Tuesdays with Tony – Those Pesky Mosquitos

Tuesdays with Tony – Those Pesky Mosquitos

Well, we are into that time of year when I don’t know whether to prepare for a monsoon or to park myself directly in front of the fan all day. As I’m sure you know, cats hate water. We also hate tropical storms, flooding, hurricanes, and basically anything that causes puddles of water which we are then forced to tread through with our delicate paws. Thus it was no surprise to me that tropical storm Colin, that jerk, caused a bunch of flooding that is going to bring on even more mosquitos than usual this summer!
   As the self-proclaimed manager of a veterinary practice, mosquitos of course make me think of diseases, which make me think of vaccinations! Many of the core diseases that we vaccinate against here at Springhill Equine, namely West Nile Virus and Eastern Equine Encephalitis, are transmitted by those nasty mosquitos. How does that work, you ask?
     The simplest way to understand it is to look at it from the virus’ point of view. If I am a virus, my goal is to replicate, and to spread myself to as many individuals as possible. One way to do that is to live in the bloodstream of birds. When a mosquito bites an infected bird, it will ingest blood laden with me (the virus). I will replicate inside the mosquito and get into the mosquito’s saliva. Then, when it goes to bite another bird, I (the virus) will infect that bird through the mosquito’s saliva.
   So, what does all this stuff about birds and mosquitos have to do with horses? Well, nothing really. Horses are an accidental, or “dead end” host for the virus. The virus cannot replicate within horses (or humans for that matter). Thus it cannot spread from an infected horse to any other individual. That stinks for the virus. But unfortunately for horses, when an infected mosquito bites an unvaccinated horse instead of a bird, the horse will still show symptoms of the disease, which are often fatal.
   So, horses and my other mammalian followers, make sure to lather yourselves up with Mosquito Halt this summer! Oh, and don’t forget to have our docs out to catch you up on your West Nile virus and Eastern Equine Encephalitis vaccines! Stay dry, stay cool, stay classy.
http://www.cdc.gov/westnile/resources/pdfs/13_240124_west_nile_lifecycle_birds_plainlanguage_508.pdf
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Tuesdays with Tony – Vaccine Truth

Tuesdays with Tony – Vaccine Truth

Brief activity announcement to start this week:  There will be a meet Tony opportunity on Thursday beginning at 6:30pm at the Clinic.  Once everyone has seen me, there will be a talk on horse food.  You may continue to pet me during the talk, in fact I encourage it.

 

This is a cat on a soap box.  Literally, and figuratively.  A report came out this week about a horse with Eastern Equine Encephalitis (EEE).  This was a young, happy, healthy horse that never got vaccinated.   Now it is a dead horse.  Horses look for expensive ways to die every day.  They get their feet caught in wires and require thousands of dollars in repair and bandaging.  They colic and need surgery.  They decide to become lame for no apparent reason.

 

EEE is not one of these things.  This vaccine costs $20. I went on the internet (thank you again to Aaron Vurgason and Oakridge Electric.  It’s very quick!!) and looked up some things I could buy for $20.  Amazon had a label maker for $15.99, a gun and target alarm clock for $19.62, bacon toothpaste for $6.61 so I could get three of those, a Lifestraw that lets you drink nasty water safely for $19.99, and a pop up hot dog AND bun toaster for $19.99.  While all these things are amazing, the only one that might save your life is the straw.  So $20 to keep your horse alive and well!  It’s a no-brainer.

 

Now we all know you can find vaccines and give them yourself.  Here’s my top 5 reasons that’s not a great plan:

  1. Our vaccines are carefully managed from the time they leave the manufacturer to the time they arrive in your horse. Our distributers are very careful to follow all label directions for temperature management of the vaccines, our staff does the same once it arrives at our door, and we carefully monitor vaccine handling while drawing up and waiting to give them.  This is especially important in the summer around these parts.
  2. More than just a vaccine happens when one of our esteemed Docs shows up. They are doing WAY more than you realize.  From the moment they pull in they are evaluating your farm and your horse for any potential health issues you may not even know about.  Just having them look at your horse is totally worth $20.
  3. The vaccine maker will stand behind any vaccine given by our Docs. Nothing is 100%.  If you horse does get sick or has an unusual reaction to the vaccine, the manufacturer will pay for treatment if we give the vaccine.
  4. Is your horse bad about shots? There is no one better than our Docs and technicians at making shots an enjoyable experience for your horse. We go through 50 pounds of horse treats every 2 weeks around here!
  5. Our vets will choose the right combination of vaccines for your horse’s lifestyle.

