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Bovine Virus Diarrhea (BVD)
Posted 12-26-05
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| College of Veterinary Medicine, Cornell University Ithaca, NY 14853 |
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Posted 12-22-05
BVD Virus
A Newly Recognized Serious Health Problem for Alpacas
By: Nancy Carr MD and Susy Carman DVM PhD.
Bovine viral diarrhea virus (BVD virus or BVDV), a serious problem in cattle, has now been proven to also cause illness, abortions, and most important of all, the persistently infected (PI) state in alpacas. The viruss ability to produce persistently infected cria, the
main way this disease would be spread, and its ability to cause abortions are extremely
important for the alpaca industry.
At this point, the vast majority of knowledge about BVDV and the disease that it
causes, bovine viral diarrhea (BVD), is about its effects in cattle, where it is considered
one of the most significant viral infections, causing major economic losses. The
information presented next is therefore what is known about BVDV in cattle; it is likely
that most of this applies to alpacas. Following this is the information about BVDV and
alpacas. Despite the name, many animals with BVD do not have diarrhea. Other
manifestations of the virus include subclinical infections, immunosupression, abortions,
congenital defects, persistent infection, and mucosal disease. The majority of cows
infected are either subclinically ill (do not appear unwell) or only mildly unwell with low
fever and diarrhea. Because BVDV depresses the immune system, some animals will
become ill with other infections, usually pneumonia; others will have a classic case of
BVD with fever, discharge from the nose and eyes, erosions of the muzzle and in the
mouth, and severe diarrhea; others may have severe hemorrhagic (bloody) diarrhea and
die. Severity of illness is influenced by the age of the animal and its immunological and
physiological status, and the particular strain of the virus involved.
The most important aspect of BVDV is its effect on the developing fetus. BVDV can
cause abortions at any stage of gestation from early embryo loss up to stillbirths at
term. Even a subclinically infected cow can abort, and abortions may occur up to several
months after exposure to the virus. A unique feature is that if the cow is exposed to the
virus at a critical phase of her gestation (approximately 40 - 120 days) and does not abort,
she will produce a persistently infected (PI) calf. Because the developing fetus is not
immune competent at that stage of development it becomes immunotolerant to the virus
(does not recognize the virus as foreign); it is unable to make an immune response to rid
itself of the virus, and once born, is a permanent carrier and sheds huge concentrations of
the virus in every secretion tears, nasal discharge, saliva, urine, and feces. PI calves
are the major source of the spread of BVD they shed several billion viral particles a day
about a thousand times more than what is shed by an acutely infected non-PI animal.
The only way to be PI is to be born PI. Some PI calves appear completely normal, but
most are poor-doers poor weight gain, weak, and susceptible to other diseases such as
pneumonia; many PI calves die before they are a year old. Infection of the pregnant cow
with BVD later in pregnancy can result in calves that are not PI but that have congenital
defects such as cerebellar hypoplasia (underdevelopment of the part of the brain that
controls balance and co-ordination), cataracts, blindness, hypotrichosis (sparse hair
growth) or general growth retardation.
Acute infection with BVDV occurs through the nose or mouth by contact with
secretions from an infected animal (usually a PI animal) saliva, nasal discharge, tears,
urine or feces either directly from the infected animal itself or from items that have
been contaminated with those secretions, such as water troughs. An acutely infected but
non-PI animal sheds virus for a relatively short length of time (4 10 days, possibly up to
2 weeks) in comparison with a PI animal which sheds virus for its entire life. Incubation
period is 5 to 7 days. The virus cannot survive long in the environment a maximum of
2 weeks. Because it is a virus, antibiotics are of no use in treating it.
There are hundreds of different strains of the virus, which can also be categorized under
type 1 (BVDV1) or type 2 (BVDV2) and by the terms cytopathic or non-cytopathic.
BVDV2 tends to produce a more severe clinical illness than BVDV1. PI animals always
have a non-cytopathic strain of BVDV. An entity called mucosal disease occurs only in
PI animals they become superinfected with an antigenically similar cytopathic strain of
the virus (usually from a mutation in their own non-cytopathic strain, or from a modified
live vaccine); this leads to severe diarrhea and inevitably death. Vaccines for cattle are
available for BVD; however they do not confer 100% immunity.
Articles published to date on BVD and camelids have generally concluded that BVD
is not much of a concern. In an article titled A Medical Marvel in the winter 1999
edition of Alpacas Magazine Randy Larson DVM stated what was likely the commonly
held viewpoint at that time: BVD is an example of a significant disease of cattle that
causes undetectable problems in alpacas. BVD and other common cattle viruses just do
not cause problems in alpacas. Medicine and Surgery of South American Camelids
(page 469) makes mention of BVDV only as a cause of congenital defects and impaired
immunologic competence in calves and lambs.
