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A series of photos is presented.

These images show anti-rabies efforts in Hyderabad and Jaipur, India.
The following segment highlights photos from an anti-rabies clinic in Delhi, India, in 1980.
In 1980, this anti-rabies clinic in Delhi, India, shows large crowds coming for the post-bite prophylaxis treatment. This is a typical Anti-Rabies vaccination Clinic (ARC) in India. The clinic only treats patients that have had potential exposures to rabid animals and need to receive treatment.
In many ARCs, the number of patients that seek treatment every day is very high. These patients are lining up to be evaluated by the medical staff at the clinic.
This is an ARC in Hyderabad, India. In this clinic, the number of patients that line up to be evaluated by the medical staff is between 100 and 200 per day.
These are patients waiting to see the medical staff inside an ARC in Delhi, India.
The anti-rabies clinics (ARCs) are full of patients in most cities.
Signs identify the anti-rabies clinic. There are directions for the first aid of the local wound, advice to the patient, and the instructions. The ARCs have signs in the local language explaining basic principles in preventing rabies.
A man waits at the counter for the anti-rabies clinic services.
This poster shows how to properly clean a wound, then apply an anti-bacterial ointment, and then bandage it. This poster explains the basic tenets in rabies prevention and stresses that wounds should be washed thoroughly as soon as possible.
An Aventis poster shows the risk of a dog bite for rabies transmission. Many posters that are present in ARCs are sponsored by vaccine manufacturers.
The sign outside of the ARC provides information on the opening hours. This particular clinic is open 3 hours every weekday.
This clinic was just provided with a “washing up” area by a local producer of the rabies vaccine “Rabipur”.
The medical staff is proud to have the improvement of a washing area for patients to have their wounds washed when they arrive. This particular clinic has little money to serve so many people.
The medical staff shows the kit provided by the sponsor of the new “washing up station”. The kit includes soap and disinfectant for patients to wash their wounds when they arrive at the clinic if they have not yet done so.
The anti-rabies clinic medical staff pose for a picture and are silhouetted against an outside window. Posters on the walls show the rabies risks of animal bites. Medical staff are dedicated to help patients that arrive at the clinic.
These numbers show that monthly counts of new rabies cases are in the thousands...from 3,306 to a high of 4,392. Year over year counts range up to 52.978.
Dr Sampath, Head of the ARC in Hyderabad, is a dedicated professional that aims to make sure that every patient that he sees does not die of rabies.
Children make up the majority of rabies victims. Rabies affects children disproportionately in part because they often interact with dogs in a friendly way.
Children make up the biggest percentage of dog bite victims in most countries. This mother has just arrived with her young child to seek help after a dog bite.
This young boy has arrived with a dog bite wound that was not washed. Such dog bite wounds should be washed to prevent infection and to lower the viral load if the animal is rabid.
This young bite victim was taken to a “local healer” that provided treatment consisting of some local herbs and tying a black string around the bitten leg. Thankfully, the patient has now come to an ARC that will administer life-saving rabies vaccine and accurate information.
Here, a child points to old scarring from a prior animal bite.
This young child was bitten on the back by a suspect rabid dog. The mother has brought her child to the anti-rabies clinic (ARC) to receive life saving post-exposure prophylaxis (PEP).
In the 1990’s, India was still producing outdated rabies vaccine produced from the infected brains of sheep. This vaccine required multiple injections to be administered into the abdominal wall. The vaccine caused adverse reactions in many patients as is seen here by the swelling of the abdomen.
This child was severely bitten by a suspect rabid dog and is quite ill.
This shows a close-up of the bite wound.
This boy shows off a dog bite on his finger. Bites on the fingers and head region are especially serious because these regions are highly innervated and rabies virus can enter the peripheral nervous system quickly.
In areas where rabies is endemic, children may be bitten by dogs infected with rabies and never tell their parents that they were exposed.
Here, a doctor prepares a child to receive multiple painful shots to treat potential exposure to rabies. This child received sheep brain rabies vaccine which is no longer used in India but unfortunately is still used in a few countries throughout the world.
A parent stands nearby to assist and to calm the child.
Such treatments are life-saving but may be temporarily traumatizing to children. India no longer produces this outdated vaccine.
This child is being prepared to receive outdated sheep brain rabies vaccine. The sheep brain vaccine is still produced and administered in a few countries but the World Health Organization (WHO) is urging all countries to replace this crude vaccine with cell culture rabies vaccines.
This man has brought the dog that bit his child to the clinic. He wants to show the medical staff that the dog is still alive and healthy. Dogs that are healthy ten days after a bite occurred are not considered to have had rabies virus in their saliva at the time that the bite occurred.
This dog has the typical Hindu symbol on its forehead.
Even small puppies can be infected with rabies. This is a photo of young puppies that have been born in the street and are not vaccinated.
Free-roaming unvaccinated dogs are numerous in India. Rabies is endemic in the dog population in India. Thus unvaccinated dogs, such as these animals, pose a public health threat to humans.
