Donna Craig
My question is in regards to a current patient that is 2 yr 11 months old that was an "island dog" (I think Cancun) that was rounded up, spayed and vaccinated before import to Florida. The owner was holistically minded and never had further vaccines done. I examined her in Aug 2026 and pulled blood for all titers (sent to KSU, my alma mater), but we did a rabies micro titer, not an end-point titer and the rabies titer came back as <0.5 IU/ml (the "recognized level of protection"). I will add that a recent NAVC conference talk I attended called "Rabies and Rabies Vaccination: Compliance and the “Must Know” Issues (Boehringer Ingelheim)" it was implied that in many if not most dogs, 2 Rabies vaccines are required to mount an appropriate immune response. I have seen this in a couple dogs (one was sickly)I have titered that only received 1 vaccine. So, my questions: 1. Should l only do end-point titers so I have the actual value as opposed to a Yes/No result and can thereby prove quantitatively there is a response to vaccine? 2. Now that I have made it through this course, do you feel should I repeat a vaccination (using the Tautode) for this patient and/or future patients that fall below the "recognized" level of protection? (Depending on your answer, I may recommend that we do an end-point titer with this patient to "see" her actual number, but curious on principal what your response will be. And what happens if we do that and she comes back at Zero?).