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Strangles in Horses 

Strangles is one of those diseases that every horse owner has heard of but few have actual first hand knowledge of.  Because of this, people may feel that vaccination against this disease is not critical.  This is far from true.  This disease is completely preventable through annual internasal vaccination with a highly effective, safe vaccine.  This vaccine does not produce immunity quick enough to be protective once an outbreak begins.  It is critical that vaccination be conducted when your horse is healthy and an outbreak of disease has begun. 

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 Strangles is a highly contagious respiratory disease characterised by fever, depression, anorexia, pussy nasal discharge, cough and abcessation of the lymph nodes of the head and neck; and has been rated as amongst the most important endemic horse diseases by the equine industry.

An Australian study Strangles in Horses investigated the very early interactions between the horse and Streptococcus equi subsp. equi (the bacteria which causes Strangles), to identify the early developmental signs to enable improved control strategies and the ability to develop improved vaccines for prevention. (P.J. Canfield, D.N. Love, J.Rainger, G.D. Bailey, Strangles in Horses, RIRDC Project US - 24A, February 2000)

The early changes identified by the study occur before the traditionally recognised Strangles signs of swelling of the lymph nodes of the head and neck; and before the excretion of organisms from the horse's nose.

Signs for the early development of Strangles:
 
bullet Increase in the horse's temperature
bullet Elevation of total white blood cell count
bullet Changes in size and texture of the submandibular nodes

The study also found that nasal discharge and the excretion of Streptococcus equi subsp. equi are not necessarily associated. With some horses able to carry Strangles organisms, excreting them into the environment without showing any signs of nasal discharge or other signs of the disease, especially some time after infection.

Additionally many horses which develop Strangles and show clinical signs do not go on to develop the classic abscessed lymph nodes or pussy nasal discharge. These horses however may excrete Streptococcus equi subsp. equi from their nasal passages and be a source of infection to other susceptible horses.

Both of these types of horses create a significant risk to the control of Strangles on the stud farm.


Recommendations for Strangles Control:
 
bullet Education of stud workers of the early warning signs for the detection of subtle changes in the horse
bullet Vaccinate all horses
bullet Quarantine suspect horses
bullet Seek veterinary attention for suspect cases to identify and treat the disease
bullet Include the taking nasal swabs of suspect horses for bacteriological examination in routine procedures
bullet Take tissue samples from the guttural pouches for the diagnosis of infected carrier horses or horses suspected of early infection.