Equine influenza vaccination in the UK: Current practices may leave horses with suboptimal immunity

Immunological Responses to Tetanus and Influenza Vaccination in Donkeys

BACKGROUND

Donkeys are routinely vaccinated with protocols developed for horses, yet species-specific data on their immune responses are limited.

HYPOTHESIS/OBJECTIVES

We hypothesized that donkeys exhibit robust T-cell-mediated immunity and regulatory adaptation after vaccination, comparable to horses.

ANIMALS

Thirty-six healthy, seronegative donkeys (34 mares, 2 stallions), aged 0.5-23 years (median 8 years), from two farms with similar housing and management conditions.

METHODS

Prospective study. Animals were selected based on clinical health assessment and confirmed seronegativity for tetanus and equine influenza. All received a multivalent vaccine containing tetanus toxoid and equine influenza antigens. Blood samples were collected at baseline, 1 month, and 2 months after vaccination. Flow cytometry assessed CD4+, CD8+, and CD4 + FoxP3+ T cells (primary outcomes), and monocyte subsets and B lymphocytes (PanB/CD21+) with intracellular IL-10, IL-17, and Ki67 (secondary outcomes). ANOVA with Bonferroni correction (p < 0.05) was used for statistical analysis.

RESULTS

CD4+ T cells increased from 25.1% ± 1.4% to 37.3% ± 0.7% at month 1, CD8+ from 20.6% ± 1.5% to 32.2% ± 0.9% at month 2 (p < 0.001). CD4 + FoxP3+ peaked at 11.7% ± 0.6% at month 1 (baseline 6.8% ± 0.8%), then returned to baseline. CD14 + MHCII+ and CD14 + MHCII- monocytes declined; CD14 - MHCII+ increased (p < 0.01). PanB/CD21+ cells decreased from 41.5% ± 1.8% to 29.0% ± 1.0%, with significant reductions in IL-10+, IL-17+, and Ki67+ subsets (p < 0.001).

CONCLUSIONS AND CLINICAL IMPORTANCE

Donkeys exhibit strong T-cell and regulatory immune responses after vaccination, supporting the clinical relevance of applying equine vaccination protocols to donkeys.

Developing electronic health records as a source of real-world data for veterinary pharmacoepidemiology

Spontaneous reporting of adverse events (AEs) by veterinary professionals and the public is the cornerstone of post-marketing safety surveillance for veterinary medicinal products (VMPs). However, studies suggest that most veterinary AEs remain unreported. Veterinary medicine regulators, including the United Kingdom Veterinary Medicines Directorate and the European Medicines Agency, have included the exploration of big data utilization to support pharmacovigilance efforts in their regulatory strategies. In this study, we describe the application of veterinary electronic healthcare records (EHRs) from the SAVSNET veterinary first opinion informatics system to conduct pharmacoepidemiological analyses. Five VMP-AE pairs were selected for investigation in a proof-of-concept study, where drug exposure was identified from semi-structured treatment data and AEs from the unstructured free-text clinical narrative. Dictionaries were developed to identify AEs based on standard terminology. The precision of these dictionaries improved when they were expanded using word vectorization and expert opinion. A key strength of first-opinion EHR datasets is their ability to enable cohort studies and facilitate calculations of absolute incidence and relative risk. Thus, we demonstrate that unstructured free-text clinical narratives can be used to identify outcomes for veterinary pharmacoepidemiological studies and, consequently, support and expand pharmacovigilance efforts based on spontaneous AE reports.

Recording of suspected adverse drug reaction reporting in veterinary free-text clinical narratives

OBJECTIVES

To use text mining approaches to identify instances of suspected adverse drug reactions recorded in first opinion veterinary free-text clinical narratives, and to evaluate whether these were also reported to either the Veterinary Medicines Directorate or the relevant Marketing Authorisation holder in order to derive an estimate of the suspected adverse drug reaction (sADR) minimum under-reporting rate. To characterise sADR reports and explore whether particular features are associated with report submission.

MATERIALS AND METHODS

Two regular expressions were developed to identify mentions of "adverse drug reactions" and "side effects" in the free-text clinical narratives of electronic health records contained within the Small Animal Veterinary Surveillance Network database. Consultations containing a match for the developed regular expressions were manually reviewed for inclusion and further classified to determine the suspected product, seriousness and expectedness of the event, and an indication of whether the event had been reported. The associations between event characteristics and reporting were explored using Fisher's exact tests.

RESULTS

A total of 10,565 records were manually reviewed from which 827 sADRs were identified. Approximately 90% of these sADRs were not recorded as reported. Suspected adverse drug reactions that were not considered "expected" were recorded as reported more frequently than "expected" sADRs. However, clinical severity did not appear to impact on whether there was a record of reporting.

CLINICAL SIGNIFICANCE

This is the first estimate of under reporting sADRs based on real world evidence from veterinary clinical records. The under-reporting rate implied by this study highlights that further interventions are required to improve reporting rate within the veterinary profession in order to support pharmacovigilance activities and improve drug safety.

Implementation of biosecurity on equestrian premises: A narrative overview

Biosecurity measures are designed to prevent the introduction and spread of pathogens, and play a vital role in the equine industry, controlling endemic diseases and reducing the threat of exotic disease incursion. Equestrian premises differ with respect to disease risks, biosecurity requirements and available facilities. This narrative review summarises reported frequency of implementation for selected biosecurity measures, as well as evidence relating to potential barriers to implementation of biosecurity on equestrian premises. Possible opportunities for improvement in the adoption of equine biosecurity measures are also discussed.

Equine Influenza Virus: An Old Known Enemy in the Americas

Equine influenza is a highly contagious disease caused by the H3N8 equine influenza virus (EIV), which is endemically distributed throughout the world. It infects equids, and interspecies transmission to dogs has been reported. The H3N8 Florida lineage, which is divided into clades 1 and 2, is the most representative lineage in the Americas. The EIV infects the respiratory system, affecting the ciliated epithelial cells and preventing the elimination of foreign bodies and substances. Certain factors related to the disease, such as an outdated vaccination plan, age, training, and close contact with other animals, favor the presentation of equine influenza. This review focuses on the molecular, pathophysiological, and epidemiological characteristics of EIV in the Americas to present updated information to achieve prevention and control of the virus. We also discuss the need for monitoring the disease, the use of vaccines, and the appropriate application of those biologicals, among other biosecurity measures that are important for the control of the virus.

UK veterinary professionals' perceptions and experiences of adverse drug reaction reporting

BACKGROUND

Spontaneous reporting of suspected adverse drug reactions (ADRs) is the cornerstone of pharmacovigilance. Despite this, it is believed that there is significant under-reporting in the veterinary setting. Low reporting rates delay marketing authorisation holders (MAHs) and regulators taking mitigating action in the case of safety concerns.

METHOD

We designed a survey to explore the perceptions, attitudes and experiences of UK veterinary professionals towards ADR reporting. The survey was advertised widely through conventional and social media and at several conferences.

RESULTS

In total, 260 respondents completed the survey, including 210 veterinary surgeons, 49 veterinary nurses and one suitably qualified person. Respondents generally understood the need to report ADRs. The main barrier to reporting was the suspected ADR being well known, and the most popular potential facilitator identified was the ability to report via the practice management system. Facilitation via education in the form of a pharmacovigilance themed continuing professional development event was particularly popular among veterinary nurses, who reported time as being less of a barrier to reporting than their veterinary surgeon counterparts.

CONCLUSIONS

Our findings suggest that technological interventions to facilitate reporting and empowerment of veterinary nurses to report through a tailored training event should be explored further.