Core versus Risk-Based Vaccinations Source: Southern Equine Veterinary Services, PLLC Equine vaccines are divided into two primary vaccination strategies: Core Vaccines and Risk Based Vaccines. Core vaccines pertain to t hose equine diseases that are present within the geographic region, are considered highly infectious and potentially pose a risk of sever disease in your horse. They are diseases that we, as horse owners, have the least amount of control over due to environmental factors that are not easy to control. These include: Eastern/Western Equine Encephalomyelitis (sleeping sickness) West Nile virus Tetanus Rabies Eastern/Western Equine Sleeping Sickness are neurological diseases that are spread by mosquitoes. Following transmission from an infected mosquito, your horse can develop symptoms of severe neurological disease, which may include death. Vaccines are effective in prevention of the clinical disease. Frequency of vaccination during the year may depend on geographic location as the more temperate climate has longer periods of mosquito exposure, and potential virus exposure. West Nile Virus encephalomyelitis is a neurological disease transmitted by mosquitoes from infected birds. While both Sleeping Sickness and West Nile are transmitted by mosquitoes, due to differences in the virus, vaccination against sleeping sickness does not offer cross-protection against West Nile. Frequency of vaccination during the year may also be affected by geographical location and should be discussed with your DVM. Tetanus is caused C:\Documents and Settings\Melissa\My Documents\vaccine article.docby the bacteria Clostridium tetanii. This bacterium is normally found in the soil and can be introduced thru contaminated wounds or abscesses. Clinical signs include muscle spasms and rigidity. Tetanus can be prevented by appropriate vaccination and strategic boostering following injuries. Rabies is a neurological disease that is considered 100% fatal in affected horses. There is also the potential for transmission from infected horses to humans thru contact with infected saliva. Rabies is transmitted to your horse thru a bite from an infected warm-blooded animal. Rabies vaccines are very efficacious and usually are only required annually. Risk-based vaccinations are those deemed necessary following a riskbenefit analysis discussion with your veterinarian. These vaccinations will vary depending on your geographic location, the intended use (potential exposure), as well as any specific unique conditions or pre-existing issues which may pertain to your horse. A solid VCPR (veterinary-client-patient relationship) helps you formulate the need for risk-based vaccinations. Examples of risk-based vaccination protocol include (but are not limited to): Equine Herpes virus (Rhinopneumonitis) Equine Influenza Strangles Equine Herpes virus is spread thru infected respiratory secretions and contact with infected fetal fluids. Equine Herpes can cause respiratory disease of various severity, abortions in pregnant mares, weak maladjusted foals at birth, or a neurological form of disease. As with other species of animals, the Herpes virus may establish a unique latent infection in horses. These horses may shed the virus to susceptible animals when their immune system is stressed, making it difficult to control this disease. There are vaccines with respiratory disease and abortion claims, but none that have a neurological claim. Vaccine protocols, including choice of vaccines and frequency, should be discussed with your veterinarian. Equine Influenza is a highly contagious respiratory disease that is transmitted thru infected respiratory secretions. The severity of clinical signs depends on the degree of existing immunity, as well as the level of viral exposure. Clinical signs include high fever, coughing, nasal discharge, inappetence and lethargy. Following infection with influenza a horse should be rested for a minimum of 1 week for each day a fever of 103degreeF is experienced. Much like human influenza, equine flu changed with regard to its genetic make-up, but at a slower rate than humans. Using a vaccine with current influenza strains will help prevent infection, as well as decrease shedding of the virus from infected horses. Frequency of vaccination depends on the exposure potential and should be discussed with your veterinarian. Strangles is highly infectious respiratory disease caused by the bacteria Streptococcus equi subspecies equi. Following infection with the bacteria, the bacteria reside and replicate within the lymph nodes of the upper respiratory tract. Clinical sign may include fever, dysphagia (difficult eating), lymph node swelling and abscessation, and thick nasal discharge that contains the bacteria. The disease is transmitted by direct contact with infected horses or indirectly through contaminated feed bunks, water troughs, tack or hands/clothing of caretakers. Strep equi can exist for a period of time in the environment when protected from direct sunlight. Horse’s that have been exposed, or recovered from the disease may become intermittent shedders of the bacteria and may infect other horses on the premise. Current vaccines include a modified-live intranasal and an inactivated bacterial extract vaccine. The type and/or necessity of Strangles vaccination should be discussed with your veterinarian.