steer customers away from using them. In fact, just the opposite is true. Banks are trying to make up for the decrease in the amount collected per fee with increased volume. “You need economies of scale” to make today’s debit-based business model work, says Brian Riley, senior research director at CEB TowerGroup.
Last year, banks sent out 42 million direct-mail offers for new debit cards, up 6% from 2011, according to Mintel Comperemedia. “It does appear that banks have regained their footing to some degree and are beginning to focus on debit card marketing,” says Susan Wolfe, vice president of research at Mintel Comperemedia.
In reality, the actual increase in debit card marketing is probably a lot higher, since the direct-mail stats don’t take into account the exponential rise in online marketing that’s taking place. A decade ago, direct mail used to account for more than 60% of openings, but it’s now fallen to less than a third of that, Riley says. Comparatively, only 4% of new applications for card-linked accounts used to come via the Internet, but now that figure has climbed to almost 40%.
Internet marketing is cheaper, and it also targets plugged-in Gen Y consumers on their own turf. Young adults — a highly coveted group because banks see them as potential customers for other products like a mortgage or life insurance policy down the line — have displayed a strong preference for debit over credit cards.
Wolfe says banks are targeting millennials in their marketing by appealing to their love of technology. “Interestingly, banks are promoting online banking, mobile banking and text banking as ways to stay on top of debit card spending,” Wolfe says. “Debit is also positioned as a better way to manage finances,” since users can keep track your bank account balance in real time via text or email alerts on their cell phones.
A recent study found that the number of 18-24 year-old college undergraduate students who own a credit card fell by 10 percentage points in only two years. “I don’t want to be paying for my money,” a 20-year-old woman told the Chicago Tribune.
“A lot of the millennials have been influenced by painful recession issues with their parents,” Riley says. Plus, many already have a heavy debt load because of student loans and don’t want to add to that by running up credit card balances.
Besides looking for new customers, banks are trying to get current customers to use their debit cards more frequently. “Some banks are encouraging customers to use the card for small purchases,” Wolfe says. After the swipe-fee rule kicked in, certain banks adopted the 24-cent cap as an effective floor as well as a ceiling. Since they earn the same amount if you buy a cup of coffee or a TV, they make out better if their customers use debit cards for lots of transactions, no matter how small.
“We’ve seen a resurgence of these types of offers encouraging customers to use their card throughout the day for a cup of coffee, lunch, an afternoon snack,” Wolfe says. “For the most part banks are promoting debit as a fast way to pay, as well as secure and convenient.”
The biggest shift in debit card marketing is the reintroduction of rewards programs, which wereeliminated in “knee-jerk” fashion a few years ago, says Riley. Today’s programs are different from the ones they’re replacing, though. The older programs allowed users to swipe cards and accumulate a pool of points that could be cashed in. The typical debit card reward program nowadays gives customers rewards in the form of a percentage or dollar amount off at a local business or national retailer they’ve shopped at before. Customers pay the full amount up front at the cash register with their debit cards, and later get a credit for the discount on their statements.
“It kind of changes the whole mindset,” Riley says. “To me, a reward is aspirational.”
Aspirational doesn’t always lend itself to smart spending, though, since some people are tempted to overspend in order to get a “free” perk. This more restrained, coupon-esque approach to rewards is probably a better fit for today’s consumers, who are always looking for a deal.



Khamis, 28 Mac 2013

10 Things About Nick D’Aloisio, Self-Taught App Developer and Teen Millionaire



BY  

NickDaloisio

If you didn’t know Nick D’Aloisio, he might seem like any other teen — he goes to school, has cool hair and contends with protective, yet proud parents. But he has become something of a legend lately, a bona fide geek idol for every youngster with digital dreams. The young Brit runs with celebrities. He appears all over television and the Internet. And he gets tech luminaries and venture capitalists to slobber all over themselves to wheel and deal with him.


