COVER 1 - NMHBA SUMMER 2017 low res

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There are three different types of equine influenza vaccine available: 1) an inactive or killed vaccine, given intramuscular, 2) a modified live virus (MLV), administered intra-nasally, and 3) an inactive/killed canary pox vaccine, a slightly different category that runs in concert with the flu virus antigen. “These are the goals of vaccination—to reduce severity of illness, to reduce recovery time, and to reduce the horse’s ability to spread the disease.” response and creates strong immunity. We know that those vaccines work very well. There are several other vaccines that are moderately immunogenic, such as the West Nile vaccine. Herpes and influenza are not, and this why we tell people who have horses in high risk categories that they need to vaccinate a minimum of twice a year, and many will need to be vaccinated three or four times per year if you really want to protect that horse. For these horses, both the influenza and herpes vaccinations need to be administered at regular intervals,” he says. There are three different types of influenza vaccine available. “One is inactivated or a killed vaccine, given as an intramuscular injection. Every vaccine company offers one of these. There are also modified live virus (MLV) vaccines, and currently just one on the market for horses. It was developed in the early 1990’s and there are good challenge studies to show that it gives protection for up to six months. This one is administered intranasally, and is the only one approved for intranasal use. The third type is a canary pox vaccine, with a different carrier— that runs in concert with the flu virus antigen and helps the immune system mount a response. This one is in a slightly different category, but is basically still an inactivated/killed vaccine,” Crisman says. “One thing that is crucial for any horse that has never been vaccinated before, is to start with a two-dose series. If you don’t give the booster shots, there will be no immunity. We have a lot of data showing this. You need to give the priming dose, and then a few weeks later the booster— which will stimulate the immune protection for whatever period of time it lasts. After the initial booster series, how often you vaccinate (once, twice, or 3 to 4 times annually) would depend on the risk and general environment of the horse,” he says. No vaccine is 100% effective. “Some are better than others, but the risk-based vaccines, like equine influenza and equine herpes, are not the greatest. If your horse was vaccinated a couple months prior to exposure, he may still get sick but have less severe clinical signs. An unprotected horse may have three days of fever and your vaccinated horse may only have one. Vaccination can certainly reduce the severity of clinical signs and shorten the convalescent period (maybe one week instead of three weeks). The other big thing that vaccination does is reduce the shedding.” Even if the horse does get sick, he won’t shed as much virus and won’t shed it for as long, and might not be as big a risk to other horses. “These are the goals of vaccination— to reduce severity of illness, to reduce recovery time, and to reduce the horse’s ability to spread the disease. It’s like an insurance policy. Some people may not want to vaccinate, but after working in a veterinary hospital for decades, I’ve seen many instances where a $20 vaccine would have prevented a $2,000 medical expense.” With this small investment, the horse wouldn’t have suffered through the illness. “Ideally we would like to provide long-term immunity with vaccination, but influenza doesn’t lend itself to a vaccine that’s as dependable as the ones for diseases like tetanus, rabies, or EEE. Those pathogens lend themselves to good, solid protection, in comparison. We see a lot of cases where horses die from EEE or from West Nile, especially when people don’t vaccinate. The virus is still out there. The protection varies between vaccines for different diseases, but it will still help your horse,” says Crisman. Vaccine Strains Some people ask why the CDC designs a new influenza vaccine for humans every year, but not for horses. “This is because of what is known as antigenic shift and antigenic drift. These are different in horses versus humans,” he says. “All influenza viruses originate from birds. They are the source of all influenza, and migratory birds may carry the virus, spreading it over large areas. The virus mutates in the birds and may cause problems when it jumps from birds to mammals. This is how we got swine flu and other types of flu—especially in mammals that are living in close proximity to birds. The real worry begins when it jumps from mammals to humans. This is where it becomes very challenging,” says Crisman. 32 New Mexico Horse Breeder

