Canine
Diseases and Vaccinations
Sample Vaccination Schedule
The following in an example of a typical vaccination schedule. Your vet will
advise you on the schedule he or she prefers. It is important to keep a record
of the puppy’s vaccinations, worminings, etc., because you will need to provide
that information to others at various times and it prevents you from forgetting
when the puppy’s next shots are due.
|
First Series: |
6-8 weeks. |
Distemper |
|
Second Series: |
9-10 weeks. |
Distemper |
|
Third Series: |
12-14 weeks. |
Distemper |
|
Fourth Series: |
17 weeks. |
Parvovirus |
Distemper:
Highly contagious viral disease which is found wherever dogs are found. It
affects the dog's respiratory and nervous system and is often fatal. Primary
vaccination should begin at 6-12 weeks of age since dogs often contract the
disease at an early age.
Coronavirus (CCV):
Highly contagious and can weaken dogs by causing severe diarrhea and vomiting.
The disease is sometimes confused with parvovirus. The two diseases may occur
simultaneously in which case symptoms are more severe.
Parainfluenza:
This viral respiratory disease is often partly responsible for “kennel cough”
in dogs. Infection can be severe in young puppies.
Adenovirus Type 1
and Type 2:
This infection causes infectious hepatitis which may lead to severe kidney
damage. Type 2 can be a complicating factor in kennel cough.
Leptospirosis:
A bacterial disease carried by many wild animals. A dog can contract the
disease from infected animals or by drinking contaminated water. Yearly
vaccination limits your dog’s chances of acquiring this disease.
Bordetella:
Frequently involved in kennel cough complex, this bacterial infection may occur
simultaneously with distemper, adenovirus type 2 infection, parainfluenza and
other respiratory infections.
Canine
Borreliosis (Lyme Disease):
An infection caused by a bacteria which is spread primarily by the painless
bite of an infected tick. Symptoms of Lyme Disease in the dog include fever,
lethargy, muscle stiffness, depression and lack of appetite. In more severe
cases, lameness occurs as a result of severe muscular or arthritic joint pain.
Rabies:
Of all animal diseases, rabies is the most feared. The rabies virus attacks the
brain and is always fatal. Most pets are exposed to rabies by bites from wild
animals, particularly skunks, raccoons, bats and foxes. The disease can be
transmitted to humans through the bite or scratch of an infected pet.
Vaccination of all dogs is the most effective means of control and is usually
mandatory and subject to laws and regulations of the municipality or state of
residence of the dog.
Parvovirus (CPV):
Contagious viral disease usually causes gastrointestinal bleeding, diarrhea and
vomiting in dogs of all ages but is especially deadly in puppies.
Warning!
New F-Strain
Parvo Virus:
Unlike the other strains of parvo (this appears to be the 7th mutation of the
PARVO virus), this one may possibly be airborne. Apparently this has been
brought to this country (
This strain is more
deadly than the other strains of parvo and needs to be treated more
aggressively. Dogs contracting this new strain will have accelerated symptoms
and those dogs which are infected usually die of dehydration and shock because
it commonly attacks the intestines causing severe, bloody diarrhea and
vomiting. Making matters worse, it prevents the absorption of nutrients and
fluids. As a further complication, it can also attack a dog’s heart causing
congestive heart failure. This complication can occur months or years after an
apparent recovery from the intestinal form of the disease.
It is most commonly
contracted by puppies because their immature immune systems can’t fight the
virus off but it can be contracted by adults as well. Adults can be carriers
without showing any clinical signs. Parvo is most often fatal but, if an
infected puppy survives, a complete recovery can occur. Typically, however,
survivors remain somewhat un-healthy and weak for life.
The canine parvovirus can
be transmitted by direct contact or indirectly by contact with vomit, diarrhea
or any contaminated discharges from an infected dog. It is excreted in the
feces of infected dogs and if someone or something (human, dog, bird, etc.)
steps in it, it can be transported to new areas. It can also be transmitted on
hands, clothing and even car tires.
Because parvo attacks
swiftly, time is of the essence. If you feel your dog has been exposed to
parvo, or it is showing symptoms, contact your veterinarian or an emergency
veterinary hospital. From the time symptoms appear to the time of death can be
as little as six hours. Fluids and electrolytes must be given to offset what
the dog is losing. Care should be given immediately!
