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Pathogens (Basel, Switzerland)2021; 10(7); 810; doi: 10.3390/pathogens10070810

Equine Herpesvirus Type 4 (EHV-4) Outbreak in Germany: Virological, Serological, and Molecular Investigations.

Abstract: Equine herpesvirus type 4 (EHV-4) is enzootic in equine populations throughout the world. A large outbreak of EHV-4 respiratory infection occurred at a Standardbred horse-breeding farm in northern Germany in 2017. Respiratory illness was observed in a group of in-housed foals and mares, which subsequently resulted in disease outbreak. Out of 84 horses in the stud, 76 were tested and 41 horses were affected, including 20 foals, 10 stallions, and 11 mares. Virological investigations revealed the involvement of EHV-4 in all cases of respiratory illness, as confirmed by virus isolation, qPCR, and/or serological follow-up using virus neutralization test and peptide-specific ELISA. Among infected mares, 73% (8 out of 11) and their corresponding foals shed the virus at the same time. EHV-4 was successfully isolated from four animals (including one stallion and three foals), and molecular studies revealed a different restriction fragment length polymorphism (RFLP) profile in all four isolates. We determined the complete 144 kbp genome sequence of EHV-4 isolated from infected horses by next-generation sequencing and de novo assembly. Hence, EHV-4 is genetically stable in nature, different RFLP profiles, and genome sequences of the isolates, suggesting the involvement of more than one animal as a source of infection due to either true infection or reactivation from a latent state. In addition, epidemiological investigation revealed that stress caused by seasonal changes, management practices, routine equestrian activities, and exercises contributed as a multifactorial causation for disease outbreak. This study shows the importance of implementing stress alleviating measures and management practices in breeding farms in order to avoid immunosuppression and occurrence of disease.
Publication Date: 2021-06-25 PubMed ID: 34202127PubMed Central: PMC8308676DOI: 10.3390/pathogens10070810Google Scholar: Lookup
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  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The research investigates an outbreak of Equine herpesvirus type 4 (EHV-4) respiratory infection in a Standardbred horse-breeding farm in Germany, focusing on the virological, serological, and molecular aspects of the situation.

Outbreak Overview

  • An outbreak of EHV-4 respiratory infection transpired in a horse-breeding farm in Germany where out of the 84 horses, 76 were tested and 41 were infected. The infected horses consisted of different types including foals, stallions, and mares.

Virological investigations

  • Through viral isolation, qPCR (quantitative Polymerase Chain Reaction which is a technique used to amplify and measure specific DNA sequences), and serological follow-ups using virus neutralization test and peptide-specific ELISA (Enzyme-Linked Immunosorbent Assay which is a test that detects and measures antibodies in blood), EHV-4 was confirmed as the cause of all cases of respiratory illness.

Transmission and Genetic Stability of EHV-4

  • The study discovered that among the infected mares, eight out of eleven and their corresponding foals shed the virus at the same time. The EHV-4 virus was isolated from four different animals and displayed varying RFLP (Restriction Fragment Length Polymorphism which is a technique that exploits variations in homologous DNA sequences) profiles.
  • The entire 144 kbp genome sequence of EHV-4 was unearthed from the infected horses through next-generation sequencing and de novo assembly. The findings indicated that EHV-4 is genetically stable, suggesting that multiple animals may have been the source of infection due to either true infection or reactivation from a latent state.

Epidemiological Investigation

  • The study analyzed the potential causes of the outbreak, determining that multifactorial influences driven by stress, seasonal changes, management practices, and routine equestrian activities and exercises contributed significantly.

Preventive Measures

  • The study underscores the importance of implementing stress-reducing measures and improved management practices to prevent immunosuppression and ward off potential disease outbreaks in breeding farms.

