COVER 1 - NMHBA SUMMER 2017 low res
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y Heather Smith Thomas<br />
Equine influenza is caused by a virus<br />
and is one of the most common<br />
infectious diseases of the <strong>res</strong>piratory<br />
tract of horses. It is endemic in the<br />
equine population of the United<br />
States and throughout much of the world,<br />
where young horses aged one to five are<br />
generally the most susceptible. Older<br />
horses may have some immunity if they<br />
have previously encountered the virus.<br />
Equine Influenza is one of the diseases a<br />
horse might be exposed to when leaving<br />
the farm and going to the racetrack.<br />
Mark Crisman DVM, who is the Senior<br />
Veterinarian at Equine Technical Services,<br />
Zoetis in Blacksburg, Virginia, works for<br />
Zoetis and also teaches at the University.<br />
He says equine influenza has been around<br />
for centuries—with outbreaks recorded<br />
throughout North America and Europe.<br />
“One incident that really got our attention<br />
was the outbreak in Australia in 2007.<br />
Australia had been influenza-free, so horse<br />
owners there did not vaccinate for this<br />
disease. It came in to that continent with<br />
an imported horse and the native equine<br />
population was completely susceptible,”<br />
he says.<br />
“More than 10,000 premises (and<br />
all the horses on those premises) were<br />
affected. Australia spent more than a billion<br />
dollars getting that outbreak <strong>res</strong>olved,” says<br />
Crisman.<br />
“The incubation period for this<br />
<strong>res</strong>piratory disease is very short—just a<br />
couple of days. We’ve seen outbreaks that<br />
literally swept through a stable or barn,<br />
and in a teaching hospital, where within<br />
48 hours every horse in the barn was<br />
coughing,” he says.<br />
The clinical signs include fever, cough<br />
and nasal discharge. “I’ve seen fevers up<br />
to 104 degrees and 105 and higher with<br />
influenza. The horse also has a harsh, dry<br />
cough. During that phase, the virus is<br />
being aerosolized and can be spread quite<br />
a distance just from the coughing and<br />
sneezing.” If another horse is downwind<br />
from the horse that is coughing, it may<br />
inhale some of those virus-bearing droplets.<br />
“The viral infection usually runs its<br />
course quickly,” says Crisman. It attacks<br />
the epithelium in the upper airways and<br />
damages this lining (and the cilia), but this<br />
damage will heal within one to three weeks<br />
if there are no secondary complications.<br />
Exercising a horse too soon after infection can<br />
cause secondary issues. The deep breathing in of<br />
dust and debris draws it into the airways and can<br />
create a <strong>res</strong>piratory infection.<br />
Ty Wyant<br />
“The length/duration of viremia (virus<br />
in the blood), which is the period of time<br />
the virus is being shed and can be spread<br />
to another horse, depends on existing<br />
immunity of that particular horse. For<br />
instance, in Australia, where there were<br />
many naïve horses, the disease basically ran<br />
amok. Here in the U.S., it’s a bit different<br />
because many horses have had some<br />
exposure and have some immunity because<br />
they are generally vaccinated, which gives<br />
some protection,” he says.<br />
“The severity of clinical signs can vary<br />
a great deal. Horses with some level of<br />
immunity, such as recent vaccinations,<br />
won’t be as sick and won’t shed the virus<br />
as long. We tell horse owners that they<br />
should <strong>res</strong>t the horse one week for every<br />
day of fever.” In other words, if the horse<br />
had a fever for only one day, a week of <strong>res</strong>t<br />
might be adequate, whereas if the horse<br />
had a fever for three days, you should <strong>res</strong>t<br />
him for at least three weeks before working<br />
him again, even if he feels good before that<br />
time is up.<br />
“The virus attacks the epithelium<br />
in the upper airway. The upper airway<br />
is designed to be a major defense<br />
component of the horse’s immune<br />
system,” he says. This is the first line of<br />
defense to ensure that pathogens don’t get<br />
down into the lungs.<br />
Bacteria and other pathogens exist in<br />
the upper airway, inhaled by the horse. The<br />
tiny cilia (hair-like “fingers” that line the<br />
epithelium) constantly move in wavelike<br />
motion to move dust or any other inhaled<br />
debris—including pathogens—up out of<br />
the airway so they can be coughed out or<br />
swal<strong>low</strong>ed, keeping them out of the lungs.<br />
30 New Mexico Horse Breeder