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Purely Puppy is the perfect blog for puppy parents. It is written by Dr. Lisa Radosta, a board certified veterinary behaviorist in southeastern Florida, who has a great love of dogs, and a special fondness for Rottweilers.

 

Puppy Vaccinations: A Controversial Issue

February 15, 2012 / (9) comments


Last week’s blog post topic was the vaccination series for puppies. One reader had questions about vaccines and titers given after the puppy series is complete. This is such an interesting and controversial topic that I thought we should devote an entire blog to it, and hopefully answer the reader’s question as well.

 

First, let’s start with a little background on vaccines. There are generally two groups of vaccine types: noninfectious (killed, inactivated, etc.) and infectious (attenuated, modified live, etc.). The noninfectious vaccines don't contain the actual live virus, though they might contain pieces of the virus. They can’t make your pup sick by causing the actual disease. The downside is that many of them don't induce a huge amount of immunity on their own. This means that your pup’s body doesn’t have a large immune response to these types of vaccinations. That is why these types of vaccines generally have adjuvants in them. Adjuvants help to stimulate an immune response. They can also cause vaccine reactions in some dogs.

Infectious vaccines, on the other hand, cause the body to mount the same type of immune response that it would mount if the pup were actually infected. These types of vaccines may contain the entire virus, but it is attenuated (damaged) so that it can’t cause the disease.

We already know that we have to vaccinate puppies in a series because we are fighting maternal antibodies, which are very powerful. This is absolutely necessary for protecting puppies against infectious diseases.

What about puppies who are over 16 weeks and receiving their first vaccination? Should they get an entire series of each vaccination?

The short answer is, maybe. For some vaccines, like the canine distemper vaccination (modified live or recombinant), and the canine parvovirus (modified live), one dose is considered protective if given after 16 weeks of age. This is true of many of the core vaccinations (for an explanation of core vaccines, see last week’s blog). The exceptions are usually the non-core vaccines.

For the Bordetella bronchiseptica vaccination (inactivated; this is the one that a lot of dogs who board at kennels get intranasally), it takes two doses for a dog of any age to mount a proper immune response and incur lasting immunity. However, if a different vaccination for Bordetella bronchiseptica (live vaccine) is used, it only takes one dose if given after 16 weeks. Other vaccinations which need two doses for the dog to mount an immune response include the canine influenza vaccine (killed), and the Lyme (killed) vaccinations.

So, whether your dog needs a series or one vaccine depends on the type of vaccine. This is something that you should discuss with your veterinarian to determine what he or she uses and what is best for your individual dog. If your dog needs a series based on the vaccination that she is receiving and she misses a dose on the schedule, the series will have to be repeated.

Now, on to titers — otherwise known as antibody testing. Basically, antibody testing measures your dog’s immunity to certain diseases. Not every infectious disease has a currently available titer. Titers are a good way to measure immunity for canine distemper virus, canine adenovirus, rabies virus and canine parvovirus. Titers are a snapshot in time. They don't tell you how long your dog's immunity will last, but they do tell you what her status is right now.

If you are interested in titers, you can start to titer your dog after her series of puppy vaccinations have been completed so that you will know how well she is protected against certain infectious diseases. This seems like overkill to me, because the majority of pups will be protected by the series. When your dog is about 16 months old, she will be due for boosters of the core vaccinations. We know that long-term immunity will be present in most dogs for at least canine distemper virus and canine parvovirus after they receive this 16 month booster. In most cases your dog will not be due again for a booster of the core vaccines for three years after her 16 month appointment. At that point (your dog is about 4 ½ years old now), your veterinarian may recommend that you check your dog’s titers.

Canine distemper virus and canine parvovirus (modified live vaccines) have been shown to induce immunity for five years; so why not wait five years to vaccinate all dogs? Because some dogs are genetically non-responders. This means that their immune systems may not respond to the vaccine like normal dogs. If your dog has this defect, a titer will catch it and your veterinarian will know whether or not to vaccinate your dog.

In the end, veterinarians are about finding what is right for your individual pup — now and as she ages. Make sure to have these conversations with your veterinarian early so that he or she can plan the right vaccination schedule for your dog.

 

 

Dr. Lisa Radosta

 

 

Image: Nagy Melinda / via Shutterstock

 

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COMMENTS (9)
1
Over Vaccination
by on 02/15/2012 06:38am

I would suspect that many owners don't have titers run and just bring Fido in for vax. (At least I hope they bring Fido to the doctor for vax and a checkup!)

