, 1914 - 1918 There are many disorders that affect horses, including
colic,
laminitis, and internal
parasites. Horses also can develop various
infectious diseases that can be prevented by routine
vaccination. It is sensible to register a horse or pony with a local
equine veterinarian, in case of emergency. The veterinary practice will keep a record of the owner's details and where the horse or pony is kept, and any medical details. It is considered best practice for a horse to have an annual checkup, usually in the spring. Some practitioners recommend biannual checkups, in the spring and fall.
Vaccinations and travel requirements Horses and ponies need annual vaccinations to protect against any number of sicknesses, though the precise vaccines required varies depending on the part of the world where the horse lives and the uses to which the animal is put. In most nations,
rabies and
tetanus shots are commonly given, and in many places, various forms of
equine encephalitis are a concern as well as
West Nile virus. Horses that travel or are exposed to other horses that travel are often recommended to receive
equine influenza vaccines, since the disease is highly communicable. In the United States, many people also vaccinate against
Equine Herpes Virus strains 1 and 4. Many additional vaccines may be needed, depending on local conditions and risk, including
Rhodococcus equi (strangles),
Botulism, or
Potomac Horse Fever. As a general rule, a horse or pony that has never had a particular vaccination will be given an initial vaccination and then a booster a few weeks later, then normally once a year after that. Animals kept in a public boarding facility, those shipped for breeding and those frequently on the show circuit often require more vaccinations than horses that are not exposed to outside animals and who do not travel. Some type of veterinary certificate or proof of vaccination is often required for horses to travel or compete, especially when crossing state, provincial, or international boundaries. In the US, a certificate stating that the horse has a negative "Coggins" test must be in the vehicle carrying the horse when crossing state lines, and is often required for boarding or showing purposes. This certificate, authorized by a veterinarian, certifies that the horse has been tested recently and does not have an incurable disease called
equine infectious anemia (EIA).
First-aid kit A well-stocked equine (and human) first-aid kit should be kept in a place where it is easily accessed. Any used or out-of-date items should be replaced as soon as possible. However, other than for minor injuries, a veterinarian should be consulted before treating a sick or injured animal. The basic items any equine first-aid kit should include are: • Tools & Diagnostic Equipment •
Rectal thermometer •
Petroleum jelly (to use as lubrication for
thermometer) •
Stethoscope (for listening to heartbeat, respiration and, in the case of suspected
colic, gut sounds) Pulse and respiration can be determined without a stethoscope. Gut sounds can be heard by putting one's ear to the horse's side, but doing so increases the risk of being kicked by the horse. • Sharp, clean
scissors, reserved for first aid kit only • Wire cutters (for freeing a tangled horse) or equivalent such as a fencing tool or
lineman's pliers; though these objects are often kept in a well-organized barn, an extra set in a first-aid kit is helpful for major emergencies. •
Flashlight and extra
batteries (for nighttime emergencies or to add a light source in a shadowed area). •
Twitch, a device for holding the animal still during minor treatment • Cleaning supplies • Clean bucket, reserved for first-aid kit only, for washing out wounds • Clean sponge, reserved for first-aid kit only •
Gauze (for cleaning wounds) • Cotton balls or sheet cotton for absorbing liquids, particularly good for dipping into liquid products and then squeezing or dabbing the liquid onto a wound. (Cotton used to clean a wound may leave fibers in the injury; gauze is a better product if the wound must be touched.) •
Hypodermic syringe (without needle), for cleaning wounds. (Using the syringe to wash out a wound is preferable to cleaning it with cotton or gauze.) An old syringe, if cleaned first, works fine for this. • Sterile
saline solution, which is used to clean wounds.
Contact lens solution may be used for this purpose. • Latex/medical gloves, unused • Clean towels and rags • Disposable rags or paper towels •
Bandages and other forms of protection • Absorbent padding, such as roll cotton or a set of cotton leg wraps (keep a clean set sealed in a plastic bag) •
Gauze to be used as wound dressing underneath bandages • Sterile wound dressing, such as telfa pads; large sizes of those intended for humans work well. • Leg Bandages – stable bandages or rolls of self-adhering vet wrap • Adhesive tape for keeping bandages in place • Poultice boot, for hoof injuries. (A
hoof boot can be used for this purpose, though a medical boot is usually easier to put on and take off) • Over-the-counter medications • Medical grade
antibacterial soap • Wound ointment for minor scrapes. •
Antiseptic/
Disinfectant, such as
Betadine, diluted
iodine solution, or
hydrogen peroxide •
Epsom salts for drawing out
infection & treating pain •
Poultice dressing. Disposable diapers (nappies) or sanitary napkins may also be cut and used as a poultice as they draw moisture out of wounds.
Kaolin clay may also be used as a poultice. • Veterinary medications – in most locations, these are prescription medications and can only be obtained through a licensed Veterinarian. They should generally not be administered without prior consultation with a veterinarian, either over the telephone or by specific advance instruction. •
Phenylbutazone ("Bute") paste for pain relief •
Flunixin Meglumine ("Banamine", "Finadyne") granules or paste for
colic treatment •
Acepromazine ("Ace") or similar tranquilizer pill, paste, or pre-filled injector •
Epinephrine (
adrenaline) auto-injectors for emergency treatment of a horse that goes into
anaphylactic shock when stung by a
bee,
wasp or other
insect • Other •
Veterinarian's and
farrier's telephone and emergency numbers. • A paper and pencil, for recording symptoms,
pulse, respiration and veterinary instructions. • A Veterinary Emergency Handbook, giving basic instructions, in the event that a veterinarian cannot be reached immediately. • Suitable box/container for all of the above, to keep materials and equipment clean and tidy.