Cite This Article

APA
Pavulraj S, Eschke K, Theisen J, Westhoff S, Reimers G, Andreotti S, Osterrieder N, Azab W. (2021). Equine Herpesvirus Type 4 (EHV-4) Outbreak in Germany: Virological, Serological, and Molecular Investigations. Pathogens, 10(7), 810. https://doi.org/10.3390/pathogens10070810

Publication

ISSN: 2076-0817
NlmUniqueID: 101596317
Country: Switzerland
Language: English
Volume: 10
Issue: 7
PII: 810

Researcher Affiliations

Pavulraj, Selvaraj
  • Institut für Virologie, Robert von Ostertag-Haus, Zentrum für Infektionsmedizin, Freie Universität Berlin, Robert-von-Ostertag-Str. 7-13, 14163 Berlin, Germany.
Eschke, Kathrin
  • Institut für Virologie, Robert von Ostertag-Haus, Zentrum für Infektionsmedizin, Freie Universität Berlin, Robert-von-Ostertag-Str. 7-13, 14163 Berlin, Germany.
Theisen, Jana
  • Die Mobile Pferdepraxis, Haberkamp 3, 22927 Großhansdorf, Germany.
Westhoff, Stephanie
  • Die Mobile Pferdepraxis, Haberkamp 3, 22927 Großhansdorf, Germany.
Reimers, Gitta
  • Die Mobile Pferdepraxis, Haberkamp 3, 22927 Großhansdorf, Germany.
Andreotti, Sandro
  • Department of Mathematics and Computer Science, Institute of Computer Science, Freie Universität Berlin, Arnimallee 14, 14195 Berlin, Germany.
Osterrieder, Nikolaus
  • Institut für Virologie, Robert von Ostertag-Haus, Zentrum für Infektionsmedizin, Freie Universität Berlin, Robert-von-Ostertag-Str. 7-13, 14163 Berlin, Germany.
  • Department of Infectious Diseases and Public Health, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Kowloon Tong 999077, Hong Kong.
Azab, Walid
  • Institut für Virologie, Robert von Ostertag-Haus, Zentrum für Infektionsmedizin, Freie Universität Berlin, Robert-von-Ostertag-Str. 7-13, 14163 Berlin, Germany.

Grant Funding

  • AZ 97/3-2 / Deutsche Forschungsgemeinschaft
  • NA / Indian Council of Agricultural Research
  • DFG AZ 97/3-2 / Freie Universitu00e4t Berlin

Conflict of Interest Statement

The authors declare no conflict of interest.