10 Things About Nick D’Aloisio
  1. Nick was born in 1995 in London to Australian ex-pats.
  2. He got his first computer at age 9, and used that to make movies with programs like Final Cut Pro.
  3. A self-taught programmer, Nick learned how to code using “C for Dummies” and online videos. He created his first app in 2008 at age 12, and had to submit it under his father’s name, since he was four years too young to meet the App Store’s minimum age of 16. After that, he developed a new app every summer break until 2011, when the then-15-year-old developed Trimit, the forerunner to Summly. 
  4. summly-fryNick is the youngest entrepreneur who has ever scored VC funding, taking the title away from Kiip founder Brian Wong, who had nabbed it at age 21. He has struck deals for hundreds of thousands of dollars with the likes of Stephen Fry, Ashton Kutcher, Yoko Ono, Zynga founder Mark Pincus, billionaire Li Ka-Shing, and media magnate Rupert Murdoch.
  5. Trimit was renamed and relaunched in the Apple App Store in December 2011 as Summly. Just two years later, Yahoo! would pay $30 million dollars for it.
  6. He calls this whole endeavor “a hobby that’s gone crazy.” (Now that’s an understatement.)
  7. Many parents would have been proud of the teen, even before he reached tech superstardom. He’s an industrious student with an academic scholarship who’s finishing up his final year and a half at the prestigious King’s College School in Wimbledon.
  8. He is as much a modern design nerd as a tech geek. Just check out Summly’s page for proof: It features Arne Jacobsen’s landmark midcentury modern chair, The Egg. 
  9. Fun fact: Nick is actually only one year younger than Yahoo! itself, which was incorporated in 1995, making it 18. 
  10. Nick knows that his Yahoo!-Summly deal is one part of the company’s larger push for mobile, and stated as much in a letter to Summly users. The teen is a rather eloquent communicator, whose thoughtfully considered style suggests a wisdom and maturity that exceeds his years.

Nick has been on fire lately, and we wish him nothing but the best. He may be “just a kid,” but he exemplifies everything about the democratization of tech opportunities today and the immense potential for success for anyone who’s intelligent, creative and hard-working — no matter what the age. 


British teen sells mobile news app to Yahoo for $30 million


SAN FRANCISCO — Meet Nick D'Aloisio, the 17-year-old British entrepreneur who just sold his popular news-reading app to Yahoo Inc. for close to $30 million, instantly becoming one of the world's youngest self-made millionaires.
It's the classic Silicon Valley success story of a young software prodigy striking it ridiculously and improbably big. But this time the spotlight is shining on the other side of the pond.
D'Aloisio, who taught himself to write software at age 12, built the free iPhone app Summly — which automatically summarizes news stories for small screens — in his London bedroom in 2011. He was just 15 years old.
Soon he had backing from Horizons Ventures, the venture capital arm of Hong Kong billionaire Li Ka-shing and big names such as Zynga Inc.'s Mark Pincus and actor Ashton Kutcher.
Before it was pulled from the app store Monday after the announcement of the Yahoo deal, D'Aloisio's app Summly had been downloaded nearly 1 million times. It had deals with 250 online publishers, including News Corp., and 10 employees in London. Not bad for a high school student.
"To me, Yahoo is the best company to be joining right now because it's one of these classic Internet companies," D'Aloisio said in an interview. "With new leadership from Marissa Mayer, Yahoo has a strong focus on mobile and product, and that's the perfect fit for Summly."
Mayer, the former Google Inc. executive who took over the Sunnyvale, Calif., company last summer, has focused on mobile technology to revive Yahoo's lagging fortunes. She has snapped up a number of promising mobile start-ups as much for their personnel as for the innovation.
In D'Aloisio, Yahoo is getting someone who truly thinks and lives in the mobile world.
Rather than browsing the Web by clicking a mouse, more people are connecting to the Internet with their smartphone or tablet, changing what kind and how much information they consume, Yahoo mobile chief Adam Cahan said. Silicon Valley companies such as Facebook and Yahoo are looking to adapt their Internet businesses to hold on to consumers who want easier, faster ways to find what matters to them.
"Summly solves this by delivering snapshots of stories, giving you a simple and elegant way to find the news you want, faster than ever before," Cahan said.
D'Aloisio, who took a break from school for six months to focus full time on Summly, will join Yahoo's London office while continuing his studies in the evenings and living at home with his parents. He says Yahoo plans to integrate Summly into all sorts of mobile experiences.
"The real idea is to take the core of the technology and find different fits for it and make it as ubiquitous as possible on the Web," he said. "We want to take summarization and build beautiful content experiences around it."
He says his parents — his dad is an energy financier, his mother is a lawyer — will help him manage the financial windfall (he says all he wants is a new computer and pair of Nike trainers). But he says he was not driven to the deal by dollar signs.

Kenaikan Gred G17 dan J17 ke G29 dan J29 adakah pasti?

Akhbar TheStar 19hb Mac lepas, telah melaporkan kenaikan gred bagi kakitangan awam di bawah gred G17 dan J17 kepada G29 serta J17. Kenaikkan tersebut akan di realisasikan pada 1 Julai 2013 ini.


