Showing posts with label West Nile. Show all posts
Showing posts with label West Nile. Show all posts

Wednesday, February 17, 2010

2/16/10 All Vaccines are Not Equal

Vet Tip of the Day: How Vaccines Vary
Key Words: Antibody, Cell Mediated, Immune System, Virus, Bacteria, West Nile, DNA

We've looked at the factors that help you decide whether or not to vaccinate your horse against a certain disease.  Now let's examine how vaccines work.

All vaccines work by stimulating the immune system in some fashion.  We think most simply of a vaccine as something that stimulates the production of antibodies.  These antibodies then prevent invasion by either a bacterial or viral disease causing organism.  In fact, there are many different classes of antibodies in the equine immune system, and certain classes of antibody are more effective than others in fighting particular diseases.  For instance, IgA antibodies are very effective in fighting off infections that begin in the upper respiratory tract, such as Strangles.  Therefore, the intranasal Strangles vaccine was designed to stimulate a strong protective IgA reponse.  It does this by physically depositing live, chemically altered Strep Equi bacteria onto the back of the horse's pharynx when the vaccine is injected through the nasal passages.  This live bacteria mimics the actual Strangles organism and causes the horse to produce IgA antibodies in the upper airway which then combat the actual Strangles organism when your horse is exposed to it.  The protection is not absolute, and the antibody response to the vaccine is variable.  In addition, because the vaccine contains live, chemically altered organisms, there is a small risk of inducing a vaccine strain case of Strangles in response to the vaccine itself.

In addition to antibody production, the body has is a second, non-antibody dependent arm of the immune system.  It is called cell mediated immunity and is very important in the body's ability to fight viral diseases.  You may have read about the new technologies being used in some of the equine West Nile vaccines.  Instead of using an altered form of the disease causing organism to directly stimulate antibody production, these vaccine use a variety of technologies involving the actual genetic material (DNA) of the disease causing organism.  DNA based vaccines are more effective in stimulating all aspects of the immune system, thereby providing a stronger, more broad based protection against viral organisms, such as West Nile
Virus.  The Intervet DNA chimera vaccine is a fascinating cutting edge product with excellent safety and efficacy against the West Nile Virus.  To learn more about it, Google: Prevenile, Intervet, West Nile.

Finally, while the ideal vaccine will stimulate all arms of the immune system and prime it to rapidly eliminate an invading pathogen, it can only work if the organism causing disease can be consistently identified by the body.  For instance, the West Nile Virus is a very stable, unchanging organism that looks exactly the same to the horse in Massachusetts and the horse in California.  Influenza, on the other hand, is a viral organism that is constantly changing its appearance.  In exactly the same way our human flu produces new strains all the time, equine influenza undergoes small changes in its viral structure that allow it to evade the defenses of horses vaccinated with products produced using older strains of the virus.  So in the case of equine influenza, not only are we dealing with a viral disease, which challenges both the antibody and cell mediated arms of the horse's immune system, but we also are dealing with a disease that frequently alters its appearance, thereby posing one of the greatest challenges to researchers whose goal is to develop highly effective vaccines.

The subject of vaccines, the immune system, and disease prevention is extremely complex.  Luckily, those diseases which our horses may contract which are most deadly, are also the diseases against which it is possible to develop excellent, safe, and effective vaccines.  The prime examples of these are Tetanus and West Nile Virus.  Therefore, these are diseases against which ALL horses should be vaccinated.

The decision whether or not to vaccinate against influenza, rhinopneumonitis, and Strangles, should be made based on your individual horses risk of disease, and the impact that disease is likely to have on your horse's performance and well-being.  Refer to this past Saturday's blog to review the information that will help you make this decision, and then consult with your veterinarian as well.

Saturday, February 13, 2010

Sat. Feb 13, 2010: Vaccination Protocols

Vet tip of the Day: Selecting Appropriate Vaccines
Key Words: West Nile, Tetanus, Influenza, Rhinopeumonitis, Encephalitis, Rabies, Strep Equi

Diseases are like brush fires.  Some smolder for awhile and are easily extinguished, others flare up and have devastating effects.  Choosing vaccinations for your horse has a lot to do with the nature of each disease we are attempting to prevent.  Toward this goal, here are the answers to yesterday's questions.  

Note: The answers about likelihood of exposure are only pertinent to horses in Northern Nevada.  Consult your veterinarian for other geographic regions.

1.     How likely is it that this horse will be exposed to Disease A?
  • West Nile:  Likely
  • Tetanus: Unlikely
  • Influenza: Very Likely
  • Rhinopnuemonitis: Very Likely
  • Encephalitis: Very Unlikely
  • Rabies: Very Unlikely
  • Strangles: Likely
2.     Is Disease A a deadly disease, such as Tetanus? (this assesses risk to this horse)

  • West Nile: Yes, 40% mortality
  • Tetanus: Yes, 80+& mortality
  • Influenza: No
  • Rhinopneumonitis: No, but high risk abortion in pregnant mares
  • Encephalitis: Yes, 85+% mortality
  • Rabies: Yes, uniformly fatal
  • Stangles: No, 10% complication rate, with fatality uncommon
3.     Is Disease A highly contagious, such as Influenza? (this assesses risk to neighboring horses)

  • West Nile: No, is not transmitted horse to horse. Disease is transmitted from infected bird, to mosquito, to horse
  • Tetanus: No, is not transmitted horse to horse. Tetanus bacteria lives in soil and usually gains access to horse through deep puncture wound that creates an oxygen free environment where bacteria can proliferate.
  • Influenza: Yes! Transmitted directly horse to horse by aerosole (cough) and direct contact.
  • Rhinopneumonitis: Yes! As for influenza.
  • Encephalitis: Moderately, disease is not transmitted directly horse to horse, but is carried from horse to horse by a "vector", which for this disease is the mosquito.
  • Rabies: No, is not transmitted horse to horse
  • Stangles: Yes! Primarily transmitted by direct contact horse to horse AND by contact with contaminated "fomites": halters, lead ropes, hands, feet, water buckets, etc.
4.     Is the vaccine used to protect against Disease A highly effective?