References

This article includes 40 references
  1. Patel JR, Heldens J. Equine herpesviruses 1 (EHV-1) and 4 (EHV-4)--epidemiology, disease and immunoprophylaxis: a brief review.. Vet J 2005 Jul;170(1):14-23.
    doi: 10.1016/j.tvjl.2004.04.018pubmed: 15993786google scholar: lookup
  2. Crabb BS, Studdert MJ. Epitopes of glycoprotein G of equine herpesviruses 4 and 1 located near the C termini elicit type-specific antibody responses in the natural host.. J Virol 1993 Oct;67(10):6332-8.
  3. Sabine M, Robertson GR, Whalley JM. Differentiation of sub-types of equine herpesvirus I by restriction endonuclease analysis.. Aust Vet J 1981 Mar;57(3):148-9.
  4. Allen GP, Bryans JT. Molecular epizootiology, pathogenesis, and prophylaxis of equine herpesvirus-1 infections.. Prog Vet Microbiol Immunol 1986;2:78-144.
    pubmed: 2856183
  5. Zarski LM, Giessler KS, Jacob SI, Weber PSD, McCauley AG, Lee Y, Soboll Hussey G. Identification of Host Factors Associated with the Development of Equine Herpesvirus Myeloencephalopathy by Transcriptomic Analysis of Peripheral Blood Mononuclear Cells from Horses.. Viruses 2021 Feb 24;13(3).
    doi: 10.3390/v13030356pmc: PMC7995974pubmed: 33668216google scholar: lookup
  6. Patel JR, Földi J, Bateman H, Williams J, Didlick S, Stark R. Equid herpesvirus (EHV-1) live vaccine strain C147: efficacy against respiratory diseases following EHV types 1 and 4 challenges.. Vet Microbiol 2003 Mar 20;92(1-2):1-17.
    doi: 10.1016/S0378-1135(02)00358-9pubmed: 12488066google scholar: lookup
  7. Mekonnen A, Eshetu A, Gizaw D. Equine herpesvirus 1 and/or 4 in working equids: Seroprevalence and risk factors in North Shewa Zone, Ethiopia.. Ethiop. Vet. J. 2017;21:28–39.
    doi: 10.4314/evj.v21i2.3google scholar: lookup
  8. Ataseven VS, Bilge-Dagalp S, Oguzoglu TC, Karapinar Z, Güzel M, Tan MT. Detection and sequence analysis of equine gammaherpesviruses from horses with respiratory tract disease in Turkey.. Transbound Emerg Dis 2010 Aug 1;57(4):271-6.
  9. Crabb BS, Studdert MJ. Equine herpesviruses 4 (equine rhinopneumonitis virus) and 1 (equine abortion virus).. Adv Virus Res 1995;45:153-90.
    pubmed: 7793324doi: 10.1016/s0065-3527(08)60060-3google scholar: lookup
  10. Damiani AM, de Vries M, Reimers G, Winkler S, Osterrieder N. A severe equine herpesvirus type 1 (EHV-1) abortion outbreak caused by a neuropathogenic strain at a breeding farm in northern Germany.. Vet Microbiol 2014 Aug 27;172(3-4):555-62.
    doi: 10.1016/j.vetmic.2014.06.023pubmed: 25042527google scholar: lookup
  11. Gilkerson JR, Whalley JM, Drummer HE, Studdert MJ, Love DN. Epidemiology of EHV-1 and EHV-4 in the mare and foal populations on a Hunter Valley stud farm: are mares the source of EHV-1 for unweaned foals.. Vet Microbiol 1999 Aug 16;68(1-2):27-34.
    doi: 10.1016/S0378-1135(99)00058-9pubmed: 10501159google scholar: lookup
  12. Yildirim Y, Yilmaz V, Kirmizigul AH. Equine herpes virus type 1 (EHV-1) and 4 (EHV-4) infections in horses and donkeys in northeastern Turkey.. Iran J Vet Res 2015 Fall;16(4):341-4.
    pmc: PMC4782672pubmed: 27175200
  13. Pusterla N, Bain F, James K, Mapes S, Kenelty K, Barnett DC, Gaughan E, Craig B, Chappell DE, Vaala W. Frequency of molecular detection of equine herpesvirus-4 in nasal secretions of 3028 horses with upper airway infection.. Vet Rec 2017 Jun 17;180(24):593.
    doi: 10.1136/vr.104240pubmed: 28386031google scholar: lookup
