Some children in North America had contact with bats. They needed medicine quickly to stay safe.

北美洲有一些兒童曾與蝙蝠接觸，他們需要迅速就醫用藥以確保安全。

A boy in Canada touched a bat. He did not see a cut on his skin. He did not get medicine. He became very sick and died. This is because rabies kills people if they do not get help fast.

加拿大有一個男孩觸碰了蝙蝠。他沒有看到皮膚上有傷口，因此沒有就醫用藥。結果他病得很嚴重並去世了。這是因為如果沒有及時救治，狂犬病會致人死亡。

A girl in Wisconsin had a bat bite her. She got the rabies vaccine in two days. Her parents did not like vaccines, but the doctors explained the danger. The girl got the medicine and she is healthy now.

威斯康辛州有一個女孩被蝙蝠咬傷。她在兩天內接種了狂犬病疫苗。雖然她的父母不喜歡疫苗，但醫生解釋了其中的危險。女孩接受了治療，現在很健康。

These stories show that you must see a doctor after you touch a bat. You do not need to see a wound or blood. Any contact with a bat is dangerous.

這些故事表明，在觸碰蝙蝠後必須就醫。不需要看到傷口或出血才去。任何與蝙蝠的接觸都是危險的。

Medicine saves lives. You must get the rabies vaccine quickly to survive.

藥物可以挽救生命。您必須迅速接種狂犬病疫苗才能生存。

Recent events in North America emphasize how important it is to get immediate medical help after any possible contact with bats, as this can lead to rabies exposure.

近期北美發生的事件強調了在與蝙蝠有任何可能的接觸後，立即尋求醫療幫助的重要性，因為這可能會導致狂犬病感染。

The progression of rabies is extremely dangerous because it is almost always fatal once neurological symptoms appear. For example, a case in Ontario, Canada, involving an 11-year-old boy, shows the risk of contact that seems harmless. Although there were no visible wounds or scratches on his skin, the boy died because he did not receive post-exposure prophylaxis (PEP) treatment. His condition worsened from tingling sensations and facial swelling to total brain failure, proving that the disease cannot be stopped once the virus reaches the central nervous system. This was the first local case in Ontario since 1967.

狂犬病的進展極其危險，因為一旦出現神經系統症狀，幾乎總是致命的。例如，加拿大安大略省一名 11 歲男孩的案例，顯示了看似無害的接觸所隱藏的風險。儘管皮膚上沒有明顯的傷口或刮痕，但該男孩因未接受暴露後預防（PEP）治療而死亡。他的病情從麻痺感和面部腫脹惡化至全腦功能衰竭，證明一旦病毒到達中樞神經系統，疾病將無法停止。這是安大略省自 1967 年以來的首例本地病例。

In contrast, a case in Wisconsin shows that fast medical action can save lives. A 6-year-old girl received PEP within 48 hours after being bitten by a rabid bat. Although her family generally disagreed with mandatory vaccines, the Shawano-Menominee County Health Department clearly explained the risks, which convinced the parents to allow the vaccination series. This result confirms the medical belief that rabies is completely preventable if treatment begins before symptoms start. Consequently, these two cases highlight that even if there is no visible injury, any direct contact with a bat is enough to require a medical consultation.

相比之下，威斯康星州的一個案例顯示快速的醫療行動可以挽救生命。一名 6 歲女孩在被染狂犬病的蝙蝠咬傷後 48 小時內接受了 PEP 治療。儘管其家人通常反對強制接種疫苗，但 Shawano-Menominee 縣衛生局清晰地解釋了風險，說服了父母允許接種系列疫苗。這一結果證實了醫療界的信念，即如果治療在症狀出現前開始，狂犬病是完全可以預防的。因此，這兩個案例突顯出，即使沒有明顯受傷，任何與蝙蝠的直接接觸都足以要求尋求醫療諮詢。

The difference between these two cases proves that receiving PEP treatment quickly is the only way to survive after being exposed to rabies.

這兩個案例的差異證明，在接觸狂犬病後，快速接受 PEP 治療是生存的唯一方法。

Recent incidents in North America highlight the critical nature of immediate medical intervention following potential rabies exposure from chiropteran contact.

北美近期發生的事件凸顯了在與蝙蝠接觸可能暴露於狂犬病後，立即進行醫療干預的關鍵性。

The clinical trajectory of rabies is characterized by a near-total fatality rate upon the manifestation of neurological symptoms. A case study from Ontario, Canada, involving an 11-year-old male, underscores the danger of asymptomatic initial contact. Despite the absence of cutaneous lesions or visible punctures, the subject succumbed to the virus after a failure to initiate post-exposure prophylaxis (PEP). The subsequent progression from paresthesia and facial edema to total brain stem dysfunction illustrates the irreversible nature of the disease once the viral load reaches the central nervous system. This instance represents the first locally acquired case in Ontario since 1967.

狂犬病的臨床進程特點在於，一旦出現神經系統症狀，死亡率幾乎達到 100%。加拿大安大略省一名 11 歲男童的個案，凸顯了初期無症狀接觸的危險性。儘管當時沒有皮膚病損或明顯的穿刺傷，但由於未能啟動暴露後預防接種（PEP），該個案最終死於病毒感染。隨後從感覺異常和面部水腫進展到完全的腦幹功能障礙，說明了病毒量一旦到達中樞神經系統，疾病將不可逆轉。此案例為安大略省自 1967 年以來首例本地感染病例。

Conversely, a case in Wisconsin demonstrates the efficacy of rapid pharmacological intervention. A 6-year-old female received PEP within 48 hours of a confirmed rabid bat bite. While the family expressed a general ideological opposition to mandated immunizations, the immediate risk communication provided by the Shawano-Menominee County Health Department facilitated the administration of the vaccine series. This outcome validates the medical consensus that rabies is entirely preventable if the antiviral regimen is commenced prior to symptom onset. The divergence in these outcomes emphasizes that the absence of visible trauma does not preclude the necessity of PEP, as direct contact with a bat is clinically sufficient to warrant medical consultation.

相反地，威斯康辛州的一個案例證明了快速藥物干預的療效。一名 6 歲女童在確定被染狂犬病的蝙蝠咬傷後 48 小時內接受了 PEP。儘管其家人在意識形態上反對強制接種疫苗，但 Shawano-Menominee 縣衛生局提供的即時風險溝通，促成了疫苗系列接種的執行。這一結果驗證了醫學界的共識，即只要在症狀出現前開始抗病毒方案，狂犬病是完全可以預防的。這兩種結果的差異強調，缺乏可見的創傷並不排除 PEP 的必要性，因為與蝙蝠直接接觸在臨床上就足以構成就醫諮詢的理由。

The contrast between these cases confirms that timely administration of PEP is the sole determinant between survival and fatality in rabies exposure.

這些個案的對比證實，及時執行 PEP 是決定狂犬病暴露後生存與否的唯一決定因素。