 

Horses in Florida are particularly susceptible to EEE and West Nile Virus since we have mosquitoes all the time.  Foals can be even more vulnerable since their immune system depends on mom’s milk for the first 4-5 months.  Once they reach 5 months of age foals should start on a series of vaccines to get them well protected.  Trust me when I say you really, really want Springhill Equine to give your foals their vaccines.  They are squirrely little suckers!

 

Get those horses vaccinated! Until next week…..

Tony Soap Box

Tuesday’s with Tony-Herpes

There has been a bit of a kerfuffle around here about something called Herpes, or Rhinopneumonitis.  A horse in Georgia was diagnosed with it and a bunch of horses in New Mexico at a racetrack are under quarantine.  A few of the horses in New Mexico have even had to be euthanized.  That got the curiosity of this cat piqued.  Euthanasia seems pretty serious.

Herpes viruses are really good at hiding.  Like time for the cat to go the vet, can’t find them anywhere hiding.  This virus lays dormant in nerves until it feels the immune system is busy elsewhere.  Then it pounces, again let’s go with a cat metaphor, like a cat on a toy mouse filled with catnip.  Usually the horse experiences a snotty nose, maybe a cough, and sometimes a mild fever.  This goes on for a few days before the immune system gets back to work and brings things under control.

Vaccination is really important for immune system control of Rhinopneumonitis.  A well vaccinated immune system recognizes that the virus is out and about and attacks it faster.  This means less virus is put out in the environment.  It makes it a little complicated to understand, but essentially, by vaccinating a horse we don’t protect them, but we do protect every horse they come in contact with.  For this reason horse shows, racetracks, and many horse events have started asking for proof of vaccination for entry.

Ok, I asked, I’m sure the horses at the racetrack were vaccinated, so why did they get it? I’m a really smart cat so I pick up on these sorts of details.  It turns out Rhinopneumonitis has experienced a mutation which makes it harder for the immune system to see, makes it spread really quickly while the immune system is distracted, and causes havoc in the nervous system while it’s doing the first two things.  Horses with this particular kind of Rhinopneumonitis (also called EHV-1) can go years without showing any symptoms.  However, if a stressful event causes them to start shedding virus it passes like wildfire through a stable.  Infected horses can keep shedding virus for weeks! Quarantining affected stables ends up being the only way to stop the spread since vaccination can’t help once horses have been exposed. The good news on this version is that once it is identified and quarantine procedures put it place it is often stopped quickly.  Twice daily temperature-taking identifies affected horses quickly when treatment can still save them.

There’s another version of Rhinopneumonitis that very rarely causes a severe pneumonia that leads to scar tissue in the lungs.  This version, EHV-5, is usually responsible for what we lovingly refer to as the yearling snots.  As young horses get out and see more horses, experience some training, and are introduced to life, they often catch colds.  I’m told human children experience a similar phenomenon.  Most babies experience a few of these on their way to adulthood with only minor hiccups.  Sometimes though, the body wildly overreacts to the virus.  Another cat metaphor: Like a cat reacts to water-very badly.  In these horses the body attacks the lungs and turns them into scar tissue.  Unfortunately, I’m told the humans don’t have great treatment options for this form.

Turns out Rhinopneumonitis is just plain tricky.   Vaccination is good, but not a cure-all.  I’m told being cat-like is the best prevention.  Don’t take life too seriously and stay well rested.

Tuesday’s with Tony 1/26/2016

Every few years they make me go to the small animal vet for a fun field trip to get vaccines.  I like car rides and meeting new people so I go along with it.  There is a moment of discomfort when they stick the needles in me.  I get treats. I forgive for the needles since there were treats, and back to the clinic I go.  Horses are different. Of course they are!  They feel the need to be special about all kinds of crazy stuff.  Horses have to get vaccines WAY more often, like twice yearly more often.

