Kedah records first rabies death since 1998

In a devastating blow to Kedah's health sector, the state has recorded its first human rabies case since 1998. The victim, a 31-year-old man from Kubang Pasu, succumbed to the disease after being bitten by a stray dog in August. Tragically, the man did not receive post-exposure prophylaxis (PEP) following his injury. Symptoms such as fatigue, weakness, numbness, difficulty swallowing, and behavioral changes emerged on September 18, progressing rapidly to life-threatening conditions like hydrophobia and aerophobia.

Upon confirmation of rabies through laboratory tests, Kedah's health authorities, including the veterinary services department, swiftly implemented various control and prevention measures. These included active case detection, health education, heightened surveillance of animal-bite cases, risk assessment, and stringent measures to control stray animals in the affected area.

This first-ever human rabies case in Kedah since 1998 has prompted an extensive epidemiological investigation by the health ministry, Kedah JKN, and other agencies. The investigation aims to pinpoint the source of infection and exposure, examining the victim’s travel history, contact tracing, and risk factors.

Control measures are being reinforced under the 'One Health' approach, which involves human exposure management, surveillance of animal-bite cases, and monitoring of dogs and potentially exposed animals in high-risk areas. As of August 2026, Kedah reported 502 animal bite and scratch cases, with 65.3% involving dogs, 23.1% cats, and 11.6% other animals.

The majority, 56.2%, were domestic animals, while 43.8% were stray animals. Health authorities urge the public to remain vigilant, stressing that rabies can be transmitted through animal bites, scratches, or contact with infected saliva. They strongly recommend pet owners to ensure their animals receive timely anti-rabies vaccinations and seek immediate medical attention if bitten or scratched by any animal.