Eastern Equine Encephalomyelitis (EEE), Western Equine Encephalomyelitis (WEE) and West Nile virus (WNV) are the three primary threats. They can be spread quickly through bites from infected mosquitoes. These diseases cause inflammation of the brain, which can lead to debilitating neurological problems in the horse. Protecting your horse begins with making sure vaccinations are up to date and administering boosters appropriately.
EEE causes severe and often fatal neurologic disease and has a mortality rate of up to 95%.1 Cases are primarily found in the Southeastern United States but have been reported as far north as Canada and as far west as Texas. In 2020, Michigan reported more cases of EEE than Florida,2 and in 2023, New York confirmed nine equine cases, primarily in the northern part of the state, leading to euthanasia for all affected horses.3 These incidents underscore the importance of staying vigilant against EEE, no matter where you live.
WEE has a lower mortality rate peaking around 40%.1 Despite having caused minimal cases over the past decade, WEE continues to be detected in birds and mosquitoes west of the Mississippi.
WNV can result in fever and neurologic problems. It has become endemic to most of North America since it was first seen in the United States in 1999, and its mortality rates can reach over 30%.4 While recovery is possible, of the horses that do survive only 59 to 79% may experience a full recovery, with many exhibiting residual effects such as gait and behavioral abnormalities six months after diagnosis.5
Contact your veterinarian immediately if your horse exhibits any of the following signs:These mosquito-borne diseases can pop up just about anywhere and they carry a high risk to the horse, which is why the American Association of Practitioners recommends every horse be vaccinated against WNV and EEE/WEE every year.6 A six-month EEE/WEE revaccination interval is recommended for horses less than 5 years of age and a six-month EEE/WEE and WNV revaccination interval for horses residing in endemic regions with extended mosquito seasons.6
Prioritize preventive strategiesMosquito activity is ever-changing, due in part to warmer, wetter weather extending mosquito season and weather events like hurricanes shifting mosquito patterns. This leads to continual disease activity in expected areas and greater disease activity in unexpected states. That’s why it’s so important to develop a comprehensive preventive strategy.
Now is the time, if you haven’t already, to vaccinate your horses. If there is any doubt about your horse’s vaccination status, they should immediately receive an initial shot followed by a booster in three to four weeks.
Consider how travel affects your horse’s vaccination needs. Even horses considered fully vaccinated should receive a booster before traveling to areas with year-round mosquito activity—like the Southern U.S. The horse’s lifestyle and geographic location can also impact disease risk.
Farm management strategies can also help safeguard your horse. Control mosquito populations on your property to help mitigate mosquito-borne diseases:
It’s important to work with your veterinarian to assess disease risk and develop a vaccination protocol that meets the needs of the individual horse. Merck Animal Health’s PRESTIGE® vaccine line includes a number of products that provide protection against EEE/WEE and WNV.
References
1 “Arboviruses,” Equine Disease Communication Center: Disease Fact Sheet, EDCC and AAEP, 2017, https://aaep.org/resource/arboviruses/
2 2020 Summary of Eastern Equine Encephalitis Cases in the United States. USDA Animal and Plant Inspection Service. https://www.aphis.usda.gov/sites/default/files/2020-eee-report-summary.pdf
3 Cornell University College of Veterinary Medicine. (2023). Eastern Equine Encephalitis and West Nile Fever in Equids: 2023 Update. Animal Health Diagnostic Center. https://www.vet.cornell.edu/animal-health-diagnostic-center/about/news/eastern-equine-encephalitis-and-west-nile-fever-equids-2023-update
4 “West Nile Virus,” Equine Disease Communication Center: Disease Fact Sheet, EDCC and AAEP, 2017, https://aaep.org/resource/west-nile-virus/
5 Wilson JH, Davis A, Bender JB, Minicucci, LA. Residual Effects of West Nile Viral Encephalomyelitis in Horses. In: 49th Annual Convention of the American Association of Equine Practitioners, 2003, New Orleans, Louisiana, (Ed.)
6 AAEP Core Vaccination Guidelines (aaep.org)
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