Heartworm Frequently Asked Questions

1.                    How is my pet exposed?  Heartworm is a mosquito borne parasite that is transmitted during the time an infective mosquito is feeding.  It is not actually transmitted by the bite of the mosquito, rather, the infective stages to the pet break out of those portions of the mosquito’s mouthparts that are not inserted into the pets skin.  The larvae are covered by the fluid that leaks out of the mosquito when the infective stages of the heartworm breaks out of the mosquito and the infective larvae enter the dog through the hole made in the dog’s skin by the piercing portions of the mosquito’s mouthparts.

 2.                    Do all mosquitoes transmit heartworm?    No.  Within a given geographic area, only a few of the many species of mosquitoes present are significant vectors.  This is due to several factors.  a)  The Mosquito has to support development of the worms to the infective stage.  Some species of mosquitoes will not allow the worm to develop in their cells and the worms die.  b) The mosquito has to be willing to feed on mammals.  Many mosquitoes are bird feeders and will only reluctantly, if at all, feed on mammals.  In Northern California, Aedes vexans, Aedes sierrensis, and Aedes dorsalis are thought to be the major vectors.  One of the pieces of information that will be obtained by this control program is the identity of field caught adult mosquitoes carrying the infective stage.

 3.                    How do I determine if my pet is infected?  There are blood tests available for pets that can detect the presence of substances released from the surface of adult worms or detect the actual microfilariae in the blood.  Both tests should be run on the blood sample from a dog.  There are also tests that can be used to detect antibody produced by cats against the developing adult worm.

 4.                    Are all pets at equal risk of becoming infected?  No.  In California there are 7 different plant climate zones, each with different temperature ranges.  There are also great differences in habitats in California, some of which are not favorable for vector mosquito production.  Dogs at greatest risk of infection in California are those that live in the foothill plant climate zone of either the coast range or the Sierra Nevada mountain range.  This includes areas with 65cm of rainfall or more per year and elevations between 400 and 3000 ft.  Dogs kept outside day or night or all the time, not receiving preventive medicine for heartworm living in the foothill plant climate zones are at greatest risk of infection.  Next at risk are the outdoor, non prophylacted dogs living in the upper Sacramento Valley along the Sacramento, Feather, and American Rivers or their tributaries.  This is followed by the outdoor, nonprophylacted dogs living in the intermediate valleys plant climate zone, which include much of the region between the mountains of the coast range.    In these three areas, prevalence in dogs varies from 14 to 174 infected dogs per 1,000 examined or 1.4 to 17%.  These figures are based upon prevalence data collected on over 75,000 dogs examined from 1983 through 1999 in Northern California.  At least risk of infection are dogs in the coastal plant climate zone of the San Francisco Bay Area kept always indoors, with no travel out of that area.

 5.                    Why should I spend money to prevent the infection?   There are two good reasons.  a)  Heartworm infections produce damage to the heart, lungs and kidneys of pets.  Much of this damage may be irreversible even if the pet is treated for the adult worms and microfilariae.  The damage done to those vital organs will reduce the dog’s exercise tolerance and shorten its life expectancy, thus limiting its value as a family companion.  b)  The cost of prevention is much cheaper than the cost of treatment.  The cost of medical care associated with treating a dog for heartworm infection can reach 750 to 1,000 dollars.  Preventive medicine that is 99% effective in preventing infection and requires the owner to give the pet a single dose of the drug per month costs $54 a year for a medium sized dog.  In ten years, therefore, prevention will cost the dog owner $540.  This is $210 to $460 less than the cost of treating the dog just once.

6.                    What are the domestic animals most susceptible to infection?  Dogs are the domestic pet most involved in general.  In areas of high prevalence in dogs, i.e. the foothill plant climate zones of California, outdoor cats are at increased risk of infection.  Infections in horses have been reported but appear to be rare even in areas where dogs are highly infected.  Cows, goats, sheep and pigs are even less susceptible than horses.


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