In 2000, Belknap et al. from Colorado State University reported on three cases of
BVDV isolated from llamas (a stillborn fetus and two sudden deaths in adults that had
been losing condition) and concluded that BVDV should be considered as a cause of
death in young and old New World camelids. The Complete Alpaca Book makes mention
of that statement (page 451) and also that it may be one of the causes of diarrhea in cria
(page 400).
In 2002, Goyal et al. in Minnesota reported on what appeared to be the first case of
BVDV isolated from a stillborn alpaca; there were no gross or histopathologic changes of
any significance seen, but BVDV was detected by reverse transcriptase polymerase chain
reaction (rt-PCR) from a pool of tissues, and BVDV was isolated from cell cultures.
Immunohistochemistry, a test commonly used to detect BVDV in tissues taken at the
time of autopsies, was negative.
In 2003 Wentz et al. reported on the effects of experimental infection with BVD on
llamas and their fetuses, and on the seroprevalence of BVDV [detection of antibodies that
would signify the animal had been exposed to BVDV at some time in the past] in llamas
and alpacas. They concluded that llamas may be infected with BVDV but have few or no
clinical signs, and that inoculation of llamas with BVDV during gestation did not result
in fetal infection or PI crias. Seroprevalence in a sample of 223 llamas and alpacas was
0.9%. They also concluded that the most likely source of BVD infection in camelids may
be cattle.
Dr. Donald Mattson from Oregon State University (OSU) stated in June 2004 (personal
correspondence) that in their llama herd at OSU there had been one sick llama with BVD
(it had diarrhea) but that its two herdmates did not become sick. He also knew of a case
in southern Oregon with a herd of 20 llamas where only one showed signs of illness. He
stated that they had only seen BVDV infected camelids when they had been in contact
with cattle that are shedding the virus, and that he had tested hundreds of samples from
llamas and alpacas and never found a PI camelid.
However, now there is irrefutable proof that BVDV can cause illness, death, abortion
and most important of all, the PI state in alpacas. The consequences of this for the alpaca
industry may be profound.
The next article in this magazine, BVD Virus and Alpacas The Detective Story
details how this was discovered at a farm in Ontario. There was illness, including one
death, several early pregnancy losses, and an aborted fetus that tested positive for BVDV.
One of the females who had been subclinically infected (exposure to BVDV as confirmed
by antibody testing) at 2 months gestation subsequently delivered a persistently infected
(PI) cria. This is the first recorded case of a PI alpaca, but there is overwhelming
circumstantial evidence that BVDV had been brought to the farm by another PI cria that
died without being tested. And it is highly likely that that crias mothers source of her
infection with BVD during her pregnancy in Alberta (resulting in her producing that PI
cria) would have been from another PI alpaca.
The majority of alpacas infected at Farm A in Ontario were subclinically infected and it
was only apparent by antibody testing that they had been infected. (Note: having
antibodies does not mean that the animal is unwell or contagious; it shows that the animal
was exposed to the virus at some point in the past and mounted an immune response; this
could be from a subclinical infection (never appeared unwell), a clinical infection
(appeared unwell) or from immunization. For example, most of us would have
antibodies to chickenpox from having that illness as children.) The alpacas that were
unwell had symptoms that ranged from having the appearance for a few days that their
mouths were uncomfortable eating their pelletized supplement, to being off feed and
depressed, to one death from hepatic lipidosis (that condition would have resulted from
decreased feed intake). None of them had diarrhea. Many of them, even those
subclinically infected, showed stress breaks in their fleece.
The cria who was presumed in hindsight to be PI and the source of the infection (he died
without being tested) arrived at Farm A at the age of 3 months. He had been born at full
term on Farm B, also in Ontario, at a very low birth weight of 9 pounds. He had done
fairly well for the first 6 weeks of life and then developed repeated infections, mostly
pneumonia, had a frequent runny nose, and he had very poor weight gain. He died at the
age of 8 months after severe diarrhea. (This was his first episode of diarrhea since having
a bout with coccidia when he was much younger). Farm B, where he spent the first three
months of his life, had positive BVD antibody levels in alpacas that had been in contact
with him. His mother had been on Farms C and D, in Alberta, in her early pregnancy
(when she would have contracted her subclinical BVD infection resulting in her
producing this PI cria); Farm C had many abortions and Farm D had two stillbirths and a
cria that died at 36 hours of age in the same year that this female delivered her presumed
PI cria. Farms C and D have alpacas with positive BVDV antibody levels, including the
dams of the aborted fetuses, stillbirths and cria that died. Although it is possible that the
mother (who is not PI) became acutely infected at Farm D and transmitted BVD to Farm
C during the short time she would have been shedding virus, it is more likely there were
separate cases of PI animals on both those farms causing the infections. None of the
farms involved had any contact with cattle.