Tuesday March 19, 2013

80,000 technical and agricultural civil servants to get raise

By ISABELLE LAI
isabellelai@thestar.com.my


PETALING JAYA: Around 80,000 civil servants in the technical and agriculture sector will have their remuneration schemes upgraded as of July 1, said Malaysian Technical Services Union president Shuhaimi Othman.
Shuhaimi said this represented a victory for some 60,000 technicians, who have been fighting to improve their schemes for 25 years.
“We are very grateful to the Government for listening and recognising our skills as professionals. The upgrade is much needed as today’s cost of living is high,” he said.
Shuhaimi, who is also Cuepacs vice-president (technical division), said the upgrade would encompass technicians under schemes J17 to J29, as well as agricultural staff from schemes G17 to G29.
He said this had been decided in a meeting with Public Service Depar­tment (PSD) deputy director-general Datuk Farida Mohd Ali last week following a press conference by Cuepacs expressing dissatisfaction with some aspects of the new Transformative Remuneration System.
Cuepacs president Datuk Omar Osman had said that they would hold a protest against the PSD on April 5 if no action was taken.
“However, we have cancelled that. We also did not send a protest letter to the Prime Minister as we had the meeting with Datuk Farida,” said Shuhaimi.
He said the remaining 166,000 civil servants ranked between grades one to 10 were expected to be upgraded later this year.

Tapi persoalannya betulkah berita ini.....kenapa akhbar lain tak siarkan...

Rabu, 27 Mac 2013

Tak sabar-sabar mengundi, undi saya rahsia...

Apa nak jadi sampai sekarang tak bubar lagi........parlimen.

Siapa tau apa ada dalam fikiran mereka berdua.................dalam politik dulu kawan, sekarang kononnya lawan, dulu lawan sekarang kawan..............


Tapi yang pasti beberapa negeri bakal hilang kerajaan awal....sebelum Parlimen dibubarkan........

Ahad, 24 Mac 2013

New animal-to-human diseases likely to increase

Researchers blame global warming, increased urbanization and environmental disruption.

Related Topics:



Increased environmental disruptions, global warming and urbanization are set to trigger new pandemics of infectious diseases, according to a recent story by The Independent.
 
At least 45 diseases that have passed from animals to humans have been reported to U.N. agencies in the last two decades, with the number expected to escalate in the coming years, according to the report. These emerging and re-emerging diseases, which have jumped the human-animal species barrier in record numbers, include malaria, lyme disease, Hantavirus, West Nile disease and schistosomiasis.
 
"We appear to be undergoing a distinct change in global disease ecology. The recent emergence of infectious diseases appears to be driven by globalization and ecological disruption," said Dr. Montira Pongsiri, an environmental health scientist at the U.S. EPA, adding that previous transitions in human history have also had devastating impacts in terms of spreading diseases.
 
The most well-known case of a disease that jumped from animals to humans is HIV, the virus that causes AIDS. HIV is thought to have crossed from chimpanzees to humans in West Africa in the last century. Since then, more than 25 million people worldwide have died from it.
 
The swine flu pandemic is a more recent example of a disease jumping from animals to humans. It is thought to have emerged in Mexico as a result of the mixing of viruses that infected pigs, humans and birds, which then created a new pandemic strain. Though that particular strain turned out to be milder than predicted, future flu pandemics could have higher death rates and infect more people, warn researchers.
 
Though the number of people who succumbed to infectious diseases fell sharply in the developed world during the industrial revolution, the rise of manufacturing and pollution levels increased the incidence of chronic diseases including cancer, allergies and birth defects, according to Pongsiri and colleagues.
 
This time, the surge in diseases is being driven by the destruction of plant and animal habitats, the loss of species and changes that have brought more humans into closer contact with animals than at any stage in human history.
 
"Since 1940, over 300 new diseases have been identified, 60 percent of which crossed to humans from animals and 70 percent of these came from contact with wildlife. I would expect the emergence of new diseases from contact with animals to continue in this century,” said David Murrell, a lecturer in ecology at University College London.
 
And, as urbanization and globalization increase, it’s all the more likely that these diseases will increase as well.
 
“There is no evidence to suggest this is going to end any time soon," said Dr. Jan Slingenbergh of the United Nations Food and Agriculture Organization. "Agriculture looks set to continue growing for another two decades, and we are only at the beginning of climate change.”