Parasite control All equines have a
parasite burden, and therefore treatment is periodically needed throughout life. Some steps to reduce parasite infection include regularly removing droppings from the animal's stall, shed or field; breaking up droppings in fields by harrowing or disking; minimizing crowding in fields; periodically leaving a field empty for several weeks; or placing animals other than equines on the field for a period of time, particularly ruminants, which do not host the same species of parasites as equines. If
botflies are active, frequent application of fly spray may repel insects. A small pumice stone or specialized bot egg knife can also scrape off any bot eggs that were laid on the hairs of the horse.
Ivermectin is one of the most effective
antiparasitics used for horses. It can be used for a wide range of targets including species of the
Strongylus nematode. It also is effective against bots. However, having been used heavily for decades, there are concerns that some nematodes are developing resistance.
Deworming There are two common methods of
deworming.
Purge dewormers that kill parasites with a single strong dose, are given periodically, depending on local conditions and veterinary recommendations.
Continuous dewormers, also known as "daily" dewormers, are given in the horse's feed each day, in small doses, and kill worms as they infect the horse. Neither of these methods is perfect; purge dewormers are effective for rapidly killing parasites, but are gone from the horses' body in a few days, and then the horse may start to be re-infected. Continuous dewormers are a mild low dose and may be easier on the horse, but may not be effective in quickly killing worms in a heavily-infected horse and may contribute to
drug resistance. If a treatment doesn't kill at least 95% of a worm species, that species is classed as 'resistant' to the drug. For adult horses, frequent rotation of several types of dewormers is no longer recommended, as it can often lead to overtreatment and subsequent drug resistance. Another way of combating drug resistance in adult horses is to deworm less frequently, by performing fecal egg counts on manure and deworming only horses with a high count. This strategy is now recommended by most veterinarians and parasitologists, as it reduces the probability of resistance. For horses that are consistently deemed "low shedders," it is still recommended to deworm at least 1-2 times per year with ivermectin + praziquantel or moxidectin + praziquantel to target tapeworms, bots, and small strongyles. This is typically done in the fall and spring. Dewormers come in several forms, including pastes, gels, powders, and granules or pellets. Powders and granules normally come in single-dose packaging, and the dewormer is normally mixed in with the horse's feed. Pastes and gels normally come in a plastic syringe which is inserted in the side of the horse's mouth and used to administer the dewormer onto the back of the horse's tongue. A dewormer syringe has a plastic ring on the plunger that is turned to adjust the dosage for the horse's weight.
Precautions in deworming Drug resistance is a growing concern for antiparasitic medications. Resistance has been noted with ivermectin to ascarids, and with fenbendazole, oxibendazole, and pyrantel to small strongyles. Development of new drugs takes many years, leading to the concern that worms could out-evolve the drugs currently available to treat them. As a result, most veterinarians now recommend deworming for small strongyles based on fecal egg counts to minimize the development of resistant parasite populations. Fecal egg count reduction tests can also be performed to identify which dewormers are effective on a particular farm. If a horse is heavily infested with parasites, dewormers must be given carefully. Small strongyles can form cysts embedded in the intestinal epithelium. A decrease in the active population of worms, as in the case of deworming, can cause larvae to emerge from the cysts (larval cyathostomiasis). Additionally, foals with a large load of ivermectin-susceptible ascarids in the small intestine may experience intestinal blockage or rupture after deworming. Thus, in heavily-infested animals, a
veterinarian may recommend worming with a mild class of drugs, such as fenbendazole or a low-dose daily wormer for the first month or so, followed by periodic purge wormer treatments.
Types of parasites found in equines •
Ascarids, also known as
roundworms •
Pinworms, sometimes known as
seatworms •
Tapeworms Others are adapted from alternative practices used by humans. Only a few treatments have been studied enough to establish efficacy, though in some cases the only existing research is on humans or other animals and their effectiveness in horses is unproven. Certain substances used by humans are potentially toxic to horses. One example is
garlic, sometimes fed to horses as an insect repellent, but it contains N-propyl disulfide, which in horses can affect their red blood cells and can lead to
Heinz body anemia. Another substance sometimes fed to horses is yogurt containing active
probiotics, usually in the mistaken belief it is a digestive supplement. However, as horses cannot digest
lactose, doing so can actually cause diarrhea. Examples of folk remedies that are not effective include feeding
chewing tobacco or
diatomaceous earth to horses as a dewormer. Neither of these has been proven to work in any empirical study. Others include a practice called
gingering alleged to make a horse appear more energetic, but any behavioral changes are generally a result of discomfort caused by the treatment. Sometimes natural remedies are all that is available, particularly in the
global south or other isolated remote areas. Examples include horses in certain tropical nations who have sprained tendons or ligaments are treated with rachette (Nopalea cochenillifera), castor bean leaves (
Ricinus communis), aloes (
Aloe vera) or leaves of wonder of the world (
Kalanchoe pinnata). Natural remedies are also used to treat exercise induced pulmonary haemorrhage (EIPH) with
lungwort (
Pulmonaria officinalis). Other plants used in combination with conventional
medications included
liquorice (
Glycyrrhiza glabra) root, aerial parts of
mullein (
Verbascum thapsus) or
mallow (
Althea), and
comfrey (
Symphytum officinalis) root. Other alternative treatments used on horses include
veterinary chiropractic,
acupuncture,
massage therapy and similar topical, hands-on treatments analogous to those used on humans. Generally there are few studies available on the effectiveness of these as applied to horses. ==See also==