EHV-1 (Enough Herpes Virus – for 1)

ogden-25th-street

Ogden, Utah – 25th street, sans horses

Assuming that you haven’t been living in a cave, or haven’t been enjoying some wonderful vacation in a remote location without internet access (they exist), by now, you’ve probably heard of EHV-1,. the [horrible, deadly, awful, terrible] disease that pops up regularly around the United States, including one infamous incident that occurred at a cutting horse show in Ogden, Utah, starting about April 30, 2011.

And you may be very worried.  Very, very worried.  Especially since it keeps turning up regularly, every year.

So let’s discuss this and see if we can bring some calm to the concerned waters.

firstEHV-1 stands for “Equine Herpes Virus-1.”  It’s given the “1” because there are several herpes viruses that affect horses, and even several strains of EHV-1, including one in particular that seems to like the nervous system. This one was apparently first in line when it came to giving out names.  Other than that, the “1” has no significance of which I am aware.

wombat

A wombat (which, as far as I know, does not carry a herpes virus), but it almost preternaturally cute

Herpes viruses are arguably the most successful of all the viruses, if you measure success in terms of how many of them there are, and how many mammalian species are affected.  There are herpes viruses of horses, and people, and dogs, and cats, and pigs, and cattle, and, for all I know, kangaroo, camels, and wombats, too.  They are successful for two primary reasons.

REASON ONE FOR THE SUCCESS OF HERPES VIRUSES – They usually don’t hurt the host very much.  That’s right, most of the time, herpes viruses are unnoticed by the host.  It doesn’t do a virus much good to go killing off its host – that’s at least one reason why it’s thought that Ebola virus isn’t spreading rapidly around the world.  If the host doesn’t live, the virus can’t spread.  Mostly, herpes viruses don’t cause much fuss.  They are sort of like the quiet family that lives in the dark house down the street, or in the apartment down the hall.  If you didn’t know that they were there, you wouldn’t know that they were there.

lifecyclelargeREASON TWO FOR THE SUCCESS OF HERPES VIRUSES – They have (very cleverly) figured out how to evade the body’s immune system.  Once a horse (or wombat, etc.), gets infected with a herpes virus, the virus finds a nice home, usually in and around nerves.  There, they stay nice and quiet (medical folk say latent), until some stress causes the virus to activate and start causing trouble.  And the fact that they can evade the body’s immune system also means that, so far, nobody has been able to develop an really effective vaccine against them.

READ THAT AGAIN:  So far, nobody has been able to develop a really effective vaccine against herpes viruses.  In any species.  But they’re trying.

NOTE:  Yes, I know that there are vaccines available for horses against two strains of equine herpes viruses, EHV-1 and EHV-4.  However, their true effectiveness is a source of great debate in the veterinary community.  I’m just sayin’.

Do you get cold sores?  Something like 70% of the human population does.  Most of the time, people with cold sores have perfectly normal looking lips.  But add some stress – say, illness, tax returns, school (for kids) – and, BOOM,

KIDS

Ideal conditions for starting a disease outbreak

you end up with a big, painful knot on your lip.  Then, the body fights it off, and the virus goes latent, waiting for another stressful opportunity.

In horses, depending on the study you read, it’s estimated that as many as 50% (or more) carry the latent EHV-1 virus in some form.  And, stress can help activate a latent virus.  So, in some sense, sending 700-some horses to Ogden, Utah to compete in a horse show – or to any horse show – is the equine equivalent of sending the kids to school.  (So was sending horses to the veterinary hospital at Cornell University earlier that year, but that’s another story.)  Panicked, excited, stressed, and packed together, is an absolutely perfect scenario for the herpes viruses to come out and play.  So, some poor horse – one of hundreds that were probably carrying the virus – stressed, and far away from home, broke with the virus, which reproduced, and then spread to other horses.  Think kids in school with a cold:  one of them gets sick, and before you know it, everyone gets sick.  It’s a scenario that gets repeated several times a year, across the United States.

Remember when I said that herpes viruses usually don’t hurt the host very much?  Well, that’s usually true.  Unfortunately, in some horses, some strain of the EHV-1 virus (and not necessarily just one) gets into the horse’s nervous system and causes a great deal of mischief.  It can even cause a horse to die.  This is unfortunate, but it’s also not something that is uncommon with even relatively benign viruses. Remember, even though most people think of the “common cold” virus as a mild annoyance that they have to suffer through for a week or so once in a while, people do also die from that same virus.  The “uncommon” cold, as it were.

