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Tables Coversheet
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What Everyone Needs to Know About Canine
Vaccines and Vaccination Programs
What Everyone Needs to Know About
Canine
Vaccines and Vaccination Programs
© Copyright 2007
Ronald D. Schultz, Professor and Chair
Department of Pathobiological Sciences
School of Veterinary Medicine
University of Wisconsin-Madison,
Madison, WI 53706
Presented at the 2007 AKC Health
Foundation, St. Louis MO
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For
many veterinary practitioners canine vaccination
programs have been "practice management tools" rather
than
medical procedures. Thus, it is not surprising that
attempts to change the vaccines and vaccination programs
based
on
scientific information have created great controversy
and unique methods of resistance to the proposed changes
have been and are being developed. For some
practitioners the issues are not duration of immunity
for the vaccines,
nor
which vaccines are needed for the pet, instead it is
felt that every licensed vaccine should be given to
every pet
on
an annual or more often basis.
Ironically this is fostered by the fact that multivalent
products with 7 or more vaccine components can be
purchased
for
the same price or less than a product with one or two
vaccine components. A "more is better" philosophy
prevails
with regard to pet vaccines. On many occasions
practitioners say that "I know many of the vaccines I
administer
probably aren’t needed but it won’t hurt to give them
and who knows the animal may need them some time during
their life because of unknown risk." I have also been
told by many practitioners that "I believe the duration
of
immunity for some vaccines like distemper, parvovirus
and hepatitis is many years, but until I find another
way to
get
the client into my office on a regular basis I'm going
to keep recommending vaccines annually."
Annual vaccination has been and remains the single most
important reason why most pet owners bring their pets
for
an
annual or more often "wellness visit." The importance
of these visits for the health of the pet is
exceptional.
Therefore, dog owners must understand the vaccines are
not the reason why their dog needs an annual wellness
visit.
Another reason for the reluctance to change current
vaccination programs
is many practitioners really don’t
understand the principles of vaccinal
immunity.
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A
significant number of practitioners believe : |
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1 |
The
annual revaccination recommendation on the vaccine label is evidence the
product provides immunity
for
(only) one year. – Not True
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2 |
That
they are legally required to vaccinate annually and if they don’t they
will not be covered by AVMA
liability insurance if the animal develops a vaccine preventable disease
- Not True. Furthermore, certain
companies will not provide assistance if practitioners don’t vaccinate
annually with core vaccines.
Not
True – In fact most of the companies have now demonstrated their core
products provide at least
3
years of immunity.
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3 |
That
not revaccinating will cause the animal to become susceptible soon ( days
or a few weeks )
after
the one year. – Not True
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4 |
If
the animal is not revaccinated at or before one year the "whole
vaccination program needs to be
started again". – Not True
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5 |
If
they don’t continue to revaccinate annually, diseases like canine
distemper, canine parvovirus and
infectious canine hepatitis ( CAV-1 ) will "reappear and cause
widespread disease similar to what was
seen
prior to the development of vaccines for these diseases." – Not True
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6 |
That
if the revaccination "doesn’t help, it won’t hurt." – Not True
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7 |
That
giving a vaccine annually that has a duration of immunity of 3 or more
years provides much better
immunity than if the product is given only once during the three years.
– Not True
In
fact, there are regional/state rabies programs that suggest annual
rabies vaccination programs provide
better protection than revaccination once every three years regardless
of whether a 1 year or 3 year
rabies product is used. – Not True
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8 |
That
parvovirus vaccines only provide six months of immunity, thus they must
give them semi-annually
and
the CPV-2 vaccines need to be given with coronavirus vaccine to prevent
enteritis. – Not True
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9 |
"It’s
much cheaper to revaccinate the pet annually than it is to treat the
disease the animal will develop
because it didn’t get revaccinated annually." The "better safe than
sorry" philosophy - It is less expensive
to
prevent disease. However, if the core vaccines are given as a puppy and
again at a year of age,
then
annual vaccination is not needed. Furthermore, if a vaccine is given
that is not needed and it
causes an adverse reaction that is unacceptable and very expensive.
