Aproximación epidemiológica para medir y entender el aborto bovino / Epidemiologic approaches for measuring and understanding bovine abortion

El objetivo del presente artículo es ilustrar algunos métodos para medir la tasa de aborto en bovinos. Así mismo, se describirán algunas de las asociaciones que se han encontrado entre aspectos demográficos, características reproductivas y la subsecuente presentación de aborto. El método de las tablas de vida permite calcular el riesgo de pérdida fetal (aborto) en unos intervalos predefinidos (ej. días o meses) durante la gestación, y la proporción de vacas que abortan. Por otro lado, el método de la densidad de aborto permite calcular el riesgo de aborto en un período calendario definido (ej. por mes) como una medida del número de abortos durante los días en que la vaca estuvo a riesgo. Ambos métodos estandarizan la información y toman en cuenta el cambio en el número de vacas a riesgo de abortar ya que excluye aquellas que ya no lo están porque fueron vendidas, murieron, abortaron o parieron; por ello proveen un resultado más alto, pero también más real de lo que normalmente se calcula. Estas medidas y modelos estadísticos han sido utilizados para calcular la magnitud esperada de aborto en fincas lecheras (cuyo rango varía entre 8-19%) y también para identificar asociaciones entre factores demográficos o características reproductivas de la vaca y el subsecuente riesgo de aborto. Algunos de esos factores serán discutidos incluyendo el efecto de abortos anteriores, número de partos y edad, días abiertos al momento de la concepción y el efecto de la estación. Otros métodos analíticos de utilidad también serán presentados para el diagnóstico de hato de aborto relacionado con la exposición a agentes infecciosos o a otros factores. Estos métodos permiten estimar el riesgo o la proporción de abortos atribuibles a la exposición a un agente infeccioso o a cualquier otro agente que pueda producir aborto.

The purpose of the paper is to offer methods for use in measuring abortion rates and in undertaking abortion diagnostic investigations. In addition, some of the associations found between demographic and reproductive features of the dam and subsequent abortion will be described. The cohort life table method calculates the risk of fetal loss (abortion), for pre-defined time intervals (eg. days or weeks) during the gestation period, and the overall proportion of cows that abort. In contrast, the abortion density method calculates abortion risk for a defined calendar time (eg. per month) as the number of abortions per cow-days-at risk. Both methods are standardized to account for the changing number of cows at risk of abortion, as a result of culling, death, abortion, and calving, thus tend to produce higher, but more realistic, estimates for abortion than rates typically calculated. These measures and statistical modeling have been used to estimate the expected magnitude of abortion for dairies (ranging from 8% to 19%) and to identify associations between demographic or reproductive features of the dam and subsequent risk of abortion. Some of the factors to be discussed include effects of a previous abortion, dam gravidity and age, days open at the time of conception, and season. Analytic methods also will be presented for herd-based diagnosis of abortion related to infectious agents or other exposures. These methods permit estimates of the risk or proportion of abortions attributable to exposure to an infectious agent or to other putative abortifacient exposures.

Use of expert opinion for animal disease decisions: an example of foot-and-mouth disease status designation.

When data representing a preferred measurement of risk cannot be obtained, as is often the case for global animal diseases, decisions that affect millions of people and their animals are typically made based on expert opinion. Expert opinion can be and has been used to address the critical lack of data existing for prevalence and incidence of many global diseases, including foot-and-mouth disease (FMD). However, when a conclusion based on expert opinion applies to a topic as sensitive as FMD, which has tremendous economic, political, and social implications, care should be taken to understand the accuracy of and differences in the opinion data. The differences in experts' opinions and the relative accuracy of an expert opinion elicitation for "diagnosing" country-level FMD presence were examined for the years 1997-2003 using Bayesian methods. A formal survey of eight international FMD experts revealed that individual experts had different opinions as to the probability of finding FMD in a country. However, a weighted average of the experts' responses was relatively accurate (91% sensitivity and 85% specificity) at identifying the FMD status of a country, compared to using a method that employed information available from World Organization for Animal Health (OIE). The most apparent disagreements between individual experts and available information were found for Indonesia, South Korea, and South America, and, in general, the experts seemed to believe that countries in South Asia were more likely to be positive than other countries that reported FMD cases to OIE. This study highlights new methodology that offers a standardized, quantitative, and systematic means by which expert opinion can be used and assessed.