The symptoms of parvo
include a sudden onset of vomiting, bloody diarrhea, dehydration, lethargy,
high temperature and sometimes sudden death. Symptoms are similar in adults, although
they can be less acute. It strikes with a quick vengeance, and pet owners often
make the comment that their dog was up and playing a few hours prior to the
animal becoming extremely ill.
Typically, it takes 7-10
days from the time of infection for the dog to start showing clinical signs and
to test positive for parvo. Once the parvo virus is introduced into an animal’s
environment, it can remain active for up to 9 months for possibly even longer.
It is very hardy and can withstand wide temperature fluctuations and most
cleaning agents. In fact most disinfectants cannot kill the virus but chlorine
bleach is the most effective and inexpensive. Any areas thought to be
contaminated should be thoroughly washed with 1 ounce of bleach per quart of
water.
F strain symptoms to
watch for:
- Gelatin-like stool with some blood.
- Vomiting with bile and foam.
- Rapid weight loss (within a few hours after becoming
ill.)
- You may or may not see a temperature rise Temperature
goes up to 106 or 107 degrees
- Not drinking -- acts normal, playing but rests more
often -- probably not eating
- Lethargic -- lays around, dehydration continues -- at
this point the dog will DIE in LESS than 24 hours unless it is detected in
the first stage (not drinking and low grade temperature)
Like all viruses, there
is no cure. Vets simply try to keep the dog alive by preventing dehydration and
loss of proteins by giving fluids, electrolytes, controlling body temperature,
giving blood transfusions when necessary and regulating systems in the body during
the course of the disease. The only medication that helps is SULFAMETHOXAZOLE
TRIMETHOPRIM (bactrin). The dosage is 2cc per puppy under 10 pounds (even
newborns) followed by equal amounts of water or electrolytes. Adults 18 to 25
pounds get 7 cc followed by at least equal fluids. This therapy may keep the
animal alive long enough for an immune response to develop.
If you've recently lost a
dog to parvo, veterinarians recommend that you wait six months to a year before
putting a new puppy or non-vaccinated dog in to an infected environment (even
if you have disinfected it). To immediately bring an animal into a situation
where one has recently died of Parvo is a virtual death sentence for the new
puppy. It is strongly recommend that there be no movement of dogs in or out of
a kennel until 30 days have passed since last dog either recovered or died. Do
not take your puppy out of your home where it can infect or be infected until
it has had the complete series of shots. By keeping it isolated you may save
its life.
Just like ours, a canine's
immune system fires up when a pathogen, like a virus, enters the body. The
pathogen releases a protein called an antigen which calls into action the
immune system's special disease-fighting cells. Called B and T lymphocytes,
these cells not only destroy the virus, but they remember what it looked like
so they can fend it off in the future.
There is a debate in the
veterinary world concerning the need for annual vaccinations and movement away
from the commonly held belief that our pets must be immunized on an annual
basis. For years, it was believed that annual vaccinations for viral diseases
were necessary to keep our beloved companions out of harm's way. But we have
recently come to a turning point in vaccination of the canine. While we are
grateful for protection from diseases such as distemper and parvovirus, there
is growing realization that vaccination
is not always benign. Many veterinarians are realizing that
over-vaccination can actually jeopardize a dog's health and even life. Side
effects can cause skin problems, allergic reactions and autoimmune disease.
In 1996, a study was
published suggesting an association between vaccination and autoimmune disease,
specifically autoimmune hemolytic anemia, an often fatal destruction of red
blood cells. This was followed by another study that demonstrated that dogs may
develop an autoimmune response after vaccination. Coupled with the knowledge
that some vaccinations for viral diseases may protect for seven or more years, have
caused some veterinarians and dog breeders alike to begin to ask, "Are we
vaccinating too much?"
Another advance came in April
2001, when the American Veterinary Medical Association Executive Board approved
the Council on Biological Therapeutics new "Principles of
Vaccination." This statement was published in the Journal of the American
Veterinary Medical Association on
1. canine parvovirus-2
(CPV-2)
2. canine distemper virus (CDV)
3. infectious hepatitis, controlled by canine adenovirus-2
(CAV-2).
4. rabies (RV) - a priority in all but the "rabies-free"
countries.
