EHV

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Herpes- not just cold sores.

In human medicine, we think of Herpes as the bringer of cold sores, an embarrassment for those afflicted, certainly not something to be mentioned in polite company. As horse owners however, it is a subject that can NOT be ignored.

 

The Run-Down:

bullet5 types of herpes viruses affect domestic horses.
bullet3 are known to commonly cause disease:
bulletequine herpesvirus-1 (EHV-1)
bulletequine herpesvirus-3 (EHV-3)
bulletand equine herpesvirus-4 (EHV-4)
bulletSpecies-specific- if you have a cold sore, you can’t give herpes virus to your horse or vice-versa.
bulletInfection is life-long. Over 80% of horses carry the herpes virus. The virus can remain latent (quiet, showing no symptoms) for long periods of time. During times of stress, the virus becomes active and can cause disease or be spread.
bulletThe most important viral cause of abortion
bulletThe second most important viral respiratory disease
bulletThe most contagious equine neurologic disease.

 

The Culprits:

bulletEquine herpesvirus-1: abortions, respiratory disease, neurologic disease, and death in newborn foals. It also causes a newly recognized fatal disease of adult horses, peracute pulmonary vasculitis. This affects the lungs of adult horses and kills them practically overnight.

 

bulletEquine herpesvirus-3: aka Equine coital exanthema- venereal disease, It is a rare disease, and does not require treatment, however, it can shut down breeding operations with devastating financial consequences. The virus is shed when there are active lesions on the genitals of affected horses.

 

bulletEquine herpesvirus-4: aka Rhinopneumonitis- upper respiratory disease in young horses (foals up through 3-year-olds in training). Very rarely, it can cause abortions or neurologic disease.

 

EHV-1 abortions usually occur in the last third of pregnancy, and present with a fresh, dead fetus. The fetal fluids and placenta contain high levels of the virus, which can spread the disease to other horses. Outbreaks can be sporadic or occur as abortion storms in previously unexposed herds. Sometimes, affected foals can be born alive, but have extensive damage to their internal organs. These foals require very intensive and expensive care and rarely survive despite the best treatment.

 

In recent years there has been an increase in the number of EHV-1 neurologic cases reported world-wide. It is unclear whether this is due to an increased incidence of the disease or an increased awareness of the disease and therefore increased testing for it.  EHV-1 neurologic disease usually first presents as a fever, followed by neurologic abnormalities. Classic symptoms of the disease include hind-limb weakness, incoordination, and bladder paralysis (leak urine). Horses may also show signs of mild limb edema (swelling), weak tail tone, weak anal and/or vulva tone, swelling of the penis and scrotum of stallions, and/or inability to retract the penis into the sheath. These signs can develop gradually or very rapidly, and progress to an inability to stand. If a horse recovers from the initial disease process, it may have lasting neurologic damage- drooping face, hind end weakness, bladder damage, etc.

 

Recent outbreaks:

bulletJanuary 2003, an outbreak at the University of Findlay affected 97 horses, of whom 42 developed neurologic signs and 19 died or were euthanized. This outbreak then spread to The Ohio State University’s College of Veterinary Medicine, where more horses were affected.
bulletOctober 2006, EHV-1 outbreaks at Monmouth and the Meadowlands racetracks in New Jersey prompted track-wide quarantines.
bulletOctober 2006, an outbreak at Colorado State University, despite very strong biosecurity protocols, forced 20 hospitalized horses into a quarantine. It remained in place until mid-November.
bulletDecember 2006, 9 cases of EHV-1 confirmed, with 5 deaths as of 12/27, in horses on a quarantined premises in Wellington, FL. 15 clinical cases and 3 deaths are attributed to this disease. The outbreak is linked to horses traveling from the USDA animal import station in NY. Another horse from this shipment died in CA, after being quarantined.

Additional Outbreaks
bulletLate December 2006, a horse Golden Gate Fields in Northern California developed neurological symptoms of EHV-1, prompting a quarantine at Golden Gate, Bay Meadows, and Pleasanton that has since been lifted.
bullet December 24, 2006, Fairfield Equine Associates in Newton, Conn, is quarantined until January 23rd 2007 after a horse tested positive for EHV-1 after developing a high fever.
bulletJanuary 2007, horses at the University of Connecticut go under quarantine after twenty-one horses there showed signsof EHV-1.  Five showed neurologic signs, the others have had fevers and/or respiratory signs.
bullet As of January 17, 2007, one barn at Los Alamitos, California remains under quarantine for EHV positive horses.

 

Vaccines- The Options:

bulletRhinomune- Pfizer- modified-live EHV-1, every 3 months- studies suggest may have best efficacy against EHV-1 neurologic strains.
bulletCalvenza-Boehringer Ingelheim- killed virus EHV-1, EHV-4 and Influenza, intramuscularly or intranasal, not yet widely used
bulletFluvac Innovator-Fort Dodge- killed virus EHV-1, EHV-4 and Influenza
bulletPneumabort K-Fort Dodge- killed virus EHV-1, given at 5,7, & 9 months of pregnancy
bulletPrestige/Prodigy-Intervet- killed virus EHV-1, EHV-4

 

TEC Recommendations:

bulletAt Risk Horses- booster Flu & Rhino vaccines quarterly
bulletLow Risk Horses- booster Flu & Rhino vaccines every 6 months
bulletCall The Equine Center to discuss and initiate the ideal vaccination plan for your horse.