Equine Infectious Anemia In New Jersey

A pony in New Jersey has been diagnosed with equine infectious anemia (EIA) and euthanized. Details are pretty scarce at this point and it's unclear whether the pony was sick or whether EIA was simply diagnosed through routine testing. There's also no indication of where the pony might have acquired the infection, which is a very important question.

Equine infectious anemia is a viral disease of horses and other equids that is characterized by recurrent fever, lethargy, decreased appetite and decreased red blood cell numbers (anemia). Sometimes, the first episode of disease (acute EIA) can be fatal, but most horses recover. Most survivors experience recurrent episodes of illness. In some horses, these episodes become frequent and severe.

A major problem with EIA is that horses are infected (and are infectious) for life. Even if they recover from the acute disease and rarely or never get noticeable recurrent disease, they are still carrying the virus in their blood. Biting flies are the main means of transmission from horse-to-horse, although human-associated transmission through reuse of needles or other procedures that cross-contaminate blood between horses can also be involved.

The combination of life-long infection and an insect vector is BAD. That's why, in areas where EIA is not endemic, infected horses are usually immediately euthanized. In some regions, affected horses can be branded or tattooed to permanently indicate their EIA status and housed at least 200 yards from any other horse (and often with strict insect control measures).

Control of EIA focuses on identification of carriers. Most jurisdictions require regular EIA testing (formerly the "Coggins test") for horses that are traveling or competing, as well as imported horses. While this disease is extremely rare and the vast majority of routine tests are negative, it's a disease that can silently spread in a population if people are not looking for it - routine testing is critical for keeping this disease at bay.

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