At this time, most products intended for vaccinating for CAV-2 ,
also includes Parainfluenza (PI), so vaccination for
Parainfluenza may be included by default.
A few years ago, this school
became the first veterinary college to issue a vaccination schedule that
recommended against annual vaccinations. Their
1998 core recommendation is a standard three shot series at 8, 12 and 16 weeks
and includes parvovirus, adenovirus 2, parinfluenza and distemper (Progaurd 5
vaccine). The first rabies vaccine was recommended after 16 weeks of age, again
one year later and then every three years thereafter (Imrab 3 vaccine).
Following the initial immunization series, the dogs would be boostered one year
later and then every three years thereafter for the above diseases.
In their new protocol they
wrote, "We are making this change after years of concern about the lack of
scientific evidence to support the current practice of annual vaccination and
the increasing documentation that over vaccinating has been associated with
harmful side effects. Of particular note in this regard has been the
association of autoimmune hemolytic anemia with vaccination in dogs which is
often fatal."
UC Davis VMTH Canine
Guidelines
Core Vaccines
Canine Parvovirus, Distemper
Virus, and Adenovirus-2 Vaccines
For initial puppy vaccination
( < 16 weeks), one dose of vaccine containing modified live virus (MLV) CPV,
CDV, and CAV-2 is recommended at 6-8 weeks, 9-11 weeks, and 12-16 weeks of age.
For dogs older than 16 weeks of age, one dose of vaccine containing modified
live virus (MLV) CPV, CDV, and CAV-2 is recommended. After a booster at one
year, revaccination is recommended every 3 years thereafter unless there are
special circumstances that warrant more or less frequent revaccination. Note
that recommendations for killed parvovirus vaccines and recombinant CDV
vaccines are different from the above. These vaccines are not currently stocked
by our pharmacy or routinely used at the VMTH. We do not recommend vaccination
with CAV-1 vaccines, since vaccination with CAV-2 results in immunity to CAV-1,
and the use of CAV-2 vaccines results in less frequent adverse events.
Canine Rabies Virus Vaccines
In accordance with
Canine Non-Core Vaccines
Non-core vaccines are
optional vaccines that should be considered in light of the exposure risk of
the animal, ie. based on geographic distribution and the lifestyle of the pet.
Several of the diseases involved are often self-limiting or respond readily to
treatment. Vaccines considered as non-core vaccines are canine parainfluenza
virus (CPiV), distemper-measles combination vaccine, Bordetella bronchiseptica,
Leptospira spp., and Borrelia burgdorferi. Vaccination with these vaccines is
generally less effective in protecting against disease than vaccination with
the core vaccines.
Canine Parainfluenza Virus
and Bordetella bronchiseptica
These are both agents
associated with kennel cough in dogs. For Bordetella bronchiseptica, intranasal
vaccination with live avirulent bacteria is recommended for dogs expected to
board, be shown, or to enter a kennel situation within 6 months of the time of
vaccination. We currently stock the intranasal vaccine containing both B.
bronchiseptica and CPiV. For puppies and previously unvaccinated dogs, only one
dose of this vaccine is required (recommendations differ for the parenteral,
killed form of this vaccine). Most boarding kennels require that this vaccine
be given within 6 months of boarding; the vaccine should be administered at
least one week prior to the anticipated boarding date for maximum effect.
Canine Distemper-Measles
Combination Vaccine
This vaccine has been used
between 4 and 12 weeks of age to protect dogs against distemper in the face of
maternal antibodies directed at CDV. Protection occurs within 72 hours of
vaccination. It is indicated only for use in households/kennels/shelters where
CDV is a recognized problem. Only one dose of the vaccine should be given,
after which pups are boostered with the CDV vaccine to minimize the transfer of
anti-measles virus maternal antibodies to pups of the next generation.
Canine Leptospira Vaccines
Multiple leptospiral serovars
are capable of causing disease in dogs, and minimal cross-protection is induced
by each serovar. Currently available vaccines do not contain all serovars,
efficacies against infection with the targeted serovar are between 50 and 75%,
and duration of immunity is probably about 1 year. The disease can be fatal or
have high morbidity. Therefore, we suggest annual vaccination of dogs living
in/visiting rural areas or areas frequented by wildlife with vaccines
containing all four leptospiral serovars ( grippotyphosa,
Canine Borrelia burgdorferi
(Lyme) Vaccine
The incidence of Lyme disease
in
Other Canine Vaccines
Several other canine vaccines
are currently available on the market. These are vaccines for canine
coronavirus, Giardia spp., canine adenovirus-1, and rattlesnake envenomation.