  14. Borchers K, Wolfinger U, Ludwig H. Latency-associated transcripts of equine herpesvirus type 4 in trigeminal ganglia of naturally infected horses.. J Gen Virol 1999 Aug;80 ( Pt 8):2165-2171.
    doi: 10.1099/0022-1317-80-8-2165pubmed: 10466816google scholar: lookup
  15. Browning GF, Ficorilli N, Studdert MJ. Asinine herpesvirus genomes: comparison with those of the equine herpesviruses.. Arch Virol 1988;101(3-4):183-90.
    doi: 10.1007/BF01310999pubmed: 2845891google scholar: lookup
  16. Blunden AS, Smith KC, Binns MM, Zhang L, Gower SM, Mumford JA. Replication of equid herpesvirus 4 in endothelial cells and synovia of a field case of viral pneumonia and synovitis in a foal.. J Comp Pathol 1995 Feb;112(2):133-40.
    doi: 10.1016/S0021-9975(05)80056-8pubmed: 7769144google scholar: lookup
  17. Spiesschaert B, Goldenbogen B, Taferner S, Schade M, Mahmoud M, Klipp E, Osterrieder N, Azab W. Role of gB and pUS3 in Equine Herpesvirus 1 Transfer between Peripheral Blood Mononuclear Cells and Endothelial Cells: a Dynamic In Vitro Model.. J Virol 2015 Dec;89(23):11899-908.
    doi: 10.1128/JVI.01809-15pmc: PMC4645325pubmed: 26378176google scholar: lookup
  18. Pavulraj S, Kamel M, Stephanowitz H, Liu F, Plendl J, Osterrieder N, Azab W. Equine Herpesvirus Type 1 Modulates Cytokine and Chemokine Profiles of Mononuclear Cells for Efficient Dissemination to Target Organs.. Viruses 2020 Sep 8;12(9).
    doi: 10.3390/v12090999pmc: PMC7551999pubmed: 32911663google scholar: lookup
  19. Bannai H, Nemoto M, Tsujimura K, Yamanaka T, Kondo T, Matsumura T. Development of a focus-reduction neutralizing test for detecting equine herpesvirus type-1-neutralizing antibodies.. J Vet Med Sci 2013;75(9):1209-12.
    doi: 10.1292/jvms.13-0043pubmed: 23595119google scholar: lookup
  20. Lang A, de Vries M, Feineis S, Müller E, Osterrieder N, Damiani AM. Development of a peptide ELISA for discrimination between serological responses to equine herpesvirus type 1 and 4.. J Virol Methods 2013 Nov;193(2):667-73.
  21. OIE OIE Manual for Terrestial Animals. [(accessed on 12 December 2018)];2018 Equine Rhinopneumonitis. (Chapter 2.5.9) Available online: http://www.oie.int/standard-setting/terrestrial-manual/access-online/2.05.09_EQUINE_RHINO.pdf.
  22. Studdert MJ, Simpson T, Roizman B. Differentiation of respiratory and abortigenic isolates of equine herpesvirus 1 by restriction endonucleases.. Science 1981 Oct 30;214(4520):562-4.
    doi: 10.1126/science.6270790pubmed: 6270790google scholar: lookup
  23. Heldens JG, Pouwels HG, van Loon AA. Efficacy and duration of immunity of a combined equine influenza and equine herpesvirus vaccine against challenge with an American-like equine influenza virus (A/equi-2/Kentucky/95).. Vet J 2004 Mar;167(2):150-7.
    doi: 10.1016/S1090-0233(03)00028-5pubmed: 14975389google scholar: lookup
  24. Bürki F, Rossmanith W, Nowotny N, Pallan C, Möstl K, Lussy H. Viraemia and abortions are not prevented by two commercial equine herpesvirus-1 vaccines after experimental challenge of horses.. Vet Q 1990 Apr;12(2):80-6.
    doi: 10.1080/01652176.1990.9694249pubmed: 2163560google scholar: lookup
  25. Pusterla N, Kass PH, Mapes S, Johnson C, Barnett DC, Vaala W, Gutierrez C, McDaniel R, Whitehead B, Manning J. Surveillance programme for important equine infectious respiratory pathogens in the USA.. Vet Rec 2011 Jul 2;169(1):12.
    doi: 10.1136/vr.d2157pubmed: 21676986google scholar: lookup
  26. Studdert MJ. Restriction endonuclease DNA fingerprinting of respiratory, foetal and perinatal foal isolates of equine herpesvirus type 1.. Arch Virol 1983;77(2-4):249-58.
