{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:09:53Z","timestamp":1747188593737,"version":"3.40.5"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,5,31]],"date-time":"2019-05-31T00:00:00Z","timestamp":1559260800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Zoonoses and Public Health"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Mass bat exposures (MBEs) occur when multiple people are exposed to a bat or a bat colony, often over an extended period. In August 2017, a public health investigation was started in response to an MBE that occurred during May\u2013August 2017 at a national park research station in Wyoming. We identified 176 people who had slept primarily in two lodges (Lodges A and B) at the research station, and successfully contacted 165 (93.8%) of these individuals. Risk assessments (RAs) were administered to all 165 individuals to determine degree and type of exposures to bats (e.g., biting or scratching). Exposure status for research station guests was classified as \u201cnon\u2010exposed,\u201d \u201clow risk\u201d or \u201chigh risk,\u201d and counselling was provided to guide post\u2010exposure prophylaxis (PEP) recommendations. Prior to public health notification and intervention, 19 persons made the decision to pursue PEP. The healthcare\u2010seeking behaviours of this group were taken to represent outcomes in the absence of public health intervention. (These persons received a RA, and their risk classification was retrospectively assigned.) Approximately 1\u20132\u00a0weeks after conducting the RAs, we conducted a follow\u2010up survey to determine whether recommendations regarding PEP were ultimately followed. The proportion of individuals that unnecessarily pursued PEP was higher among the 19 individuals that sought health care prior to receiving the RA (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.00001). Among those receiving the RA first, all persons classified as high risk followed public health guidance to seek PEP treatment. Despite this, upon re\u2010interview, only 21\/79 (26.6%) of guests could accurately recall their risk classification, with most people (55.7%) overestimating their risk. Study findings demonstrate that early public health interventions such as RAs can reduce unnecessary use of PEP and that messaging used during rabies counselling should be clear.<\/jats:p>","DOI":"10.1111\/zph.12585","type":"journal-article","created":{"date-parts":[[2019,6,1]],"date-time":"2019-06-01T04:53:57Z","timestamp":1559364837000},"page":"504-511","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating the public health response to a mass bat exposure\u2014Wyoming, 2017"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7750-4416","authenticated-orcid":false,"given":"Andrea","family":"Cote","sequence":"first","affiliation":[{"name":"Epidemic Intelligence Service, Division of Scientific Education and Professional Development Centers for Disease Control and Prevention Atlanta Georgia"},{"name":"Wyoming Department of Health Cheyenne Wyoming"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan M.","family":"Wallace","sequence":"additional","affiliation":[{"name":"Poxvirus and Rabies Branch, Division of High\u2010Consequence Pathogens and Pathology Centers for Disease Control and Prevention Atlanta Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David A.","family":"Jackson","sequence":"additional","affiliation":[{"name":"Epidemic Intelligence Service, Division of Scientific Education and Professional Development Centers for Disease Control and Prevention Atlanta Georgia"},{"name":"Hazard Evaluations and Technical Assistance Branch National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention Cincinnati Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria A.","family":"Said","sequence":"additional","affiliation":[{"name":"Epidemiology Branch, Office of Public Health National Park Service Washington District of Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karl","family":"Musgrave","sequence":"additional","affiliation":[{"name":"Wyoming Department of Health Cheyenne Wyoming"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cuc H.","family":"Tran","sequence":"additional","affiliation":[{"name":"Poxvirus and Rabies Branch, Division of High\u2010Consequence Pathogens and Pathology Centers for Disease Control and Prevention Atlanta Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clayton","family":"Van Houten","sequence":"additional","affiliation":[{"name":"Wyoming Department of Health Cheyenne Wyoming"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexia","family":"Harrist","sequence":"additional","affiliation":[{"name":"Wyoming Department of Health Cheyenne Wyoming"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle","family":"Buttke","sequence":"additional","affiliation":[{"name":"Epidemiology