Glanders and the risk for its introduction through the international movement of horses.
Abstract: Glanders is the contagious zoonotic disease caused by infection with Burkholderia mallei. It affects primarily horses, donkeys and mules. The disease was eradicated from large areas of the Western world in the early 20th century, but, over the last 10-20 years, has emerged and re-emerged in areas in which it was previously unknown or had been eradicated. Although glanders was previously thought to manifest in only acute or chronic presentations, it now appears that B. mallei can produce latent infections similar to those caused by Burkholderia pseudomallei. These latent infections may or may not be detectable by current diagnostic tests. The diagnostic test currently recommended by the World Organisation for Animal Health (Office International des Epizooties [OIE]) for international trade in equids is the complement fixation test (CFT). This test has been shown to have varying sensitivities and specificities depending on the antigen and methodology used. False positives are problematic for the horse-owner and veterinary authority, whereas false negatives may allow the reintroduction of B. mallei into B. mallei-free areas. These gaps in knowledge of the epidemiology of glanders, and weaknesses in its diagnosis, coupled with the increased movement of equids, indicate that infection with B. mallei remains a major risk in the context of international movement of equids.
© 2016 EVJ Ltd.
Publication Date: 2016-07-22 PubMed ID: 27288893DOI: 10.1111/evj.12599Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
- Review
- Burkholderia mallei
- Complement Fixation
- Diagnosis
- Diagnostic Technique
- Disease control
- Disease Diagnosis
- Disease Etiology
- Disease Management
- Disease Outbreaks
- Disease Surveillance
- Disease Transmission
- Epidemiology
- Equids
- Equine Health
- Glanders
- Horses
- Infectious Disease
- Public Health
- Veterinary Medicine
- Zoonotic Diseases
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.
This research article focuses on Glanders, a contagious disease that principally affects equine species, and discusses the risks associated with its transmission due to the global movement of horses. It addresses the difficulties in diagnosing the disease, and highlights the potential for false positives and negatives affecting disease control efforts.
Understanding Glander’s Disease
- The research begins by highlighting Glanders as a contagious zoonotic ailment primarily impacting horses, donkeys, and mules. The disease is caused by the bacterium Burkholderia mallei.
- The disease was largely eliminated from the Western world in the early 20th century. However, it has seen a resurgence in areas where it was either previously unknown or believed to have been eradicated.
- The study points out a new understanding that B. mallei, the bacteria causing Glanders, can produce latent, or “hidden,” infections similar to those caused by the related bacteria Burkholderia pseudomallei. These latent infections could potentially go undetected by current diagnostic procedures.
Challenges in Diagnostic Testing
- The paper highlights the diagnostic test currently recommended by the World Organisation for Animal Health (OIE) for the international trade of equids – the complement fixation test (CFT).
- The study brings light to the concern that the CFT has demonstrated varying results, including both sensitivities and specificities, depending on both the antigen and methodology used.
- The incorrect diagnostic results pose massive problems; for example, false positives can cause challenges for horse owners and veterinary authorities, and false negatives might inadvertently permit the reintroduction of B. mallei into areas previously declared free from the bacteria.
High-Risk Factors and Future Implications
- The paper concludes that these gaps in our understanding of Glanders’ epidemiology and the weaknesses in its diagnosis, combined with the increased international movement of horses, make the infection with B. mallei a significant risk.
- Therefore, international equine trade necessitates diligent disease monitoring and more research into more accurate diagnosing of glanders to prevent the spread of this serious disease.
Cite This Article
APA
Kettle AN, Wernery U.
(2016).
Glanders and the risk for its introduction through the international movement of horses.
Equine Vet J, 48(5), 654-658.
https://doi.org/10.1111/evj.12599 Publication
Researcher Affiliations
- Equine International Consultancy FZ LLE, Dubai, UAE.
- Central Veterinary Research Laboratory, Dubai, UAE.
