{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T10:50:48Z","timestamp":1788691848331,"version":"build-2803163510"},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,7,8]],"date-time":"2016-07-08T00:00:00Z","timestamp":1467936000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zoonoses and Public Health"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Current guidelines in the setting of exposures to potentially rabid bats established by the Advisory Committee on Immunization Practices (ACIP) address post\u2010exposure prophylaxis (<jats:styled-content style=\"fixed-case\">PEP<\/jats:styled-content>) administration in\u00a0situations where a person may not be aware that a bite or direct contact has occurred and the bat is not available for diagnostic testing. These include instances when a bat is discovered in a room where a person awakens from sleep, is a child without an adult witness, has a mental disability or is intoxicated. The current <jats:styled-content style=\"fixed-case\">ACIP<\/jats:styled-content> guidelines, however, do not address <jats:styled-content style=\"fixed-case\">PEP<\/jats:styled-content> in the setting of multiple persons exposed to a bat or a bat colony, otherwise known as mass bat exposure (<jats:styled-content style=\"fixed-case\">MBE<\/jats:styled-content>) events. Due to a dearth of recommendations for response to these events, the reported reactions by public health agencies have varied widely. To address this perceived limitation, a survey of 45 state public health agencies was conducted to characterize prior experiences with <jats:styled-content style=\"fixed-case\">MBE<\/jats:styled-content> and practices to mitigate the public health risks. In general, most states (69% of the respondents) felt current <jats:styled-content style=\"fixed-case\">ACIP<\/jats:styled-content> guidelines were unclear in <jats:styled-content style=\"fixed-case\">MBE<\/jats:styled-content> scenarios. Thirty\u2010three of the 45 states reported prior experience with <jats:styled-content style=\"fixed-case\">MBE<\/jats:styled-content>, receiving an average of 16.9 <jats:styled-content style=\"fixed-case\">MBE<\/jats:styled-content> calls per year and an investment of 106.7 person\u2010hours annually on <jats:styled-content style=\"fixed-case\">MBE<\/jats:styled-content> investigations. <jats:styled-content style=\"fixed-case\">PEP<\/jats:styled-content> criteria, investigation methods and the experts recruited in <jats:styled-content style=\"fixed-case\">MBE<\/jats:styled-content> investigations varied between states. These dissimilarities could reflect differences in experience, scenario and resources. The lack of consistency in state responses to potential mass exposures to a highly fatal disease along with the large contingent of states dissatisfied with current <jats:styled-content style=\"fixed-case\">ACIP<\/jats:styled-content> guidance warrants the development of national guidelines in <jats:styled-content style=\"fixed-case\">MBE<\/jats:styled-content> settings.<\/jats:p>","DOI":"10.1111\/zph.12289","type":"journal-article","created":{"date-parts":[[2016,7,8]],"date-time":"2016-07-08T10:20:04Z","timestamp":1467973204000},"page":"127-136","source":"Crossref","is-referenced-by-count":8,"title":["Perceptions and Practices of Mass Bat Exposure Events in the Setting of Rabies Among U.S. Public Health Agencies"],"prefix":"10.1111","volume":"64","author":[{"given":"C. H.","family":"Hsu","sequence":"first","affiliation":[{"name":"Centers for Disease Control and Prevention Poxvirus and Rabies Branch Atlanta GA USA"},{"name":"Epidemic Intelligence Service Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. M.","family":"Brown","sequence":"additional","affiliation":[{"name":"Massachusetts Department of Public Health State Laboratory Institute Jamaica Plain MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. M.","family":"Murphy","sequence":"additional","affiliation":[{"name":"Virginia Department of Health Office of Epidemiology Richmond VA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. 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D.","family":"Blanton","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention Poxvirus and Rabies Branch Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. W.","family":"Petersen","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention Poxvirus and Rabies Branch Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. 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