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Leptospira Vaccination Information
This bacterial spirochete is
the most important non-core vaccine due to its zoonotic potential. It has a
worldwide distribution and there are geographical variations in the prevalence
of different serovars. The severity of clinical disease can vary according to
the infective serovar in addition to other factors. Exposure to contaminated
sites is related to the dog’s roaming tendencies and the wildlife population
density. Dogs at high risk are hunting dogs, working dogs, dogs with exposure to
wildlife, rodent pests or livestock, show animals and dogs with access to ponds
or slow-moving streams. Middle-aged dogs (4 to 7 years of age) and sexually
intact male dogs have the greatest risk of infection. However, ANY dog may
contract this disease, even small breed apartment
dwellers.
Why is Leptospirosis not a
core vaccine?
The issue is with the vaccine
efficacy. A high percentage of dogs vaccinated do not develop protective levels
of antibodies to ensure immunity or if they do it tends to be short lived.
Serological titers have been performed and demonstrate that a decline in the
serum antibody titers occurs 16 weeks post-vaccination. This does not indicate
that the animal would not be able to mount an effective immune response if
exposed as the serum titer does not take into account the cell mediated response
or the anamnestic response.
The vaccines are also serovar specific. Therefore, if the animal does mount an
antibody response to the vaccination it would only be protected against the
serovars contained in the vaccine. If the dog encounters a serovar that was not
in the vaccine, the dog is not protected. The vaccines maybe effective at
preventing the systemic invasion of the Leptospira, however, they do not prevent
the infection of the proximal renal tubules with the organism, nor do they
prevent shedding of this organism into the urine.
Therefore, asymptomatic dogs can shed and contaminate the environment. Thus the
public health threat from the organism being shed into the environment
still persists. The final consideration in the efficacy of this vaccine
is the number and severity of adverse reactions that occur upon administration.
It is apparent, both experimentally and anecdotally, that the Leptospira
component of the vaccine has been associated with multiple types of immune
mediated hypersensitivities and moderate to severe vaccine reactions.
Therefore, the risk to benefit ratio of administering this vaccine must be
considered for each individual dog. If the vaccine is to be administered it
makes sense to vaccinate against the serovars that the dog is likely to
encounter.
Suggested Guidelines for
Leptospirosis:
Dogs being vaccinated against
Leptospirosis should be at least 12 weeks of age or older. A booster vaccination
should be administered 3-4 weeks later, and annually thereafter.
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