A recent outbreak of disease in horses in Minnesota and
Wisconsin has left many in the equine community concerned. To date, since early
March of 2014, 10 confirmed cases of neurologic and sometimes fatal disease in
horses has occurred as a result of infection with a mutated form of Equine
Herpes Virus-1 (EHV-1) also known as Equine Herpes Virus Myeloencephalopathy
(EHM). All 10 confirmed cases have been
found in eastern Minnesota and northwestern Wisconsin. At this point, there have been NO cases
reported in Southern Wisconsin. The following information includes basic
information regarding the disease, signs to look for in your own horse,
prevention strategies, and what to do and who to contact if you are concerned
or have suspicions of EHV-1 or EHM.
What it is:
By 2 years of age, the majority of horses have been exposed
and infected with EHV-1 virus. In most infected horses, the virus can become
inactive in the horse’s body yet sets up a life-long latent carrier state. In
the latent state, no signs of disease are seen.
Sometimes, however, the virus can be activated by stressful events
including strenuous exercise, long distant transport or weaning. In the active disease, the EHV-1 virus has
the ability to cause four different forms of disease including respiratory
disease, abortion, neonatal death, and finally neurologic disease.
Equine Herpesvirus Myeloencephalopathy (EHM) refers to the
neurologic disease associated with certain highly contagious mutated strains of
EHV-1. Patients infected with this specific strain of virus can exhibit neurologic
signs as a result of damage to blood vessels in the brain and spinal cord. This
interference with blood supply leads to tissue damage and abnormal brain and
spinal cord function leading to signs such as incoordination, urine dribbling,
weakness, and inability of the horse to rise.
How The Virus Is Spread: The most common way for the virus to spread
is by direct horse to horse contact, through the respiratory or nasal
secretions of horses infected with the neurologic form. Less commonly, horses can be infected by
objects (people, tack, feeding buckets, gates, etc.) that have been
contaminated by the infectious virus.
Signs To Watch For: Most affected horses will exhibit a fever,
lethargy, and possible inappetance approximately 7-10 days prior to showing any
neurological signs. After that period of
time, a horse affected by EHM will show signs of decreased coordination; urine
dribbling; loss of tail tone; hind limb weakness; leaning against a wall, tree
or fence to maintain balance; lethargy, and inability to rise (dog-sitting
appearance). If you or anyone you know see any of these signs in your horses,
contact your veterinarian immediately to report the disease and begin
diagnostic and treatment plans. In order to diagnose EHM, your veterinarian
will submit a nasal swab and blood work to a lab.
Prevention: The best practice to prevent
the spread of EHM, other than complete isolation, is to practice good
biosecurity which includes washing down all objects and surfaces that your
horse may contact. People should wash hands or use hand sanitizer before and
after contact with their horse and other horses. Additionally, avoid sharing any equipment
including hoses, water buckets, and tack.
If your horse has been exposed or is suspected of being exposed
to horses infected with EHM, call your veterinarian for further instructions
and keep your horse home. Do not allow
unexposed horses near those that have been exposed. Isolate the sick horse and
do not share equipment between healthy and sick horses. If disease is
suspected, it may be important to take a rectal temperature twice daily and
report any abnormal temperatures. Any
temperature over 102.0 F warrants notifying your veterinarian.
Vaccination: Although there are several types of vaccines available that
protect against EHV-1, the products available are only proven to help prevent
disease against the respiratory and abortive forms of the disease. At this time, there is no known vaccine that
will help prevent against the neurologic form of equine herpes virus.
Treatment Options: For horses infected with EHM, supportive
treatment is the primary form of treatment.
This includes keeping the horse comfortable, standing, maintaining
nutrition & hydration, and providing anti-inflammatory medication. Anti-viral medication has been used for
treatment and considered somewhat effective in curbing the disease, however it
can be somewhat cost prohibitive. The
specific dosing and effectiveness of anti-virals are still being
evaluated. Antibiotics have no effect on
Equine Herpesvirus, but can help if a secondary infection is involved.
Concerns
for Southern Wisconsin: Horse owners in southern
Wisconsin should consider their veterinarian as a valuable resource to help
them determine if travel is safe for their horse.
“For
those with performance horses that travel near regions with current outbreaks,
our recommendation is to minimize or eliminate travel to reduce exposure
between horses. For those with horses
that don’t travel frequently, risk of exposure is significantly reduced. While we encourage equine activities (trail
riding, local shows and events) we strongly recommend preventative biosecurity
measures be taken.” -Scott Spaulding, DVM, Badger Veterinary Hospital.
“Never
hesitate to contact your veterinarian for guidance regarding equine herpes
virus. Since the virus is endemic in the
majority of horse population, outbreaks with the neurologic form of the virus
are almost impossible to predict. In
circumstances where there is concern of EHM, working with your veterinarian
promptly can mean the difference between one and many infected horses,” -Toria Waldron, DVM, Badger Veterinary
Hospital.