A doctor checks the stomach area where shots were administered. This physician is preparing a child to be vaccinated with Sheep brain vaccine. As has been mentioned, this vaccine is no longer produced or utilized in India.
This photograph shows a tray with filled syringes of the anti-rabies vaccine. The vaccine is prepared in glass vials in large quantities to treat the many patients that come to the ARC on a daily basis.
This table shows the workspace for physicians fighting the spread of rabies.
A physician is completing a study on rabies prevention. His work has taken place at the Guru Gosind Singh Hospital in Jamnaga, Gujarat, India.
This image taken in 2001 shows the outside of an anti-rabies clinic.
After a long day at various ARCs, it is time to take a break and see some of the local sites, and so Dr Deborah J. Briggs takes an elephant ride to climb to the top of the ridge and see the home of the Maharaja.
This is a Red Fort built by the Maharaja centuries ago. This photo was taken in Jaipur, India, in 2001.
Jaipur features distinctive architecture.
This Jaipur castle features glorious arches, beyond which is more of India. The beautiful red arches are part of the Maharaja’s compound.
The marvelous ancient architecture is pleasing to the eye.
Back to the visit! This is an old vaccine production facility where sheep brain rabies vaccine was made in the 1990s at the time that this photo was taken.
In 2005, the global health team traveled to Shimla, India, where colonial rulers would retire in the heat of summer.
In Shimla, in the middle of so much nature, the residents had great views but also some company of animals.
These monkeys would climb on the porch of the house.
These monkeys are indigenous to the region of Shimla and live in the evergreen forests.
One monkey got very close to the closed window.
In 2005, the global health team stayed at an ornate hotel in India. This was one of the administrative buildings of the ancient British government (during the colonial era).
The team prepared to ride horses. They will ride to the top of the mountain and view some of the landscape.
And they're off.
Dr. Deborah Briggs poses with Dr. B J Manhendra, a rabies expert from India.
Locals look on as two anti-rabies specialists take dueling photos of each other.
This display reads: "Join the fight against Fatal Bite...When man's best friend...goes mad."
Their guide shows them that there are many free-roaming dogs in the region that are not generally afraid of humans. In fact, dogs live in close quarters with humans as they rely on them for food and shelter.
These are the vials of anti-rabies vaccine produced from sheep brain vaccine. As mentioned earlier, this type of vaccine is no longer produced and used in India although it is still produced in a few other countries of the world.
This board highlights the number of new cases annually from 1994 - 2000. The board is labeled "Particulars of Anti-Rabies Clinic".
This is an old vaccine production facility that was producing rabies vaccine from the brains of infected sheep. It is no longer operating. (2000)
In the same facility, guinea pigs were being raised. These animals were not used for rabies vaccine production.
While the team was there, their guide told us that the animals were disappearing in the evening and finally they found that there was a cobra that was coming into the facility and eating the guinea pigs for dinner!
Rabbits were also raised in the same facility.
These sheep were waiting to be injected with live rabies vaccine as part of the vaccine production process. (2000)
The animal care worker explains that the sheep would be held in this facility after injection until they showed signs of rabies.
This free roaming dog has managed to get into the pen where sheep are being raised for production of sheep brain rabies vaccine.
The vaccine production facility is no longer in operation, but this was where sheep brain rabies vaccine was produced. Modern vaccine production facilities are now in place in India. (2000)
Hyderabad, India, in 2000, was already a very crowded city.
This physician is recording information on patients that come to the clinic to receive treatment after a dog bite occurs.
When the team visited this clinic, it was noted that used syringes were tossed on the floor after they were used.
This ARC was one of the poorest clinics that the team visited. No running water was available.
This patient has come to receive another one of his required injections of sheep brain vaccine. This vaccine is no longer used in India.
The physician draws up the required amount of vaccine for the injection into the abdominal wall.
Five mls of the sheep brain vaccine is being administered into the patient. Thank goodness this vaccine is no longer used in India!
This is one of the poorer equipped ARCs that the team visited.
Dr. Deborah J. Briggs and two rabies experts from India, Dr Ashwath Naryana on the left and Dr BJ Mahendra on the right, work together to fight rabies.
As part of the opening ceremonies of professional meetings, a lamp is lit by the professionals attending the meeting.
Free-roaming dogs are a common occurrence in Indian cities, like Jaipur.
Dr. Deborah J. Briggs and two Asian colleagues are attending a rabies meeting in India.
The public health workers pose on the India side of the Pakistan border.
One of the Indian guards pauses to take a photo with the team.
The public health workers stand in front of the Immunization Centre's Rabies Clinic.
Another free-roaming dog relaxes on the Indian street.
There are more dogs in the streets.
The team managed managed to visit the beautiful Taj Mahal, a truly remarkable building that was built as a tribute of love by the ruler to his wife. The sunset reflects pink back onto the white marble building.