Analytical epidemiology of genomic variation among Pan Asia strains of foot-and-mouth disease virus.

Genetic data from field isolates of foot-and-mouth disease virus (FMDV) have been used to trace the source of recent outbreaks of FMD, to design better vaccines and diagnostic tests for FMDV, and to make conclusions regarding the general variability in the FMDV genome. Though epidemiologic data associated with FMDV isolates are available, these data have been used rarely to explore possible associations of epidemiologic factors with evolution or variation of the FMDV genome. In this study, factors associated with variation in the primary immunogenic peptide gene of FMDV (VP1), for a sample of 147 serotype O, Pan Asia strain sequences were explored using traditional analytical epidemiologic methods: logistic regression and multinomial-response logistic regression. Hypothesized factors included host type (bovine, ovine, buffalo, or porcine) and geographical region (Middle East, South Asia, East Asia, Southeast Asia, and Europe). Results of two regression analyses suggest that host type and region, considered to be possible surrogates for host management, may be associated with selection in the VP1 amino acid sequence in FMDV. For example, isolates from cattle and sheep in South Asia appear to converge with a proposed ancestor sequence, whereas isolates from the same species in the Middle East and Southeast Asia appear to diverge. The methods demonstrated here could be used on a more detailed dataset to explore the selective pressure of host immunity on the evolution of FMDV antigens in an endemic setting. More broadly, epidemiologic methods could be applied extensively to molecular data to explore the causes of genomic variation in disease-causing organisms.

Bayesian spatiotemporal analysis of foot-and-mouth disease data from the Republic of Turkey.

A flexible hierarchical Bayesian spatiotemporal regression model for foot-and-mouth disease (FMD) was applied to data on the annual number of reported FMD cases in Turkey from 1996 to 2003. The longitudinal component of the model was specified as a latent province-specific stochastic process. This stochastic process can accommodate various types of FMD temporal profiles. The model accounted for differences in FMD occurrence across provinces and for spatial correlation. Province-level covariate information was incorporated into the analysis. Results pointed to a decreasing trend in the number of FMD cases in western Turkey and an increasing trend in eastern Turkey from 1996 to 2003. The model also identified provinces with high and with low propensities for FMD occurrence. The model's use of flexible structures for temporal trend and of generally applicable methods for spatial correlation has broad application to predicting future spatiotemporal distributions of disease in other regions of the world.

Temporal and spatial distributions of foot-and-mouth disease under three different strategies of control and eradication in Colombia (1982-2003).

Outbreaks of foot-and-mouth disease (FMD) from January 1982 through December 2003 were used to examine variations in serotype- and species-specific risk for three control programmes in Colombia: (1982-1983) vaccination, using an aluminium hydroxide, saponin adjuvant, required but not enforced; (1984-1996) vaccination, using an oil double-emulsion adjuvant, required but not enforced; and (1997-2003) enforced vaccination, using an oil double-emulsion adjuvant, restricted animal movement enforced, and slaughter of infected animals. Hypotheses were tested for trend, cyclicity and seasonality in FMD occurrence, and for species- and serotype-specific differences in morbidity and case-fatality. The spatial density of outbreaks was estimated by kernel smoothing. The frequency of outbreaks decreased most between 1984 and 1996 (p < 0.01) for serotype A and between 1997 and 2003 (p < 0.01) for serotype O. Outbreaks occurred in cycles of 3-4 years for both serotypes (p < 0.05). Morbidity was not significantly different in pigs from that in cattle for serotype A-associated outbreaks (p = 0.314), but was higher in pigs than in cattle (p = 0.019) for serotype O-associated outbreaks. For both serotypes, case-fatality was higher for pigs than for cattle (p < 0.009). Temporal variation in FMD incidence provided insight into the expected evolution of FMD control for countries with similar conditions and where FMD is endemic.

