This article has been edited and approved by
Karen Coumbe MRCVS , H&H’s veterinary advisor since 1991.
Strangles in horses is one of the most common infectious equine diseases in the UK. It is a highly contagious infection of the upper respiratory tract caused by the bacteria Strep. equi (Streptococcus equi subspecies equi).
Horses, ponies and donkeys of all types and ages can be affected, but young horses typically develop more severe signs.
Strangles in horses: Signs | Spread | Diagnosis | Treatment | Complications | During an outbreak | Aftercare | Prevention
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"}
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Credit: Alamy Stock Photo
How can we keep infectious disease at bay? We outline how yard practices and routines contribute to biosecurity
The vaccine is due to be released in the UK next year after successful trials
Until the highly contagious disease strangles is eradicated, early identification and immediate isolation remain key to containing outbreaks. Karen Coumbe
‘We know people are more likely to make positive, proactive changes if they’ve made a commitment to do so’
MA VetMB CertEP CertVA MRCVS
Our equine veterinary expert has more than 30 years experience in practice. She is an FEI vet and has attended the past three Olympic and two World Equestrian Games in her role. She has a particular interest in anaesthesia, pre-purchase examinations, ophthalmology and dermatology amongst other clinical concerns. She has been Horse & Hound’s official veterinary advisor since 1991. Karen is part of the Bell Equine team.
