Rabies remains a dreadful disease which kills about 50 000 people per
year, mostly in Asia, Africa, South America and Central Europe. Betwee
n 30% an 50% of the victims are young children. Modern rabies vaccines
are safe and immunogenic. Therefore parents must be informed on the r
isk of rabies, and pre-exposure vaccination must be performed for chil
dren traveling often or for periods longer than one month in canine en
zootic countries. Post-exposure treatment must be initiated without de
lay with modern vaccines wherever available, according to approved sch
edules, Pre-exposure vaccination is particularly useful in remote plac
es where modern vaccines and immunoglobulins are not readily available
. (C) 1998, Elsevier, Paris.