Predicting the probability of abortion in dairy cows: a hierarchical Bayesian logistic-survival model using sequential pregnancy data.

Although abortion contributes substantially to poor reproductive health of dairy herds, little is known about the predictability of abortion based on age, previous abortion or gravidity (number of previous pregnancies). A poor understanding of effects of maternal factors on abortion risk exists, in part, because of methodological difficulties related to non-independence of multiple pregnancies of the same cow in analysis of fetal survival data. We prospectively examined sequential pregnancies to investigate relationships between fetal survival and putative dam risk factors for 2991 abortions from 24,706 pregnancies of 13,145 cows in nine California dairy herds. Relative risks and predicted probabilities of abortion (PPA) were estimated using a previously described hierarchical Bayesian logistic-survival model generalized to incorporate longitudinal data of multiple pregnancies from a single cow. The PPA increased with increasing dam age at conception, with increasing number of previous abortions, and if the previous pregnancy was aborted >60 days in gestation. The PPA decreased with increasing gravidity and with increasing number of days open. For cows that aborted, the median time to fetal death decreased slightly as gravidity increased. The study considers several methodological issues faced in epidemiologic investigations of fetal health, including multi-modal hazard functions, extensive censoring and non-independence of multiple pregnancies. The model improves our ability to predict bovine abortion and to characterize fetal survival, which have important applications to herd health management.

The effect of left displacement of abomasum corrected by toggle-pin suture on lactation, reproduction, and health of Holstein dairy cows.

Our objectives were to evaluate the effect of left displacement of abomasum (LDA) after correction by toggle-pin suture (TPS) on lactation performance, reproduction and health in Holstein dairy cows in a commercial dairy farm. Cows diagnosed with LDA and corrected by the TPS procedure (188 cows) during the first 70 d postpartum were matched with control herd-mates (186 controls) according to lactation number, calving date, and previous lactation 305-d mature equivalent milk yield. Cows were grouped according to parity and days in milk and fed the same total mixed ration throughout a 321-d lactation. Data collected included yields of milk and 3.5% fat-corrected milk (FCM), concentration and yields of milk fat, somatic cell count, incidence of mastitis, abortion, death and culling, in addition to reproductive measures. Cows affected with LDA corrected by the TPS procedure produced less milk and tended to produce less 3.5% FCM than control cows, but the decrease in production occurred only during the first 4 mo of lactation. Left displacement of abomasum did not affect the interval from calving to conception and conception rates, but it extended the period from calving to first postpartum artificial insemination. Incidences of abortions and mastitis were not influenced by LDA. Cows affected with LDA remained in the study for a shorter period than their control herdmates, and higher proportions of cows with LDA were sold or died. Death and culling were more pronounced immediately after the diagnosis of LDA and the TPS procedure.

Descriptive epidemiology of postnatal bovine viral diarrhea virus infection in intensively managed dairy heifers.

