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Preventative Medicine in the Older Horse Preventative Medicine in the Older Horse Frank M. Andrews, DVM, MS Diplomate ACVIM Professor of LA Medicine The.

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Presentation on theme: "Preventative Medicine in the Older Horse Preventative Medicine in the Older Horse Frank M. Andrews, DVM, MS Diplomate ACVIM Professor of LA Medicine The."— Presentation transcript:

1 Preventative Medicine in the Older Horse Preventative Medicine in the Older Horse Frank M. Andrews, DVM, MS Diplomate ACVIM Professor of LA Medicine The University of Tennessee, CVM Vaccination and Deworming

2 Activities of the Older Horses Equestrian Sports Reproduction –Broodmare, Stallion Pleasure Horses

3 Demographics of the older horse Increase in geriatric horses presented to veterinary hospitals (4 to 6 fold, up 55%) NAHMS*-7.5% of horse population is 20 yrs –75% between 20-29 years (old horse) –25% 30 years (very old horse) Average age = 25 years (71 human years) –1 horse year 2.85 human years *NAHMS=National Animal Health Monitoring System, 1988, USDA

4 Demographics (as of January 1, 1999) Equine population in US: 5.32 million –~400,000 old horses and ponies in the US Tennessee 3 rd in horse inventory behind Texas and California, 190,000 (7 th in value of horses sold) –14,250 old horses in Tennessee 10,688 old horses 3,572 very old horses Economic impact: $189.3 million ($2,711/head)

5 Changes with Advancing Age Decline in body condition Decreased muscle tone Decline in immune system Increased susceptibility to infections –Decreased antibody production –Decreased immune response to vaccines –Vaccine failure rate ~50%

6 Vaccination

7 Variation in Vaccine Response Genetic variation with age Health status –Parasitism –Equine Cushings Disease –Dental disease –Arthritis External stress factors –Weather –Nutrition

8 Vaccination – General No vaccine offers absolute protection Lessen the effects of disease –Shorten duration and signs of disease Good vaccine will stimulate immunity while minimizing secondary reactions –Swelling at site of injection –Injection site abscesses –Anaphylactic reaction –Fever and illness with loss of appetite

9 Vaccine Older Horses and Ponies Relative risk of exposure –What diseases will your horse be exposed to? –Pastured horse vs. Stabled horse Use attenuated vaccine products –Inactivated and killed vaccines –Likely to be safer in older horses

10 Important Diseases Tetanus Rabies Influenza Eastern and Western Encephalitis (EEE, WEE) West Nile Virus Rhinopneumonitis (Equine Herpes Virus 1)

11 Tetanus Caused by Clostridium tetani Abundant in environment, manure Often fatal Infection through wounds Yearly booster –New study suggests that yearly booster is essential for protection in horses

12 Rabies Caused by a virus Always fatal in infected horses Humans can get disease from horses Infection from bite of infected animal –Skunk, raccoon, bats, etc. Yearly booster-Pastured horses??

13 Influenza Caused by a virus Endemic in the US, stabled horses? New horses brought onto premises Respiratory disease, 3 day incubation Booster every 6 to 12 months –Depending on exposure –Killed vs. Modified live vaccine

14 Eastern and Western Equine Encephalitis Caused by a virus-sleeping sickness Spread via mosquitoes Regional areas –WEE-West of Mississippi –EEE-East of Mississippi (2003 outbreak in SE US) Fatality- EEE=75-100%; WEE=25%-50% Boosters every 4-6 months during mosquito season in endemic areas

15 Eastern Equine Encephalitis Over 200 cases reported this year in ten US States –Florida, Alabama, Georgia, Tennessee, North Carolina, South Carolina, Mississippi, Virginia, Indiana, and Wisconsin –Florida outbreak = 66% fatalities –All have residual neurologic deficits

16 West Nile Virus Caused by a virus Spread via mosquitoes Throughout the US –2003 – over 4,000 cases in horses –2002 – over 14,000 cases in horses Fatality-30%, 40% may have lasting deficits **Horses over 18 years had a 2.8X greater likelihood of dying or being euthanatized

17 West Nile Virus Transmission Cycle West Nile virus West Nile virus Mosquito vector Incidental infections Bird reservoir hosts Incidental infections Incubation period -- 3 to 15 days

18 Spread of West Nile Virus: Birds

19 Epidemiology Horses cannot spread West Nile Virus to other horses, people, or pets Dead-end Host

20 Prevention of West Nile Virus Client Education a must –Not just a source of vaccine and meds No stagnant water –4 days required for mosquito breeding –Old tires--and other Redneck landscaping materials –Gambusia fish eat larvae in tanks and ornamental pools Topical spraying on horsepermethrins Mosquito Magnet ( Stalls at night –fans in stalls Mosquito Magnet

21 West Nile Virus Vaccines (USDA Approved) Innovator vaccine is 92% effective New Vaccine

22 Rhinopneumonititis Caused by a Equine Herpes Virus 1 Respiratory disease is most common Neurologic, abortion, and weak foal forms Latent infections in horses –May be reactivated by vaccination in older horses –May precipitate neurologic disease Not recommended in older horses because most horses have been exposed to virus **Broodmares should be vaccinated during pregnancy to prevent abortion

23 Vaccine Protocol: Older Horse Spring: (March 15-31) 4 – Way Vaccine –Tetanus –Eastern Equine Encephalitis –Western Equine Encephalitis –Influenza Rabies West Nile Virus Summer: (July 31-August 15) Eastern Equine Encephalitis West Nile Virus (most cases in Sept. and Oct.)

