Rabies in Practice: Navigating Complex Exposure Scenarios for the Traveling Patient

Rabies in Practice: Navigating Complex Exposure Scenarios for the Traveling Patient

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Rabies remains almost universally fatal once symptomatic, yet it is entirely preventable with timely, appropriate care — a gap that travel health practitioners are frequently asked to bridge under difficult circumstances. Following two years of foundational and epidemiological updates, this year's World Rabies Day webinar will shift to a case-based format, walking practitioners through real-world exposure scenarios: incomplete or unavailable post-exposure prophylaxis at the destination, uncertain animal exposure histories, pediatric and pre-travel counseling dilemmas, and decisions when immunoglobulin access is limited. The session will combine brief expert framing with interactive, scenario-driven discussion and audience Q&A.


Goals / Objectives
●    Apply current WHO and CDC Yellow Book rabies pre- and post-exposure prophylaxis recommendations to complex, real-world traveler scenarios.
●    Assess rabies exposure risk when destination-country resources, vaccine, or immunoglobulin access are limited.
●    Address common counseling challenges for pediatric travelers, expatriates, and other at-risk populations.
●    Build practitioner confidence in managing incomplete or interrupted prophylaxis regimens.
●    Engage participants in case-based reasoning through live polling and discussion.


Expected Outcome
By the end of the webinar, participants will be able to:
●    Assess rabies exposure risk and prophylaxis needs based on real-world, destination-specific scenarios.
●    Confidently guide patients through incomplete or interrupted post-exposure prophylaxis regimens.
●    Translate current ACIP and WHO guidance into practical, case-specific counseling for travelers.

Who Should Attend:
• Infectious Disease Practitioners - Doctors, Nurses, and Pharmacists
• Travel Health Practitioners - Doctors, Nurses, and Pharmacists
• Occupational Health Practitioners
• Public Health Practitioners
• Family Medicine Practitioners
• Any others who care for travelers


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1. Go to istm.cmecertificateonline.com
2. Click on the Rabies in Practice: Navigating Complex Exposure Scenarios for the Traveling Patient link.
3. Evaluate the meeting.
4. Print, download, or save your certificate for your records.
5. If you lose your certificate, or need help, go to help.cmecertificateonline.com

David Shlim, MD

David Shlim, MD

Medical Director, Jackson Hole Travel and Tropical Medicine; Medical Editor, Health Information for International Travel (The Yellow Book)

Chairman, The Medicine and Compassion Project, Jackson Hole, Wyoming

David R. Shlim, M.D. first visited Nepal in 1979 to work as a volunteer doctor for the Himalayan Rescue Association, at an aid post at 14,000 feet.  After three stints near the base of Mt. Everest, he moved to Kathmandu in 1983 to begin what became a fifteen-year career as the Medical Director of the CIWEC Clinic Travel Medicine Center in Kathmandu, the world’s busiest destination travel medicine clinic.  The clinic pioneered diarrhea research in travelers to Asia.  Empiric self-treatment of TD was originated in Nepal to help trekkers in remote areas treat their own diarrheal illness.  The CIWEC Clinic also discovered the protozoal pathogen Cyclospora, and did the only treatment study.  During his time in Nepal, the CIWEC Clinic administered over 1000 courses of post-exposure rabies immunoprophylaxis to travelers and expatriates.  

 

Dr. Shlim is the author of more than fifty original research papers, more than two dozen chapters in textbooks, and is a past president of the International Society of Travel Medicine.  He was an editor of the CDC’s Yellow Book from 2007 to 2023.  He is the co-author of the rabies section in the Yellow Book. In 2023, he received the first Jay Keystone award for best educator in travel medicine. 


He is the co-author, with Chokyi Nyima Rinpoche, of a book on how to train in compassion entitled Medicine and Compassion.  He is also the author of an award-winning memoir entitled A Gentle Rain of Compassion.  Since 1998, he has lived in Jackson Hole, Wyoming, where he practices travel medicine.

Oula Itani, MD

Oula Itani, MD

Infectious Diseases Physician

Medical Center of the Institut Pasteur

Dr Oula Itani is an Infectious Diseases physician at the Medical Center of the Institut Pasteur in Paris, France, where she started working after training in travel medicine and tropical diseases. Aside from her clinical work in the travel clinic for pre-travel counselling and post-travel management, she also participates in France’s largest rabies center, where roughly 1400 patients are seen yearly for post-exposure prophylaxis.  

Lucille H. Blumberg, MB BCH MMed (Micro) ID  (SA)  FFTM (RCPS,Glasgow) DTM&H DOH DCH

Lucille H. Blumberg, MB BCH MMed (Micro) ID (SA) FFTM (RCPS,Glasgow) DTM&H DOH DCH

Prof Blumberg is a specialist in clinical microbiology and infectious diseases and currently holds honorary appointments at the National Institute for Communicable Diseases, and the Universities of Stellenbosch and Pretoria (Faculty of Veterinary Science), South Africa. 

Her main areas of interest are in malaria, rabies, the viral hemorrhagic fevers, emerging zoonotic diseases and travel - related infections. She has advisory roles in a number of national, regional and international organizations including the WHO and Africa CDC.  She is the chair of the United Against Rabies Forum, a member of the WHO Strategic Advisory Group for Neglected Tropical Diseases, and the Rabies Advisory Group, South Africa. She is involved in formulating rabies prevention guidelines and policy for pre- and post-exposure prophylaxis. She is the co-director of the Geosentinal site in Johannesburg. 

Yen-Giang Bui, MD, DTMH, FISTM, CTH, CTropMed

Yen-Giang Bui, MD, DTMH, FISTM, CTH, CTropMed (Moderator)

Dr Yen-Giang Bui is a Counselor on the Executive Board of the ISTM, and the past Chair of the Professional Education Committee.

She serves on various expert committees both in Travel Health and in Immunization at the provincial and federal level in Canada. She is the Chair of the Committee to Advise on Tropical Medicine and Travel, Public Health Agency of Canada, where she contributes to various working groups, and leads the working groups on yellow fever and rabies.

She also works as a consultant to the Ministry of Health in Quebec in immunization programs.

Dr Bui holds a Diploma in Tropical Medicine and Hygiene, a Certificate in Travel Health and a Certificate of Knowledge in Clinical Tropical Medicine and Travelers' Health.

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Rabies in Practice: Navigating Complex Exposure Scenarios for the Traveling Patient
09/28/2026 at 9:00 AM (EDT)  |  90 minutes
09/28/2026 at 9:00 AM (EDT)  |  90 minutes
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No credits available  |  No certificate available How to Get Your Certificate 1. Go to istm.cmecertificateonline.com 2. Click on the Rabies in Practice: Navigating Complex Exposure Scenarios for the Traveling Patient link. 3. Evaluate the meeting. 4. Print, download, or save your certificate for your records. 5. If you lose your certificate, or need help, go to help.cmecertificateonline.com
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