MeSH Terms
- Animals
- Glanders / transmission
- Horses
- Internationality
- Risk Factors
- Transportation
- Zoonoses
Citations
This article has been cited 26 times.- Sukmanadi M, Khairullah AR, Wardhani BWK, Mustofa I, Aliyah SH, Moses IB, Ahmad RZ, Khalisa AT, Pratama BP, Kusala MKJ, Kurniasih DAA, Akintunde AO, Fauziah I, Wibowo S, Furqoni AH, Fauzia KA, Melati I, Kurniawan M'. Glanders: Historical military use and potential bioterrorism concern. Open Vet J 2025 Sep;15(9):3912-3930.
- Moriya JCK, Suniga PAP, Araújo ACL, Santos MG, Rieger JSG, Mantovani C, Jardim R, Silva MR, Araújo FR, Santos LR. Detection of Burkholderia mallei in Microbiological Culture: A Comparative Analysis of PCR Primer Sets. Pathogens 2025 Aug 2;14(8).
- Wang B, Zhang J, Chen L, Ijaz M, Bi J, Li C, Dong D, Wang Y, Li B, Luo J, An Q. Burkholderia Phages and Control of Burkholderia-Associated Human, Animal, and Plant Diseases. Microorganisms 2025 Aug 11;13(8).
- Torres AG. Glanders: An ancient and emergent disease with no vaccine or treatment on site. PLoS Negl Trop Dis 2025 Jun;19(6):e0013160.
- Coulon PML, Agnoli K, Myers GSA. Colony morphotype variation in Burkholderia: implications for success of applications and therapeutics. J Bacteriol 2025 May 22;207(5):e0052124.
- Dülger D, Ekici S, Demirci M, Yiğin A, Babacan O. Tracking the footsteps of Burkholderia mallei: determination of the molecular differences and potential resistance genes. Turk J Med Sci 2024;54(1):16-25.
- Park T, Yoon J, Yun Y, Unno T. Comparison of the fecal microbiota with high- and low performance race horses. J Anim Sci Technol 2024 Mar;66(2):425-437.
- Raj A, Pathak A, Karuppusamy S, Tripathi BN, Tripathi H, Singha H. Knowledge, awareness and perception about equine glanders among veterinarians and medical professionals in India. Front Vet Sci 2024;11:1334485.
- Charron P, Gao R, Chmara J, Hoover E, Nadin-Davis S, Chauvin D, Hazelwood J, Makondo K, Duceppe MO, Kang M. Influence of genomic variations on glanders serodiagnostic antigens using integrative genomic and transcriptomic approaches. Front Vet Sci 2023;10:1217135.
- Gaspar EB, Santos LRD, Egito AAD, Santos MGD, Mantovani C, Rieger JDSG, Abrantes GAS, Suniga PAP, Favacho JM, Pinto IB, Nassar AFC, Santos FLD, Araújo FR. Assessment of the Virulence of the Burkholderia mallei Strain BAC 86/19 in BALB/c Mice. Microorganisms 2023 Oct 20;11(10).
- Knox A, Zerna G, Beddoe T. Current and Future Advances in the Detection and Surveillance of Biosecurity-Relevant Equine Bacterial Diseases Using Loop-Mediated Isothermal Amplification (LAMP). Animals (Basel) 2023 Aug 18;13(16).
- Wagner GE, Berner A, Lipp M, Kohler C, Assig K, Lichtenegger S, Saqib M, Müller E, Trinh TT, Gad AM, Söffing HH, Ehricht R, Laroucau K, Steinmetz I. Protein Microarray-Guided Development of a Highly Sensitive and Specific Dipstick Assay for Glanders Serodiagnostics. J Clin Microbiol 2023 Jan 26;61(1):e0123422.
- Brangsch H, Singha H, Laroucau K, Elschner M. Sequence-based detection and typing procedures for Burkholderia mallei: Assessment and prospects. Front Vet Sci 2022;9:1056996.
- Brangsch H, Saqib M, Sial AUR, Melzer F, Linde J, Elschner MC. Sequencing-Based Genotyping of Pakistani Burkholderia mallei Strains: A Useful Way for Investigating Glanders Outbreaks. Pathogens 2022 May 24;11(6).