24 Vaccine Protocol: Optional for Older Horse Spring: (March 15-31) Potomac Horse Fever –Pastured horses on endemic farms –Questionable effectiveness Summer: (July 31-August 15) Influenza –Stabled horses with new arrivals

25 Deworming

26 Deworming-General Resistance-Many of todays parasites are resistant to some dewormers Adaptation: faster reproduction, environmental changes, to dewormers Parasites must pass into environment to complete life cycle Infection in related to quantity of parasites in environment that horse is exposed to!! Older horses are more susceptible to infections

27 Parasites- What problems do they cause?? Colic Diarrhea Poor hair coat Weight loss Suboptimal performance

28 Deworming-General Minimize environmental contamination of the parasite offspring Treatment vs. Prevention Preventing infection of larval stages is key Killing adult parasites important because it prevents them from laying eggs

29 Specific Parasites Large Strongyles Small Strongyles Bots Tapeworms

30 Large Strongyles (blood worms) Strongylus vulgaris –Most common large strongyle –Larva stages lodge in main blood vessel that supplies the small intestines Strongylus equinus Triodontophorus spp. Discovery of avermectins (Zimecterin®, Equvalan®, Quest®) have pushed to near extinction

31 Bots Gastrophilus intestinalis Gastrophilus nasalis –Larva stages live in stomach and small intestine –Larva released in manure in spring and become flies –Flies lay nits (eggs) on front legs of horses –Not a big problem in horses –Associated with ulcers?

32 Small Strongyles (most important) Cyathostomum spp. –Affect all grazing horses –Infections are acquired from pasture only not stalls or dry lots –Eggs hatch at temperatures 45 F to 85 F –Temperatures > 85 F larva die –Horses are safe from infection during summer in Southeastern United States –Eggs resistant to freezing –Encyst in large intestine

33 Small Strongyles Encysted Stage Normal Large Intestine wall Inflamed Large Intestine Wall

34 Tapeworms Anoplocephala perfoliata –Most common tapeworm –Can reach up to 3 in length –Ileocecal junction Anoplocephala magna Paranoplocepha mamillan

35 Tapeworms Life Cycle:

36 Tapeworms Clinical signs, What to look for in your horse? –Colic Spasmodic – 22% associated with tapeworms Ileal impaction – 80% associated with tapeworms Intussusception – blockage associated with telescoping intestines –Weight loss –Abnormal hair coat

37 Tapeworms: Where are they found?

38 Tapeworm Treatments All are FDA approved

39 Specific Deworming Agents Benzimadazoles –Fendbendazole (Panacur®) - Resistance Pyrantel pamoate (Strongid®) - Resistance Avermectins –Ivermectin (Zymecterin®), moxidectin (Quest®) Cestode dewormers –Praziquantel (Contained in Zimectrin Gold®, Quest Plus®, and Equimax®) Daily dewormers –Pyrantel tartarate (Strongid-C®)

40 Dont be fooled – Read the label!! These all contain Ivermectin and Praziquantel Get all parasites including Tapeworms

41 Suppressive Deworming Deworming should be based on: Egg Reappearance Period (ERP) –Length of time in which the eggs appear in the manure after deworming Panacur and Strongid = 4 weeks Ivermectins = 6 to 8 weeks Moxidectin = 8 to 10 weeks –Scheduling deworming based on ERP

42 Protocol for Strategic Deworming September 1 st –Ivermectin + Praziquantel (Zimecterin Gold) October 24 th –Moxidectin (Quest) December 17 th –Ivermectin (Zimecterin) March 1 st –Ivermectin + Praziquantel (Zimecterin Gold)

43 Protocol for Strategic Deworming (cont) May 1 st through August 31 st –Limited exposure to develop immunity –Parasites cannot live on pastures in summer Fecal egg counts can be done to determine resistance of parasites –Egg count before treatment –Egg count 7-10 days after treatment –Deworming can be adjusted based on egg counts

44 Strategic Deworming-Alternative 2 September 1 st –Moxidectin + Praziquantel (Quest Plus) November 1 st –Ivermectin December 25 th –Strongid Paste January 20 th –Panacur February 15 th –Ivermectin + Praziquantel (Zymectrin Gold)

45 Strategic Deworming-Alternative 2 (cont) March 1 st through August 31 st –Limited exposure to develop immunity –Take advantage of summer heat

46 Strategic Deworming-Alternative 2 September 1 st through August 31 st –Strongid C daily dewormer –Colic protection policy by Pfizer Farnham

47 When horses dream?? I am vaccinated and I have no parasites


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