Recommendations for African horse sickness vaccines for use in nonendemic areas

African horse sickness (AHS), which causes mortality up to 95%, is caused by orbiviruses and is transmitted by Culicoides. The goal of a control and eradication program for AHS is to prevent the spread of the virus via the biological vector. Control measures include slaughter of infected animals, housing of suspected infected animals in insect-proof stalls, and vaccination. Vaccination has played a key role in eradication when AHS occurred outside of Africa. Both modified live vaccines (MLV) and inactivated vaccines have been used to control AHS. An acceptable vaccine should be: safe, efficacious, and available. The vaccine should not cause disease or viremia, and the vaccine virus should not revert to a virulent virus upon backpassage in susceptible Equidae. The vaccine should protect against death and clinical signs and, most importantly, should prevent viremia in vaccinated Equidae following exposure to virulent AHS virus. The challenge inoculation system for assessing immunity to AHS is discussed. The vaccine should be readily available, implying that it is either in routine production in facilities that meet internationally accepted guidelines for biological production facilities or in a vaccine bank. Banking of cryopreserved stocks of MLV or concentrates of inactivated vaccines is a means of having AHS vaccine available for future epizootics. A recently developed diagnostic test to differentiate vaccinated from naturally infected animals provides regulatory officials with useful information for the control of AHS.