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10 |
They
need to revaccinate all new dogs/cats coming to their clinic irrespective
of vaccination history
even
when vaccination records are available from another clinic. Presumably
the "other clinic" used the
wrong
vaccine or didn’t know how to vaccinate. – Not True |
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11 |
”Dogs need to be revaccinated annually up to 5 to 7 years of age, then
and only then would vaccination every three years be okay.” – Not True
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12 |
"Surgical
procedures, including anesthesia, are immunosuppressive thus dogs should
be vaccinated prior
to or
shortly after surgery." – Not True
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13 |
"Because
boarding kennels require annual or more often ( kennel cough every 3 to
6 months ) vaccination,
practitioners must continue vaccinating annually with all vaccines." –
Not True – help change the kennel
rules through education and just use the vaccines that need to be given
( eg Kennel Cough..)
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Note : |
There are kennels that require every licensed vaccine and the vaccines
must have been given within 1 year
or
less prior to admission – help change these rules! Those kennels that
are members of the American Kennel
Association should be following the AAHA Guidelines, but many kennels do
not belong to this association.
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It
will be necessary to correct many of these and additional
misunderstandings by providing education to veterinary
practitioners, kennel owners and pet owners before significant changes in
vaccination programs can or will occur
to
reduce the over-vaccination of both cats and dogs.
However it is equally important that we don’t, in our efforts to prevent
over-vaccination : |
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1 |
fail
to vaccinate often enough |
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2 |
fail
to vaccinate all or as many pups with the core vaccines |
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3 |
fail
to use products that are necessary |
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4 |
use
products ( eg nosodes ) that don’t provide protection for our pets.
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I
believe every practitioner, kennel owner and dog owner should know the
following general information about canine
vaccines and vaccination programs. |
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What vaccines are needed for all puppies ?
I do
mean all pups, as we only vaccinate 50% of dogs. If we could increase
this percentage to 75%, we would be
able
to eliminate many of the diseases prevented by core vaccines.
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The
“core vaccines,” those that every pup should receive and identified as
core by most canine vaccine experts
in the
United States, include : |
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1 |
Canine
Parvovirus type 2 ( CPV-2 ) |
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2 |
Canine
Distemper virus ( CDV ) |
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3 |
Canine
Adenovirus type 2 ( CAV-2 ) |
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4 |
Rabies
Virus ( RV ) |
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When do the core vaccines need to be given ?
As a
minimum, puppies should be given at least one dose at 16 weeks of age or
older. Preferably, they should be
given
three or more times starting at 6 to 9 weeks then at an interval of 2 to 4
weeks revaccinate 9 to 12 weeks
then
again at 14 to 16 weeks. It is critical that the last dose be given at 14
to 16 or more weeks of age.
It is
important not to give them earlier than 6 weeks unless there is a
significant risk of a specific disease,
then
give only the vaccine for the disease you want to prevent ( e.g. CPV-2 ).
Never
vaccinate a pup less than 4 weeks of age. The most effective canine core
products currently include modified
live
and recombinant vaccines alone or in combination. The combination
products with CPV-2, CDV and CAV-2
currently often include canine parainfluenza ( CPI ) virus.
New
“core only” products have been and are being developed that don’t have
CPI, however, the CPI will not cause
a
problem if and when used as a parenteral 5 way combination product. |
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After
the puppy series is completed, revaccination is recommended again at one
year of age or one year after the
last
puppy vaccination ... Rabies must be given again at 1 year, then every 3
years, whereas, the other core
vaccines need not be given again for at least 3 or more years. There is
no benefit from annual rabies vaccination
and
most one year rabies products are similar or identical to the 3-year
products with regard to duration of immunity
and
effectiveness. However, if they are 1 year rabies vaccines, they must be
legally given annually !
Rabies
vaccine is the only canine vaccine requiring a minimum duration of
immunity study. However, revaccination
annually does not necessarily improve immunity. However, annual
vaccination does significantly increase the risk
for an
adverse reaction in the dog. I would recommend, if you really want to be
sure the puppy vaccination program
was
successful, that a CDV and CPV-2 antibody titer be performed 2 or more
weeks after the last puppy vaccination.
