Abstract: Equine parapoxvirus (EqPPV) has emerged as a cause of recurring pastern dermatitis outbreaks in horses in Finland. First detected in 2013, EqPPV has since been associated with potentially hundreds of clinical cases and suspected zoonotic transmission. Based on serological data and field reports, EqPPV causes pastern dermatitis outbreaks in Finland every few years. This study aimed to investigate the environmental presence and plausible transmission dynamics of the virus to prepare for future outbreaks and give targeted guidelines to stable staff and veterinarians. Results: After a large-scale EqPPV outbreak affecting hundreds of horses occurred in Finland in winter 2021-2022, PCR diagnostics was carried out whenever EqPPV was suspected to monitor the situation (25 trotting horses from 20 stables between April 2022 and May 2025). Following a period with no detected EqPPV cases from April 2022 to January 2025, a new outbreak occurred in early 2025. Between February and May 2025, the majority of Finnish trotting stables (8/10) submitting diagnostic equine samples, tested positive for EqPPV DNA. Environmental samples (n = 161) were collected from six case stables and two control stables from various surfaces in direct or indirect contact with horses. EqPPV DNA was detected on grooming tools, stall infrastructure, bedding, materials handled by humans, and hands of humans, suggesting multiple possible indirect transmission routes and large-scale spread of EqPPV DNA in infected stables. Notably, 83.3% (5/6) of the tested case stables had EqPPV PCR-positive environmental samples and 17.4% (24/138) of all environmental samples tested positive. Conclusions: This study confirms a recent EqPPV outbreak in Finnish trotting stables and demonstrates the presence of EqPPV DNA in clinically affected horses and the stable environment, e.g. common spaces and shared equipment. Detection of EqPPV DNA on common equipment and spaces, and on personnel shows a widespread environmental distribution during the outbreak. Overall, these findings underscore the high potential for reoccurring outbreaks and the importance of continued surveillance and early implementation of hygiene and preventative practices to minimize the effect of future outbreaks.
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Overview
This study investigated the presence and spread of equine parapoxvirus (EqPPV) in stable environments during outbreaks of pastern dermatitis in horses in Finland.
Research identified environmental contamination by the virus and suggested multiple indirect transmission routes, highlighting the need for improved hygiene and surveillance to prevent recurring outbreaks.
Background and Context
Equine parapoxvirus (EqPPV) was first detected in Finland in 2013 and has since been linked to recurring outbreaks of pastern dermatitis, an inflammatory skin disease affecting horses, particularly on their lower limbs (pastern area).
These outbreaks occur every few years, causing clinical disease in potentially hundreds of horses and posing a suspected zoonotic risk (potential transmission from horses to humans).
Understanding how the virus persists and spreads in the stable environment is crucial for developing targeted control measures and guidelines for stable staff and veterinarians.
Objectives of the Study
To assess whether EqPPV DNA could be detected in the stable environment during and after outbreaks.
To explore the possible transmission dynamics of EqPPV, including indirect routes through contaminated surfaces or materials.
To provide data that could inform preventative practices and outbreak management in equine facilities.
Methods
Following a significant EqPPV outbreak in winter 2021-2022 affecting hundreds of horses, PCR testing was routinely performed on suspected cases from April 2022 to May 2025.
Samples were collected from 25 trotting horses in 20 different stables during this period.
Environmental sampling involved 161 specimens taken from six stables with active cases (case stables) and two stables without recent outbreaks (control stables).
Items handled by humans (e.g., equipment, clothing)
Hands of stable personnel
Key Findings
From April 2022 to January 2025, no EqPPV cases were detected, but a new outbreak began early in 2025.
Between February and May 2025, 80% (8 out of 10) of Finnish trotting stables submitting diagnostic samples tested positive for EqPPV DNA.
Environmental contamination was widespread in affected stables:
EqPPV DNA was detected on grooming equipment, in stall environments, bedding, human-handled materials, and on personnel’s hands.
83.3% (5 of 6) of case stables had environmental samples positive for EqPPV DNA.
17.4% (24 of 138) of all environmental samples collected tested positive.
Control stables did not show such widespread environmental contamination, suggesting environmental presence strongly correlates with outbreaks.
Implications and Conclusions
The widespread detection of EqPPV DNA in both horses and their environment during outbreaks suggests multiple indirect transmission routes beyond direct horse-to-horse contact.
The presence of viral DNA on shared equipment and human hands underscores the role humans and fomites may play in spreading the virus within stables.