Branch, Office of Public Health National Park Service Washington District of Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley","family":"Busacker","sequence":"additional","affiliation":[{"name":"Wyoming Department of Health Cheyenne Wyoming"},{"name":"Field Support Branch, Division of Reproductive Health Centers for Disease Control and Prevention Atlanta Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veronica","family":"Pickens","sequence":"additional","affiliation":[{"name":"Epidemiology Elective Program Centers for Disease Control and Prevention Atlanta Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4217-8195","authenticated-orcid":false,"given":"Sarah Anne J.","family":"Guagliardo","sequence":"additional","affiliation":[{"name":"Epidemic Intelligence Service, Division of Scientific Education and Professional Development Centers for Disease Control and Prevention Atlanta Georgia"},{"name":"Poxvirus and Rabies Branch, Division of High\u2010Consequence Pathogens and Pathology Centers for Disease Control and Prevention Atlanta Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,5,31]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_9_2_1","DOI":"10.1128\/CMR.00017-06"},{"volume-title":"Rabies adverse reaction","year":"2011","author":"Centers for Disease Control and Prevention","key":"e_1_2_9_3_1"},{"volume-title":"Human rabies","year":"2017","author":"Centers for Disease Control and Prevention","key":"e_1_2_9_4_1"},{"volume-title":"Vaccine shortage in light of a rise in rabies exposure","year":"2012","author":"Cheng C.","key":"e_1_2_9_5_1"},{"doi-asserted-by":"publisher","key":"e_1_2_9_6_1","DOI":"10.15585\/mmwr.mm6710a7"},{"doi-asserted-by":"publisher","key":"e_1_2_9_7_1","DOI":"10.1016\/j.vaccine.2008.05.048"},{"key":"e_1_2_9_8_1","first-page":"557","article-title":"Human exposure to a rabid bat \u2013 Montana, 2008","volume":"58","author":"Griffin J.","year":"2009","journal-title":"Morbidity and Mortality Weekly Report"},{"doi-asserted-by":"publisher","key":"e_1_2_9_9_1","DOI":"10.1111\/zph.12289"},{"doi-asserted-by":"publisher","key":"e_1_2_9_10_1","DOI":"10.2460\/javma.252.8.945"},{"key":"e_1_2_9_11_1","first-page":"1","article-title":"Human rabies prevention\u2013United States, 2008: Recommendations of the Advisory Committee on Immunization Practices","volume":"57","author":"Manning S. E.","year":"2008","journal-title":"MMWR \u2013 Recommendations and Reports"},{"volume-title":"Rabies","year":"2018","author":"National Park Service","key":"e_1_2_9_12_1"},{"volume-title":"Disease prevention","year":"2018","author":"National Park Service","key":"e_1_2_9_13_1"},{"key":"e_1_2_9_14_1","first-page":"1","article-title":"Use of a reduced (4\u2010dose) vaccine schedule for postexposure prophylaxis to prevent human rabies: Recommendations of the Advisory Committee on Immunization Practices","volume":"59","author":"Rupprecht C. E.","year":"2010","journal-title":"MMWR \u2013 Recommendations and Reports"},{"doi-asserted-by":"publisher","key":"e_1_2_9_15_1","DOI":"10.15585\/mmwr.mm6705a4"},{"doi-asserted-by":"publisher","key":"e_1_2_9_16_1","DOI":"10.1086\/586745"},{"key":"e_1_2_9_17_1","first-page":"382","article-title":"Assessment of risk for exposure to bats in sleeping quarters before and during remediation \u2014 Kentucky, 2012","volume":"62","author":"Thoroughman D.","year":"2013","journal-title":"Morbidity and Mortality Weekly Report"},{"key":"e_1_2_9_18_1","first-page":"749","article-title":"Assessment of rabies exposure risk in a Group of U.S. Air Force Basic Trainees \u2014 Texas, January 2014","volume":"63","author":"Webber B. J.","year":"2014","journal-title":"Morbidity and Mortality Weekly Report"}],"container-title":["Zoonoses and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fzph.12585","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/zph.12585","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/zph.12585","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/zph.12585","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T23:21:01Z","timestamp":1694301661000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/zph.12585"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,31]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2019,8]]}},"alternative-id":["10.1111\/zph.12585"],"URL":"https:\/\/doi.org\/10.1111\/zph.12585","archive":["Portico"],"relation":{},"ISSN":["1863-1959","1863-2378"],"issn-type":[{"type":"print","value":"1863-1959"},{"type":"electronic","value":"1863-2378"}],"subject":[],"published":{"date-parts":[[2019,5,31]]},"assertion":[{"value":"2019-01-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-04-27","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-05-31","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}