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Laboratory tests as well as “in-office test” for CDV and CPV-2 tests are
available. If there is no antibody, revaccinate
and
perform a test two or more weeks after revaccination. If you still don’t
have antibody, change the product and
vaccinate again. Antibody tests (titers) are very useful at these times
to ensure the animal is immunized.
The
problem with antibody tests is they are very expensive, thus in general,
these tests won’t be used.
As an
alternative to revaccinating at one year after completing puppy series for
CDV, CPV-2 and CAV-2, I would
revaccinate at 6 months of age to ensure the animal has responded rather
than waiting until 1 year of age.
Then,
revaccinate not more often than every 3 years. The minimum duration of
immunity for the core vaccines
except
rabies is at least 7 years based on challenge and/or titers (
Table 1 ). Thus revaccinating annually will not
improve protection. Ironically "the better safe than sorry philosophy"
can be equally applied to less vaccination,
since
the animal that develops an adverse reaction (e.g. hives, facial edema,
anaphylaxis) from a vaccine that
wasn’t
needed is an example of "being sorry, not safe !" |
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What about all the other vaccines currently available for
the dog ?
They
are non-core or optional vaccines that should only be given to animals
that need them and only as often as
needed. There are also some vaccines that are not recommended for
any dogs. The duration of immunity is not
known
for certain non-core products, the efficacy is limited or not known and
the risk vs. benefit factors are not
always
well established nor understood. The minimum duration of immunity for
Leptospira vaccines is probably less
than
one year, thus if required for a high risk dog, they may need to be given
as often as semi-annually.
Considering the low efficacy, the adverse event rate and the minimal risk
for leptospirosis in many regions of the US,
certain practitioners are not using the current products. However, if an
animal is in a high-risk environment for
leptospirosis, the product to use should contain the 4 serovars ( there is
no significant cross protection among the
4
current serovars ). I recommend to start vaccination not earlier than 12
weeks of age, revaccinate in 2 to 4 weeks,
revaccinate at 6 months of age, revaccinate at a year of age and then you
may have to revaccinate as often as every
6 to 9
months for optimal protection. Using this program the animal should not
develop clinical disease but it may
get
infected and shed organisms in its urine. Bordetella immunity may be less
than one year and the efficacy for the
products is not well established. Many animals receive "kennel cough"
vaccines that include Bordetella and CPI with
or
without CAV-2 every 6 to 9 months without evidence that this frequency of
vaccination is necessary or beneficial.
In
contrast, other dogs are never vaccinated for kennel cough and disease is
not seen. CPI immunity lasts at least
3
years when given intranasally, and CAV-2 immunity lasts a minimum of 7
years when given parenterally for CAV-1,
but
duration of immunity is probably less for CAV-2 ( eg 3 years ). These two
viruses in combination with Bordetella
bronchiseptica are the agents often associated with kennel cough,
however, other factors play an important role in
disease ( e.g. stress, dust, humidity, molds, Streptococcal spp.,
mycoplasma, etc. ), thus kennel cough is not
a
vaccine preventable disease because of the complex factors associated with
this disease. Furthermore, Kennel
Cough
is often a mild to moderate self limiting disease. I refer to it as the
"Canine Cold." My preference when a
kennel
cough vaccine is used is the intranasal vaccine rather than the parenteral,
but some dogs will not allow an
intranasal vaccine to be administered. |
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There
is a new virus of dogs, an "equine-like influenza virus," that first
infected greyhounds in Florida in 2004,
causing respiratory disease. At present, it is not known whether canine
influenza virus ( CIV ) will become an
important cause of canine respiratory disease, nor if it will be an
emerging disease of dogs. Recently, cases of CIV
have
been reported in shelters and kennels in a number of states, suggesting
the virus is spreading. At the present
time,
there are no vaccines licensedto prevent CIV. Questions about the role of
influenza virus or for that matter,
viruses other than CPI and CAV-2, bacteria other than Bordetella
bronchiseptica, various mycoplasmas and other
factors causing kennel cough, which I refer to as "Canine Respiratory
Disease Complex," exist and must be answered. |
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The
geographic distribution of Lyme disease would suggest vaccination would
only be of benefit in certain regions
of the
US, thus widespread use of this product is neither necessary nor desired.
