|
Canine Vaccines |
|
Vaccine FAQ
I don't vaccinate my dogs at all-the High Risk Option?
The Science of Vaccine Damage
Allergic Reactions
The Belief in Vacines
Canine Vaccine Survey
Vaccination
By Wendy C. Brooks, DVM, DipABVP
Educational Director, VeterinaryPartner.com
http://veterinarypartner.com
How long this maternal antibody lasts in a given puppy is totally individual. It can depend on the birth order of the babies, how well they nursed, and a number of other factors. Maternal antibodies against different diseases wear off after different times. We DO know that by 16 by 20 weeks of age, maternal antibodies are gone and the baby must be able continue on its own immune system.
While maternal immunity is present in the puppy’s system, any vaccines given will be inactivated. Vaccines will not be able to take until maternal antibody has sufficiently dropped. Puppies and kittens receive a series of vaccines ending at a time when we know the baby's own immune system should be able to respond. We could simply wait until the baby is old enough to definitely respond as we do with the rabies vaccination but this could leave a large window of vulnerability if the maternal antibody wanes early. To give babies the best chance of responding to vaccination, we vaccinate intermittently (usually every 2 to 4 weeks) during this period in hope of gaining some early protection.
When a vaccine against a specific disease is started for the first time, even in adult animal, it is best to give at least two vaccinations. This is because the second vaccination will produce a much greater (logarithmically greater) response if it is following a vaccine given 2 to 4 weeks prior.
IF A VACCINE LASTS A PERSON HIS OR HER WHOLE LIFE, WHY DO I HAVE TO VACCINATE MY PET ANNUALLY?
In this country, vaccines are licensed based on the minimum duration they can be expected to last. It is expensive to test vaccines across an expanse of years and it is not generally done. We know our vaccines last at least one year and have not been willing to take a chance on whether they might last longer without knowing for sure.
It is also important to realize that some diseases lend themselves to prevention through vaccination while others do not. For a vaccine to generate solid long-lasting immunity, the infection must be fairly generalized to the entire body (like distemper or parvovirus) rather than localized to one organ system (like kennel cough or feline upper respiratory viruses). Vaccination for localized infections tend to require more frequent boosting whereas there is potential for vaccination for systemic disease to last for many years.
Recently, several veterinary teaching hospitals have restructured their vaccination policies to increase the duration of some vaccines from 1 year to 3 years. Many private veterinarians are following those guidelines for these vaccines. The important thing to realize is that this kind of extension is not possible in all situations or for all vaccines.
WHAT DO I DO
IF MY PET SKIPS A YEAR OF VACCINATION?
It depends on the vaccine. Here are our hospital recommendations
for adult animals who skip an annual vaccine (though other hospitals
are likely to have different recommendations as vaccination policy
tends to be very individualized to the practice):
Feline distemper (FVRCP), feline leukemia (FeLV) - Vaccinate normally. It is not necessary to re-start the initial series.
Rabies- a 3-year vaccine can be given anytime after the initial 1-year vaccine. This means that if a year is skipped, the next rabies vaccine given will still be a 3-year vaccine. If a 1-year rabies vaccine is skipped, the next vaccine is still a 1-year vaccine.
Feline infectious peritonitis- Although we do not generally recommend this vaccine, if one skips a year and wants to assure that good titers are present, the initial series should be restarted.
Canine distemper, canine parvovirus, nasal bordetella (kennel cough) - Vaccinate normally. One does not need to restart the initial series as though the pet is starting over fresh. If injectable bordetella is used, however, a booster in 2 to 3 weeks is recommended before considering the vaccine good for a year.
Canine coronavirus - we do not feel this infection is significant in adult dogs; however, if one wishes to maintain strong titers and has skipped a year, we recommend restarting the initial series.
Lyme's Disease - due to the nearly non-existant incidence of Lyme's disease in our area (Los Angeles), we generally do not encourage the use of this vaccine except in special circumstances. Should a dog skip a year with this vaccine, our recommendation, should the owner wish to continue immunity, is to restart the initial series
WHAT VACCINES
SHOULD I GET FOR MY PET?
