Home / Vaccinations / Rabies Vaccine
Travel & occupational vaccineRabies is almost always fatal once symptoms appear — and entirely preventable before then. The rabies vaccine, given before you travel, means that if you're ever bitten you need fewer doses, and none of the immunoglobulin that can be impossible to find abroad.
Act immediately — do not wait to see whether it heals. Rabies is preventable if treated before symptoms begin, and untreatable afterwards. This applies to minor scratches and to licks on broken skin, and it applies even if you were vaccinated beforehand.
Rabies is a viral infection of the central nervous system, carried in the saliva of infected mammals. It enters the body through a bite, a scratch, or a lick on broken skin or the eyes, nose or mouth — then travels slowly along the nerves to the brain.
The incubation period is usually weeks to months. That delay is what makes prevention possible: there is time to stop the virus before it arrives. Once it reaches the brain and symptoms begin, rabies is almost always fatal.
Singapore has been free of rabies since 1953. The risk is when you travel.
The rabies vaccine is used in two quite different ways. Understanding the difference is the whole argument for getting vaccinated before you fly.
| Scenario | Doses | Immunoglobulin needed? |
|---|---|---|
| Before travel (pre-exposure) | Typically 3 doses — day 0, day 7 and day 28. An accelerated regimen may be possible at short notice. | — |
| After a bite — previously vaccinated | 2 doses — day 0 and day 3 | No |
| After a bite — never vaccinated | 4 doses — day 0, 3, 7 and 14 | Yes — rabies immunoglobulin, administered in hospital |
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It's a fair question, and it has a clear answer. Pre-travel vaccination doesn't remove the need for treatment after a bite — it transforms it.
The hardest part of post-exposure treatment is rabies immunoglobulin. It is expensive, often unavailable outside major cities, and must be given quickly. Travellers have been evacuated between countries to find it.
If you were vaccinated beforehand, you don't need it at all — just two straightforward doses of vaccine, available almost anywhere.
Pre-exposure vaccination is recommended for higher-risk travel, and for people whose work brings them near animals.
Pre-exposure vaccination is a short series of injections into the upper arm.
Modern rabies vaccines are inactivated and well tolerated.
Pre-travel vaccination can usually be deferred in pregnancy. But post-exposure treatment after a genuine bite is never withheld — rabies is fatal, and the vaccine is not.
If you have been bitten and were never vaccinated, you will need rabies immunoglobulin as well as vaccine. This is not routinely stocked at GP clinics — go to the nearest hospital Accident & Emergency department without delay.
The rabies vaccine is a travel and occupational vaccine and is self-funded — it isn't covered by CHAS, Healthier SG or other national subsidy schemes. Pre-exposure vaccination is a multi-dose course, so ask us for the full course price rather than the price per dose.
Start the course several weeks before you fly.
Destination, duration, how remote you'll be, and your activities.
We assess your risk and advise on other vaccines and malaria tablets.
A short series of injections into the upper arm.
Documented in your health record — take the details with you when you travel.
Start your course several weeks before you fly. Book a travel consultation and we'll cover rabies, your other vaccines and malaria advice in one visit.
Book your rabies vaccineThe requirements and recommendations on this page are drawn from official Singapore government sources:
This page is general information, not medical advice, and requirements can change. Always confirm the current position with the relevant Singapore government agency, or speak to our doctors about your own circumstances.