Canine
Influenza: Questions and Answers for Pet Owners
1. What is canine influenza (canine flu)?
The canine influenza virus is a highly contagious,
newly emerging pathogen in the dog population. The virus appears
to have mutated from the equine influenza virus. Canine influenza
virus infections can be mistaken for infections caused by Bordetella
bacteria / Parainfluenza viruses, part of the traditional kennel
cough complex.
2. When was canine influenza disease first
identified?
Canine influenza was first identified in
racing greyhounds in 2004. The virus appears to have been responsible
for widespread respiratory disease affecting dog tracks throughout
the USA for the last two to three years. Cornell University first
isolated the influenza virus from an animal that died during one
of these outbreaks. Evidence of infection of non-greyhounds has
been found in Florida (as of May 2005) as part of ongoing research
by Dr. Cynda Crawford (University of Florida). Veterinary clinics,
boarding facilities and humane shelters have all experienced positive-testing
cases. Confirmed cases are also now reported from New York State
(New York City 2005). Testing of some ill dogs from other states
such as Massachusetts has also produced positive tests to influenza
virus, but widespread screening is still in the early phase.
3. Are all dogs at risk of contracting
the canine influenza virus?
Yes, all dogs, regardless of breed or age,
are susceptible to infection. They have no naturally acquired
or vaccine-induced immunity. Virtually 100 per cent of exposed
dogs become infected. Nearly 80 per cent of infected dogs will
contract a form of the disease which will produce obvious signs
of illness. Of these, a small percentage of dogs will experience
more severe clinical progression, including pneumonia.
4. What are the clinical signs of canine
influenza?
In the milder clinical picture, the most
common sign is a cough typically lasting from 10 to 21 days. It
continues despite therapy. Most dogs have a soft, moist cough,
while others have a dry cough, typical of a kennel cough. Many
dogs have heavy discharge from the nostrils and a low-grade fever.
The nasal discharge may be associated with other bacterial infections
which move in to take advantage of the ill dog. The discharge
generally resolves with antibiotic therapy.
Some dogs develop a more severe disease with
clinical signs of pneumonia such as a high fever (> 40º
C or 104º F), and fast and difficult breathing. Chest X-rays
may show lung changes when pneumonia is present. Dogs with pneumonia
often have a secondary bacterial infection and have responded
to a combination of antibiotics and supportive care, including
intravenous fluid therapy in hospital.
An infected dog will begin to exhibit clinical
signs of the disease 2-5 days after being exposed to the virus.
5. Will all dogs infected with the virus
exhibit clinical signs/symptoms?
No. About 20 percent of dogs infected with
the virus do not exhibit clinical signs.
6. Will these dogs eventually get sick? Are they contagious to
other dogs?
Infected dogs, which appear healthy and do
not exhibit clinical signs, for reasons unknown, do not progress
to a state of clinical illness. It is believed that these dogs
are contagious to other dogs, with shedding of infectious virus
particles starting at the onset of clinical signs and lasting
another 7 to 10 days.
7. What is the fatality rate for dogs
infected with the canine influenza virus?
Fatal cases of pneumonia have been documented.
In those dogs where the cause of death was verified by diagnostic
testing, reported death rates for dogs with pneumonia ranged from
1 to 8 percent. Some of the popular media outlets are reporting
10 percent death rates overall for infected/exposed dogs, but
to date, this is not supported by clinical data.
8. How is canine influenza diagnosed?
Antibodies to the canine influenza virus
are measured. Paired blood samples are required for diagnosis
of recently acquired infection. The second sample is collected
at least two weeks following the first. When collection of an
early illness sample is not feasible, testing of a late (convalescent)
sample will at least indicate whether the dog was infected at
some time in the past.
Serology tests are very useful, not only
because they diagnose individual infections, but also alert veterinarians
that the virus is present in their community where precautions
and testing can then begin.
Post-mortem, the lungs and windpipes from
dogs that died of pneumonia can be tested for influenza virus
by direct tissue testing.
9. Is there a vaccine for canine influenza
virus?
No. There is no vaccine for canine influenza
virus at this time. Work has begun on vaccine development.
10. How many strains of the canine influenza virus have been
identified?
To date, only one strain of the virus has
been identified.
11. How is canine influenza virus spread?
This virus is spread through respiratory
secretions and contaminated surfaces. People can provide excellent
pathways for disease spread (ex. kennel workers, pet store workers,
friends) when they move between infected and uninfected dogs.
The virus spreads easily in close proximity, but can also be spread
outside of enclosed or crowded environments.
12. What can your veterinarian do to protect
against the spread of canine influenza?
Because of the highly contagious nature of
this illness and widespread susceptibility of patients, veterinarians,
boarding facilities, shelters and pet stores should institute
effective isolation protocol for dogs that have any kennel-type
cough or undiagnosed pneumonia.
Equally important is the protection of other
dogs while any infected dogs are undergoing diagnosis, treatment,
and hospitalization.
Veterinarians will also monitor the spread
of the new influenza infection closely. Though it is not widespread
in North America at this time, it is likely to spread quickly
and front-line awareness will be essential to contain future outbreaks.
13. What precautions should dog owners
take to protect their dogs from canine influenza? Should they
avoid walking their dogs with other dogs? Visiting groomers, boarding
kennels or dog parks?
Pet owners should use common sense and take
reasonable precautions to protect their dogs, and other dogs from
contracting the canine influenza virus.
- Dog owners who have a dog with an active
respiratory illness or one that has recently recovered from
a respiratory infection should keep their dog at home for a
couple of weeks. This will allow rest so that the dog fully
recovers from their illness, and also helps prevent potential
infection transmission to other dogs.
- If a dog is exhibiting coughing, laboured
breathing, nasal discharge, fever or lethargy, isolate the dog
and seek veterinary advice promptly.
- Inform your veterinarian if your dog has
stayed at a boarding kennel recently or has been out to shows
or trials.
- If your dog will be staying in a boarding
kennel in the near future, be sure that the kennel is well-known
to you and ask them if any kennel cough has gone through the
facility recently, or is currently a concern.
- Be aware that vaccination for kennel cough
agents (Bordetella, Parainfluenza) required by many boarding
kennels will not protect against this new virus.
- Remain alert to potential outbreaks of
canine influenza in your area.
- Otherwise, dog owners should continue
their routine activities with their dogs. This includes visiting
dog parks, walking their dogs and visiting the veterinarian
or groomer.
14. What are the implications for public health?
The H3N8 equine influenza virus has been
present in domestic horses for over 40 years without report of
human infection documented. All cases of possible human exposure
to the canine influenza virus will be monitored, but at this point,
there is no reason to believe that the virus will cross to humans
as with avian influenza.
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