The reports of the AVMA and the AAHA canine vaccine task force have listed the
first three vaccines as not generally recommended, because ‘the diseases are
either of little clinical significance or respond readily to treatment’,
evidence for efficacy of these vaccines is minimal, and they may ‘produce
adverse events with limited benefit’. Currently, information regarding the
efficacy of the canine rattlesnake vaccine is insufficient. The UC Davis VMTH
does not routinely recommend use of these four vaccines.
Canine Coronavirus Vaccine
Infection with canine
coronavirus alone has been associated with mild disease only, and only in dogs
< 6 weeks of age. It has not been possible to reproduce the infection
experimentally, unless immunosuppressive doses of glucocorticoids are
administered. Serum antibodies do not correlate with resistance to infection,
and duration of immunity is unknown. Vaccination against CPV protects puppies
against challenge with both CCV and CPV. Therefore, the UC Davis VMTH does not
routinely recommend vaccination against CCV.
Canine Giardia spp. Vaccine
Around 90% of dogs respond to
treatment for Giardia infection, most infected dogs are asymptomatic, and the
disease is not usually life-threatening. The vaccine does not prevent infection
but may reduce shedding and clinical signs. The zoonotic potential of Giardia
remains unclear. Based on existing evidence, the UC Davis VMTH does not
currently recommend routine vaccination of dogs for Giardia spp.
Canine Rattlesnake Vaccine
The canine rattlesnake
vaccine comprises venom components from Crotalus atrox (western diamondback).
Although a rattlesnake vaccine may be potentially useful for dogs that
frequently encounter rattlesnakes, currently we are unable to recommend this
vaccine because of insufficient information regarding the efficacy of the
vaccine in dogs. Dogs develop neutralizing antibody titers to C. atrox venom,
and may also develop antibody titers to components of other rattlesnake venoms,
but research in this area is ongoing. Owners of vaccinated dogs must still seek
veterinary care immediately in the event of a bite, because 1) the type of
snake is often unknown; 2) antibody titers may be overwhelmed in the face of
severe envenomation, and 3) an individual dog may lack sufficient protection
depending on its response to the vaccine and the time elapsed since
vaccination. According to the manufacturer, to date, rare vaccinated dogs have
died following a bite when there were substantial delays (12-24 hours) in
seeking treatment. Recommendations for booster vaccination are still under
development, but it appears that adequate titers do not persist beyond one year
after vaccination. Adverse reactions appear to be low and consistent with those
resulting from vaccination with other products available on the market. Based
on existing evidence, the UC Davis VMTH does not currently recommend routine
vaccination of dogs for rattlesnake envenomation.
Resistance by veterinarians
to these studies can arise from the fact that annual vaccinations are a source
of income for vets and that without the vaccines to draw pet owners in for
annual veterinary visits, life-threatening conditions may go unnoticed.
The minimalist approach is
risky. Knowing that the parvovirus vaccine is over 90% effective is not much
comfort if you are in the small percentage whose dog is unprotected and that
dog brings it home to your puppies. Then there is always the worry that some
puppies will contract disease between the ages of 6-12 weeks, when protection
by maternal antibodies begins to wane. There is concern that the initial
vaccines may not be effective due to poor handling or other reasons, and that
extra vaccines are necessary for "insurance". And there are some breeds which don't appear to
"immunize easily" and which are especially susceptible to the parvovirus (Dobermans, Rottweilers).
For all of you breeders out
there, please make a special note. It is best to avoid vaccination 30 days
prior to the onset of estrus, during the estrus cycle, during pregnancy and
during lactation!! (Note: Remember that if you are still using a Modified Live
vaccine—it can shed. So the above advice applies to your entire household, not
just your bitch!!) For young puppies, vaccinations usually start at six to
eight weeks and are given every three to four weeks until the puppy is 16 weeks
of age. Recent information regarding parvovirus may extend this recommendation
to 18 or even 20 weeks, especially for Rotweillers and Dobes.
