bitten on his right calf by a dog in Sri Lanka. He was treated with HRIG and given the full vaccination course. The fourth patient was a 14-month-old boy who was scratched on the face by a cat in Turkey. He immediately received the first vaccination and upon return to the Netherlands was treated with HRIG and the other vaccinations. All patients remained without symptoms. A structured approach for risk assessment of each potential rabies incident is possible. It requires balancing a number of criteria: the species of animal, the endemicity of rabies in a country, the observed health or vaccination status of an animal, whether the animal can be tested for rabies, if the exposure was provoked or unprovoked, the type of injury and its location onKakuryū) in the tournament. A 7–8 result in March saw him demoted to komusubi but he rebounded with 9 wins in May to return to sekiwake. 

The 2018 Nagoya tournament in July saw many injury withdrawals (kyūjō): Kisenosato did not start the tournament, and by day 6 he had been joined on the injured list by Hakuhō, Kakuryū and the newly promoted ōzeki Tochinoshin. Mitakeumi won his first eleven matches and appeared to have extended his run against the ōzeki Takayasu on day 12 but the referee's decision was overturned by the judges. After a win over the ōzeki Gōeidō the following afternoon he clinched the title on day 14 with a yorikiri victory over Tochiōzan. Interviewed immediately after the match he had difficult responding to questions as