The proven PI cria, called Gabriel, born on Farm A (to a female who had been infected
by the above presumed PI cria) also had a very low birth weight of 12 pounds for the
farm he was born on. He had excellent weight gain to 33 pounds at the time of his
euthanization at a little over 6 weeks of age, after two sets of blood tests confirming he
was PI. (The fate of all proven PI animals is to be euthanized.) He had chronic diarrhea,
but was not unwell with it and was perky and active.
At this point it is unknown just how prevalent BVD is in alpacas. Alvarez et al.
reported in 2002 that 11.5% of alpacas in a rural community of Cusco in Peru had
antibodies to BVDV. The other reported case of BVDV in a stillborn alpaca fetus was in
Minnesota, and the llama cases were in Colorado, so this is not just a Canadian situation.
The practice of sending females with cria at side off to other farms for breeding is one of
the main ways BVD would spread a PI cria may not show any signs of being unwell
until it is older and yet be infecting every animal it comes in contact with. Also, a
pregnant female going to a new owner may be carrying a PI fetus that, once born, will
infect all the alpacas at the new home. This case shows how BVDV traveled
approximately 3500 kilometers (over 2000 miles) from Alberta to Ontario. Some PI
cattle continue to appear healthy; it is unknown how many PI alpacas may continue to
appear normal. It is also unknown what is the exact range of gestation in alpacas that
infection of the dam will result in the birth of a PI cria. Cattle have a 9 month gestation
and it is in the period of approximately 40 120 days of gestation that there is the high
risk of the fetus becoming PI if the mother is infected with BVD.
Alpacas have a reputation for being easy aborters, and it is not unusual to hear of poor
doing cria it is entirely possible that many of these cases may have been due to BVDV.
Unless the virus is specifically tested for there is no way of knowing that it is present in
both the stillborn fetus from Minnesota and the aborted fetus from Ontario there were no
pathological changes to suggest BVD it was only by testing for the presence of the
virus itself that it was found. In the euthanized PI cria there were no pathological
changes to suggest he was PI but virus isolation from blood and most tissues was
positive. The adult alpaca that died after what must have been an acute BVD infection
had autopsy findings of hepatic lipidosis, but it would have been BVD that caused her
appetite to decline, resulting in the hepatic lipidosis. In her case, there would not have
been virus detected as it would be too long after the initial acute infection she would
have to have had antibody testing. It is possible that some of the unexplained cases of
hepatic lipidosis in alpaca herds have been caused by BVD. Schwantje and Stephens
paper on Communicable Disease Risks to Wildlife from Camelids in British Columbia
reported a positive BVDV antibody rate of 6% in a sample of 175 llamas from twelve
farms, with the rate per farm varying from 0% for many farms to a high of 22% on one
farm. This paper also reported on a survey of 90 llama and alpaca farms asking about
illness and death in the preceding year; the primary cause of death (26% of cases) was
neonatal failure to thrive or stillbirths. The report also reviewed the diagnoses of llama
and alpaca submissions to the B.C. Animal Health Centre between 1993 and 2000: 9% of
the diagnoses were idiopathic (meaning no cause found) abortion. It is quite possible
there is a connection between BVDV and some of those cases of neonatal failure to
thrive, stillbirths and abortions. Until aborted and stillborn fetuses and autopsied animals
are tested specifically for the presence of BVD virus or antibodies, depending on the
clinical situation, we will not know how prevalent this is. If it is more prevalent than has
been suspected then probably research on the use of vaccines for BVD in camelids will
be required. Only a completely closed herd (no animals coming into the herd) with good
biosecurity measures (all visitors with footwear not contaminated by manure; no fence
line contact with other livestock) can be sure to be safe from BVD.
Testing for BVDV is complicated, with different tests being used in different situations.
Having antibodies (blood test) to BVDV shows that the animal was exposed to the virus
(from a clinical or subclinical infection, or from immunization), but it is unknown how
long antibodies are detectable for after exposure. PI animals would not have antibodies
(unless they were tested as newborns soon after ingesting their mothers antibodycontaining
colostrum). To detect the PI state the animal has to be tested for the virus
itself, and there must be two positive tests three weeks apart to prove the PI state, in case
the first positive test was an acute infection and not from being PI. Virus isolation is the
gold standard test for detecting BVDV it can be done on blood (live animal) or tissue
(dead animal). The ELISA blood test for the virus is used to detect PI animals over the
age of 3 months (the maternal antibodies from colostrum interfere with the test before
that age, and also sometimes interfere with virus isolation.) The ELISA test on skin
biopsies or ear notches can be used to detect PI calves under the age of three months.