- Libera K, Konieczny K, Grabska J, Szopka W, Augustyniak A, Pomorska-Mól M. Selected Livestock-Associated Zoonoses as a Growing Challenge for Public Health. Infect Dis Rep 2022 Jan 13;14(1):63-81.
- Nielsen SS, Alvarez J, Bicout DJ, Calistri P, Canali E, Drewe JA, Garin-Bastuji B, Gonzales Rojas JL, Schmidt CG, Herskin M, Michel V, Miranda Chueca MÁ, Padalino B, Pasquali P, Spoolder H, Ståhl K, Velarde A, Viltrop A, Winckler C, Gubbins S, Laroucau K, Antoniou SE, Aznar I, Broglia A, Lima E, Van der Stede Y, Zancanaro G, Roberts HC. Assessment of the control measures of the category A diseases of Animal Health Law: Burkholderia mallei (Glanders). EFSA J 2022 Jan;20(1):e07069.
- Lafontaine ER, Chen Z, Huertas-Diaz MC, Dyke JS, Jelesijevic TP, Michel F, Hogan RJ, He B. The autotransporter protein BatA is a protective antigen against lethal aerosol infection with Burkholderia mallei and Burkholderia pseudomallei. Vaccine X 2019 Apr 11;1:100002.
- Dyke JS, Huertas-Diaz MC, Michel F, Holladay NE, Hogan RJ, He B, Lafontaine ER. The Peptidoglycan-associated lipoprotein Pal contributes to the virulence of Burkholderia mallei and provides protection against lethal aerosol challenge. Virulence 2020 Dec;11(1):1024-1040.
- Erdemsurakh O, Ochirbat K, Gombosuren U, Tserendorj B, Purevdorj B, Vanaabaatar B, Aoshima K, Kobayashi A, Kimura T. Seroprevalence of equine glanders in horses in the central and eastern parts of Mongolia. J Vet Med Sci 2020 Sep 24;82(9):1247-1252.
- Sack A, Oladunni FS, Gonchigoo B, Chambers TM, Gray GC. Zoonotic Diseases from Horses: A Systematic Review. Vector Borne Zoonotic Dis 2020 Jul;20(7):484-495.
- Khakhum N, Bharaj P, Myers JN, Tapia D, Walker DH, Endsley JJ, Torres AG. Evaluation of Burkholderia mallei ΔtonB Δhcp1 (CLH001) as a live attenuated vaccine in murine models of glanders and melioidosis. PLoS Negl Trop Dis 2019 Jul;13(7):e0007578.
- Kinoshita Y, Cloutier AK, Rozak DA, Khan MSR, Niwa H, Uchida-Fujii E, Katayama Y, Tuanyok A. A novel selective medium for the isolation of Burkholderia mallei from equine specimens. BMC Vet Res 2019 May 7;15(1):133.
- Karimi A, Mosavari N. Development of Rose Bengal test against mallein test for rapid diagnosis of equine glanders. Trop Anim Health Prod 2019 Sep;51(7):1969-1974.
- Elschner MC, Laroucau K, Singha H, Tripathi BN, Saqib M, Gardner I, Saini S, Kumar S, El-Adawy H, Melzer F, Khan I, Malik P, Sauter-Louis C, Neubauer H. Evaluation of the comparative accuracy of the complement fixation test, Western blot and five enzyme-linked immunosorbent assays for serodiagnosis of glanders. PLoS One 2019;14(4):e0214963.
- Hogan RJ, Lafontaine ER. Antibodies Are Major Drivers of Protection against Lethal Aerosol Infection with Highly Pathogenic Burkholderia spp. mSphere 2019 Jan 2;4(1).
- Zimmerman SM, Long ME, Dyke JS, Jelesijevic TP, Michel F, Lafontaine ER, Hogan RJ. Use of Immunohistochemistry to Demonstrate In Vivo Expression of the Burkholderia mallei Virulence Factor BpaB During Experimental Glanders. Vet Pathol 2018 Mar;55(2):258-267.
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists