Vaccination after exposure (post-exhibition prophylaxis or "PEP")
Vaccines to treat patients after exposure remain available, but only for Belgian travel clinics. Doctors can mitigate vaccine shortages by adopting intradermal PEP schedules (1/10 of the dose).
Vaccination before exposure (pre-exhibition prophylaxis or "PrEP")
Rabies PrEP schedules are now strongly discouraged because the stock must remain available for vaccination after exposure.
The traveller can be vaccinated before undertaking a journey only if he/she is likely to run a very high risk (occupational risk or in other exceptional circumstances) and if the travel clinic has enough annual stock. The intradermal schedule is preferred in this case (2²ID schedule: 2x 0.1 ml on day 0 and day 7).
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