    doi: 10.1007/BF01309272pubmed: 6314938google scholar: lookup
  27. Matsumura T, Sugiura T, Imagawa H, Fukunaga Y, Kamada M. Epizootiological aspects of type 1 and type 4 equine herpesvirus infections among horse populations.. J Vet Med Sci 1992 Apr;54(2):207-11.
    doi: 10.1292/jvms.54.207pubmed: 1318750google scholar: lookup
  28. Smith FL, Watson JL, Spier SJ, Kilcoyne I, Mapes S, Sonder C, Pusterla N. Frequency of shedding of respiratory pathogens in horses recently imported to the United States.. J Vet Intern Med 2018 Jul;32(4):1436-1441.
    doi: 10.1111/jvim.15145pmc: PMC6060314pubmed: 29761571google scholar: lookup
  29. Afify AF, Ahmed BM, Salem SA, El-Sanousi AA, Shalaby MA. First Isolation and identification of EHV-4 during abortion outbreak among Arabian horses in Egypt reflects an alteration in pathogenic potentiality of EHV-4.. J. Virol. Sci. 2017;2:92–101.
  30. Ostlund EN. The equine herpesviruses.. Vet Clin North Am Equine Pract 1993 Aug;9(2):283-94.
    doi: 10.1016/S0749-0739(17)30396-6pubmed: 8395324google scholar: lookup
  31. Whitwell KE, Smith K, Sinclair R, Mumford J. Fetal lesions in spontaneous 472 EHV-4 abortions in mares. Proceedings of the Seventh International Conference on Equine Infectious Diseases Newmarket, UK. 11 June 1998; p. 354.
  32. Kendrick JW, Stevenson W. Immunity to equine herpesvirus 1 infection in foals during the first year of life.. J Reprod Fertil Suppl 1979;(27):615-8.
    pubmed: 225497
  33. Mumford JA, Rossdale PD, Jessett DM, Gann SJ, Ousey J, Cook RF. Serological and virological investigations of an equid herpesvirus 1 (EHV-1) abortion storm on a stud farm in 1985.. J Reprod Fertil Suppl 1987;35:509-18.
    pubmed: 2824770
  34. Pusterla N, Leutenegger CM, Wilson WD, Watson JL, Ferraro GL, Madigan JE. Equine herpesvirus-4 kinetics in peripheral blood leukocytes and nasopharyngeal secretions in foals using quantitative real-time TaqMan PCR.. J Vet Diagn Invest 2005 Nov;17(6):578-81.
    doi: 10.1177/104063870501700610pubmed: 16475518google scholar: lookup
  35. Azab W, Osterrieder N. Glycoproteins D of equine herpesvirus type 1 (EHV-1) and EHV-4 determine cellular tropism independently of integrins.. J Virol 2012 Feb;86(4):2031-44.
    doi: 10.1128/JVI.06555-11pmc: PMC3302398pubmed: 22171258google scholar: lookup
  36. Thein P, Huselstein P. Untersuchungen zur Stammvariabilität von Pferdeherpesviren des Typs EHV-4.. Pferdeheilkunde 2000;16:479–486.
    doi: 10.21836/PEM20000503google scholar: lookup
  37. Sinzger C, Knapp J, Schmidt K, Kahl M, Jahn G. A simple and rapid method for preparation of viral DNA from cell associated cytomegalovirus.. J Virol Methods 1999 Aug;81(1-2):115-22.
    doi: 10.1016/S0166-0934(99)00058-0pubmed: 10488769google scholar: lookup
  38. Pavulraj S, Eschke K, Prahl A, Flügger M, Trimpert J, van den Doel PB, Andreotti S, Kaessmeyer S, Osterrieder N, Azab W. Fatal Elephant Endotheliotropic Herpesvirus Infection of Two Young Asian Elephants.. Microorganisms 2019 Sep 26;7(10).
  39. Li H, Durbin R. Fast and accurate short read alignment with Burrows-Wheeler transform.. Bioinformatics 2009 Jul 15;25(14):1754-60.
  40. Chevreux B, Wetter T, Suhai S. Genome Sequence Assembly Using Trace Signals and Additional Sequence Information. Computer Science and Biology, Proceedings of the German Conference on Bioinformatics (GCB) Braunschweig, Germany, 10 October 2001; pp. 45–56.

