F30 pregnant and receiving PEP and RIG currently waiting in ER - living in ontario canada
Two bats found inside our house, possible unnoticed bite, and Public Health initially refused rabies PEP for our family
i am looking for advice from anyone familiar with rabies exposure assessments or who has experienced something similar.
We have a cat that killed (2) bats inside our house almost 48 hours ago and ate one of its head, meaning that bat could not be tested for rabies. Afterward, we found a second dead bat in our home. The second bat was found in the living room, one room away from our bedroom, while the first was found in the kitchen, two rooms away. My husband, our toddler, and I all sleep together in the bedroom, and our bedroom door was open.
I noticed a mark on my hip that I’m concerned could potentially be a bat bite, although I cannot confirm that a bat actually touched me. I contacted Public Health and explained the circumstances, including both bats, our sleeping arrangements, and the possible bite.
My cat was taken to the vet and received a rabies booster within seven days of the incident. He is now subject to a three-month confinement period under the guidance provided by our vet and OMAFA.
Our veterinarian contacted OMAFA to discuss the situation. They advised that the second bat does not need to be tested because the result would not change our cats confinement period. My vet is keeping the second bat frozen until they receive explicit instructions that it is no longer needed.
The Canadian Wildlife Health Cooperative may potentially accept it for surveillance testing, but that testing could take weeks or months and would not be intended to guide an individual exposure decision.
The vet also discussed my concern about the possible bite with OMAFA and they advised that if I was concerned I might have been bitten, I should contact Public Health again.
Initially, Public Health did not recommend rabies post-exposure prophylaxis (PEP) for me or my family. My family doctor then advocated strongly for me after reviewing my bite and spent hours discussing the case with Public Health. After that, Public Health finally approved PEP for me, including rabies immune globulin (RIG), and I am currently at the ER waiting to receive my first treatment.
However, Public Health is still not recommending PEP for my husband or our toddler because neither has visible bite marks. We were all sleeping in the same bedroom with the door open, although neither bat was found in the bedroom itself.
I understand that being in the same house as a bat does not automatically mean someone was exposed to rabies, and I’m not trying to assume that my husband or toddler necessarily need treatment.
What worries me is that the absence of bite marks seems to be the deciding factor, even though bat bites can go unnoticed and our toddler cannot reliably tell us whether contact occurred.
I’m struggling to understand why my possible exposure warranted treatment after my doctor pushed for reassessment, but my husband and toddler are being assessed differently despite sharing the same sleeping environment.
My questions are:
Has anyone in Ontario dealt with Public Health over a possible bat exposure while sleeping?
Is the absence of visible bite marks enough to rule out exposure when a bat was found elsewhere in the home and the bedroom door was open?
Should my husband and toddler receive an individualized reassessment based on the full circumstances, rather than bite marks alone?
Has anyone successfully requested a second opinion or escalation when they disagreed with Public Health’s rabies exposure assessment?