Trafficking wildlife pays as well as drugs or guns

Safer in the water: Hammerhead, with Oceanic Whitetip and Porbeagle sharks, were given CITES protection to save them from excesses of the 'finning' trade.
BY HUGH PAXTON
SPECIAL TO THE JAPAN TIMES
Wildlife trafficking is a murky, lucrative, violent trade; ongoing, increasingly organized and sophisticated, but one that still remains largely unnoticed. And it is out of control.
Interpol rates it on a par with drugs and arms when it comes to scale and the overall market value of the “products” killed, bought, traded and smuggled.
What is bought? What is sold?
It’s an extraordinary shopping list. Dugongs in Trang province, southern Thailand, are beheaded for their tears which are considered, by some, as essential for love potions; elephants are shot for ivory; tigers are killed for everything they are comprised of (even their whiskers are valued in China as a cure for lethargy); sharks for fins; small primates such as the Slow Loris for pets (currently in vogue in Japan); Rosewood trees for guitars and shiny red aromatic floors; rhinos for horn now fashionable in Vietnam as a hangover cure when grated — and displayed ostentatiously by the newly rich.
It is a daunting assault on our planet’s living things. And I joined the CITES conference held from March 3-14 in Bangkok to see what was going on to stop it.
CITES, the Convention on International Trade in Endangered Species of Wild Fauna and Flora, is celebrating its 40th birthday since a resolution that paved the way for it to come in force in July 1975 was adopted at a March 3, 1973 meeting of the World Conservation Union (the IUCN; founded in France in 1948 and compiler of the Red Lists of Endangered Species). It now has 177 nations (so-called parties) as members.
CITES is basically a compiler of lists and a compass for conservation efforts and trade restraints. If a species is in danger of extinction it is listed in Appendix I. No trade (unless something very unusual merits it). Appendix II species are in trouble and trade is restricted. Appendix III species might be in trouble.
The 16th CITES conference took place in the Queen Sirikit International Conference Center in Bangkok — and it was hopping. The air conditioning was on full blast and hypothermia was a risk. Step outside and wow! Hot Bangkok! Heatstroke!
Inside the building were lots of people, some in suits, some in T-shirts. Leaflets, and agendas, were everywhere. The Inuit had a booth explaining why hunting polar bears was traditional. Japan had a booth with a couple of posters illustrating how Japanese utilize all the bits of a shark includingkameboko (those rubbery things in your noodles that are meant to be decorative).
Neither Japan, nor the Inuit, had anybody staffing their booths. Rather derelict in contrast to the booths run by the NGOs. The NGOs were exuberant, fun, fierce and determined, had lots of literature and lots of drinks parties. The empty Japan booth was sad.
As the conference progressed I sensed a divide. In the grand halls, international delegates were voting on appendices. Rosewood up to Appendix II; so too some sharks and Manta Rays; the Siamese Crocodile still stuck in Appendix I (despite Thailand having 600,000 in crocodile farms). No international trade there. The wild population stands at 200.
There was genuine joy when some species of sharks and the Manta Rays got protected. Japan objected, Thailand just got it wrong. A bit of a muddle. The Thai voice was afraid that the Manta Ray ban would affect the private aquarium trade. There was a discrete silence on that one. Nobody keeps Manta Rays in a tank in their living room. Manta Rays are bigger than a living room.
Silence also greeted the delegate from the Republic of Congo who suggested that all ivory should be DNA tested then returned to its country of origin. Thailand’s prime minister vowed to ban the illegal trade in ivory. This statement was spontaneous and ambiguous. The illegal trade in ivory has already been banned. She’ll ban it again. “We’ll wait and see what she means and if she means what she said,” said Steve Galster of the Freeland Foundation.
I left CITES inspired by all the people who cared and wanted change. I was also depressed. The hideous statistics; the waste and the carnage.
Okay, there are more species alive today than have ever died, says renowned biologist E.O. Wilson. True. And most species haven’t even been discovered, catalogued or given a name. Yet worldwide they are being extinguished. I left the CITES conference in Bangkok feeling horrified. The numbers! The stupidity! The dugong’s tears!

What is CITES?

The Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES), now celebrating its 40th anniversary, aims to regulate trade in living things that are threatened with extinction.
To date, 177 countries have signed up and CITES has issued regulations guiding international commerce in roughly 34,000 species ranging, in the words of its website, “from leeches to lions and from pines to pitcher plants.” Most of those species, around 29,000, are plants.
CITES classifies species using appendices: Appendix I means extinction looms and trade is illegal under all but very exceptional circumstances; Appendix II means the species is threatened and trade must be restrained; and in Appendix III the species are protected in at least one country that would like other parties to follow suit.
The status of species may change depending on new developments, and, importantly, to change its Appendix requires a two-thirds majority vote by parties when they gather for a Conference of Parties (COP) every four years.
If, like the Tasmanian Tiger or the Rabbit-eared Bandicoot, they’ve joined the history books they leave their Appendix. CITES has no law-enforcement powers and relies on the voluntary compliance of signatory-party nations, but it serves as a compass for international decision-makers and law enforcers, media, scientists, the pressure groups and the public.
“Is it effective?” I asked of some attending the Bangkok COP. There were mixed responses with a summary on CITES from one delegate: “Better than nothing.”

Rabies


Key facts

  • Rabies occurs in more than 150 countries and territories.
  • More than 55 000 people die of rabies every year mostly in Asia and Africa.
  • 40% of people who are bitten by suspect rabid animals are children under 15 years of age.
  • Dogs are the source of the vast majority of human rabies deaths.
  • Wound cleansing and immunization within a few hours after contact with a suspect rabid animal can prevent the onset of rabies and death.
  • Every year, more than 15 million people worldwide receive a post-exposure vaccination to prevent the disease– this is estimated to prevent hundreds of thousands of rabies deaths annually.

Rabies is a zoonotic disease (a disease that is transmitted to humans from animals) that is caused by a virus. The disease affects domestic and wild animals, and is spread to people through close contact with infectious material, usually saliva, via bites or scratches.
Rabies is present on all continents with the exception of Antartica, but more than 95% of human deaths occur in Asia and Africa. Once symptoms of the disease develop, rabies is nearly always fatal.
Rabies is a neglected disease of poor and vulnerable populations whose deaths are rarely reported. It occurs mainly in remote rural communities where measures to prevent dog to human transmission have not been implemented. Under-reporting of rabies also prevents mobilization of resources from the international community for the elimination of human dog-mediated rabies.

Symptoms

The incubation period for rabies is typically 1–3 months, but may vary from <1 week to >1 year. The initial symptoms of rabies are fever and often pain or an unusual or unexplained tingling, pricking or burning sensation (paraesthesia) at the wound site.
As the virus spreads through the central nervous system, progressive, fatal inflammation of the brain and spinal cord develops.
Two forms of the disease can follow. People with furious rabies exhibit signs of hyperactivity, excited behaviour, hydrophobia and sometimes aerophobia. After a few days, death occurs by cardio-respiratory arrest.
Paralytic rabies accounts for about 30% of the total number of human cases. This form of rabies runs a less dramatic and usually longer course than the furious form. The muscles gradually become paralyzed, starting at the site of the bite or scratch. A coma slowly develops, and eventually death occurs. The paralytic form of rabies is often misdiagnosed, contributing to the under-reporting of the disease.

Diagnosis

No tests are available to diagnose rabies infection in humans before the onset of clinical disease, and unless the rabies-specific signs of hydrophobia or aerophobia are present, the clinical diagnosis may be difficult. Human rabies can be confirmed intra-vitam and post mortem by various diagnostic techniques aimed at detecting whole virus, viral antigens or nucleic acids in infected tissues (brain, skin, urine or saliva).

Transmission

People are usually infected following a deep bite or scratch by an infected animal. Dogs are the main host and transmitter of rabies. They are the source of infection in all of the estimated 50 000 human rabies deaths annually in Asia and Africa.
Bats are the source of most human rabies deaths in the United States of America and Canada. Bat rabies has also recently emerged as a public health threat in Australia, Latin America and western Europe. However, in these regions the number of human deaths due to bat rabies remains small compared to those following dog bites. Human deaths following exposure to foxes, raccoons, skunks, jackals, mongooses and other wild carnivore host species are very rare.
Transmission can also occur when infectious material – usually saliva – comes into direct contact with human mucosa or fresh skin wounds. Human-to-human transmission by bite is theoretically possible but has never been confirmed.
Rarely, rabies may be contracted by inhalation of virus-containing aerosol or via transplantation of an infected organ. Ingestion of raw meat or other tissues from animals infected with rabies is not a source of human infection.