Duration of Immunity for
Common Vaccines
Studies have shown that, once fully immunized, more than 90% of canines retain
immunity to Parvovirus-2 and Adenovirus-2 for more than seven years. (Full
immunization may not take place with vaccinations administered prior to 16
weeks, due to interference by maternal antibodies.) Immunization to Distemper
may last up to 15 years, and immunization to
Other vaccines, particularly the bacterial ones, are less durable. Some
vaccines for Bordetella may last less than a year and are probably only
effective in about 70% of dogs. Sufficient data on Leptospira, Borrelia (Lyme)
and Giardia vaccine is not available
to suggest immunization lasting much longer than a year.
High Priority
("Core") Vaccines
The high-priority vaccines are those protecting against diseases that are of
greatest risk to the dogs or to public health, and those that carry a large
benefit-risk ratio. Possible vaccines that might be included in many core
programs would include:
1. canine parvovirus-2 (CPV-2)
2. canine distemper virus (CDV)
3. infectious hepatitis, controlled by canine adenovirus-2
(CAV-2).
4. rabies (RV) - a priority in all but the "rabies-free" countries.
At this time, most products intended for vaccinating for CAV-2 , also includes
Parainfluenza (PI), so vaccination for Parainfluenza may be included by
default.
Ronald D. Schultz, Professor
and Chair
Department of
Vaccines can keep people
immune for a lifetime: we're usually inoculated for measles, mumps and rubella
as children but never as adults. So, can dogs be vaccinated as pups and then
never again?
Since the mid 1970's we have
done a variety of studies with various canine vaccines to demonstrate their
duration of immunity. From our studies it is apparent, at least to me, that the
duration of immunity for the four most important canine vaccines (core
vaccines) that the duration of immunity is considerably longer than one year.
Furthermore, we have found that annual revaccination, with the vaccines that
provide long term immunity, provides no demonstrable benefit and may increase
the risk for adverse reactions. We have assessed duration of protective
immunity primarily by two procedures; the first is held to be the "gold
standard and that is to challenge the vaccinated animal with the virulent
organism, the second method is to measure antibody and compare the antibody
titer to that which is known to prevent infection (e.g. provide sterile
immunity). The studies we report here include challenge studies as well as
studies that determine antibody titers. A summary of our results show the
following (Table 1).
|
Table 1: Minimum Duration of Immunity for Canine Vaccines |
||
|
Vaccine |
Minimum Duration of Immunity |
Methods Used to Determine Immunity |
|
CORE VACCINES |
||
|
Canine Distemper Virus (CDV |
7 yrs/ 15 yrs |
|
|
Rockbom Strain |
7 yrs / 15 yrs |
challenge / serology |
|
Onderstepoort Strain |
5 yrs / 9 yrs |
challenge / serology |
|
Canine Adenovirus-2 (CAV-2) |
7 yrs / 9 yrs |
challenge-CAV-1 / serology |
|
Canine Parvovirus-2 (CAV-2) |
7 yrs |
challenge / serology |
|
Canine Rabies |
3 yrs / 7yrs |
challenge / serology |
|
NON-CORE VACCINES |
||
|
Canine parainfluenza |
3 yrs. |
serology |
|
Bordetella bronchiseptica |
9 months |
challenge |
|
Leptospira interrogans ser. canicola |
? |
|
|
Leptospira icterohaemorrhagiac |
? |
|
|
Borrelia burgdorfen |
1 yr. |
challenge |
|
Giardia |
? |
|
|
Canine Coronavirus |
Lifetime (whether |
Challenge / serology |
The minimum duration of
immunity data does not imply that all vaccinated dogs will be immune for the
period of time listed, nor does it suggest that immunity may not last longer
(e.g. the life of the dog). The percentage of vaccinated animals protected from
clinical disease after challenge with canine distemper virus, canine parvovirus
and canine adenovirus in the present study was greater than 95%. . "The
goal for the future should be to vaccinate more animals than are now vaccinated
but to vaccinate those animals less often and only with the products that the
animal needs," says Dr. Schultzcontroversial. As yet, there is no
consensus on the usefulness of titers. Critics point out that there have been
no studies to determine what levels actually confer protection from disease, or
if there is even a correlation between antibody levels and susceptibility to
disease. Some maintain that there is a difference between protection from
infection, and protection from disease. Also somewhat suspect is the lack of
standardization for tests determining antibody concentration. Dr. Richard Ford,
of
obviously needed.
