11/22/2025
๐๐๐-๐ ๐๐ง๐ ๐๐๐ ๐๐๐ซ๐ข๐๐ฌ: ๐
๐๐๐ญ๐ฌ ๐จ๐ง ๐ญ๐ก๐ ๐๐ข๐ฌ๐๐๐ฌ๐
EHV-1 (Equine Herpesvirus 1) and EHM (Equine Herpesvirus Myeloencephalopathy) are presently causing a significant amount of distress in the western performance horse industry. Though this is not a new disease, it is more novel to this group of horses.
EHV-1 has four different forms - respiratory, neonatal (foal) infection, abortion and neurologic. The neurologic form can cause what is called EHM, which is the most serious and potentially fatal form of disease. The respiratory form is more commonly diagnosed. Clinical signs include fever, nasal discharge (snotty nose) and/or cough.
EHM is the most severe form of the virus and the reason why these outbreaks are so significant. In this form, the virus will attack the brain and spinal cord and can be fatal to the horse. In addition to those listed above, clinical signs that are noted with the neurologic form include quick-onset weakness, uncoordiantion and trouble standing. They may have difficulty with bowel movements and urination. Some horses also experience extreme lethargy and comatose-like states.
๐๐ก๐ ๐๐, ๐๐?
- Horses can be infected with EHV-1 and not suffer from neurologic disease (EHM)
- The virus is transmitted through horse-to-horse contact, contaminated humans/tack/equipment and briefly in the air
- There can be โsilent carriersโ who do not show clinical signs, but can still shed the virus and infect other horses - meaning it is easier to transmit
- The incubation period is variable - on average its 4-7 days from exposure, but it can take up to 14 days
- The best early detection protocol for potentially exposed horses is to take temperatures twice daily - anything above 101.5 degrees is a fever
- If your horse has a fever or displays any other clinical signs of disease (cough, snotty nose, lethargy, inappetance, incoordination), it should be separated from other horses and you should consult your veterinarian for further diagnostics and treatment
- The best prevention for transmission is to stay home and not be in contact with other horses while this outbreak is occurring
๐๐จ๐ฐ ๐๐๐ง ๐ฐ๐ ๐๐ข๐๐ ๐ง๐จ๐ฌ๐ ๐ข๐ญ?
Your veterinarian can send nasal swabs and blood samples to laboratory testing facilities that run PCR (polymerase chain reaction). Bend Equine Medical Center additionally has an on-site test available for potential cases or exposed horses (results available in 1 hour); you do not need to be a current client to run the tests. This disease is reportable, so if a positive case is identified then it is required to be reported to the state vet.
๐๐ฌ ๐ข๐ญ ๐ญ๐ซ๐๐๐ญ๐๐๐ฅ๐?
Though there is not a specific medication to treat the virus, supportive care can be administered. These include anti-inflammatories, IV fluids and slings for horses that are unable to stand. Antibiotics will not have an effect and anti-virals have been shown to have minimal effect in horses that are already clinically affected by the virus. The mortality rate of EHM (neurologic form) is 30-50% with extremely variable recovery times - horses that are able to stay standing on their own typically have a better overall prognosis than down horses. The majority of cases that are infected with EHV-1 (and do not get the neurologic strain) develop a fever +/- nasal discharge and recover. Quarantined horses/facilities are recommended to stay isolated for 21 days after the last positive case is identified.