OBJECTIVE: To evaluate risk of bovine viral diarrhea virus (BVDV) infection between birth and 9 months of age for dairy replacement heifers raised under typical dry-lot management conditions. DESIGN: Longitudinal observational study. ANIMALS: 446 calves. PROCEDURE: Calves were randomly selected from 2 dairies that used killed and modified-live BVDV vaccines. Repeated serologic and BVDV polymerase chain reaction assays were used to estimate risk of BVDV infection in calves of various ages (1 to 60 days; 61 to 100 days; 101 days to 9 months) and to estimate overall infection rate by 9 months of age. RESULTS: Risk of BVDV infection increased with age (maximum risk, 150 to 260 days). Proportion of calves infected with BVDV by 9 months of age was higher for dairy A (0.665), compared with dairy B (0.357). Percentage infected with BVDV type I did not differ between dairy A (18.2%) and dairy B (15.2%), whereas percentage infected with BVDV type II for dairy A (50%) was twice that for dairy B (21%). Between 210 and 220 days of age, infection with BVDV regardless of type was > 1.3%/d on dairy A and 0.5%/d on dairy B. CONCLUSIONS AND CLINICAL RELEVANCE: Under dry-lot conditions, a considerable amount of BVDV infection may occur before 9 months of age. Risk of infection increases with age. Although dairies may appear to have similar management practices, there can be considerably different risks of BVDV infection among dairies.

Effect of calfhood vaccination on transmission of bovine viral diarrhea virus under typical drylot dairy conditions.

OBJECTIVE: To estimate transmission of bovine viral diarrhea virus (BVDV) and crude morbidity and mortality ratios in BVDV-vaccinated and unvaccinated dairy heifer calves managed under typical dairy drylot conditions. DESIGN: Randomized clinical trial. ANIMALS: 106 female Holstein calves. PROCEDURE: Seroconversion rates for BVDV types I and II and proportional morbidity and mortality ratios were compared between calves given a killed BVDV type-I vaccine at 15 days of age and a modified-live BVDV type-I vaccine at 40 to 45 days of age (n = 53) and calves given no BVDV vaccines (53). Sera were collected at 45-day intervals as calves moved from individual hutches to corrals holding increasingly larger numbers of calves. Seroconversion was used as evidence of exposure to BVDV. RESULTS: Crude proportional morbidity (0.16) and mortality (0.17) ratios for control calves did not differ significantly from those of vaccinated calves (0.28 and 0.12, respectively). The proportion of control calves that seroconverted to BVDV type I through 9 months of age (0.629) was significantly higher than that of vaccinated calves that seroconverted, unrelated to vaccination, during the same period (0.536). Estimated overall protective effect of vaccination against BVDV type I through 4 to 9 months of age was 48%. The proportion of control calves that seroconverted to BVDV type II (0.356) was not different from that of vaccinated calves (0.470). CONCLUSIONS AND CLINICAL RELEVANCE: Findings suggest that calfhood vaccination may be an appropriate strategy to help reduce short-term transmission of some but not necessarily all strains of BVDV.

Direct and indirect contact rates among beef, dairy, goat, sheep, and swine herds in three California counties, with reference to control of potential foot-and-mouth disease transmission.

OBJECTIVE: To estimate direct and indirect contact rates on livestock facilities and distance traveled between herd contacts. SAMPLE POPULATION: 320 beef, dairy, goat, sheep, and swine herds, 7 artificial insemination technicians, 6 hoof trimmers, 15 veterinarians, 4 sales yard owners, and 7 managers of livestock-related companies within a 3-county region of California. PROCEDURE: A questionnaire was mailed to livestock producers, and personal and telephone interviews were conducted with individuals. RESULTS: Mean monthly direct contact rates were 2.6, 1.6, and 2.0 for dairies with < 1,000, 1,000 to 1,999, and > or = 2,000 cattle, respectively. Mean indirect contact rates on dairies ranged from 234 to 743 contacts/mo and increased by 1 contact/mo as herd size increased by 4.3. Mean direct monthly contact rate for beef herds was 0.4. Distance traveled by personnel and vehicles during a 3-day period ranged from 58.4 to 210.4 km. Of livestock arriving at sales yards, 7% (500/7,072) came from > or = 60 km away, and of those sold, 32% (1,180/3,721) were destined for a location > or = 60 km away. Fifty-five percent (16/29) of owners of large beef herds observed deer or elk within 150 m of livestock at least once per month. CONCLUSIONS AND CLINICAL RELEVANCE: Direct and indirect contacts occur on livestock facilities located over a wide geographic area and at a higher frequency on larger facilities. Knowledge of contact rates may be useful for planning biosecurity programs at the herd, state, and national levels and for modeling transmission potential for foot-and-mouth disease virus.

