Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
UK KENNEL CLUB: VACCINATION ADVICE SHEET Over the past decades, vaccination has had major impact on the prevalence of lifethreatening infectious disease in the canine population. More recently, just as in human vaccination, there have been changes in advice given related to the vaccine components administered and the frequency of administration. These changes have affected vaccination schedules for puppies and adult dogs. This document aims to explain the importance of vaccination and the way it is currently practiced for the dog. Puppies can receive their first vaccination from approximately 8 weeks of age. The reason that vaccination cannot be started any earlier relates to the fact that newborn puppies obtain protection from infection through the ‘first milk’ or colostrum. The colostrum is enriched with protective antibodies from the bitch (maternally-derived antibody or MDA) that is crucial for providing protection, but also prevents the pup from mounting its own protective immune response until such time as the MDA has gone (maternal antibodies gradually disappear until they are all gone by around 1416 weeks of age). The presence of inhibitory MDA, which may vary in amount between individual puppies, is the reason why it is necessary to give repeated vaccines to very young animals. The vaccines that are given, and their frequency of administration, will vary depending on the normal practice of your veterinary surgeon. Your veterinary surgeon will start your puppy on a course of vaccinations against the three main infectious diseases: canine distemper (caused by canine distemper virus; CDV), hepatitis (caused by canine adenovirus; CAV-1) and parvovirus (caused by canine parvovirus; CPV-2). In the UK most veterinary surgeons will also advise vaccination against leptospirosis (caused by a bacterium – Leptospira). Current vaccines against hepatitis are based on use of CAV-2, which protects against hepatitis, but also respiratory disease caused by CAV-2. For parvovirus, CPV-2 variants are those currently circulating amongst the canine population. The vaccine against the three viral diseases (referred to as a CORE vaccine) is a combination product and the Leptospira vaccine (referred to as a NON-CORE vaccine) is separate. In order to ensure development of immunity, puppies require a series of early-life vaccines together with a booster vaccination given either at 1 year of age or 12 months after completing the puppy series. Current recommendations of Vaccination Guidelines Groups (see later) is for a first CORE vaccination at 8 – 9 weeks of age, a second 3 – 4 weeks later and a third given between 14 – 16 weeks of age (followed by the booster 12 months later). The Leptospira vaccine may be started later than those for the CORE diseases and must be given as two injections, 3 – 4 weeks apart, followed by a 12 month booster. Your veterinary surgeon may also elect to use a vaccine that provides additional protection against other NON-CORE agents, such as those that contribute to the development of upper respiratory tract disease in the dog (canine parainfluenza virus [CPi] and the bacterium, Bordetella bronchiseptica). All of the CORE diseases and leptospirosis can be fatal, so after its first course of vaccinations, the dog will need re-vaccinating no more frequently than every 3 years for CORE components (CDV, CAV-2 and CPV-2) and annually for leptospirosis. The difference between the CORE and NON-CORE vaccines in how frequently they are administered to adult dogs relates to the way in which the vaccines work (see below) and the period of time for which they are known to protect the animal (called the ‘duration of immunity’ or DOI). For CORE vaccines the MINIMUM duration of immunity is at least 3 or 4 years and likely much longer. Your veterinary surgeon can now use a simple test kit to determine whether your dog has protective immunity to the CORE vaccine-preventable diseases and whether it requires revaccination. For NON-CORE vaccines, the DOI is only 1 year and annual revaccination is still necessary if these products are used. Keep vaccination certificates safe as you may need to show them at boarding kennels, dog-training classes or if you take your dog abroad (when a pet passport will also be required). Until your puppy is fully vaccinated at 14-16 weeks, you should ideally not take it anywhere where it might come into contact with dogs or ground that may be infected, but you can take it out in your arms or the car to get it used to different places and situations. Even if a puppy has been vaccinated at 8 and 10 weeks using a so-called ‘early finish’ protocol, it may not be fully protected until receiving the third vaccination at 14-16 weeks. This is because in around 10% of puppies, the antibody received in the colostrum from the mother (MDA) can still block responses to vaccination up to 12 weeks of age. Early socialization of puppies has great behavioural benefit, but if you attend a ‘puppy class’ you should ensure that all of the participants are vaccinated and that it is held in an environment where there is minimal risk of contact with infectious agents. How does vaccination work? The immune system is the body’s defence mechanism against infectious disease. The body recognises invading viruses and bacteria as ‘foreign’ and its reaction to these ‘foreign invaders’ is called an immune response. The body produces antibodies which destroy or remove the foreign substances. The essence of vaccination is that it makes use of the body’s natural systems for fighting disease. This is done by presenting a substance (the vaccine) to the body which mimics a disease, but does not actually cause the disease. In dogs the vaccine can be introduced by injection or by intranasal