“In horses, however, we are dealing with antigenic drift, instead, which is fortunate. The equine flu viruses have minimal changes in their coating.” “The antigens, which are the surface proteins on the virus, can shift. This is their way of eluding the immune system and surviving/perpetuating. Every virus has its own method,” he explains. Herpes viruses hide in the body where the immune system can’t recognize them; these viruses become latent, and then come out of hiding later to cause recurring disease, like shingles in humans, or IBR in cattle. “Influenza is different. It doesn’t stay in the body at all. The trick it developed is the ability to shift its outer coating. Every time these viruses circulate around the world, they mutate and change their coat so the immune system doesn’t recognize them.” The virus has a new disguise to escape the body’s immune defenses. “In humans, the influenza virus does a frequent antigenic shift, with a new coat or disguise. This is why every year the CDC designs a new vaccine that contains what they think will be the virus strain that will hit the U.S. They acquire data about viruses circulating in the Middle East, Far East, Asia and Europe, and try to determine which one will come to the U.S. Some years they don’t do a very good job of guessing which strain to incorporate in the vaccine. Another strain comes in and affects a lot of people. It’s always a bit of a gamble. They do the best they can, but there’s no guarantee. The ever-changing coat on the human flu virus is called antigenic shift,” he explains. “In horses, however, we are dealing with antigenic drift, instead, which is fortunate. The equine flu viruses have minimal changes in their coating. The two that you hear of are HA (hemagglutinin) and NA (neuraminidase). Those are the two surface proteins we find in equine influenza, and there are minimal drifts. We don’t have to change the vaccine (change the antigens that are present in those vaccines) every year. But, it is important to track them. There are several groups, and we want to see if there are any major changes in those populations,” he says. “About 15 years ago, there was a shift between European and American strains. These all originated from what we call the Florida strain and they broke into two separate groups that are termed Clade 1 and Clade 2. There is evidence that the Clade 2 strain predominately circulates in Europe, and the Clade 1 predominately circulates in the U.S. We’ve had no outbreaks of Clade 2 in the U.S., but there were one or two cases found in imported horses that were picked up in quarantine stations. There are no reports of a Clade 2 outbreak in the U.S.” says Crisman. “A research group at the Gluck Center looked at the Clade 1 strains that we have here, in our vaccines, to see if they would protect against the European strains, and they do. The OIE, which is the World Health Organization for horses, is recommending that horses traveling internationally should be vaccinated with both the Clade 1 and Clade 2 strain. But our data here shows that if there is an outbreak of Clade 2 in the U.S., our vaccines should help,” he says. “Influenza is a pesky virus, but we see more problems with herpes than with influenza. It’s not the influenza virus itself that is a big problem; it’s mainly the secondary complications that can occur that can be tragic. This sequel can happen if people don’t follow biosecurity guidelines, rest guidelines, etc. If you take care of the horse, the virus will run its course and the horse will recover,” says Crisman. SUMMER 2017 33