  • West Nile: Yes, Intervet DNA vaccine extremely safe and effective with minimal side effects
  • Tetanus: Yes, killed vaccine 95+% safe and effective
  • Influenza: Vaccines against influenza currently available are moderately effective, with relatively short lasting immunity provided. 
  • Rhinopneumonitis/Equine Herpes type I and IV: There are 2 main Equine herpes viruses that cause upper respiratory disease in horses. They are also responsible for abortion and a neurologic disease which can be fatal.  Currently available vaccines are very effective in preventing abortion, moderately effective in preventing upper respiratory disease, and of questionable efficacy against the neurologic form of herpes virus.  More discussion on this in a later vet tip post.
  • Encephalitis: Yes, killed vaccine very safe and effective
  • Rabies: Yes, killed vaccine very safe and effective
  • Stangles: The intranasal vaccine against Strep equi bacteria is moderately effective, and of all the vaccines discussed here has the highest complication rate.  We will discuss Strangles in more depth in a later vet tip post.


5.     What is the cost vs. effectiveness vs. safety value of the vaccine for Disease A?

  • West Nile: Excellent
  • Tetanus: Excellent
  • Influenza: Moderate
  • Rhinopneumonitis: Moderate, except very good against Equine Herpes induced abortion
  • Encephalitis: Very Good
  • Rabies: Excellent
  • Stangles: Fair

 With this information, consider the following:
Your horse's age: the young and the old are always more susceptible to disease
Your horse's lifestyle: travel, stress of competition, and exposure to other horses always increase the risk of disease


Now decide which vaccines you think are appropriate for your horse.


More on Monday.  Have a wonderful weekend.


Chrysann



Friday, February 12, 2010

Friday, Feb 12, 2010 - Vaccination

Vet Tip of the Day: Vaccination
Key Words/Phrases: Immunity, West Nile Virus, Influenza, Encephalitis, Veterinary Consultation

It is mid-February, almost time to begin gearing up for spring, which means administration of spring vaccinations.  For the next few vet tips, I would like to discuss some of the theory behind the practice of vaccination, in order to give you the tools to make informed decisions about appropriate vaccination strategies for your particular horses.  Rule #1: never be afraid to ask your veterinarian the basis for choosing your horse's vaccination program.  You deserve this attention.  However, I am as guilty as anyone else in this regard - the words "hectic" and "springtime" are virtually synonymous for equine practicioners.  We are usually scrambling to keep our heads above water during the months of March, April and May, from gelding colts, to getting mares in foal, to welcoming new babies into the world, to preparing performance horses for upcoming show seasons our days (and nights!) are already full, so we tend to be on the go when it comes time to administer routine vaccinations.

You may want to try this strategy: avoid trying to slow your veterinarian down to talk in the spring when they are most likely to be distracted.  Instead, talk to your veterinarian about routine health strategies such as vaccination during the quiet winter months.  Schedule a consultation appointment and let your vet know the topics you would like to discuss ahead of time.  This approach allows your veterinarian to sit down and focus on your questions in a relaxed fashion that will lead to a more thorough, rewarding information exchange.

To begin our discussion of vaccination strategies, let's determine how we decide whether a horse should receive a certain vaccine.  Consider vaccinating a horse against Disease A.  I ask myself the following questions:
1.     How likely is it that this horse will be exposed to Disease A?
2.     Is Disease A a deadly disease, such as Tetanus? (this assesses risk to this horse)
3.     Is Disease A highly contagious, such as Influenza? (this assesses risk to neighboring horses)
4.     Is the vaccine used to protect against Disease A highly effective?
5.     What is the cost vs. effectiveness vs. safety value of the vaccine for Disease A?

With these questions answered, I then can make an informed decision whether or not to recommend vaccinating this horse against Disease A.

The diseases against which we routinely vaccinate horses in the Western United States are listed below.  Test your own knowledge and try to answer the questions above for each of them - I will post the answers in tomorrow's Vet Tip of the Day.

West Nile Virus
Influenza, Rhinopneumonitis
Eastern & Western Encephalitis
Strep Equi (Strangles)
Rabies

Our new and improved website if coming on line.  It is like a fledgling chick pecking its way out of the egg - if you want to watch it emerge, then keep checking in over the next week or so.  If you'd rather just see the final product, wait a couple of weeks and then look.  Either way, you can now get to this blog through the website - it's an easier address to remember and the link to the blog is on the home page.  Just log on to HighDesertEquine.com


There is quite a bit of information on the website as well for your education. 


Finally, for my local clients, the spring vaccination clinic schedule will be posted by Monday, February 15th.

Enjoy,
Chrysann

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