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Herpes Virus

While nothing can be pinned down as to exactly why some horses develop headshaking and others do not, it is thought that horses which have been exposed to the EHV-1 virus are more at risk. With this theory, the herpes virus lies dormant in the horse's trigeminal ganglia, then with heat and stress created by i.e.  direct sunlight or intense exercise, the virus becomes active again, this time affecting the central nervous system and producing the symptoms characterized by headshaking. Studies have proven that EHV-1 has a connection with headshaking. (Knottenbelt)

IT IS NOT PROVEN and VERY UNLIKELY THAT VACCINATION WITH THE DEAD VIRUS VACCINE WILL CAUSE HS

A lot of horses are herpes carriers but never will start with HS and a vaccination against herpes with the dead virus vaccine on top of it will not cause HS. That seems to be proven by virologists. 

The only known way to treat herpes is by treating the immune system

One article written by Annabel Ensor BVSc will give you the base information needed to understand the subject.

 

Equine Herpes Virus Infections in Horses

Annabel Ensor BVSc, NZ

In horses, herpes viruses are associated with a variety of diseases that range from relatively mild respiratory syndromes to abortion outbreaks on stud farms. Five serotypes of equine herpes virus have been identified (EHV1 → EHV5). The most commonly presented type of herpes virus infection in New Zealand is in the form of respiratory disease. This article will discuss the various equine diseases caused by EHV1 and EHV4.

EHV1 and EHV4 are primarily respiratory pathogens and are remarkably common throughout the world’s horse population. Both viruses have the potential for causing widespread outbreaks of severe upper respiratory tract disease. EHV4 tends to be less virulent than EHV1. Respiratory disease commonly affects younger horses. Disease outbreaks are most likely between weaning and 2-3 years of age. Risk factors for such outbreaks of herpes virus respiratory disease include: overcrowding, heavy parasite burdens, poor nutritional state, climatic extremes, concurrent disease and mixing of animals from different social groups. Natural immunity is short lived therefore horses are commonly re-infected during their competitive careers e.g. racing, and showing. All herpes viruses have a unique characteristic; they can hide from the immune system so that it is impossible for the body to be totally rid of them. The viruses change their outer appearance and become latent in a secure area of the body e.g. lymph nodes of the respiratory tract (EHV1) and trigeminal nerve ganglia (EHV4). When the horse is stressed e.g. by weaning, transportation, fatigue; latent infections sometimes revert to a more active state and thus the infection is revived. Horses with latent infections excrete the virus during periods of disease reactivation and thus can act as carriers. In fact latent herpes virus can remain within a horse for it’s lifetime. It is important to note that reactivation of latent herpes viruses may occur without any clinical signs.

Infection occurs via inhalation of aerosols, by direct contact with infected horses or indirectly via contaminated equipment, feed and humans. Herpes viruses are relatively delicate therefore they do not survive for long in the environment. Herpes viruses are also very susceptible to destruction by common disinfectants. Close contact is thus an important feature of disease transmission. Disease transmission risk areas would include: stables and horses kept in high density grazing situations. Clinical signs are usually apparent 2-5 days following infection. The clinical signs of respiratory disease caused by herpes viruses include: fever, lethargy, anorexia, serous (clear) bilateral nasal discharge, pharyngitis, enlarged submandibular lymph nodes, watery eyes, pneumonitis and some horses may develop a cough. In the early stages of infection the nasal discharge is watery, free-trickling, inconspicuous and frequently goes unnoticed by handlers.

 

 

 

The clear secretions are laden with high numbers (titres) of infectious virus. As infection progresses, the nasal discharge becomes thicker and white in colour. These latter secretions often dry as crusts around the nostrils. Nasal discharge can become mucopurulent (thick, opaque and yellowish) with secondary bacterial infections e.g. Streptococcus equi ss zooepidemicus.

 

It is difficult to distinguish whether EHV1 or EHV4 is the causative agent, as the clinical signs caused by each serotype are very similar. Clinical signs and virus shedding are most intense during the first few days of infection. In uncomplicated cases of EHV induced respiratory disease, spontaneous resolution of clinical signs is usually complete by the end of the second week and recovery rates are good. However, secondary bacterial infections can prolong the disease and decrease the recovery rate.

Diagnosis

Your vet can utilise blood tests and/or nasopharangeal swabs to confirm a diagnosis of equine herpes virus. Virus isolation is carried out at the laboratory. Successive blood samples can be taken to determine the acute phase and convalescent period antibody titres i.e. one sample is taken during the first few days of illness (acute phase) and a subsequent sample is taken approximately 3 weeks later (convalescent period). Antibody titres refer to the numbers of antibodies found. If an increasing antibody titre is apparent it generally indicates that the infection is recent. If the horse has been recently vaccinated the antibody titres can also be elevated.