Effect of topical administration of epidermal growth factor on healing of corneal epithelial defects in horses.

UNLABELLED: OBJECTIVE-To characterize healing of corneal epithelial defects in horses and to evaluate the ability of epidermal growth factor (EGF) to modulate rate of corneal epithelial healing in horses. SAMPLE POPULATION: 20 eyes in 12 adult horses. PROCEDURE: Corneal epithelial wounds were created by mechanically debriding the limbus. Corneal healing was recorded for 3 treatment groups: 50 microg of EGF/ml (n = 5 eyes), 5 microg of EGF/ml (7), and PBS solution (8). Corneal healing was recorded once daily after instillation of fluorescein stain by use of photography and calculating the area of the wound, using imaging software. RESULTS: After corneal debridement, re-epithelialization was rapid and progressed in a linear fashion for the first 5 to 7 days after surgery in all groups. After that period, rates of healing decreased. A profound increase in the degree of inflammation, neovascularization, melanosis, and scarring was observed in eyes treated with the high dose of EGF (50 microg/ml), but there was not a statistical difference in mean healing time or in mean decrease in radius during the linear phase between the control and either EGF treatment groups. However, for all 8 horses in which both eyes were debrided, the first eye healed significantly faster than the second eye, regardless of treatment. CONCLUSIONS AND CLINICAL RELEVANCE: Beneficial effects of topical administration of a high dose of EGF for acceleration of healing of corneal defects in eyes of horses are outweighed by the intensity of the associated inflammatory response.

Pooled-sample testing as a herd-screening tool for detection of bovine viral diarrhea virus persistently infected cattle.

The study was conducted to develop methodology for least-cost strategies for using polymerase chain reaction (PCR)/probe testing of pooled blood samples to identify animals in a herd persistently infected with bovine viral diarrhea virus (BVDV). Cost was estimated for 5 protocols using Monte Carlo simulations for herd prevalences of BVDV persistent infection (BVDV-PI) ranging from 0.5% to 3%, assuming a cost for a PCR/probe test of $20. The protocol associated with the least cost per cow involved an initial testing of pools followed by repooling and testing of positive pools. For a herd prevalence of 1%, the least cost per cow was $2.64 (95% prediction interval = $1.72, $3.68), where pool sizes for the initial and repooled testing were 20 and 5 blood samples per pool, respectively. Optimization of the least cost for pooled-sample testing depended on how well a presumed prevalence of BVDV-PI approximated the true prevalence of BVDV infection in the herd. As prevalence increased beyond 3%, the least cost increased, thereby diminishing the competitive benefit of pooled testing. The protocols presented for sample pooling have general application to screening or surveillance using a sensitive diagnostic test to detect very low prevalence diseases or pathogens in flocks or herds.

Postnatal Neospora caninum transmission and transient serologic responses in two dairies.

Cattle on two typically managed drylot dairies were serologically monitored from birth through year 1 to year 4 of life to characterise congenital and postnatal Neospora caninum transmission. Of the 456 calves enrolled, 284 were classified as N. caninum negative and 172 were classified as N. caninum positive. Ninety-six percent of congenitally infected calves were seropositive for all samples tested. Seven (4%) of the 172 congenitally infected animals had a period that persisted for 9 to 18 months when they were seronegative; however, all returned to seropositive status by 25 months of age. In N. caninum-negative calves, colostral antibody decayed by 128 days, with an estimated half-life of 19.6 +/- 5.2 days. Of the 284 calves classified as negative, 18% had sporadic, isolated responses to N. caninum, typically between 29 and 35 months of age, without subsequent seroconversion or infection. During the study, 17 animals seroconverted and remained seropositive throughout the follow-up. Thirteen of the seroconversions occurred in the neonatal period; however, in nine of 10 where dam status was available, the dam was N. caninum positive, suggesting late gestation congenital infection rather than postnatal infection. Seroconversion was detected in an additional four animals, between 13 and 22 months of age. The estimate of postnatal infection rate was less than 1% per year despite a high N. caninum seroprevalence in the herds, and the presence of potential definitive and intermediate hosts on the dairy throughout the study. The extremely low rate of postnatal infection, as well as the lifelong persistence of congenital infection, emphasises the importance of congenital transmission in maintaining N. caninum infection in dairies.