What vaccines are recommended to an individual pet depend
on many factors: what kind of exposure to disease does the animal have,
what diseases are common in the area, what kind of stress factors are
present etc. When one considers the multitudes of vaccine types and combinations
and the many different situations dogs & cats live within, it is not
too surprising to find that almost every veterinarian recommends a different
group of vaccines. The best advice is to hook up with a veterinarian that
you trust and go with their recommendation.
WHAT VACCINES
SHOULD I GET IF MY PET IS INDOORS ALMOST COMPLETELY?
For primarily indoor dogs, we recommend the basic distemper/parvo
combination, rabies vaccination, and kennel cough vaccination. One
never knows when one will be bringing a dog to the vet (even if the dog
never goes to a groomer or boarding facility) and anytime a dog is in
a room with other dogs, kennel cough is a risk.
WHAT IS THE
DIFFERENCE BETWEEN A LIVE AND A KILLED VACCINE?
Vaccines present virus to the immune system for processing.
The idea is to present the virus in as natural a way as possible so
as to best mimic the stimulation obtained by natural infection yet skip
the illness experienced by the patient.
There are two ways to achieve this goal. One way is to use killed vaccine. Here, large amounts of dead virus are injected into the patient. They filter into the immune system and lead to stimulation. The other way is to use a live virus that has been modified such that actual disease does not result in infection. By using live virus, a more natural stimulation is obtained as the live viruses follow through the same steps of replication that the real virus would.
Which method is best remains somewhat controversial. Some experts feel that killed vaccine is best as there will never be a chance that the patient can contract the actual disease from the vaccine if a killed vaccine is used. Proponents of live vaccines have been able to demonstrate that far stronger immunity can be generated by the live vaccines. While our hospital stocks some killed vaccine available upon request, we feel that the live vaccine indeed produces better protection and this is what we use on a routine basis.
CAN A PREGNANT
PET BE VACCINATED?
It is important that live vaccines (see above) NOT be used
in pregnant pets. This is because a modified virus that will not cause
illness in the mother, may still be strong enough to infect the unborn
puppies or kittens. Killed vaccines may be given during pregnancy though,
as a general rule, it is best not to give any medical treatments during
pregnancy if it can be avoided. While the administration of killed vaccines
is commonly performed in large animals and food animals, it is not routine
for dogs or cats.
WHAT IS A HIGH
TITER PARVO VACCINE?
A high titer parvo vaccine is a type of modified live vaccine
which uses especially large amounts of virus to stimulate the immune
system. The most important advantage of this new type of vaccine is
its ability to produce strong immunity in puppies at an earlier age than
was previously possible. Regular modified live vaccine is considered
able to produce immunity by 16 weeks of age with another 5% or so of puppies
becoming immune if vaccination is continued through age 20 weeks. The
high titer vaccines appear able to reliably produce immunity by 12
weeks of age, though many hospitals (including ours) use them through
age 16 weeks to ensure good immunity. High titer vaccines are considered
to be state of the art.
WHAT IS A RECOMBINANT
VACCINE AND IS IT REALLY BETTER THAN THE OTHER AVAILABLE VACCINE
TYPES?
For generations, we classified vaccines as either killed
or modified live (see above). With the advent of genetic engineering,
there are now new vaccines that do not fit this classification: the recombinant
vaccines. The USDA classifies recombinant vaccines into four groups:
Category I:
Subunit Vaccines
Remember that the immune system is stimulated by the shape
of a foreign proteins. One's body knows what protein shapes are natural
to its own cells and will attack most other shapes. Unfortunately, some
organisms, such the AIDS virus and the feline leukemia virus, have protein
shapes that actually turn the host immune system off! When it comes to
designing a vaccine against an organism, one thought is that it is not
efficient to use the entire dead body of the organism to stimulate the
immune system. The idea here is that it would be more efficient to use
only the protein shapes that are stimulatory to the immune system. Shapes
that might be detrimental could be omitted as could be any neutral shapes.
A subunit vaccine contains only the proteins which stimulate the immune system to attack. By manipulating DNA that codes for these most stimulatory proteins, we can mass produce a purified solution and immunize with only the antigen we want and no extraneous antigens. The Genetivac brand of feline leukemia vaccine (not currently on the market) is an example of a subunit vaccine.
