Understanding Strangles in Horses: A Contagious Challenge in Ontario

A significant outbreak had the attention of the equine community recently when a 2-year-old Standardbred filly in Ontario contracted Strangles, a highly contagious disease caused by the bacterium Streptococcus equi subspecies equi. This occurrence served as a pertinent reminder of the ongoing vulnerabilities within the equine industry to infectious diseases.

The Ontario Incident: A Case Study

During the chilling days of February in Ontario's District of Cochrane, a curious case of Strangles was reported. The filly in question displayed classic symptoms—her head had swelled, and her lymph nodes were markedly enlarged as early as February 11. Simultaneously, a yearling filly sharing the space showed significant purulent nasal discharge. What followed was an exemplary response—from swift diagnostic actions using PCR tests on nasal samples to timely health alerts issued by the Equine Disease Communication Center (EDCC).

How Does Strangles Progress?

Strangles tends to have a straightforward progression. It primarily assaults the lymph nodes situated in the head and neck regions following the inhalation of the bacteria. This swelling can sometimes occlude the airway passage, a scenario that gives the disease its ominous name. While many horses recover without any lingering effects, complications such as bastard strangles—abscesses appearing in remote areas—or purpura hemorrhagica—an immune-mediated vascular condition—may ensue in untreated or severe cases. An upside? Most horses that recover from the infection can enjoy immunity for up to two years.

Treating Strangles: Supportive Care Takes Center Stage

Upon contracting the disease, horses are generally managed through supportive care, avoiding antibiotics unless complications arise. Supportive strategies include:
  • Hot-packing and Flushing Abscesses: Applying heat encourages abscess drainage using solutions like dilute povidone-iodine.
  • Pain and Fever Management: Non-steroidal anti-inflammatory drugs (NSAIDs) help control symptoms in a comfortable, dust-free living space.
  • Isolation and Quarantine: To prevent disease spread, affected horses are kept away from the herd long-term, ensuring continued follow-up testing.
In cases requiring antibiotics, the decision is controversial. Early antibacterial intervention might halt disease progression but at the cost of natural immunity development, whereas their use during peak progression can interfere with abscess development. However, severe cases that threaten respiratory function, requiring procedures like tracheostomy, mandate antibiotic use and more intensive care.

Stopping the Spread: Prevention and Monitoring

Preventing Strangles hinges on a multipronged approach involving vaccines, biosecurity measures, and real-time monitoring. Though vaccines (both intranasal and intramuscular) exist, they showcase variable efficacy. Additionally, horses that received a jab soon after exposure risk developing purpura hemorrhagica. Nonetheless, for healthy and unexposed equines, vaccination is advisable. Meanwhile, in shielding against disease, effective biosecurity practices cannot be overstated. They include quarantining new arrivals, meticulously disinfecting gear, and vigilant monitoring of horses through platforms like the EDCC. Now, if there's anything our equine friends could use, it’s a *personal assistant* offering tailored health management advice. Unfortunately, in lieu of that fantasy, horse owners should make it a point to liaise with veterinarians to craft preventive plans, especially in high-risk environments like race tracks bustling with eager Standardbreds.

The Indispensable Role of the EDCC

Amidst these challenges, the EDCC stands as an independent bastion, committed to equine health. Through its Health Watch initiative, made possible by various industry donations, the EDCC successfully disseminates timely health alerts and disease occurrences, fostering a proactive community response to potential outbreaks. As they say, *forewarned is forearmed.* While Strangles remains prevalent, notably among farms, the EDCC’s real-time engagement bridges information gaps, contributing significantly to managing equine health challenges industry-wide. After all, as any horse would agree, having a vigilant eye is half the battle won in ensuring the herd grazes safely—much to the relief of their human caretakers. Sources: - [Ontario Standardbred Filly Contracts Strangles](https://thehorse.com/) - [Strangles in Horses](https://vetster.com/en/conditions/horse/strangles)