Infertility and abortion among first-lactation dairy cows seropositive or seronegative for Leptospira interrogans serovar hardjo.

OBJECTIVE: To estimate the extent to which exposure to Leptospira hardjo before or at the time of first parturition was associated with infertility and abortion during the first lactation among dairy cows that had not been vaccinated for > or = 12 months. ANIMALS: 207 first-lactation cows from a herd of 2,000 lactating cows. PROCEDURE: Cows were tested for antibodies to L hardjo within 40 days after calving. Time from calving to first breeding, time from calving to conception, number of breedings per conception, and risk of abortion were compared between cows seropositive for L hardjo and cows that were seronegative. RESULTS: For the 9 (4.3%) cows that were seropositive for L hardjo, median time from calving to conception (132.6 days) was significantly longer than time for seronegative cows (95.4 days). Cows that were seropositive were twice as likely (relative risk, 2.07) to fail to conceive as seronegative cows. Mean number of breedings required per conception for seropositive cows (3.4) was significantly higher than that for seronegative cows (2.1). The proportion of seropositive cows that aborted was not significantly different from the proportion of seronegative cows that aborted. CONCLUSIONS AND CLINICAL RELEVANCE: Exposure of nonvaccinated dairy cows to L hardjo can be associated with a subsequent reduction in fertility, as indicated by a greater time from calving to conception and higher number of breedings required per conception. The efficacy of leptospiral vaccines should be assessed to determine whether vaccination will minimize herd infertility associated with L hardjo infection.

Seroprevalence of Neospora caninum and abortion in dairy cows in northern Spain.

The seroprevalence of Neospora caninum infection was estimated from a sample of 889 cattle from 43 dairy herds in three counties in the Asturias region of Spain. The true prevalence of infection was estimated to be 30.6 per cent (95 per cent confidence interval (CI) 27.6 to 33.6). Seropositivity was associated with abortion during the previous year (odds ratio (OR)=3.31, P<0.001) and was slightly higher among purchased cattle (37.6 per cent), than among cattle raised on the farm (29.1 per cent) (P=0.078). Seropositive cows were more likely than seronegative cows to have had a seropositive dam (OR=2.3, P=0.011), suggesting that congenital transmission contributed to about 56 per cent of the infections. Herds with a true seroprevalence above 10 per cent had more dogs on the farm, than herds with a lower prevalence (P=0.032). The ORS relating abortion to seropositivity in individual herds ranged from 0.7 to 19, indicating that some herds experienced few abortions caused by N. caninum, while others experienced more abortions due to the organism. Overall, 38.7 per cent of the abortions were estimated to have been attributable to N. caninum.

Effect of weaning time and associated management practices on postweaning chronic diarrhea in captive rhesus monkeys (Macaca mulatta).

OBJECTIVE: Our purpose was to assess the extent to which early weaning and other weaning-management factors affect development of postweaning chronic diarrhea in captive rhesus monkeys at the California Regional Primate Research Center between 1992 and 1995. METHODS: Data for weaning, management, and onset of diarrhea were obtained from daily records. The Cox proportional hazard model was used to assess whether the risk of chronic diarrhea was related to early weaning. RESULTS: Monkeys that were lighter at weaning had a threefold increase in risk of postweaning chronic diarrhea (P = 0.07), compared with that in heavier monkeys. An episode of preweaning diarrhea increased the risk of postweaning chronic diarrhea twofold (P = 0.08). Relocation of monkeys to outdoor facilities in the fall was associated with a fivefold decrease in risk (P < 0.001), compared with that of other seasons, and weaning in 1993 was associated with a twofold decrease in risk, compared with that of other years (P = 0.04). CONCLUSIONS: Multiple factors need to be considered for prevention of postweaning chronic diarrhea, including weaning weight, preweaning diarrhea, season weaned, and weaning conditions that change from year to year.