Post-exposure prophylaxis (PEP)

Post-exposure prophylaxis (PEP) consists of:
  • local treatment of the wound, initiated as soon as possible after exposure;
  • a course of potent and effective rabies vaccine that meets WHO recommendations; and
  • the administration of rabies immunoglobulin, if indicated.
Effective treatment soon after exposure to rabies can prevent the onset of symptoms and death.
Local treatment of the wound
Removing the rabies virus at the site of the infection by chemical or physical means is an effective means of protection. Therefore, prompt local treatment of all bite wounds and scratches that may be contaminated with rabies virus is important. Recommended first-aid procedures include immediate and thorough flushing and washing of the wound for a minimum of 15 minutes with soap and water, detergent, povidone iodine or other substances that kill the rabies virus.
Recommended PEP
PEP depends on the type of contact with the suspected rabid animal (see table).

Table: Categories of contact and recommended post-exposure prophylaxis (PEP)

Categories of contact with suspect rabid animalPost-exposure prophylaxis measures
Category I – touching or feeding animals, licks on intact skinNone
Category II – nibbling of uncovered skin, minor scratches or abrasions without bleedingImmediate vaccination and local treatment of the wound
Category III – single or multiple transdermal bites or scratches, licks on broken skin; contamination of mucous membrane with saliva from licks, contacts with bats.Immediate vaccination and administration of rabies immunoglobulin; local treatment of the wound
All category II and III exposures assessed as carrying a risk of developing rabies require PEP. This risk is increased if:
  • the biting mammal is a known rabies reservoir or vector species;
  • the animal looks sick or has an abnormal behaviour;
  • a wound or mucous membrane was contaminated by the animal’s saliva;
  • the bite was unprovoked; and
  • the animal has not been vaccinated.
In developing countries, the vaccination status of the suspected animal alone should not be considered when deciding whether to initiate prophylaxis or not.

Who is most at risk?

Dog rabies potentially threatens over 3 billion people in Asia and Africa. People most at risk live in rural areas where human vaccines and immunoglobulin are not readily available or accessible.
Poor people are at a higher risk, as the average cost of rabies post-exposure prophylaxis after contact with a suspected rabid animal is US$ 40 in Africa and US$ 49 in Asia, where the average daily income is about US$ 1–2 per person.
Although all age groups are susceptible, rabies is most common in children aged under 15. On average 40 % of post-exposure prophylaxis regimens are given to children aged 5–14 years, and the majority are male.
Anyone in continual, frequent or increased danger of exposure to rabies virus – either by nature of their residence or occupation – is also at risk. Travellers with extensive outdoor exposure in rural, high-risk areas where immediate access to appropriate medical care may be limited should be considered at risk regardless of the duration of their stay. Children living in or visiting rabies-affected areas are at particular risk.

Prevention

Eliminating rabies in dogs
Rabies is a vaccine-preventable disease. The most cost-effective strategy for preventing rabies in people is by eliminating rabies in dogs through vaccination. Vaccination of animals (mostly dogs) has reduced the number of human (and animal) rabies cases in several countries, particularly in Latin America. However, recent increases in human rabies deaths in parts of Africa, Asia and Latin America suggest that rabies is re-emerging as a serious public health issue.
Preventing human rabies through control of domestic dog rabies is a realistic goal for large parts of Africa and Asia, and is justified financially by the future savings of discontinuing post-exposure prophylaxis for people.
Preventive immunization in people
Safe, effective vaccines can be used for pre-exposure immunization. This is recommended for travellers spending a lot of time outdoors, especially in rural areas, involved in activities such as bicycling, camping, or hiking as well as for long-term travellers and expatriates living in areas with a significant risk of exposure. Pre-exposure immunization is also recommended for people in certain high-risk occupations such as laboratory workers dealing with live rabies virus and other rabies-related viruses (lyssaviruses), and people involved in any activities that might bring them professionally or otherwise into direct contact with bats, carnivores, and other mammals in rabies-affected areas. As children are considered at higher risk because they tend to play with animals, may receive more severe bites, or may not report bites, their immunization could be considered if living in or visiting high risk areas.

WHO response

For at least three decades WHO has fought to break the "cycle of neglect" affecting rabies prevention and control particularly in low- and middle-income countries through advocacy, surveys and studies and research on the use of new tools .
The Organization continues to promote human rabies prevention through the elimination of rabies in dogs as well as a wider use of the intradermal route for PEP which reduces volume and thereby cost of cell-cultured vaccine by 60 to 80%.
WHO supports targets for elimination of human and dog rabies in all Latin American countries by 2015 and of human rabies transmitted by dogs in South-East Asia by 2020. In this latter region a five-year plan (2012–2016) aims to halve the currently estimated number of human rabies deaths in endemic countries.