In this episode of viroLOGICAL, Florian Krammer explains rabies, one of the deadliest infectious diseases known. He describes what the rabies virus is, how it is transmitted mainly through bites and scratches, and why symptoms almost always lead to death once they appear. The episode covers how the virus spreads through the nervous system to the brain, which symptoms typically occur, and why incubation times can range from days to even years. It also explains how post-exposure prophylaxis can prevent the disease if given in time, how rabies is controlled through vaccination of pets and wildlife, and why the virus, despite its severity, does not pose a realistic pandemic threat.
Rabies case in the UK due to dog scratch in Morocco: https://www.theguardian.com/uk-news/2025/jun/18/person-dies-of-rabies-in-yorkshire-after-contact-with-dog-in-morocco
Rabies cases in the US through bats: https://www.cdc.gov/mmwr/volumes/71/wr/mm7101a5.htm?scid=mm7101a5w
Information about rabies free countries: https://worldpopulationreview.com/country-rankings/rabies-free-countries
NPR report about person who died due to refusal to get rabies post exposure prophylaxis: https://www.npr.org/2021/09/29/1041457232/rabies-illinois-man-death-rare-public-health
CDC rabies information: https://www.cdc.gov/rabies/php/protecting-public-health/index.html
Rabid: A cultural history of the world's most diabolic virus; Bill Wasik, Monica Murphy; ISBN:9780143123576, 0143123572
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[email protected]Krammer laboratory information
Krammer Laboratory at the Icahn School of Medicine at Mount Sinai
https://labs.icahn.mssm.edu/krammerlab/
Ludwig Boltzmann Institute for Science Outreach and Pandemic Preparedness
Ignaz Semmelweis Institute
https://semmelweisinstitute.ac.at/
Conflict of interest statement
The Icahn School of Medicine at Mount Sinai has filed patent applications relating to influenza virus vaccines and therapeutics, SARS-CoV-2 serological assays and NDV-based SARS-CoV-2 vaccines which name me as inventor. Mount Sinai has spun out a company, CastleVax, to commercialize NDV-based SARS-CoV-2 vaccines and I am named as co-founder and scientific advisory board member of that company.
I have previously consulted for Curevac, Merck, Gritstone, Sanofi, Seqirus, GSK and Pfizer and I am currently consulting for 3rd Rock Ventures (US) and Avimex (Mexico).
My laboratory has been collaborating in the past with Pfizer on animal models of SARS-CoV-2 and with GlaxoSmithKline and VIR on the development of influenza virus vaccines and therapeutics and we are currently collaborating with Dynavax, Inspirevax and Inimmune on development of influenza virus vaccines.
My work in the on immunity and infectious diseases in the US is supported by the National Institutes of Health, but also by FluLab and Tito’s Handmade Vodka. In the past I have also received funding from the Bill and Melinda Gates Foundation, PATH and the US Department of Defense.
My work in Austria is supported by the Ludwig Boltzmann Gesellschaft and by the Ignaz Semmelweis Institute through the Medical University of Vienna.