
Raccoon captured in New Jersey neighborhood tests positive for rabies
A raccoon found in Clementon has tested positive for rabies, the New Jersey Department of Health and Human Services confirmed.
According to health officials, a Clementon resident found the raccoon in their backyard on Sunday. They were able to contain the animal there until animal control arrived to pick up the animal. The raccoon was then sent to the state Public Health and Environmental Laboratories in Trenton for testing.
On Wednesday, the laboratory confirmed to the Camden County Department of Health that the raccoon was rabid.
Officials say there have been no known reports of human or animal exposures so far.
"Despite the seriousness of rabies, it can be prevented with early treatment," Commissioner Virginia Betteridge, liaison to the Camden County Health Department, said in a press release. "If you have been bitten or scratched by a wild animal, it is important that you seek immediate medical attention."
In a press release, Betteridge listed several steps Camden County residents can take to protect themselves and their pets:
Keep vaccinations up to date for all dogs, cats and ferrets.
Keep your pets under direct supervision so they do not come in contact with wild animals. If your pet is bitten by a wild animal, seek veterinary assistance for the pet immediately.
Contact your local animal control agency to remove any stray animals from your neighborhood.
She also reminded residents to avoid direct contact with unfamiliar animals:
Enjoy wild animals such as raccoons, skunks and foxes from afar. Do not handle, feed or unintentionally attract wild animals with open garbage cans or liter.
Never adopt wild animals or bring them into your home. Do not try to nurse sick animals to health. Call animal control or an animal rescue agency for assistance.
Teach children never to handle unfamiliar animals, wild or domestic, even if they seem friendly.
Prevent bats from entering living quarters or occupied spaces in homes, churches, schools and other similar areas where they might come in contact with people or pets.
When traveling abroad, avoid direct contact with wild animals
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Considering Possible Cognitive Impairment These actions apply to the 'mentation' component of geriatric care as well, Prather said, noting that pre-visit call center scripts can also prompt/remind patients to bring a family member or companion — in addition to their medications. By 2030, 20% of the population will be older than 65 years, noted dermatologist Freba Z. Farhat, MD, in another presentation at the meeting. People older than 85 years are the fastest growing segment of the US population and are expected to number 9.6 million by 2030 and 20 million by 2060. Of consequence for dermatologists is the significant number of people who have cognitive impairment, Farhat said. According to a cross-sectional nationally representative study led by researchers at Columbia University Irving Medical Center, New York City, published in 2022, almost 10% of US adults aged 65 years or older have dementia, and another 22% have mild cognitive impairment. Consideration of cognition and other factors such as functional mobility, social support, and polypharmacy are guiding principles in geriatric medicine and can all 'factor into what treatment plan we recommend,' said Farhat, assistant professor of dermatology at Georgetown University School of Medicine and director of the Inpatient Dermatology Consultation Service at Georgetown University Hospital/Washington Hospital Center, Washington, DC. Prather suggests that practices with a large senior population consider training their MAs to administer a Mini-Cog, a fast and simple screening test to detect possible cognitive impairment. 'You don't have to take ownership of it, but it might really help you think about how you communicate your care plans,' she said, noting that patients whose results suggest possible cognitive impairment can be referred back to the primary care physician. Mobility, Multi-Complexity, What Matters Other considerations for older patients include whether chairs in the clinics have arm rests, Prather said, noting that 'some older patients need those armrests to push up.' For older patients who need more time to move from place to place and more support overall, 'consider not double-booking these patients, or maybe schedule them at the end of the clinic block,' or, if possible, schedule them for a longer visit, she advised. Telemedicine visits for medication checks — to check on possible side effects, for instance — may be especially valuable for these patients, she noted. Regarding the multi-complexity often involved in the health of older adults, Prather encouraged dermatologists to 'embrace nutrition' by telling patients, for instance, 'your nutrition is really important to your skin health…and I'm not going to judge but I just want to get a general sense of your dietary intake.' She then asks patients what they ate for breakfast that morning, how many glasses of water they had that day, and what they ate for dinner the prior night. By asking such questions, 'you'll know if nutrition is contributing to your patient's skin health,' she said. (During her presentation, Prather said that she saw cases of scurvy in three patients in 2021 'related to the lack of nutritional access during COVID in individuals who were homebound.') Nutritional/meal support and other services are sometimes available through local offices on aging — and handouts that list these offices and other local community-based services can be valuable in the dermatology practice. 'In DC, we have the Department of Aging and Community Living,' which can facilitate free meal delivery for seniors who are dually eligible for Medicare and Medicaid, she said, 'and there are similar programs elsewhere.' To understand what matters most to patients, Prather suggested asking questions like these: 'What concerns you most about your health? What is the most important thing I need to know about how this [condition] impacts your quality of life? What are the things that bring you joy or make you happy most days, and are you able to do those things now? And what is going to make this treatment challenging for you?'