The PCR test (blood) is not affected by maternal antibody and is also used to detect PI
animals under the age of three months. Immunohistochemistry is used on formalin fixed
tissue from autopsies; however as noted above this test was negative in the stillborn fetus
in Minnesota despite BVDV being detected by PCR and virus isolation;
immunohistochemistry was positive in the aborted fetus in Ontario. Your veterinarian
should consult with a veterinarian virologist or with the lab that he/she uses for BVDV
diagnosis in cattle. Most labs doing BVDV testing are affiliated with universities, or are
state or provincially funded; not many private labs offer BVDV testing.
At this time, a reasonable recommendation is that all aborted or stillborn fetuses, all
unusually low birth weight and poor doing cria and all unexplained deaths be tested for
BVD virus and/or antibodies, depending on the case. If BVDV is found then further
testing should be done to determine how the virus entered the herd - specifically is there
still a PI animal present, or has it gone back to another farm. Any cria subsequently born
to females who were pregnant when BVD was active in the herd should be tested to see if
they are PI. It is important that you bring this information to the attention of your
veterinarian as it will be at least a year before it is published in a veterinary journal. It
would also be very helpful if you or your vet notified the lab in your area where aborted
fetuses or autopsies are sent for testing about this, so that testing specifically for BVDV
will become routine in abortions, stillbirths, and unexplained deaths in alpacas.
REFERENCES:
Alvarez S., Rivera G.H., Pezo D., Garcia W. (2002). Deteccion de anticuerpos contra
pestivirus en rumiantes de una comunidad campesina de la provincia de Canchis, Cusco.
Rev Investig Vet Peru, 13(1), 46-51
Belknap E.B., Collins J.K., Larsen R.S., Conrad K.P. (2000). Bovine viral diarrhea virus
in New World camelids. J Vet Diagn Ivest, 12(6), 568-70
Fowler, M. (1998). Medicine and surgery of South American camelids. Ames, Iowa:
Iowa State University Press.
Goyal S.M., Bouljihad M., Haugerud S., Ridpath J.F. (2002). Isolation of bovine viral
diarrhea virus from an alpaca. J Vet Diagn Ivest, 14(6), 523-5
Hoffman E. (2003). The complete alpaca book. Santa Cruz, California: Bonny Doon
Press.
Larson R. DVM, A medical marvel. Alpacas Magazine, Winter 1999, 122
Schwantje H., Stephen C. (2003) Communicable Disease Risks to Wildlife From
Camelids in British Columbia. [on-line]. Available:
http://wlapwww.gov.bc.ca/wld/documents/wldhealth/camelid_risk03.pdf
Wentz P.A., Belknap E.B., Brock K.V., Collins J.K., Pugh D.G. (2003). Evaluation of
bovine viral diarrhea virus in New World camelids. J Am Vet Med Assoc, 223 (2), 223-8
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Nancy Carr MD has alpaca farm A, Silver Cloud Alpacas, near Elginburg in eastern
Ontario, Canada. She would like to assure readers that her herd is now completely
healthy and not contagious, and in fact is one of the very few herds in North America
where all the cria have been tested to make sure they are not PI. She can be reached at
carralpacas@sympatico.ca or (613) 376-3389 or through her web site
www.silvercloudalpacas.com
Susy Carman DVM PhD is in Diagnostic Virology, Animal Health Laboratory,
Laboratory Services Division, University of Guelph, Box 3612, Guelph, Ontario, Canada
N1H 6R8. Email: scarman@lsd.uoguelph.ca. Phone: (519) 824-4120 ext. 54551
NEED TO KNOW
- BVD virus, a major problem in cattle, has now been shown to also cause illness,
abortions, and, most important of all, the persistently infected state in alpacas.
- If the alpaca is exposed to BVDV during early pregnancy she can produce a
persistently infected (PI) cria who sheds huge amounts of virus its whole life and
is the major source of the spread of BVD.
- The only way to be PI is to be born PI.
- Because a PI cria may not show any signs of illness for several months or longer,
the potential for BVD to spread between herds is significant because of the
practice of females with cria at side going to other farms for breeding.
- It is unknown yet how common BVD in alpacas is this has the potential to have
a profound impact on the alpaca industry.
- All aborted or stillborn fetuses and unusually low birth weight or poor doing cria
should be tested specifically for BVDV, as there are usually no pathological
changes to suggest BVDV. Your veterinarian should consult with a veterinarian
virologist or lab that does BVDV testing about the appropriate tests to be ordered.
- Please copy this article for your veterinarian.
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Other articles about BVD may be found at:
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