Citations

This article has been cited 16 times.
  1. Badr C, Souiai O, Arbi M, El Behi I, Essaied MS, Khosrof I, Benkahla A, Chabchoub A, Ghram A. Epidemiological and Phylogeographic Study of Equid Herpesviruses in Tunisia. Pathogens 2022 Sep 5;11(9).
    doi: 10.3390/pathogens11091016pubmed: 36145448google scholar: lookup
  2. Pusterla N, James K, Barnum S, Bain F, Barnett DC, Chappell D, Gaughan E, Craig B, Schneider C, Vaala W. Frequency of Detection and Prevalence Factors Associated with Common Respiratory Pathogens in Equids with Acute Onset of Fever and/or Respiratory Signs (2008-2021). Pathogens 2022 Jul 2;11(7).
    doi: 10.3390/pathogens11070759pubmed: 35890002google scholar: lookup
  3. Mureşan A, Mureşan C, Siteavu M, Avram E, Bochynska D, Taulescu M. An Outbreak of Equine Herpesvirus-4 in an Ecological Donkey Milk Farm in Romania. Vaccines (Basel) 2022 Mar 18;10(3).
    doi: 10.3390/vaccines10030468pubmed: 35335100google scholar: lookup
  4. Asin J, Carvallo F, Gonzales-Viera OA, Macías-Rioseco M, Streitenberger N, Abdelrazek S, Crossley B, Pesavento PA, Uzal FA. Interstitial pneumonias of undetermined etiology in foals in California, 1990-2020. J Vet Diagn Invest 2026 Jan 29;:10406387251410524.
    doi: 10.1177/10406387251410524pubmed: 41612676google scholar: lookup
  5. Rask E, Righetti F, Ruiz A, Bjerketorp J, Frosth S, Frykberg L, Jacobsson K, Guss B, Flock JI, Henriques-Normark B, Hartman E, Gustafsson A, Paillot R, Waller AS. Closing the Stable Door on Strangles: Serological Responses of Vaccinated Horses on a Farm Following the Arrival of a New Horse. Animals (Basel) 2025 Dec 13;15(24).
    doi: 10.3390/ani15243584pubmed: 41463869google scholar: lookup
  6. Tallmadge RL, Laverack M, Lejeune M, Crossley B, Diel DG. A multiplex real-time PCR assay for detection of equid herpesvirus 1 and 4. Sci Rep 2025 Oct 31;15(1):38201.
    doi: 10.1038/s41598-025-22043-wpubmed: 41173927google scholar: lookup
  7. Şahinkesen İ, Bilge-Dağalp S. Development of an In-House ELISA for Serological Detection of Equine Herpesvirus-1/4 Antibodies in Turkish Horses. Animals (Basel) 2025 Aug 27;15(17).
    doi: 10.3390/ani15172523pubmed: 40941318google scholar: lookup
  8. Kutumbetov L, Myrzakhmetova B, Tussipova A, Zhapparova G, Tlenchiyeva T, Bissenbayeva K, Nurabayev S, Kerimbayev A. Development and Preclinical Evaluation of a Lyophilized Vaccine Against Equine Herpesvirus Type 4 (EHV-4). Vaccines (Basel) 2025 May 31;13(6).
    doi: 10.3390/vaccines13060604pubmed: 40573935google scholar: lookup
  9. Liu D, Zhao X, Wang X. The Genomic Characterization of Equid Alphaherpesviruses: Structure, Function, and Genetic Similarity. Vet Sci 2025 Mar 3;12(3).
    doi: 10.3390/vetsci12030228pubmed: 40266963google scholar: lookup
  10. Pradhan SS, Balena V, Bera BC, Anand T, Khetmalis R, Madhwal A, Kandasamy S, Pavulraj S, Bernela M, Mor P, Tripathi BN, Virmani N. Multiple Gene Deletion Mutants of Equine Herpesvirus 1 Exhibit Strong Protective Efficacy Against Wild Virus Challenge in a Murine Model. Vaccines (Basel) 2025 Jan 8;13(1).
    doi: 10.3390/vaccines13010045pubmed: 39852824google scholar: lookup
  11. El Brini Z, Cullinane A, Garvey M, Fassi Fihri O, Fellahi S, Amraoui F, Loutfi C, Sebbar G, Paillot R, Piro M. First Molecular and Phylogenetic Characterization of Equine Herpesvirus-1 (EHV-1) and Equine Herpesvirus-4 (EHV-4) in Morocco. Animals (Basel) 2025 Jan 5;15(1).
    doi: 10.3390/ani15010102pubmed: 39795045google scholar: lookup
  12. Li L, Li S, Ma H, Akhtar MF, Tan Y, Wang T, Liu W, Khan A, Khan MZ, Wang C. An Overview of Infectious and Non-Infectious Causes of Pregnancy Losses in Equine. Animals (Basel) 2024 Jul 2;14(13).
    doi: 10.3390/ani14131961pubmed: 38998073google scholar: lookup
  13. Ryt-Hansen P, Johansen VK, Cuicani MM, Larsen LE, Hansen S. Outbreak of equine herpesvirus 4 (EHV-4) in Denmark: tracing patient zero and viral characterization. BMC Vet Res 2024 Jul 3;20(1):287.
    doi: 10.1186/s12917-024-04149-xpubmed: 38961400google scholar: lookup
  14. Normand C, Thieulent CJ, Fortier C, Sutton G, Senamaud-Beaufort C, Jourdren L, Blugeon C, Vidalain PO, Pronost S, Hue ES. A Screening Study Identified Decitabine as an Inhibitor of Equid Herpesvirus 4 That Enhances the Innate Antiviral Response. Viruses 2024 May 8;16(5).
    doi: 10.3390/v16050746pubmed: 38793627google scholar: lookup
  15. Lebrasseur O, More KD, Orlando L. Equine herpesvirus 4 infected domestic horses associated with Sintashta spoke-wheeled chariots around 4,000 years ago. Virus Evol 2024;10(1):vead087.
    doi: 10.1093/ve/vead087pubmed: 38465241google scholar: lookup
  16. White N, Pelzel-McCluskey A. Cross-Sectional Survey of Horse Owners to Assess Their Knowledge and Use of Biosecurity Practices for Equine Infectious Diseases in the United States. Animals (Basel) 2023 Nov 17;13(22).
    doi: 10.3390/ani13223550pubmed: 38003167google scholar: lookup