Every childhood rabies death is potentially preventable. The vaccine that prevents rabies disease has a formidable safety and efficacy track record. Rabies vaccination of dogs and timely pre-and post-exposure vaccine administration are life-saving and cost-effective, and yet nearly 60, people, mainly children, die unnecessarily each year. Poor performance by many veterinary and public health systems, and neglect by complicit authorities is in stark contravention of the Convention on the Rights of the Child. The ethical principle of beneficence and the rule of rescue demand re-energised commitment to eradicating childhood rabies deaths. The burden of human rabies falls heavily on young children in developing countries with most of the approximately 59, annual deaths due to rabies occurring in children younger than 15 years of age in Africa and Asia with virus transmission largely from rabid dogs [ 1 , 2 ]. Almost every one of these deaths reflects a failure of the public health and veterinary systems as the vaccine that is available is highly effective in preventing disease in dogs and humans [ 3 ]. However, in addition to the primary failure of not reaching all dogs with vaccine by weak veterinary programs, and the secondary failure in not providing ready access to post-exposure treatment with rabies vaccine and immunoglobulin by deficient health systems, either through inability to secure stock or to follow guidelines, there is a potential third failure, that of not administering pre-emptive protective vaccination to children in high-risk rabies-endemic areas where the perpetual weakness of the public health and veterinary systems in delivering education and vaccination is well recognised [ 4 ]. However, only two countries, Peru and the Philippines, have thus far implemented this strategy. In addition, accelerated regimens all vaccine doses administered within a week and administration by intradermal rather than intramuscular route were found to be highly immunoprotective.
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I know I am a strong person but it really does suck sometimes. A Mormon will tearfully and emotionally recite whichever lesson they need at the given moment. I too wish I had researched more in depth the other doc's wives blogs out there - I would have come up with a much more clever blog title. Good communication, love, support and understanding are the things you should consider.
That question really put things into perspective for me, so thank you. This came about after many hours and many days of prayer, scripture study, going to the temple, receiving a priesthood blessing, and speaking with people I greatly trust my mom, especially. For men, this will likely come after completing your mission trip, so in your early 20s at the earliest. He fit me- does that make sense. How do you feel about that. Vh65, your marriage is a black swan. I recall reading a talk from Elder Nelson in which he indicated that the church teaches general principles and does not spend time teaching exceptions to general principles. It has just made me realize that these formulas a lot of us Mormons learn growing up about how to have a happy marriage are, well, crap. It's alot to understand if not raised and taught in it specifically. I wish you the best.