Tuesday, April 14, 2015

Special Report: Canine Influenza Virus

CIV is HIGHLY contagious (Image Source)
Many of you may have heard about the recent outbreak of Canine Influenza Virus (CIV) in the Chicago area. Being somewhat close to Chicago (about 2 hours south) and having a lot of students that travel back and forth, we wanted to take the opportunity to spread the word about this highly contagious condition.

So what is Canine Influenza Virus (CIV)? As the name suggests this is a virus that can be VERY easily spread throughout our canine population. One of the reasons it is so highly contagious is that it is considered an aerosolized virus. This means if the patient coughs or sneezes the virus can be transmitted to another dog through particles in the air. It can also be transmitted on shared toys, bowl, etc OR if they have direct contact with the infected dog. People’s clothing can also carry the virus and then transmit it to other dogs. One of the good things about this virus is that it is exclusive to dogs, it cannot currently be transmitted to people or other species. One of the most concerning aspects of this virus is that patients will be able to spread the virus most effectively PRIOR to them showing any clinical signs. So by the time we start seeing symptoms, many other dogs could have already been exposed.

Which dogs are at risk? Unfortunately all dogs are at risk. However some dogs are at an increased risk. These would include dogs that visit dog parks, boarding or daycare facilities, grooming facilities and those that live in apartment complexes with a large number of dogs. Basically any dog that comes in contact with other dogs is at increased risk, but all dogs are susceptible to this condition.
 
These are the most common symptoms of CIV but can be confused with other upper respiratory conditions. (Image Source)
What are the symptoms we may see with Canine influenza Virus (CIV)? Symptoms are primarily confined to the upper respiratory system (nose and throat) and can mimic other respiratory diseases. Many times CIV can be confused with the Bordetella bacteria which is the most common cause of kennel cough in pets. Symptoms can range from mild nasal discharge, cough, a low grade fever and a lack of energy. As the condition progresses, it can lead to very elevated fevers, pneumonia, and a significant decrease in appetite. CIV has been noted to be fatal but it is typically in less than 8-10% of the confirmed cases. In several of these instances the affected patients had other debilitating or chronic conditions.

How do we know if our pet is infected with the virus? There are tests available to confirm the diagnosis of CIV. These can be done by a nasal swab or a blood draw. They can be quite costly (in some cases the cost can be over $200). Without a confirming test, treatment is based on how the pet is presenting and how they are responding to treatment.

A map depicting areas affected with CIV (Image Source)
What is the treatment for Canine Influenza Virus (CIV)? This really depends on the severity of the condition. If it is caught early and there is only a mild cough with mild nasal discharge and no evidence of dehydration or lack of appetite, then outpatient treatment can be initiated. This may include a cough suppressant, an antibiotic and will definitely involve keeping your pet isolated from other animals so that they do not continue to spread the disease (whether it is CIV or Bordetella).  In more severe cases if the patient is dehydrated or has developed pneumonia or extremely high fever in hospital treatment may be required. This could be intravenous fluids with injectable antibiotics if the patient will not eat. In EXTREME cases oxygen support may be required. This is not the normal outcome but has been noted in several severe cases.
My dog is coughing, what should I do? You should always call your veterinarian with any abnormal symptoms in your pet. With the current outbreak, it is important to tell the veterinary staff if you have traveled with your dog, if they have boarded recently or regularly go to doggy daycare. This will help them take measures to minimize spread of these conditions.

The sooner your veterinarian is contacted the sooner treatment can begin. (Image Source)
Is there a vaccine available? There is a vaccine available. Initially it is a series of two vaccinations separated by 2-4 weeks. After that it can be boostered yearly. It is not considered a core vaccination but is now being recommended in affected areas for ANY dogs that spend time in dog parks, grooming or boarding. (Basically dogs that can come in contact with other dogs). As with any vaccine we still need to monitor for any signs of vaccine reactions such as pain at the injection site, vomiting, or diarrhea. If these occur please call your veterinary clinic. Overall the vaccine seems to be fairly well tolerated. Another important aspect of the vaccine, is that it is not 100% effective. As with many vaccines it will not completely prevent an infection but it will lessen the duration of the illness as well as decrease the amount of time the patient is shedding the virus. If you are interested in this vaccine it is a good idea to contact your veterinarian to see if they carry it and if they think it would be appropriate for your pet. Currently our office is requiring this vaccine for all boarding animals. This is due to the large amount of clients and pets that we see coming to and from the Chicago area.

Where can I go to find more information? The following websites offer great information concerning Canine Influenza Virus. You can always call your veterinary office to obtain further information as well.

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