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Vaccination: How Necessary and How Often
Paula Boyden BVetMed MRCVS Veterinary Director Dogs Trust
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Disease Control Minimise risk of infection: Good husbandry
Hygiene measures Vaccination
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Vaccination is not an excuse for poor husbandry!
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People Hand washing Personal Gels Clothing
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How to Wash Your Hands 6
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Why Vaccinate? No specific treatment available
generally viral…..most are potentially fatal Treatable but potentially fatal e.g. Leptospirosis bacterial
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Is Vaccination appropriate?
May be other alternative control measures eradication by removing infected individuals Treatment with appropriate therapy e.g. antibiotics
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Aims of Vaccination Ideally... Eradicate disease Prevent infection
Protect against disease Sometimes limiting clinical signs is the best we can do
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Limitations of Vaccination
Disease management factors Carrier states: FCV, FHV Challenge pressure Immunocompetence Vaccine handling – best practice
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High and Low Levels of Infection
Symptoms Immunity High infection levels Excretion starts Low infection levels Time
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Factors Affecting Immunity
1. Health status 2. Nutritional status 3. Genetic factors 4. Stress 5. Concurrent drug therapy Immunity can be stimulated/boosted by vaccination
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Live Vaccines ‘Better’ stimulation of immune system
Very rapid response Usually single dose More persistent level of immunity
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Killed Vaccines Generally require two injections for primary course
Require more frequent boosters NB - both must pass the same safety tests
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Primary Course Vaccination
Antibody Titre Live Killed Age (weeks)
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Naturally Acquired Immunity
Active following infection (antibodies & CMI) Passive MDA via dam’s milk (90%) via placental transfer
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Primary Course Vaccination
Antibody Titre Live Killed MDA Age (weeks)
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Maternally Derived Antibody
Infection Vaccination High infection levels
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Maternally Derived Antibody
Vaccination Low infection level
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Routine vaccination - from hero…..
….to villain! Routine vaccination - from hero….. Photographs courtesy Dr. Hal Thompson University of Glasgow
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Pet Vaccination: The Main Concerns
Do vaccines cause such significant side effects that we are doing more harm than good? Do we need to revaccinate every year? What is the risk of disease in the unvaccinated animal? What is the duration of immunity (DOI)? Do we need to vaccinate every animal with every available vaccine? Core vs non-core vaccines
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Safety: What do we know? General Transient, mild lethargy / malaise
Allergy / anaphylaxis Specific ‘Blue eye’ Live CAV1 vaccines - no longer used in UK
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Safety: POOCH Study Objective Method
To determine whether a temporal association exists between canine vaccination and ill health Method General health questionnaire 3966 useable records (2002 M, 1964 F)
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POOCH - results Overall Signs of illness 18% (717)
Recently vacc. with signs of illness 16.4% (142) Not recently vacc. with signs of illness 18.8% (506)
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POOCH Conclusions No association between recent vaccination and ill health in dogs Statistically the frequency of ill health in dogs recently vaccinated or not is equivalent No association between vaccination at any time point and ill health Ranging from within 1 month to within 12 months Older dogs have more reported signs, but taking this into account …….. No association between the number of vaccinations received and ill health in dogs
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Core vs Non Core Core Vaccines: Regarded as essential for all cases regardless of individual lifestyle Non Core: Given following an assessment of that individual’s risk of disease based on lifestyle and known risk factors.
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Canine Core vs Non-core
‘Core’ Vaccines ‘Non-Core’ Vaccines Canine Parvovirus Canine Distemper Virus Infectious Canine Hepatitis Leptospirosis* Canine Parainfluenza Virus Bordetella bronchiseptica Rabies (Canine coronavirus) (Canine Herpesvirus)
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Feline Core vs Non-core
‘Core’ Vaccines ‘Non-Core’ Vaccines FPV (FPL) FCV FHV FeLV* Chlamydophila Rabies Bb
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Why are boosters necessary?
Immunity is not lifelong to all diseases and therefore boosters will be required at intervals to maintain the high level of protection. The manufacturers recommended booster intervals are designed to ensure, as far as is practically possible, that all animals under field conditions (even ones that do not respond as well to vaccination) maintain a level of protective immunity.
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Response to Vaccination
Mean Immune Response No. Dogs 95% 99%
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Response to Vaccination
Minimum Protective titre 6 years p.v. 6 weeks p.v. <20 >20,480 Immune Response
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Thank You
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