There are three different types of equine influenza<br />

vaccine available: 1) an inactive or killed vaccine,<br />

given intramuscular, 2) a modified live virus (MLV),<br />

administered intra-nasally, and 3) an inactive/killed<br />

canary pox vaccine, a slightly different category that runs<br />

in concert with the flu virus antigen.<br />

“These are<br />

the goals of<br />

vaccination—to<br />

reduce severity of<br />

illness, to reduce<br />

recovery time,<br />

and to reduce<br />

the horse’s ability<br />

to spread the<br />

disease.”<br />

<strong>res</strong>ponse and creates strong immunity. We<br />

know that those vaccines work very well.<br />

There are several other vaccines that are<br />

moderately immunogenic, such as the<br />

West Nile vaccine. Herpes and influenza<br />

are not, and this why we tell people who<br />

have horses in high risk categories that<br />

they need to vaccinate a minimum of<br />

twice a year, and many will need to be<br />

vaccinated three or four times per year if<br />

you really want to protect that horse. For<br />

these horses, both the influenza and herpes<br />

vaccinations need to be administered at<br />

regular intervals,” he says.<br />

There are three different types of<br />

influenza vaccine available. “One is<br />

inactivated or a killed vaccine, given as<br />

an intramuscular injection. Every vaccine<br />

company offers one of these. There are<br />

also modified live virus (MLV) vaccines,<br />

and currently just one on the market for<br />

horses. It was developed in the early 1990’s<br />

and there are good challenge studies to<br />

show that it gives protection for up to six<br />

months. This one is administered intranasally,<br />

and is the only one approved for<br />

intranasal use. The third type is a canary<br />

pox vaccine, with a different carrier—<br />

that runs in concert with the flu virus<br />

antigen and helps the immune system<br />

mount a <strong>res</strong>ponse. This one is in a slightly<br />

different category, but is basically still an<br />

inactivated/killed vaccine,” Crisman says.<br />

“One thing that is crucial for any horse<br />

that has never been vaccinated before, is to<br />

start with a two-dose series. If you don’t<br />

give the booster shots, there will be no<br />

immunity. We have a lot of data showing<br />

this. You need to give the priming dose,<br />

and then a few weeks later the booster—<br />

which will stimulate the immune protection<br />

for whatever period of time it lasts. After<br />

the initial booster series, how often you<br />

vaccinate (once, twice, or 3 to 4 times<br />

annually) would depend on the risk and<br />

general environment of the horse,” he says.<br />

No vaccine is 100% effective. “Some<br />

are better than others, but the risk-based<br />

vaccines, like equine influenza and equine<br />

herpes, are not the greatest. If your horse<br />

was vaccinated a couple months prior to<br />

exposure, he may still get sick but have<br />

less severe clinical signs. An unprotected<br />

horse may have three days of fever and<br />

your vaccinated horse may only have<br />

one. Vaccination can certainly reduce the<br />

severity of clinical signs and shorten the<br />

convalescent period (maybe one week<br />

instead of three weeks). The other big<br />

thing that vaccination does is reduce the<br />

shedding.” Even if the horse does get sick,<br />

he won’t shed as much virus and won’t<br />

shed it for as long, and might not be as big<br />

a risk to other horses.<br />

“These are the goals of vaccination—<br />

to reduce severity of illness, to reduce<br />

recovery time, and to reduce the horse’s<br />

ability to spread the disease. It’s like an<br />

insurance policy. Some people may not<br />

want to vaccinate, but after working in a<br />

veterinary hospital for decades, I’ve seen<br />

many instances where a $20 vaccine would<br />

have prevented a $2,000 medical expense.”<br />

With this small investment, the horse<br />

wouldn’t have suffered through the illness.<br />

“Ideally we would like to provide<br />

long-term immunity with vaccination,<br />

but influenza doesn’t lend itself to a<br />

vaccine that’s as dependable as the ones<br />

for diseases like tetanus, rabies, or EEE.<br />

Those pathogens lend themselves to good,<br />

solid protection, in comparison. We see<br />

a lot of cases where horses die from EEE<br />

or from West Nile, especially when people<br />

don’t vaccinate. The virus is still out there.<br />

The protection varies between vaccines for<br />

different diseases, but it will still help your<br />

horse,” says Crisman.<br />

Vaccine Strains<br />

Some people ask why the CDC designs<br />

a new influenza vaccine for humans every<br />

year, but not for horses. “This is because<br />

of what is known as antigenic shift and<br />

antigenic drift. These are different in horses<br />

versus humans,” he says.<br />

“All influenza viruses originate from<br />

birds. They are the source of all influenza,<br />

and migratory birds may carry the virus,<br />

spreading it over large areas. The virus<br />

mutates in the birds and may cause<br />

problems when it jumps from birds to<br />

mammals. This is how we got swine flu and<br />

other types of flu—especially in mammals<br />

that are living in close proximity to birds.<br />

The real worry begins when it jumps from<br />

mammals to humans. This is where it<br />

becomes very challenging,” says Crisman.<br />

32 New Mexico Horse Breeder

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