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The study also assumed that rabies postexposure prophylaxis, when administered according
to these recommendations, was essentially 100% effective in preventing a clinical case of human rabies.
Because the balance of benefit and harm will differ among exposed persons on the basis of the risk for infection, recommendations regarding rabies postexposure prophylaxis are
dependent upon associated risks including 1) type of exposure, 2) epidemiology of animal rabies in the
area where the contact occurred and species of animal involved, and 3) circumstances of the
exposure incident. Circumstances that make it less likely that an undetected exposure occurred include the observation of bats roosting or flying in a room open to the
outdoors, the observation of bats outdoors or in a setting where bats might normally
be present, or situations in which the use of protective covers (e.g., mosquito netting) would reasonably be
expected to preclude unnoticed contact. Thus, some amendment of
“the facts on the ground” is warranted “to remedy certain injustices, or to meet ongoing and future needs.” 47 Subject to these adjustments, the traditional power
of territorial exclusion remains the core of “justice for all going forward,” which means “an end to expansion of human settlement” and even “re-wilding” and “de-colonization” of territories taken by
humans in circumstances in which the passage of
time has not superseded an historical injustice.

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