Do all current
vaccines for a given disease provide similar protection?
Modified Live
Vaccines (MLV) - this type of
vaccine induces rapid active specific
immunity due to exposure to
the actual disease agent. They provide a greater immune
response with longer duration
of immunity. They have a potential to become active and cause disease,
especially in a dog with a weakened immune system. Careful storage and handling
are required to prevent breakdown of the active ingredients. Some researchers
blame the rise of immune-mediated disease on frequent vaccinations large numbers
of Modified-live viruses. They feel this over-stimulates the immune system
causing it to recognize everything as foreign and leading to tissue rejections.
This theory is not widely accepted by most veterinary practitioners.
Inactivated Vaccines
(Killed) - this type of
vaccine requires more than a single dose to
induce active specific
immunity and have a shorter duration of immunity. Killed vaccines cannot become
virulent are less likely to be immunosuppressive or cause abortions. They
remain stable during storage but are more likely to cause allergic reactions,
require more initial injections and more frequent booster shots.
Bacterial Vaccines - more likely to cause immune-mediated reactions
than do
viral vaccines. Killed
vaccines, especially those which contain adjuvants, are more
likely to cause adverse
reactions than do modified live vaccines. Because immune
mediated reactions are
genetically determined, some breeds, especially certain
families of dogs, are at much
greater risk of developing adverse reactions than the
canine population as a whole.
Schultz indicated in
“Considerations InDesigning Effective and Safe Vaccination Programs for Dogs”,
that:
Canine vaccines which are
considered essential, and should be given to every dog, are
termed "core
vaccines". All other vaccines are regarded as "non-core" and
should be used in dogs considered at high risk on an as needed basis. Core
vaccines are considered essential because they are designed to prevent
important diseases that pose serious health threats to susceptible dogs,
irrespective of geographic location or the life style of a dog. Some
"non-core" vaccines also may be considered "core" because
they are designed to prevent a disease that is a potential public health threat.
The "core" vaccines (with common abbreviations):
Canine Distemper Virus (CDV)
Canine Parvovirus-2 (CPV-2)
Canine Adenovirus-2 (CAV-2)
Rabies Virus (RV)
The "non-core"
vaccines are divided into viral, bacterial and parasite groupings. Vaccinations
against non-core disease are based upon the owner’s needs and the
veterinarian’s advice. In general, leptospiral vaccines have been associated
with more severe post-vaccination reactions (acute anaphylaxis) than other
vaccines.
Key: MLV=Modified Live
Vaccine K=Killed Vaccine KR=Killed Recombinant Vaccine
Viral
Canine Coronovirus (MLV, K)
Canine Parainfluenza (MLV, K)
Bacterial
Bordetella bronchiseptica
(MLV, K)
Leptospira canicola (K)
Leptospira
Leptospira grippotyphosa (K)
Leptospira
icterohaemorrhagiae (K)
Borrelia burgdorferi (Lyme
disease)
(K, KR)
Parasite
Giardia (K)
Schultz recommends that dogs
receive rabies shots every three years (as is required by law in most states)
and the other core vaccines no more frequently than every three years. Some
non-core vaccines, on the other hand, have a much shorter duration of immunity,
lasting around one year. But he points out that not every dog should get these
types of vaccines because not every dog is at risk of exposure. Giving a
vaccine which isn’t needed, he explains, creates an unnecessary risk to the
animal. Additionally, he states that vets who have switched to the three-year,
instead of annual, vaccination program have found no increase in the number of
dogs with vaccine-preventable diseases.
“My dog was
vaccinated against these diseases and got one of them anyway. WHY?”
Vaccine breaks occur for many
reasons. Fever, steroids, disease and maternal antibodies will block the dogs
ability to make antibodies. If given too close together, vaccines can be
blocked by earlier shots: Given too far apart, the memory response of the
immune system is not properly stimulated. Given too close together, vaccines
can be blocked by earlier shots. Viruses can also mutate and previously
effective vaccines may no longer protect the dog against the mutated form.
Vaccines given to very young puppies (under 6 weeks of age) or to sick or
immunosuppressed dogs may be ineffective. And, of course, vaccines are not
always 100% effective in every animal.