Although Wisconsin is an endemic
area
for Lyme disease, we have used very few doses of Lyme vaccines in our VMTH
and we have not seen significant
numbers of cases of Lyme disease. However in certain areas of western and
northwestern Wisconsin and eastern
Minnesota, many cases of confirmed Lyme disease are seen in both
vaccinated and unvaccinated dogs. Tick control
for
prevention and antibiotics for treatment must be used in high risk areas,
even in vaccinated dogs that develop
signs
of disease (eg arthritis ) ... Immunity to Lyme vaccines have been shown
experimentally to last up to one year.
Giardia
is a new vaccine that may be of value in certain circumstances, but there
have not been adequate field
studies to demonstrate the need nor the benefit of this vaccine. To date
no one has demonstrated a benefit for
coronavirus vaccine. In the vaccination guidelines from the American
Animal Hospital Association, neither Giardia
nor
Coronavirus vaccines are recommended unless they can be proven to be
beneficial for a specific animal.
There
are also new vaccines for snakebites ( Crotalus sp.) and for
periodontal disease ( Porphyrius sp. )
and a
therapeutic vaccine for treatment of canine melanomas. New vaccines will
continue to be produced and
licensed. They are likely to be optional vaccines, thus their use will be
determined from a risk/benefit analysis. |
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At present most canine core vaccines
are given more often than needed, but a few non-core vaccines probably not
often enough to be of benefit. Also,
many vaccines/vaccinations are given that are not needed or that cannot be
shown to provide a benefit for the
specific animal. Vaccines are medical products that should only be given
if needed
and only as often as is necessary to
provide protection from diseases that are a risk to the health of the
animal.
If a vaccine that is not necessary
causes an adverse reaction that would be considered an unacceptable
medical
procedure, thus use only those vaccines
that are needed and use them only as often as needed. |
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Vaccination programs are changing and
they will continue to change. The vaccination program must be tailored to
the individual animal. Vaccines are
medical products that should not be used as practice management tools.
My general philosophy is to vaccinate
more animals in the population, but vaccinate with only those vaccines
that the
animal needs and only as often as
required to maintain protective immunity. With some products, vaccination
may
only need to occur once or twice in a
life time, whereas with other products vaccination may need to be every 6
to 9
months, or at the very least annually
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Be wise and immunize, but immunize wisely ! |
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Table 1: Minimum Duration of Immunity for
Canine Vaccines |
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Vaccine : |
Minimum Duration
of Immunity : |
Methods Used to
Determine Immunity : |
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Canine Distemper Virus ( CDV ) |
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Rock born Strain |
7 yrs/15 yrs |
challenge/serology |
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Onderstepoort Strain |
5 yrs/9 yrs |
challenge/serology |
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Canarypox Vectored ( rCDV ) |
3 yrs/4 yrs |
challenge/serology |
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Canine Adenovirus-2 ( CAV-2 ) |
7 yrs/9 yrs |
challenge-CAV-1/serology |
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Canine Parvovirus-2 ( CPV-2 ) |
7 yrs/10 yrs |
challenge/serology |
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Canine Rabies |
3 yrs/5 yrs |
challenge/serology |
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Why
Vaccination Programs are Changing |
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Why,
when you know from personal experience that life-long immunity exists for
many human vaccines, do you have
great
difficulty believing a canine vaccine can provide life-long immunity?