๐๐ด๐ฐ๐ญ๐ข๐ต๐ช๐ฐ๐ฏ ๐ฐ๐ง ๐ฑ๐ฐ๐ต๐ฆ๐ฏ๐ต๐ช๐ข๐ญ๐ญ๐บ ๐ช๐ฏ๐ง๐ฆ๐ค๐ต๐ฆ๐ฅ ๐ฐ๐ณ ๐ฆ๐น๐ฑ๐ฐ๐ด๐ฆ๐ฅ ๐ฉ๐ฐ๐ณ๐ด๐ฆ๐ด, ๐ค๐ฆ๐ข๐ด๐ช๐ฏ๐จ ๐ฎ๐ฐ๐ท๐ฆ๐ฎ๐ฆ๐ฏ๐ต ๐ช๐ฏ ๐ข๐ฏ๐ฅ ๐ฐ๐ถ๐ต ๐ฐ๐ง ๐ง๐ข๐ค๐ช๐ญ๐ช๐ต๐ช๐ฆ๐ด ๐ต๐ฉ๐ข๐ต ๐ฉ๐ข๐ท๐ฆ ๐ฉ๐ข๐ฅ ๐ฆ๐น๐ฑ๐ฐ๐ด๐ฆ๐ฅ ๐ช๐ฏ๐ฅ๐ช๐ท๐ช๐ฅ๐ถ๐ข๐ญ๐ด ๐ฐ๐ณ ๐จ๐ณ๐ฐ๐ถ๐ฑ๐ด ๐ข๐ฏ๐ฅ ๐ด๐ฆ๐ฆ๐ฌ๐ช๐ฏ๐จ ๐ช๐ฎ๐ฎ๐ฆ๐ฅ๐ช๐ข๐ต๐ฆ ๐ท๐ฆ๐ต๐ฆ๐ณ๐ช๐ฏ๐ข๐ณ๐บ ๐ข๐ต๐ต๐ฆ๐ฏ๐ต๐ช๐ฐ๐ฏ ๐ช๐ง ๐ข๐ฏ๐บ ๐ฉ๐ฐ๐ณ๐ด๐ฆ๐ด ๐ฅ๐ช๐ด๐ฑ๐ญ๐ข๐บ ๐ค๐ญ๐ช๐ฏ๐ช๐ค๐ข๐ญ ๐ด๐ช๐จ๐ฏ๐ด ๐ช๐ด ๐ช๐ฎ๐ฑ๐ฆ๐ณ๐ข๐ต๐ช๐ท๐ฆ ๐ต๐ฐ ๐ณ๐ฆ๐ฅ๐ถ๐ค๐ช๐ฏ๐จ ๐ด๐ฑ๐ณ๐ฆ๐ข๐ฅ ๐ฐ๐ง ๐ต๐ฉ๐ช๐ด ๐ฅ๐ช๐ด๐ฆ๐ข๐ด๐ฆ.
๐๐๐ง ๐ฐ๐ ๐ฏ๐๐๐๐ข๐ง๐๐ญ๐ ๐๐ ๐๐ข๐ง๐ฌ๐ญ ๐๐๐?
The short answer is, partially. The Pneumabort-K vaccine can reduce viremia and viral shedding. Flu/Rhino combo vaccine (eg. FluVac Innovator EHV4/1) will prevent the respiratory forms of EHV. Unfortunately, studies are somewhat divided on recommendations for vaccinating in the face of an outbreak, so it is easy to read differing opinions on the matter. ๐๐ฉ๐ฆ๐ณ๐ฆ ๐ช๐ด ๐ฏ๐ฐ ๐ท๐ข๐ค๐ค๐ช๐ฏ๐ฆ ๐ต๐ฉ๐ข๐ต ๐ฉ๐ข๐ด ๐ฃ๐ฆ๐ฆ๐ฏ ๐ด๐ฉ๐ฐ๐ธ๐ฏ ๐ต๐ฐ ๐ฑ๐ณ๐ฆ๐ท๐ฆ๐ฏ๐ต ๐ต๐ฉ๐ฆ ๐ฏ๐ฆ๐ถ๐ณ๐ฐ๐ญ๐ฐ๐จ๐ช๐ค ๐ง๐ฐ๐ณ๐ฎ - ๐๐๐. Additionally, there has been some evidence showing that horses that are in a stressed state that receive the vaccine may be more likely to contract the disease.
The only horses that should be vaccinated during an active outbreak are unexposed, afebrile and asymptomatic individuals. Fevers can occur after vaccination, which can make it more difficult to identify individuals that need to be isolated. ๐๐ข๐ค๐ค๐ช๐ฏ๐ข๐ต๐ช๐ฐ๐ฏ ๐ช๐ด ๐ฏ๐ฐ๐ต ๐ข ๐ด๐ถ๐ฃ๐ด๐ต๐ช๐ต๐ถ๐ต๐ฆ ๐ง๐ฐ๐ณ ๐จ๐ฐ๐ฐ๐ฅ ๐ฃ๐ช๐ฐ๐ด๐ฆ๐ค๐ถ๐ณ๐ช๐ต๐บ ๐ฎ๐ฆ๐ข๐ด๐ถ๐ณ๐ฆ๐ด, ๐ฒ๐ถ๐ข๐ณ๐ข๐ฏ๐ต๐ช๐ฏ๐ฆ ๐ข๐ฏ๐ฅ ๐ช๐ด๐ฐ๐ญ๐ข๐ต๐ช๐ฐ๐ฏ.
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I hope this general overview has helped provide some clarity on this disease. I will do a separate post containing more information on current travel recommendations, health certificate requirements and additional information as we receive it. Even though there have not been positive cases identified in Oregon at this time, staying up to date with current and ๐๐จ๐ซ๐ซ๐๐๐ญ information will be the best way to prevent unnecessary spread of this disease.
Please write any questions or topics youโd like me to follow up on in the comments. Thank you for your time spent reading this!
-Dr. Cooper