These findings explain how EqPPV outbreaks can recur and persist within equine populations over years.
Ongoing surveillance and early hygiene interventions (e.g., cleaning shared equipment, handwashing protocols for stable staff) are critical to preventing and minimizing future outbreaks.
The study provides strong evidence for stable managers and veterinarians to implement strict biosecurity practices to reduce EqPPV transmission risks.
Cite This Article
APA
Tervo S, Aaltonen K, Hautala K, Utriainen M, Pennström L, Sironen T, Kinnunen PM, Pettersson J.
(2026).
Detection of equine parapoxvirus in the stable environment during pastern dermatitis outbreak in Finland.
Acta Vet Scand.
https://doi.org/10.1186/s13028-026-00870-9
Department of Veterinary Biosciences, Faculty of Veterinary Medicine, University of Helsinki, Agnes Sjöbergin Katu 2, 00790, Helsinki, Finland.
Department of Virology, Faculty of Medicine, University of Helsinki, Haartmaninkatu 3, 00290, Helsinki, Finland.
Institute of Biomedicine, Faculty of Medicine, University of Turku and University Hospital of Turku, Kiinamyllynkatu 10, 20520, Turku, Finland.
Aaltonen, Kirsi
Department of Veterinary Biosciences, Faculty of Veterinary Medicine, University of Helsinki, Agnes Sjöbergin Katu 2, 00790, Helsinki, Finland.
Department of Virology, Faculty of Medicine, University of Helsinki, Haartmaninkatu 3, 00290, Helsinki, Finland.
Hautala, Katja
Department of Veterinary Biosciences, Faculty of Veterinary Medicine, University of Helsinki, Agnes Sjöbergin Katu 2, 00790, Helsinki, Finland.
Utriainen, Mira
Department of Virology, Faculty of Medicine, University of Helsinki, Haartmaninkatu 3, 00290, Helsinki, Finland.
Pennström, Luukas
Department of Veterinary Biosciences, Faculty of Veterinary Medicine, University of Helsinki, Agnes Sjöbergin Katu 2, 00790, Helsinki, Finland.
Department of Virology, Faculty of Medicine, University of Helsinki, Haartmaninkatu 3, 00290, Helsinki, Finland.
Sironen, Tarja
Department of Veterinary Biosciences, Faculty of Veterinary Medicine, University of Helsinki, Agnes Sjöbergin Katu 2, 00790, Helsinki, Finland.
Department of Virology, Faculty of Medicine, University of Helsinki, Haartmaninkatu 3, 00290, Helsinki, Finland.
Kinnunen, Paula M
Department of Veterinary Biosciences, Faculty of Veterinary Medicine, University of Helsinki, Agnes Sjöbergin Katu 2, 00790, Helsinki, Finland.
Pettersson, Jenni
Department of Veterinary Biosciences, Faculty of Veterinary Medicine, University of Helsinki, Agnes Sjöbergin Katu 2, 00790, Helsinki, Finland. jenni.pettersson@helsinki.fi.
Department of Virology, Faculty of Medicine, University of Helsinki, Haartmaninkatu 3, 00290, Helsinki, Finland. jenni.pettersson@helsinki.fi.
Conflict of Interest Statement
Declarations. Ethics approval and consent to participate: EqPPV diagnostics relied on clinical samples obtained during routine diagnostics within a non-experimental clinical veterinary setting, in which veterinary practitioners took non-invasive swab samples from horses and sent them to diagnostic PCR testing for EqPPV DNA as agreed with the stable and horse owners, to confirm diagnosis and provide prognosis. Consequently, no ethical approval for animal experimentation was required, in compliance with the European Union directive 2010/63/EU and the national act 497/2013. Except for the contact information of the stables, no names, personal contact information, or other personal data of the participants were collected. The stable contact information was only used to identify the supporting stables and employees, and to link the collected environmental swab samples. The results were disclosed to the owners to enable them to react accordingly to stop further spread of the virus. Consent for publication: All diagnostic samples from horses and the environmental samples were taken in the permission of the stable / horse owners, who had received written and/or oral information on the study before sampling. Likewise, the five adult stable employees/samplers who voluntarily offered their hands to be swabbed as environmental samples received the same information. Competing interests: Besides holding the title of Adjunct Professor (Docent) of the University of Helsinki, PMK is an employee of MSD Animal Health. Equine parapoxvirus studies were initiated before she joined the company.