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Epizootic hemorrhagic disease

ISSN 2398-2993


Synonym(s): reoviridae vector borne culicoides midge EHV virus viral infection

Podcast:  Epizootic hemorrhagic disease

Introduction

  • Cause: epizootic hemorrhagic disease is caused by a Reoviridae, genus Orbivirus.
  • Signs: ulcerative stomatitis, pyrexia, dysphagia, respiratory distress, milk drop and production losses.
  • Diagnosis: virus Isolation. RT-PCR.
  • Treatment: supportive.
  • Prognosis: good.

Geographic incidence

  • EHV is a vector borne disease and its distribution is limited to that of its vector, the culicoides biting midge Cattle flies and larvae: overview.
  • EHV has been reported between latitudes 35°S and 49°N with clinical disease reported in North America, Australia, Asia, Africa and more recently in those countries surrounding the Mediterranean basin such as Morocco, Israel, Tunisia, Jordan and Turkey.
  • EHV was reported in Italy early in 2023, with serotype EHDV-8 confirmed.
  • In September 2023, EHV was reported in France for the first time. This is of particular concern for the UK, as there may now be an increased risk to the UK from airborne vectors from France. As of October 2023, the risk to the UK was classed as "negligible".
  • As of October 2023, new outbreaks of EHD have also been reported in Spain and Portugal.

Cost considerations

  • Ill thrift, milk drop and production losses in affected individuals.

Special risks

  • Respiratory compromise in affected individuals.
  • Aspiration pneumonia in dysphagic individuals.

Pathogenesis

Etiology

  • EHD is a vector borne viral disease of wild and domestic ruminants of the family Reoviridae, genus Orbivirus. It is closely related to other members of this family, for example Bluetongue virus (BTV) Bluetongue virus and is known to cause high morbidity and mortality in white tailed deer, the species most severely affected.
  • Clinical signs are dependent upon the pathogenic serotype involved.
  • In cattle mortality is normally low, with morbidity of 1-18% reported.

Predisposing factors

General

  • Grazing at risk pastures, for example those associate with standing water sources in endemic disease areas.
  • Most disease outbreaks occur in late summer and autumn when vector populations are at their highest.

Specific

  • Disease outbreaks in cattle are often associated with an epidemic in local wild deer populations or when environmental conditions support a large population of the culicoides midge vector.

Pathophysiology

  • Following infection through the feeding behavior of its vector the culicoides midge, EHDV first replicates within the endothelial cells of the lymphatics and lymph nodes. From here it disseminates via the bloodstream to other body sites where further replication occurs in the spleen and regional lymph nodes.

Timecourse

  • The duration of viremia has been demonstrated for up to 50 days post-infection, but in the majority of cases, 21 days.

Epidemiology

  • The period of viremia is key to disease transmission between animals.
  • Infected cattle amplify the virus and serve as an infective source for the culicoides vector.

Diagnosis

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Treatment

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Prevention

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Outcomes

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Further Reading

Publications

Refereed Papers

  • Recent references from PubMed and VetMedResource.
  • Ali H, Ali A A, Atta M S & Cepica A (2011) Common, emerging, vector-borne and infrequent abortogenic virus infections of cattle. Transbound Emerg Dis 59 (1), 11-25 PubMed.
  • Savini G, Afonso A, Mellor P, Aradaib I, Yadin H, Sanaa M, Wilson W, Monaco F, Domingo M (2011) Epizootic haemorragic disease. Res Vet Sci 91 (1), 1–17 PubMed.

Other sources of information

  • OIE Terrestrial Manual (2019) Epizootic Haemorrhage Disease (Infection with Epizootic Haemorrhagic Disease Virus). Website: www.oie.int (pdf download).
  • DEFRA Adem Yusuf (2023) Updated Outbreak Assessment #3 Epizootic Haemorrhagic Disease in Europe [online]. Last accessed 17/10/2023. DEFRA.