Cross-sectional study of gastric ulcers of the squamous mucosa in thoroughbred racehorses.

Although gastric ulcers have been identified relatively frequently in racing Thoroughbreds, there have been no large scale studies to determine their effect on health and performance. Two hundred and two Thoroughbred horses in active race training were selected by the attending veterinarians for gastro-endoscopic examination. Images of the stomach mucosa were stored in a digitised format for subsequent evaluation. The number of ulcers and a score of severity were determined. Gastric ulceration of the squamous mucosa was identified in 82% of horses. Seventy-three (39%) horses displayed clinical signs consistent with gastric ulceration. Increasing Furr and Murray Score was associated with poor hair coat (P = 0.03), colic (P = 0.03), and increasing serum creatinine concentration (P = 0.029). There were no associations between haematology and serum biochemistry values (other than serum alkaline phosphatase concentration and serum creatinine concentration) and gastric ulceration. Our study confirmed the relatively high incidence of gastric ulceration in Thoroughbred horses involved in active race training. Gastric ulceration is a potential, but rare, cause of overt colic, but may produce more subtle detrimental effects on a horse's condition. It is concluded that the diagnosis of gastric ulceration should be based on an endoscopic examination of the stomach, although future studies are required to elucidate further the aetiology and clinical significance of gastric ulceration.

Passive transfer, rate of decay, and protein specificity of antibodies against equine arteritis virus in horses from a Standardbred herd with high seroprevalence.

OBJECTIVE: To determine rate of decay of passively acquired antibodies in Standardbred foals on a farm with a high seroprevalence to equine arteritis virus (EAV) and to determine whether vertical or horizontal transmission of the virus was responsible for infection on the farm. DESIGN: Repeated-measures study. ANIMALS: 46 Standardbred horses (15 brood mares and their foals, 5 stallions, and 11 young horses). PROCEDURE: Serum samples obtained from horses on the farm were evaluated by serum neutralization and western immunoblot analysis to detect EAV-specific antibodies. The half-life of passively acquired antibodies in foals was estimated by use of regression analysis. RESULTS: Most (14/15) of the mares evaluated were seropositive to EAV. After suckling, their foals were also seropositive. Mean biological half-life for passively acquired antibodies in serum samples obtained from foals was 32 days (r2 = 0.61). The foal born to a seronegative dam and all 11 young horses from the farm were seronegative to EAV. At least 2 of 5 stallions on the farm were persistently infected carriers that were shedding virus in their semen. Immunoblot analysis of seropositive serum samples most consistently recognized the M protein of EAV. CLINICAL IMPLICATIONS: Analysis of these data indicated that a modified-live EAV vaccine can be administered to foals after they are 8 months old without risk of interference from maternal antibodies, regardless of serologic status of the foal's dam. Horizontal transmission of EAV via the respiratory tract apparently was uncommon on the farm, indicating that mares primarily were infected by venereal transmission of virus from carrier stallions.

Sudden sensorineural hearing loss: etiologies and treatments.

Sudden sensorineural hearing loss of 30 decibels in three contiguous frequencies, occurring in less than three days, is called sudden hearing loss. Although a number of disease processes can cause a similar hearing loss, true sudden hearing loss is idiopathic in nature. This review of sudden hearing loss will focus on the three main etiologic theories and numerous treatments studied in recent years in order to better enable clinicians to understand, diagnose, and treat the disorder.