delivery (to protect against agents that contribute to upper respiratory tract disease). The body prepares its immune response, which then is activated if that disease is detected at some time in the future. The immune system of the body has memory, especially for diseases prevented by CORE vaccines. This memory can prevent those CORE diseases in an animal protected by previous vaccination. Vaccination is the most important way to prevent certain diseases. The immune system is continuously active in defence against disease and vaccination simply amplifies or augments this system of defence. How do diseases spread? All living organisms share the genetic drive to make sure that their species continues to exist. This applies to viruses and bacteria as much as to man and animals. Disease-causing organisms therefore have built into their structure the ability to spread from one susceptible organism to another. They can be transferred from host to host by physical contact, contact with body fluids, by the consumption of diseased food, transferred by a ‘third party’ vector (i.e. mosquitoes, fleas, ticks or midges) or they can be airborne, requiring proximity, but no physical contact to jump from host to host. Some diseases are specific to one animal species, while others can infect, or are carried by, a range of species. Does vaccination have any side effects? Anybody who has ever been vaccinated knows that it can occasionally make you feel quite feverish and poorly for a short while. Whilst this effect is not pleasant, it is a sign that the vaccine is stimulating the body’s disease defences. The vaccine may be expected to cause those effects as it stimulates an immune response and this is simply an indication that the vaccine is working and should not be a matter of concern. Exceptionally, there can be more severe side effects, but they are so rare that the benefits obtained with CORE vaccination far outweighs the risks of not being protected from life-threatening infectious diseases. What are the different types of vaccines? A vaccine must stimulate an immune reaction in the recipient, similar to the immune reaction that the real disease would produce, but the vaccine must not actually cause the harmful effects of that disease. The manner in which the vaccine component is processed in the laboratory is intended to make it safe, but sufficiently similar to the disease so that the body recognises it. There are two broad techniques that are used: Infectious: a weak or ‘attenuated’ form of the disease-causing agent (virus or bacteria) is grown in the laboratory which, when injected into an animal, does not have the power to cause actual disease but causes a mild infection (without signs) in order to stimulate immunity. Non-infectious: the disease organism or parts of the organism in the vaccine are not infectious, but they are able to stimulate immunity sufficient to prevent disease or reduce the severity of disease. Both types of vaccines (infectious and non-infectious) have their advantages and disadvantages. There are also new genetically modified vaccines available. Such vaccines have the ability to better target the type of immunity required and provide new exciting possibilities in disease control. How frequently should vaccines be used? Vaccination plays a very important role in the control of infectious diseases. Whilst it is recognised that adverse reactions such as an allergic response or a lack of efficacy (the vaccine fails to protect from the infection) may occasionally occur, an analysis of the overall benefits and risks strongly supports the continued use of vaccination. Your veterinary surgeon should make a thorough assessment of the benefits and risks on an individual case basis and discuss them with you when deciding the timing of vaccination and the use of particular vaccines. Your veterinary surgeon will use various sources of information to decide the frequency of vaccination, including the manufacturer’s data sheet and scientific guidelines that are made available by professional bodies (e.g. the WSAVA Vaccination Guidelines Group, the American Animal Hospital Association and the American Association for Feline Practitioners). Veterinary surgeons will use vaccines in accordance with current scientific knowledge and what they know of the prevailing disease trends in their area. What are the benefits of vaccinating dogs? There is no doubt that the use of vaccination has been of huge benefit to our pets by bringing some very significant diseases under control The use of ‘combination’ or ‘multivalent’ vaccines (where several different vaccines are given together) has transformed the control of many diseases of dogs. Virus diseases such as those caused by CDV, CAV-1 and CPV-2 used to be scourges. The development of vaccines and their widespread use has brought the diseases in question under control. The way in which vaccines are used in dogs is no different to the way in which they are used in human populations. When the uptake of vaccination by responsible dog owners who wish to prevent their pet from catching certain diseases is sufficient it may reduce the amount of infectious disease circulating amongst dogs in that geographical area. The vaccine has therefore produced ‘herd immunity’, which is an ideal situation for disease control. It is much better to prevent infection with CDV, CAV-1 and CPV-2 than to attempt to treat the diseases caused by these viruses, since they are often fatal. ACKNOWLEDGMENT This information sheet has been prepared in collaboration with the WSAVA Vaccination Guidelines Group. A detailed information document on canine and feline vaccination for owners and breeders of dogs and cats may be accessed from the Vaccination Guidelines Group page on the WSAVA website: http://www.wsava.org/VGG1.htm