Vesicular Stomatitis In Arizona

Vesicular stomatitis (VS) has been identified in three horses on a farm in Arizona.  This is a reportable disease in the US and Canada that makes periodic appearances in various states.  Last year it was found in Texas and New Mexico. The farm where the virus was discovered has been quarantined. The owners were advised to separate affected animals unaffected animals, implement on-farm insect control programs and use protective measures when handling affected animals to avoid human exposure to the disease.  All good pieces of advice.

Vesicular stomatitis is caused by a virus from the Rhabdoviridae family (the same family as rabies virus) and is highly infectious.  The most obvious clinical signs of infection are blisters and sores on the lips, gums, tongue and nostrils.  Infection is rarely so severe as to be fatal, but the blisters can be quite painful such that affected horses may not eat.  In addition to being a highly infectious disease among horses, a major concern with VS is that it can infect swine and cattle as well, in which infection looks very similar to Foot and Mouth Disease - a tremendously important foreign animal disease in these other species.  Horses infected with VS must be strictly quarantined, from both other horses and other livestock, to contain the virus.  The virus is shed in the fluid from the blisters, so controlling exposure to insects which may mechanically transfer virus from one animal to another (just by flying from nose to nose), and preventing transmission via people's hands or other equipment is very important.  Some insect species also serve as biological vectors of the virus.  There is no specific treatment, but most animals will recover with supportive care in a few weeks.  People can be infected by VS, but clinical signs are typically limited to flu-like illness and occasionally mild stomatitis (inflammation of the mouth) and the disease is self-limiting.

The Canadian Food Inspection Agency (CFIA) has implemented the following import restrictions to help prevent the disease from getting into Canada:

  • No horses originating from Arizona will be allowed into Canada
  • Any horse coming to Canada from the US must have been out fo Arizona for at least 21 days
  • Any Canadian horse going into Arizona will either have to be out of Arizona a minimum of 21 days before returning or it will require an import permit and an inspection within 15 days by a USDA accredited veterinarian, and a negative ELISA test for VS.

I have to wonder about the allowance for horses to come back from Arizona is less than 21 days - it doesn't make sense to me that a horse in Arizona can be inspected and tested for VS and still considered virus-free up to two weeks later.  The 21-day minimum "layover" between Arizona and coming back to Canada makes much more sense, as any horse that encounters VS should develop clinical signs of infection within this time frame.  If they're still lesion-free three weeks after leaving Arizona, then it's fairly safe to say they're VS-free.

By far the best thing to do for the next several weeks - until they've identified the source of the virus and have the situation well contained - is to keep your horses out of Arizona.

Image: Lesions on the lips of a horse with vesicular stomatits (source: http://wyovet.uwyo.edu/)

Canada Eases Import Restrictions

Earlier this summer, the Canadian Food Inspection Agency imposed quarantine restrictions on certain US states because of vesicular stomatitis. Texas is now (again) considered vesicular stomatitis free, since the previous cases have resolved and no new cases have been identified. Accordingly, import restrictions on horses coming from or through Texas have been lifted

Restrictions have been reduced for horses from New Mexico. Horses from non-infected counties can get import permits if they:

  • Have been inspected and had no signs of vesicular stomatitis within 10 days of export.
  • Have not been to or through an infected county within 21 days.
  • They are from a farm at least 25 km from any quarantined farm.
  • The have a negative ELISA test within 10 days of export.

(Image source: www.signs-up.com)

Vesicular Stomatitis In New Mexico

Not long after the first reported case of vesicular stomatitis (VS) of 2009 in Texas, the disease has now also been identified in De Baca County, New Mexico. It's not too surprising, because infectious diseases tend not to pay attention to state boundaries, and New Mexico tends to be one of the first states affected by VS during outbreak years. Reportedly, only a single horse has been infected in New Mexico so far, and the farm involved has been quarantined.

This will presumably result in many regions placing travel or import restrictions on horses from New Mexico, as was done with horses from Texas. Previously in some years when this disease has been detected in the US, it has been contained to a single state. During other years, multi-state outbreaks involving large numbers of horses have occur. Only time will tell what this year will bring.

People that live in or adjacent to areas where vesicular stomatitis is present should closely observe their horses for signs of this disease, including:

  • Drooling
  • Lesions in the mouth, ranging from raised, white lesions to blisters. After lesions rupture, ulcerated areas are present.
  • Swelling, inflammation and lesions around the coronary band (these are less common than mouth lesions).

This disease is primarily spread by insects, so direct contact with an infected horse is not required for disease transmission. Therefore, even closed herds need to be on the lookout. If signs consistent with vesicular stomatitis are found, movement of horses on and off the property should immediately cease and a veterinarian should be contacted as soon as possible.

Canadian Import Restrictions For Missouri and Texas Horses

The Canadian Food Inspection Agency (which, despite the name, is not only in charge of food inspection) has announced import restrictions on horses from Missouri and Texas. Horses that have been in those states in the past 21 days or who have passed through those states during transportation are being flagged because of concerns regarding exposure to piroplasmosis and vesicular stomatitis, respectively. Canadian horses traveling to those states will have to wait until the restrictions are lifted or will have to be moved to a non-affected state for 21 days before being eligible to come home.

If these two outbreaks spread beyond these two particular states, it's fairly certain that these restrictions will be expanded.

There's still no word on the location of the two horses that were "busted out" of their piroplasmosis quarantine in Missouri. It's surprising how little information as been forthcoming on this matter.

Vesicular Stomatitis In Texas

Vesicular stomatitis (VS) has been identified in a horse in south Texas. This viral disease is highly infectious and is a concern for various reasons.

Horses are often the first animals affected when an outbreak of VS develops. A quick response can help prevent the virus from spilling over into other species. It's a particular concern in cattle and sheep because VS can look very similar to foot and mouth disease, a tremendously important foreign disease that can have a devastating economic impact (just ask anyone from the UK).  Even though it is not usually fatal, vesicular stomatitis can also result in severely decreased production in food animals, and therefore also have a significant economic impact.

The impact of VS on infected horses varies. It causes painful blisters (most commonly on the upper surface of the tongue, surface of the lips and around nostrils, corners of the mouth and the gums) which can limit the use of the horse for a period of time (although infected horses can't compete anyway because the must be strictly quarantined). Some horses may be too sore to eat or drink normally, and therefore require supportive care. In unusual situations, the lesions are so severe that euthanasia is elected.

Vesicular stomatitis is a reportable disease in the US, and identification of this case has prompted a rapid outbreak investigation and response. The last outbreak, in 2006, was contained to 17 horses and 12 cattle in Wyoming. A much larger outbreak in 2005 infected livestock on at least 445 premises in 9 states. To help keep this virus contained, restrictions on livestock movement are promptly implemented. Infected animals and their herdmates are quarantined, neighbouring farms may be investigated and/or quarantined, and people are put on the alert to look for more cases. A fast response and cooperation of horse owners is critical. A major concern is  that people may have horses that develop vesicular stomatitis but don't tell anyone because that want to avoid being quarantined. This type of situation can prevent containment of the problem and lead to ongoing transmission and even bigger problems in the long run. Good communication and cooperation are essential.

Image from: http://www.newsinfo.colostate.edu