Worldwide, rabies is more common in children than adults. In addition to the potential for increased contact with animals, children are also more likely to be bitten on the head or neck, leading to more severe injuries. They are also less likely to report a bite. Children and their families should be counseled to avoid all stray or unfamiliar animals and to inform adults of any contact or bites. Animal exposure abroad is not limited to rural areas, since stray dogs are common in many urban areas. Children may approach or be unable to avoid animals. Mammal-associated injuries should be washed thoroughly with water and soap, and the child should be evaluated promptly for the need for rabies shots.
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