If you surf the internet reading about the EHV-1 virus, you’ll come across lists of problems that it causes.  You’ll read stuff like, “Symptoms include fever, decreased coordination, nasal discharge, urine dribbling, loss of tail tone, hind limb weakness, leaning against a wall of fence to maintain balance, lethargy, and the inability to rise.” I guess that’s strictly true, but focusing only on the worst effects is kind of like saying that side effects of taking a bath include drowning.  You shouldn’t always focus on the worst possible outcomes.  Or, it’s like this clip, from the old movie, “Kindergarten Cop.”

Most horses that get exposed to the EHV-1 virus, no matter what strain, DON’T get neurologic disease.  Take these stats, from California horses, as of May eq, 2011.  In California, exposure to the “neuropathogenic” strain (the one that everyone is most concerned about) was confirmed in 20 horses.  Of those:

– 2 were euthanized

– Just less than half showed neurologic signs

– Half only had a fever

– 1 didn’t show any signs of disease at all

The bottom line?  Most of the horses that were exposed to the EHV-1 virus are going to be OK.  And if you really want to get into the particulars in one state (California) CLICK HERE.  Mostly, even if a horse gets EHV-1, it’s going to be OK, with rare, sometimes awful and tragic, exceptions.

Of course, no one wants any horse to get sick, ever, so, understanding that, your reasonable question would be, “What can/should we do?”

And my response would be, “Go out and enjoy your horse.”

pink-panther-horse

Arguably worse than EHV-1 for most horses

Are you going to stop driving because people die in auto accidents?  Going to stop flying because occasionally airplanes crash?  (Well, actually, some people do, but that’s a psychiatric discussion.)  One of the many uncomfortable facts of horse life (besides, say, having to dress up in costumes, or wear brightly colored blankets, boots, etc.), is that the EHV-1 virus is pretty much everywhere.  Your horse has probably already been exposed at some point in his life.  The virus has been identified in 5 week old foals, who pass it back and forth with their mums (at least in Australia).

Vaccination won’t help.  Vaccination simply is not effective at preventing the EHV-1 jnfections that make all the headlines.  Since there isn’t an effective vaccine, good_hygiene_largethe best things that you can do involve good hygiene measures, that is, the types of things that people should do with their horses anyway (but often don’t).

So, for example, new arrivals to farms should be quarantined for a few weeks before being introduced to new horses.  People working around horses should wash their hands often so that they don’t carry disease.  If you’re working around a sick horse, change your clothes before moving on to the next horse.  Don’t crowd horses together.  Feed them well.  Get them fresh air and exercise.  All common sense and mundane.  And important, too.

I don’t want to seem unconcerned or insensitive.  EHV-1 can be a very bad deal for individual horses.  Quarantining sick horses, such as the horses that were exposed at the show in Utah is absolutely the right thing, when there is a disease outbreak.  But for most horses, EHV-1 is no no big deal at all.  It’s one thing to be prudent and cautious, but it’s quite another thing to be hysterical.  Cancelling or avoiding horse shows in southern California, as happened in 2011, because there was an EHV-1 outbreak in Utah is akin to closing the Los Angeles Unified School District because some kids in Missouri got chicken pox (which, by the way, is another herpes virus).

DontPanic (1)There’s not any really effective treatment for the EHV-1 virus either.  When horses get sick with EHV-1, they get “supportive” care until they get better (and most of them do get better).  But perhaps the best news, in addition to the fact that most horses will get better, is that most horses exposed to EHV-1 won’t get it, or will be very mildly affected (you might not even know).

I understand that you don’t want your horse to get EHV-1, and, if you are one of the unfortunate few that have had a horse with an EHV-1 neurologic infection, you have my sincere sympathies.   Still, like most everything, the main key to dealing with the EHV-1 problem is to try to understand it, keep calm, and don’t panic.

Horses and EHV-1 have been living together for a long time.  Chances are, they will continue to do so, in spite of our best efforts.  And, finally, if you’re still concerned, and you want lots more detail, there’s just been a great review of the current state of knowledge in the New Zealand Veterinary Journal, which you can read in full if you CLICK HERE.

 

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