Category II:
Gene Deleted Vaccines
The traditional modified live vaccines take the infectious
agent and change it chemically or mutationally so that it can still
infect the host (and thereby stimulate the immune system) but no symptoms
of disease result. The stimulation that results is generally excellent
as the immune system is stimulated in exactly the same sequence it would
be in a natural infection and currently, modified live vaccination is
felt to be far superior in efficacy relative to killed virus vaccination.
Concern has been voiced, however, regarding the possibility of live virus
reverting to its virulent form.
The gene deleted vaccines address this concern. They are, in a way, modified live vaccines with the modification being that the genes allowing for creating physical illness have been deleted.
Category III:
Vectored Virus Vaccines
Here, the DNA for the stimulatory proteins described in the
subunit vaccine area are inserted into harmless viruses. The live harmless
virus is able to provide a very natural immune stimulation and will
express the stimulatory proteins native to a harmful virus. In this
method, one gets the benefits of the modified live vaccine with the
benefits of the subunit vaccine.
Merial had created a distemper vaccine for dogs using this technology (though the other virus components of this 5-way vaccine are still of the conventional non-recombinant type.) Also, this technology is currently in use to vaccinate wildlife against rabies (using an edible bait laced with vaccine). The new PUREVAX rabies vaccine for cats is also a vectored virus vaccine.
Category IV:
Other
At this time there is only one vaccine type in the other
category: the naked DNA or RNA vaccine. Here, DNA from the infectious
agent is injected into the host. No proteins. No putting the DNA inside
any viruses. Just plain raw DNA.
This DNA is taken up by the local muscle cells and soon the proteins coded for by this DNA are being produced. The immune system thus receives its stimulation without risking exposure to an infectious agent of any kind.
So why are these vaccines better than the traditional ones? The chief benefit seems to be the reduction in vaccine reactions since there are less extraneous proteins to cause unnecessary immune stimulation. This makes vaccination not only safer but less likely to be associated with unpleasant fever or muscle inflammation. With respect to the recombinant rabies vaccine for cats, recombinant technology has allowed this vaccine to be manufactured without adjuvants. Adjuvants are special chemicals that stabilized killed vaccines and are felt by many to be linked to inflammatory vaccine side effects as well as to the development of the vaccine associated fibrosarcoma. Recombinant vaccines represent the very cutting edge of vaccine technology in both veterinary and human medicine.
CAN VACCINES
HURT MY PET?
Some muscle soreness, lethargy and mild fever persisting
for a day or two are considered common reactions to stimulation of
the immune system. Vaccine reactions beyond this are unusual but possible.
Allergic reactions characterized usually by facial swelling and hives
are a strong sign that special care should be taken in administering
vaccinations. Since allergic reactions potentially can become worse
with each episode, it is important to take heed of these signs as severe
reactions can result in shock or even death.
See more on
allergic reaction to vaccines.
Another reaction that has received tremendous press lately
is the vaccine-induced fibrosarcoma, a form of cancer in cats. See
the next question.
CAN VACCINES
CAUSE CANCER?
The fibrosarcoma is an especially aggressive form of cancer
that can affect cats spontaneously or by viral induction via the feline
sarcoma virus. Recently, fibrosarcomas have been removed from areas
of the body typically used for vaccination and, to the surprise of
the veterinary profession, particles of aluminum based vaccine ingredients
(called adjuvants) were discovered within the tumor. The working theory
is that vaccination may induce this form of cancer in rare cases (between
1 in 1000 and 1 in 10,000 cats). The feline leukemia vaccine and the rabies
vaccine have been implicated as being more likely to be involved. The
problem is definitely not a matter of simply changing to non-aluminum based
adjuvants but is more complicated. A list of preventive measures has been
issued by most veterinary associations. vaccine associated fibrosarcoma.
Copyright 2004 - 2007
by the Veterinary Information Network, Inc. All rights reserved.
This work was originally published by Veterinary Information
Network, Inc. (VIN) and is republished with VIN's permission.
***************************
*****************************