EHV4 is primarily a respiratory tract pathogen, whereas EHV1 can cause detrimental effects on other body systems. EHV1 can lead to abortion, neonatal foal death, central nervous system disease (myeloencephalopathy), severe lung disease, and eye disease.

Abortion

Abortion storms can follow the introduction of an infected mare into a group of susceptible pregnant mares. However, most EHV1 induced abortions only involve one or two mares in a group. Infection gains entry via the respiratory tract. Abortion usually occurs during the last three months of pregnancy. Mares carrying EHV1 infected foetuses usually have no outward clinical signs of disease and thus abortion is the only evidence of EHV infection. The aborted foetus and placenta carry high levels of virus and are therefore very infective to other horses on the property. Very occasionally, abortions can be caused by EHV4.

Perinatal Mortality

Mares infected in late pregnancy may give birth to weak foals that show signs of respiratory distress, lethargy, and poor nursing ability. These foals usually die within the first week of life. Large amounts of virus are shed in the respiratory secretions of EHV1 infected foals, thus they may be a major source of infection for other mares on the property.

Other diseases

Foals with respiratory disease caused by EHV1 may also suffer from eye disease, which usually manifests itself as uveitis and/or chorioretinitis. In very severe cases, the retina is destroyed and blindness occurs.

Severe lung disease in young horses following EHV1 respiratory infections has been reported. It is termed "pulmonary vasculotropic EHV1 infection" and clinical signs include: a high fever, decreased feed intake, severe depression, and respiratory distress. Onset of clinical signs is sudden and sometimes horses may be found dead. Affected horses are found to have inflamed and damaged blood vessels throughout their body systems, especially within the lungs.

Central nervous system

The central nervous system (CNS) can become affected following EHV infection. Onset of neurological signs usually occurs within 6-10 days of the initial EHV1 infection. Neurological signs appear suddenly and are at their worst within 2-3 days of onset, generally they are non-progressive. Locomotor disturbances that vary from dragging a hind limb to complete quadriplegia can occur. Horses with mild signs have a relatively good chance of recovery. Horses that are recumbent (cannot stand) for longer than 2 days have a poor rate of survival. The picture below shows a horse with hind limb paralysis caused by EHV1.

 

 

Treatment

There is no specific treatment for equine herpes virus infections. However, your vet can provide supportive therapy for your horse, e.g. anti-inflammatories for fever. Minimising stress, good nursing care and cessation of training are essential for a swift recovery. Up to four weeks rest may be necessary. If the horse returns to work too quickly, a recrudescence of virus or a secondary bacterial infection may result, thus predisposing the horse to the development of pneumonia. Horses unwilling to eat/drink may require fluid and electrolyte replacement and those with secondary bacterial infections require antibacterial therapy. Horses with severe CNS disease require intensive nursing care e.g. daily cleansing, topical care of bed-sores and turning.

Prevention

Infected horses can shed large amounts of virus in nasal secretions and can provide a significant reservoir of infection for other horses. Thus, it is important to isolate infected horses. Horses arriving on the property should ideally be isolated for 3-4 weeks however, this is often not practical on many farms. Breeding and training horses should be kept segregated to reduce the chance of pregnant mares becoming infected. Reducing stress in the horse’s environment will help to decrease stress induced shedding of virus from latently infected carrier horses e.g. feed well, drench and avoid mixing different social groups.

Vaccination against EHV1 and EHV4 respiratory disease is recommended as part of a preventative herd-health programme for all horses at risk of becoming infected. An ideal vaccination protocol for at risk horses would be: two vaccinations spaced at 4-6 weeks apart just prior to weaning (5 months of age) with a booster every 6 months while the horse is exposed to periods of increased risk e.g. training, racing, competitions. Foals that are exposed to field infections or who have had insufficient colostrum can be vaccinated earlier than 5 months of age. Mares at stud (barren and pregnant) can be vaccinated as a management aid to prevent EHV induced abortions.

Vaccination does not prevent respiratory infection however; it provides active immunisation and therefore decreases the severity of the clinical signs of respiratory disease caused by EHV1 and EHV4. Also, abortion may still occur in vaccinated mares but the risk of an abortion storm is greatly reduced. It is important to realise that some vaccinations protect horses against the respiratory form of the disease and against abortion while others only protect against respiratory disease. Your veterinarian will utilise a vaccine which best suits your horse.


Article re-published with friendly permission by Dr. Peter Gillespie BVSc. MACVS, director of Another Veterinary Professional Service ฉ2000-2002 Veterinary Professional Services Ltd.

 

 

 

 

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