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RE: [RC] WNV vaccine at feed stores - Susan E. Garlinghouse

Not that I have heard of.  The cases where vaccination resulted in laminitis
were preceded by several days of very high temps (>105-106).  I haven't seen
that in any of my clients, did you notice that in your horse?  Horses with a
high temp would usually be feeling pretty darn punky.

Susan Garlinghouse, DVM

-----Original Message-----
From: wndrnkr@xxxxxxxxxxx [mailto:wndrnkr@xxxxxxxxxxx] 
Sent: Saturday, August 14, 2004 11:40 AM
To: suendavid@xxxxxxxxxxxxxxxx
Subject: Re: [RC] WNV vaccine at feed stores

Susan,
    I was shocked to read in this post re:Merial WNV vaccine that laminits 
could be a side effect.  Is that true of Fort Dodge's vaccine as well?  I
have a 6 
year old mare that is suffering from laminitis currently.  She received her
Fort 
Dodge WNV vaccine April 28th from our vet.  We have been stymied in finding 
a reason for her founder since none of the "classic" situations apply.  
Toni Semple

From: "Susan E. Garlinghouse" <suendavid@xxxxxxxxxxxxxxxx>
Date: 2004/08/13 Fri PM 08:20:33 GMT
To: <ridecamp@xxxxxxxxxxxxx>
Subject: [RC]   WNV vaccine at feed stores

A few people have emailed privately asking for an opinion on the West Nile
vaccine available at feed stores and so thought I would post my *opinion*
publicly.  YMMV.  The vaccine available at feed stores is the Merial
product, not the Fort Dodge.  We use the Fort Dodge product (killed virus)
exclusively in the practice because it still has a better track record for
prevention of the disease, as well as better reported and personal
experience of adverse reactions.  I have not used the Merial, but have
seen
a fair number of reports on veterinary lists of high fevers, +/-
laminitis.
I'm happy with the Fort Dodge product, and so is my employer (who 
actually
buys the stuff), so that's what we use.

 

Point two---according to Merial, the recombitek product is equally as
effective at prevention, and I have no reason to doubt that.  However,
that
is assuming the vaccine you buy from the feedstore is of high quality, and
administered correctly.  IM administration isn't difficult, but you need
to
be able to *really* trust the feed store.  I personally know of one store
where the vaccine is just kept on a back room shelf, NOT refrigerated,
because the frig is full of cold drinks and everyone's lunch.  I know of
another place where the vaccine arrived and was promptly refrigerated, but
had arrived in a regular shipping container, not one with ColdPaks inside.
Thus the vaccine is useless and the consumer thinks they have protected
their horses adequately, when they haven't.

 

Point three---WNV vaccine is still not approved to be sold over the 
counter,
and while Merial insists that they only sell to vets, the evidence is to
the
contrary for whatever reason.  However, say an owner buys WNV vaccine 
over
the counter and administers it to an insured horse whose policy requires 
the
horse be adequately vaccinated against endemic disease.  Coincidentally, 
the
horse dies a month later of some problem or another.  You cannot produce
proof that the horse was vaccinated by law by a veterinarian for WNV, so
what do you think the odds are the insurance company is going to deny the
insurance claim because you tried to save a few bucks by vaccinating
yourself?  I know this seems unlikely, but I fill out half a dozen
insurance
claim forms a week, and every form wants to know exactly when "a licensed
veterinarian" first vaccinated against West Nile and when boosters were
administered.  They don't ask specifically about other vaccines, just West
Nile.

 

Point four-there are several WNV vaccines being sold, not Fort Dodge or
Merial, with no efficacy trials or data behind them whatsoever.  Could be
a
bottle of grapefruit juice for all you know.  At least one horse here in
So
Cal has died because it was owner-vaccinated by something she bought 
over
the counter as "vaccine".

 

So, yes, I'm biased because I'm a veterinarian.  However, my opinion is
that
trying to vaccinate against WNV right now is penny wise and pound foolish.
Most of the vets I know won't charge a farm call if you can gather
together
a reasonable number of horses to vaccinate at the same time.  The cost 
isn't
that different, at least in this area, the vets charge $28 a dose for what
the feed stores are selling for $22-26 a dose.

 

This doesn't count as a statistical survey, but the regular clients in our
practice have been vaccinating with Fort Dodge for the past two years, and
we haven't had one clinical case among them, despite deaths all around the
area outside our practice clientele.  We did have two deaths, both in
totally unvaccinated horses.  You do the math.

 

JMO.

 

Susan Garlinghouse, DVM





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