Why are horses so special? First: they are getting vaccinated for a different type of infection than most of the vaccines your dog or cat gets.  Eastern Encephalitis (EEE) and West Nile Virus (WNV) in particular are very bad about overwhelming the immune system unless it is super primed and ready.  Also most horses are exposed to EEE and WNV on a VERY regular basis when they get bit by mosquitoes. This means they better be ready to fight all the time!  Second: horses just aren’t good at responding to vaccines.  We all know cats are a superior critter, and I see this as further proof.  Really awesome Docs have done pretty detailed research to show that horses only have a good response for 6-14 months depending on the vaccine.  Cats respond so well that we only have to get shots every 3 years.  Yep, we’re awesome like that.

Another reason horses need vaccines more often: their busy social lives.  While us cats are busy keeping to ourselves being the good loners we are, horses are off at horse shows and trail rides and clinics and sleepovers.  Sure, it all sounds like fun, but it’s also an opportunity to get germs from others.  Horse shows have caught on to this germ festival.  The United States Equestrian Foundation (USEF) recently passed a rule stating that horses have to be vaccinated every six months for Rhinopneumonitis and Influenza.  I’m not one for rules but I hear from our Docs that this one is reasonable.  Lots of horse shows were making their own rules about when and how and why and blah, blah, blah on vaccines.  This means there is one rule to govern them all. (What?! This cat likes Lord of the Rings) So, if you show any breed or discipline that is under the USEF umbrella you must have proof of vaccination.  This includes Paso Fino, Arabian, Dressage, Hunter/Jumper, and Eventing, just to name a few.

I must, also, be sure you know about our Wellness Program.  This simple program will take care of all your horse’s health needs and you don’t have to worry about any of it!  How awesome is that?  Our Docs think of everything.  You have 5 days left to sign up for Wellness 2016.  Don’t miss out on this program!

So once again we have proven cats rule and you should call Springhill Equine.  I feel redundant when I say these things.  Our Docs can help you determine what vaccines your horses really need, when they need them, and provide the documentation you need for all that socializing.

Tuesdays with Tony

Tuesdays with Tony

IMG_0400

Tuesdays with Tony

As you can see, I’m having to rest up from the past week. Not only did I have to supervise the doctors this week but I spent a lot of time watching the phones. I don’t answer them. I only watch them, from behind closed eyes. I’m not really in to helping people when they call so I just don’t answer. Besides managing the front desk, I assisted with quite a few fecal parasite egg counts this week. I enjoy sitting on the counter assisting in any way I can while Beth, Nancy, or Charly perform these really import tests. Basically they take a bit of poop, mix it with some stuff, centrifuge it, let it sit for a while, then count how many worm eggs they see. Apparently this tells them how often horses should get dewormed. They tell me most people deworm too often and their counts are generally very low indicating twice yearly deworming. I pretend to listen while they tell me this. It makes the humans feel more important than they actually are.

I have really enjoyed the crypt-orchid (testicle stayed too high and had to be dug out) surgeries we seem to be making a habit of on Mondays. The doctors said the last two had both their testicles in the abdomen which seemed to make them excited. They said it’s relatively rare to have this happen. I felt they should scratch behind my ears while they told me all this. Luckily both horses had great owners since these horses could easily have been passed on as geldings to some unsuspecting person.

Coby has required a lot of intense management from the cat. Last week Dr. Lacher and Dr. Vurgason put amnion on his wounds. This is a specific part of the placenta which is resistant to infection, has anti-pain properties, and helps the wound heal with growth promoters. I must admit even the cat is impressed. We did this last week and again yesterday. I have attached some pictures so you guys can see what a little cat supervision gets done. I am pretty darn impressive. By simply watching I have really gotten this wound healing well.

One final word of wisdom from the cat: vaccinate your horses. We have Eastern Encephalitis in the area. The vaccine is about the cheapest thing you can do and is nearly 100% effective. When Springhill Equine gives it you have a guarantee from the manufacturer. If your horse gets encephalitis they will cover treatment costs. Vaccinating for encephalitis is about as sure a thing as finding me taking a nap in a sunbeam.

Why Vaccines are SO Important for your horse!

Cloning!

Why Vaccines are SO Important for your horse!

