Equine Health Update EHU 2019 Issue 04 | Page 29

CPD Article | EQUINE Acute presentation Cost considerations • • • • • • • • Rapid development of severe pulmonary edema. Pyrexia (41°C/105.8°F). Conjunctival infection. Acute dyspnea. Cough. Early death (<12 h). Geographic incidence • • • • • • • Predominantly found in Africa, especially Sub- Sahara region. North and South Africa. Egypt. Morocco. Pakistan/India. Turkey/Cyprus. Spain/Portugal. Age predisposition • • None. All ages can be affected. Breed/Species predisposition • All breeds of horse are highly susceptible. • Mules/Hinnys. • Donkeys. • Zebras. • Public health considerations • Humans not natural hosts of the virus and no evidence that humans can become infected with field strains of AHS virus. High fatality. Restriction on international trade. Pathogenesis Etiology • African Horse Sickness virus (AHSV) is a double- stranded RNA Orbivirus in the family Reoviridae, similar to Bluetongue virus (BTV) and epizootic hemorrhagic disease virus (EHDV). • There are 9 immunologically distinct serotypes: ○ ○ Serotype 9 is widespread in endemic areas and is responsible for the majority of AHS outbreaks outside Africa. ○ ○ Serotypes 1-8 are found in limited geographical areas. ○ ○ Serotype 4 was involved in the outbreak in Spain and Portugal in 1987-1990. • Virus is transmitted by night-flying biting insects primarily by Culicoides spp. It is possible that mosquitoes and biting flies (Stomoxys and Tabanus) may also be able to transmit although the significance of this is probably low. • Transmission cannot occur directly between animals. Predisposing factors General • Geographical area - endemic to sub-Saharan, central and eastern Africa. • Seasonal incidence following rains - late summer and warm-events. • Low-lying areas. • Volume 21 Issue 4 | December 2019 • 29