Currently, there are numerous reports of equine herpesvirus myeloencephalopathy (EHM) affecting horses and farms across the U.S. and Canada. This outbreak appears related to initial cases at a cutting horse show in Ogden Utah, which was held from April 29 - May 8. Horses at that event may have been exposed to this virus and subsequently spread the infection to other horses. While the true extent of this disease outbreak is uncertain, there is clearly a very significant elevated risk of EHM cases at this time.
At this time control of the outbreak is critically dependent on biosecurity. Laboratory submission of nasal swabs and whole blood samples collected from the exposed horse can be utilized for virus detection and isolation. Please consider testing any suspected cases. The EHV-1 organism spreads quickly from horse to horse but typically only causes neurological disease sporadically. However, in an outbreak of EHV-1 neurologic such as we are experiencing now, the disease can reach high morbidity and case fatality rates. The incubation period of EHV-1 infection is typically 1-2-days, with clinical signs of fever then occurring, often in a biphasic fever, over the following 10 days. When neurological disease occurs it is typically 8-12 days after the primary infection, starting often after the second fever spike. In horses infected with the neurologic strain of EHV-1, clinical signs may include: nasal discharge, incoordination, hind end weakness, recumbency, lethargy, urine dribbling and diminished tail tone. Prognosis depends on severity of signs and the period of recumbency.
There is no specific treatment for EHV-1, although antiviral drugs (i.e. valacyclovire) may have some value before neurological signs occur. Non-specific treatment may include intravenous fluids, and other appropriate supportive therapy; the use of anti-inflammatory drugs (NSAIDs) is strongly recommended. Currently, there is no equine vaccine that has a label claim for protection against the neurological strain of the virus. Horse-to-horse contact, aerosol transmission, and contaminated hands, equipment, tack, and feed all play a role in disease spread.
However, horses with severe clinical signs of neurological EHV-1 infection are thought to have large viral loads in their blood and nasal secretions and therefore, present the greatest danger for spreading the disease. Immediate separation and isolation of identified suspect cases and implementation of appropriate biosecurity measures are key elements for disease control. In order to assist you and your clients further, visit online here
William Moyer, DVM
2011 AAEP President
Raising the Standard in Horse Health
American Association of Equine Practitioners
4075 Iron Works Parkway
Lexington , KY 40511
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