Perhaps I and my colleagues that teach
immunology to veterinary medical students have failed to explain the
basics of vaccine induced "immunologic
memory." Immunologic memory is as the term implies the immune system’s
ability to remember the vaccine
antigens that it has seen at an earlier time in life, allowing the immune
system to respond in a manner that will
protect you or your dog from specific infections and/or diseases. |
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Immunologic memory is responsible for the duration of immunity that
develops after recovery from natural
infection/disease and after vaccination with modified live virus ( MLV )
recombinant ( r ) or killed virus ( KV )
vaccines. Similarly bacterial infections and vaccines or bacterins (
killed bacterial vaccines ) provide immunologic
memory. However, in general, immunologic memory to viruses is longer than
to bacteria and memory to killed viral
vaccines and to bacterial vaccines ( or bacterins ) is not as long lived
as it is to MLV vaccines. The duration of
immunity or length of immunologic memory varies among the agents causing
the diseases and the vaccines used to
prevent the disease. For example, immunologic memory in humans for
measles virus is life-long. How do we know
that
it is lifelong ? No one has published any controlled studies, but we know
after recovering from measles infection
and/or
vaccination with a MLV vaccine, immunity is life-long because people
rarely get measles even though they
rarely
receive another dose of vaccine. In contrast to the MLV vaccine, the
killed measles vaccines that were used
for a
short period of time about 25 years ago failed to give life-long
immunity. Many individuals receiving killed
vaccines were either inadvertently infected or had to be revaccinated with
a MLV when they were 15 to 20 years of
age to
provide life long immunity. How many people do you know that were
vaccinated with the modified live
measles virus product, in use for approximately 40 years, or that had
measles as a child, then developed measles
later
in their life? I’m sure your answer must be very few or none !
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A very
similar story to measles can be told for canine distemper virus ( CDV ) in
the dog. CDV is in the same virus
family
as measles virus and it shares many similarities with MV. As you may
know, MV vaccines were available until
recently for dogs to prevent disease ( not infection ) caused by CDV.
Those of you over the age of 50, may remember
canine
distemper when it was a devastating disease killing many animals with more
than 50% of infected puppies
often
dying from the disease. If you are old enough, were observant enough and
had an opportunity to follow dogs
that
recovered from natural infection with CDV you know that dogs recovering
from CDV, like their human counterpart
recovering from measles, rarely, if ever, developed acute distemper during
the rest of life, even when not
revaccinated. Like measles immunity in humans, immunity from canine
distemper infection confers immunologic
memory
resulting in life- long immunity ... How do I and my older, wiser and now
retired colleagues and canine
infectious disease experts, Dr. Max Appel, Dr. L.E. ( Skip ) Carmichael,
and Dr. Larry Swango know that distemper
immunity is life long ? We know because we had the opportunity to follow
dogs that recovered from infection with
CDV or
puppies that were vaccinated once or twice with MLV CDV and lived for 7 or
more years and never developed
disease even though they were exposed to CDV via natural outbreaks or
experimental challenge with CDV. We also
know
the vaccinated or recovered dogs had life long immunity because we and
others performed antibody tests for
years
on the dogs after they recovered from infection or after puppy
vaccination. These dogs all had antibody
showing that immunologic memory was present and they were protected from
disease. Most of the dogs had enough
antibody that provides sterile immunity ( protection from infection ) much
like the measles titers found years later
in
many vaccinated or naturally infected people. However even if the dogs
didn’t have sterile immunity but have
antibody, they have immunologic memory. An antibody titer, no matter how
low, in a previously vaccinated dog over
4
months of age shows the animal has immunologic memory since memory
effector B cells must be present to produce
that
antibody. Some dogs without antibody are protected from disease because
they have T cell memory, that will
provide cell mediated immunity ( CMI ). CMI will not protect from
reinfection, but it will prevent disease.
When
an animal is antibody negative it may have T cell immunologic memory, but
I consider a CDV antibody negative
dog
not to be protected, therefore, I recommend revaccination ! Some
researchers, including myself, have had the
opportunity to follow the duration of immunity for dogs living in natural
or experimental environments that are free of
CDV
and CPV-2. Why is it important that observations are made on dogs and
cats that are not exposed to the virus ? Because in those environments it
is possible to demonstrate that immunologic memory is independent of
natural or
overt
stimulation with the wild type virus or the vaccine virus. However, in a
normal environment where infection
occurs, "natural vaccination" or exposure and infection with the specific
agent can and does occur at least for certain
agents
and in certain animals, but the animals getting infected do not get sick.