“Do I really need to vaccinate my horse?”  YES. Absolutely.  In an era where more and more people are turning to a more holistic approach to health care for both themselves and their horses, it is important to remember that vaccines are still an extremely important part of protecting your horse from harm.

All horses in Florida need at minimum to be vaccinated against Rabies, West Nile Virus, Eastern Encephalitis, and Tetanus.  These are called ‘core’ vaccines because ALL horses should have them, regardless of their age, use, travel, or geographic location. The list of core vaccines and recommended vaccine schedule is put together by experts in immunology and equine medicine within the American Association of Equine Practitioners, the nationwide organization of horse vets.  Why these four, and not others? Here’s the criteria used to qualify a vaccine as ‘core’, or a ‘MUST have’:

The disease causes severe symptoms or death.

  1. Rabies: A variety of neurologic symptoms leading to certain death.
  2. West Nile: Muscle twitching, hyper excitability, in-coordination, sometimes inability to stand or death.
  3. Eastern Encephalitis: Fever, severe in-coordination, inability to stand, seizures, coma, death.
  4. Tetanus: Muscle spasms/rigidity, inability to eat or drink, inability to rise, death.

The disease is difficult or impossible to treat.

  1. Rabies: 100% fatal regardless of treatment.
  2. West Nile: Supportive care only. Up to 1/3 of horses die despite treatment, and others have lasting neurological problems.
  3. Eastern Encephalitis: Supportive care only. Up to 90% of horses die despite treatment.
  4. Tetanus: Antibiotics, muscle relaxants and supportive care are used. 50-75% of horses die despite treatment.

The way the disease is spread puts all horses at risk, regardless of the horse’s lifestyle.

  1. Rabies: Through bites from rabid animals.
  2. West Nile: Spread by mosquitoes.
  3. Eastern Encephalitis: Spread by mosquitoes.
  4. Tetanus: Bacteria lives in the soil, horses exposed through wounds or hoof abscesses.

The vaccine is safe and effective.

  1. Rabies vaccine: 99% effective in preventing disease
  2. West Nile vaccine: 95-99% effective in preventing disease
  3. Eastern Encephalitis vaccine: 95-99% effective in preventing disease
  4. Tetanus vaccine: 95-99% effective in preventing disease

“But my horse doesn’t ever leave the property or interact with other horses.” Doesn’t matter.  Your horse doesn’t have to go anywhere to get bit by a raccoon, a mosquito, or injure himself.

“But I’ve never heard of a horse getting Rabies.” Yes, Rabies in horses is rare. But when it does, there’s always a long list of people who get exposed in the process of diagnosing and caring for the horse prior to its death. Those people then have to go through the expensive and painful process of post-exposure therapy. Vaccinating your horse is a $20 insurance policy to protect you and your family from the possibility of exposure.

“But there haven’t been any cases of West Nile/Eastern Equine Encephalitis in my area recently. Those diseases are not here anymore.” WRONG. Just this year there have been 10 cases of EEE in horses in  central Florida (Alachua, Gilcrest, and Levy counties). Our practice personally diagnosed 3 cases of EEE this season, all of course in un-vaccinated animals. The reason there haven’t been even MORE cases is because we have done a good job protecting horses by vaccinating them.

“But I’m worried about vaccine reactions.” This is a valid concern. Like all decisions in veterinary medicine, the decision to vaccinate should be one of risks-versus-benefits. For most horses the benefits of vaccination far outweigh the risks of vaccine reactions. The most common form of vaccine reactions are very mild – either a brief fever or local swellings, easily controlled by a few days of anti-inflammatories. If your horse has a history of a more severe reaction, then it may be safer to withhold that vaccine from that individual horse.

“My horse has had vaccines plenty of times before. He doesn’t need any more. My small animal vet says we only need to vaccinate my dog every 3 years.” Horses are not dogs. Unfortunately horses do not mount the same level of an immune response to vaccination as people or dogs. The scientists who did the research on extending the time between vaccines for small animals are clear that this won’t work in horses because of the different way their immune systems function. To be properly protected, horses in Florida should be vaccinated yearly against Rabies and West Nile Virus, and every 6 months against Eastern Equine Encephalitis.