What are the dangers to overvaccinating a dog? If the dog already has a good immune response, are there health risks if the dog gets that vaccine again?

I know that cats can get injection site sarcomas. Is this a risk with dogs, too?

2
Titers
by on 02/16/2012 01:08am

honestly I believe the gold standard should be to titer a few weeks after completion of the puppy series as well as in older dogs who get their first vaccination after 16 weeks (core vaccines). That will establish if the dog had an adequate immune response from the vaccination. If a dog is titered 3 years later and has no measurable antibodies anymore, it doesn't always mean that dog is not protected, the memory cells should be able to mount an adequate response if there was an adequate response soon after the vaccination. If a titer wasn't measured after vaccination, one really can't know 3 years later when there are no antibodies if the dog is a non-responder or if he just doesn't have any more circulating antibodies.
Likewise, it is useless to continue to vaccinate non-responders. I used to do our employee vaccinations for hepatitis B, it was common practice to re-vaccinate non-responders and I have never seen anybody convert after the second round of shots. The CDC recommended titer after 4 to 6 weeks when vaccination was completed and if there is a response their recommendation was that no further titers are needed as one can assume that there will be lifelong immunity due to the memory cells.

by Dr. Lisa Radosta on 02/18/2012 09:25am

Different vaccinations are going to induce different lengths of immunity and different types of immunity as well. So, memory cells are not going to be in play for every type of vaccination.

I agree that titers would be ideal on all dogs at the times that you mentioned. It would give us valuable information about when dogs need to be vaccinated. It would also, if collected and analyzed would tell us valuable things about the population of dogs that we are vaccinating.

However the reality of veterinary medicine is that clients have choices over their pet's medical care AND they have to pay for it themselves. Even they have insurance, it doesn't pay for everything.

So, the veterinarian can offer titers, but I assure you many, many clients will refuse the additional expense which is their right. In addition, the veterinarian can argue and even show research that it is better to titer, but in the end she can't make such an argument with the client that she can refuse to vaccinate the pet if the client doesn't do a titer. It is hard to make the case for a client to spend another 70-80 dollars on a titer (at least) which may result in a vaccination anyway. All that the veterinarian can do is lay out the best plan and the client has to choose what is right for her pet. It is more complicated than it may appear. Just something to consider...

by Chelle Marie on 02/19/2012 11:58pm

I agree. Titering can be costly and are not always accepted as adequate proof in some circumstances. This being true specifically with rabies.

3
wonderful explanation
by on 02/16/2012 10:28am

Thank you, this is very helpful in understanding vaccination. I know my dogs get rabbies vac but I do not really remember them getting any other types of vaccines. Maybe it is because I adopt older dogs? Not sure. I have never had a vet suggest we do titers so it is something I will have to look into.

4
BordEtella
by Chelle Marie on 02/19/2012 01:28pm

Great article, but I just need to make a correction. It's Bordetella, not BordAtella.
Thanks!

by Dr. Lisa Radosta on 02/19/2012 10:18pm

Hi,
Thanks for the comment on the article. Just for the record Bordetella is spelled correctly in the article:

Bordetella bronchiseptica.

Thanks!

by Chelle Marie on 02/19/2012 11:52pm

Thanks for correcting it. The one I'd sent to a colleague did not have the correct spelling. He's the one who brought it to my attention.

by petMD Editorial on 02/20/2012 10:00am

You are right, Chelle, the misspell did slip past editorial. But thanks to you it was fixed quickly. Thanks for being an active member of our community!

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ABOUT PURELY PUPPY

LISA RADOSTA, DVM, DACVB

Photo of Lisa Radosta

…is a board certified veterinary behaviorist. Haven’t ever heard of one? You’re in good company, because many people don’t know they exist. After all, there are only 54 of them. After veterinary school at the University of Florida and some time in primary care practice, Dr. Radosta completed a 3-year residency in behavioral medicine at the University of Pennsylvania. She treats dogs, cats and birds with serious behavior problems, like aggression, separation anxiety, elimination outside of the litter box, and storm phobia. But please don’t ask her if dogs lie on a couch and bark at her!

She spends her off time writing textbook chapters and articles for veterinarians and clients, as well as lecturing nationally and internationally. Oh, yeah - she is also an overscheduled, stressed, tired, working mom. If you are itching to know lots more about her, go to her website at www.flvetbehavior.com, and join her weekly for your puppy fix.

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