Ironically when animals have "sterile
immunity" their immune system is rarely boosted by natural exposure since
infection does not occur. If infection
does
not occur, there is no stimulation of the specific memory T or B cells,
thus the antibody titer does not increase.
A
severe outbreak of CPV-2 occurred in a large commercial breeding kennel,
where more than 90% of puppies got sick
and
50% of puppies from 4 weeks to 24 weeks of age died. However, none of
more than 50 dams with sick and dying
puppies had a significant increase in antibody titer, none had virus in
their feces and none showed clinical signs of
CPV-2
disease, all excellent indicators the dams had sterile immunity ( did not
get infected ) ! |
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Is
immunologic memory and duration of immunity to all human viruses life-long
? The answer is NO !
Natural infection with many human viruses and the vaccines for those
viruses provide life-long immunity
( e.g.
measles, mumps, rubella ), whereas other viruses and/or the vaccines for
them provide short duration of
immunity (e.g. human cold viruses, influenza virus ) and for additional
viruses there is no immunity from infection
or
experimental vaccines ( e.g. HIV ). Similarly, immunity to human or
canine bacterial vaccines may be long lived
or may
be short, depending on the vaccine. |
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The
three most important viral infections of dogs all provide life-long
immunity, they are CDV, CPV-2, and CAV-1
(
immunity provided by CAV-2 vaccine ) ... If a puppy is immunized with the
three MLV vaccines used to prevent
these
diseases, there is every reason to believe the vaccinated animal will have
up to life-long immunity !
The
vaccines that prevent the diseases caused by these 3 viruses plus rabies
vaccine are the "Canine Core Vaccines"
or
those vaccines that every puppy should receive. My own dogs, those of my
children and grandchildren are
vaccinated with MLV CDV, CPV-2, CPI, and CAV-2 vaccines once as puppies
after the age of 12 weeks. An antibody
titer
is performed two or more weeks later and if found positive our dogs are
never again vaccinated. I have used
this
vaccination program with modifications ( CAV-2 replaced CAV-1 vaccines in
1970’s and CPV-2 vaccines were first
used
in 1980 ) since 1974 ! I have never had one of our dogs develop CDV,
CAV-1 or CPV-2 even though they have
had
exposure to many dogs, wildlife and to virulent CPV-2 virus. You may say
that I have been lucky, but it is not
luck that protects my dogs, it is immunologic memory ! |
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An
important factor contributing to life long immunity in addition to the
memory T and B cells and the "memory
effector B cells" ( long lived plasma cells ) of the specific ( adaptive )
immune system is the innate immune resistance
associated with age. It is well known in all species that the young
animal is more susceptible to infection and disease
than a
mature animal. In the case of human infections that period of increased
susceptibility is often the first few
years
of life, and especially the first year. In the puppy and the kitten it is
often the first 3 to 6 months of life, but
it can
be up to 1 year of age that the animal is more susceptible to disease.
