[RC] Re:WNV--"the rest of the story" - CMNewell
Funny--I certainly haven't felt that the CDC was hiding any information from myself or my colleagues. people were still being told that mosquitoes were the source of infection and that vaccinating the horses was recommended. Mosquitoes *are* the primary source. Vaccination *is* recommended. Could you supply a reference for this 10% estimate? I'd be interested.... What has not been addressed by any of the vets I have talked to, and that is dozens of them, is why are we using a vaccine that is currently estimated to be more than 10% effective against the mutated virus? I am no fan of Ft. Dodge in particular, or the pharmaceutical industry in general, but I think the vaccine has a higher level of efficacy than 10%. Every time I pick up a new equine magazine and see the push to vaccinate, I shudder. The WNV vaccine has had some serious reactions and if the horse is already exposed, those reactions can be fatal. Sooooooo, why has there been no discussion of the risk vs. the benefit of the vaccine? Funny. I've seen a number of discussions on the subject. Even more important to me as a horse owner is the issue of other methods of OK--I went there and looked, and I saw nothing to indicate that there was a risk from dead birds. As for the other methods of transmission, they have been widely reported in the general press here. And since my horses are unlikely to be the recipients of trans[lanted organs, the risk to them from that source is negligible. If you read all of this updated information, you will see the scope of this virus. Also keep in mind that it has been spreading all winter in regions with freezing temperatures and no mosquitoes---(CDC Website map of South Dakota--ask yourself how the entire state went positive for animals and humans in October through March when only one county reports infected mosquitoes). Likely the dates in question are those in which the infection was *verified*--which means that laboratory work confirmed what may well have been a much earlier occurring clinical case. I'm perfectly willing to believe that the existing vaccine is not the best that we *can* have, but at present, it is the only one we *do* have. Development is underway on newer versions, but there is a definite lag time between development and availability. Do I think every horse everywhere in the US is at high risk of contracting WNV ? Not hardly. Do I vaccinate my own stock and recommend it to folks in my area? You bet. And I also try to eliminate standing water, use fly spray, and try to make sure that my stock is generally healthy and therefore more likely to survive contact with evil bugs. Even so, I'm still very confused as to exactly what you were getting at with your post--are we supposed to think that horses are at risk from dead birds, that there is a government conspiracy to hude the true vector of WNV, that the vaccine manufacturer deliberately produced a useless vaccine, or what? --CMNewell, DVM
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