For example, dogs less than a year of
age
are much more likely to develop severe parvoviral disease than susceptible
( immunologically naïve ) dogs over
one
year of age even though at both ages the animals are very susceptible to
infection with CPV-2. Similarly a
susceptible cat less than one year of age and especially cats less than 3
months of age are at much greater risk of
becoming persistently infected with feline leukemia virus than a
susceptible cat that is greater than one year of age
at the
time of infection. Thus innate (natural) as well as specific immune
factors contribute to age-related resistance
and
these factors are highly complex and not completely understood. However,
age related resistance plays a critical
role
in life-long or long term immunity. This does not imply that older dogs
and cats cannot get infected and develop
disease, it is that they are much less likely to get disease if infected
with certain pathogens as compared to the
younger animal that gets infected. |
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I and
my colleague, Dr. Fred Scott, first proposed a three year revaccination
program for dogs and cats approximately
30
years ago, when we published an article in Veterinary Clinics of North
America 8(4) 755-768, 1978. Today, a not
more
often than three year revaccination program has been recommended in the
AAHA Canine Vaccination Guidelines
and
the American Association of Feline Practitioners Vaccine Guidelines for
Cats. The proposed change for
revaccination with "Core Vaccines" from annual to a not more often than
triennial revaccination has been very
controversial for many reasons, however, the reasons have little or
nothing to do with "immunologic memory" or
duration of immunity. No one has nor can anyone in the future, show that
there is any immunologic benefit from
annual
revaccination with MLV CDV, CAV or CPV-2. In fact, it may even be
difficult to show an immunologic benefit
for
revaccination at three to five year intervals since most animals have long
term immunity for CDV, CAV-1 and
CPV-2. Some among you are probably convinced that there is life long
immunity to certain vaccines used in dogs and
cats,
but few of you after many years of performing annual revaccination are
willing to take the risk, however small
it may
be, to adopt my puppy vaccination program. However, you should feel
confident that adopting, a three year
revaccination program for CDV, CAV and CPV-2, will not increase the risk
for diseases caused by these 3 viruses,
just
as a once every three year revaccination, rather than annual
revaccination, with the killed rabies vaccines does
not
increase the animal’s risk for rabies. |
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You
and your veterinarian will need to determine what vaccines and vaccination
program is best for your pet and their
patient respectively. The program selected may only include core vaccines
that are given once in the lifetime of the
dog or
the program may include all vaccines with revaccination on an annual or
more often basis, or it may be
a
vaccination program in between these two extremes depending on what your
pet’s needs are and what, in the
medical judgment of your veterinarian, is best for their patients.
Furthermore, it is likely the decision will depend
on the
life style of your pet, its medical history, health status, age, pregnancy
status and other important factors. |
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Suggested Reading : |
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AAHA
Canine Vaccination Guidelines – 2006
www.aahanet.org/PublicDocuments/VaccineGuidelines06Revised.pdf
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AAFP
Feline Vaccination Guidelines – 2006
http://www.aafponline.org/resources/guidelines/2006_Vaccination_Guidelines_JAVMA_
PDF_Plus.pdf
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WSAVA Vaccination Guidelines – 2007
http://www.blackwell-synergy.com/doi/abs/10.1111/j.1748-5827.2007.00462.x
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Schultz, R.D. Duration of immunity to canine and feline vaccines : a
review ... - 2006
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Schultz, R.D. Current and future canine and feline vaccination
programs.
Vet
Med 93, 233-254. 1998. |
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Schultz, R.D., Conklin S. The immune system and vaccines.
Comp
Cont Educ Pract Vet 20, 5-18. - 1998 ... |
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Schultz, R.D. Considerations in designing effective and safe
vaccination programs for dogs.
In:
Carmichael, L.E. (editor), Recent Advances in Canine Infectious
Diseases.
International Veterinary Information Service,
http://www.ivis.org |
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Frequently Asked Questios ( FAQ ) : |
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From the Vaccination
Guidelines Group ( VGG ) of the World Small Animal Veterinary Association
( WSAVA ),
published in the
Journal of Small Animal Practice 48 (9) , 528–541, 2007. |
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1 |
Is there a risk
of over-vaccinating a pet ( e.g. injecting it too often, or using
vaccines that are not required for the specific pet ) ?
Yes -
Vaccines should not be given needlessly, as they may cause adverse
reactions.
Vaccines are
medical products that should be tailored to the needs of the individual
animal. |
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2 |
May I mix
different types of vaccines in the syringe?
No - One
should never mix different vaccine preparations in the syringe unless
specified by the data sheet. |
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3 |
May I co-inject
different vaccines ( not part of a single commercial product ) into the
same animal ?
Yes - but
different vaccines should be injected into separate sites that are
drained by different lymph nodes. |
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4 |
May I use
smaller vaccine doses in small breeds to reduce the risk of adverse
reactions ?
No - The
volume (e.g. 1.0 ml) as recommended by the manufacturer generally
represents the minimum
immunizing
dose, therefore the total amount must be given. |