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==Transmission and Epidemiology==
 
==Transmission and Epidemiology==
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The major route of transmission is via saliva, particularly through biting<sup>2, 3</sup>. Therefore, those cats showing territorial aggression are most at risk of contracting FIV. High levels of virus are found in the saliva of infected cats, particularly those in the stages of acute or terminal infection<sup>3</sup>. Less commonly, salivary transmission can occur via shared food bowls and mutual grooming. Vertical transmission can occur, either transplacentally or via milk<sup>2</sup>, but venereal transmission has not been reported. The potential role of blood-sucking insects, such as fleas, in spreading infection is unknown<sup>2</sup>.
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The major route of transmission is via saliva, particularly through biting<sup>2, 3</sup>. Therefore, those cats showing territorial aggression are most at risk of contracting FIV. High levels of virus are found in the saliva of infected cats, particularly those in the stages of acute or terminal infection<sup>3</sup>. Less commonly, salivary transmission can occur via shared food bowls and mutual grooming. Vertical transmission can occur, either transplacentally or via milk<sup>2</sup>, but venereal transmission has not been reported. The likelihood of infected kittens being born to a FIV-infected mother depends on the stage of infection: up to 70% of kittens are born infected if thr queen suffers acute infection during pregnancy, but chronic infection of the mother rarely results in transplacental transmission<sup>4</sup>. The potential role of blood-sucking insects, such as fleas, in spreading infection is unknown<sup>2</sup>.
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It is clearly possible that horizontal transmission can occur within multi-cat households, but in some households only a single cat in a group may be FIV positive, whereas in others nearly every cat may be infected. Overall it appears that if fighting among cats housed together is rare, the prevalence of FIV is likely to be low.
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It is clearly possible that horizontal transmission can occur within multi-cat households, but in some households only a single cat in a group may be FIV positive, whereas in others nearly every cat may be infected. Overall it appears that if fighting among cats housed together is rare, the prevalence of FIV is likely to be low<sup>4</sup>.
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Since FIV was first isolated in 1986 [Pedersen 1987], serological studies have
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FIV infection is prevalent worldwide, with between 1 and 14% of healthy cats and up to 44% of sick cats harbering the virus<sup>4</sup>.
demonstrated that FIV is endemic in domestic cat populations worldwide; the
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seroprevalence of FIV is highly variable between regions, with estimates of 1 to 14% in
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cats with no clinical signs and up to 44% in sick cats [Hartmann 1998].
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Sick adult cats, male cats and entire cats are most likely to be infected [Hosie et al.
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1989]. The major route of natural transmission is believed to be via the inoculation of
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saliva during fighting [Yamamoto et al. 1989]. Vertical transmission and transmission
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between cats in stable households is relatively uncommon.
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The majority of natural FIV infections are acquired by biting, presumably through the
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inoculation of virus, or virus-infected cells, from the saliva of persistently infected cats.
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Transmission from mother to kittens may occur but only a proportion of the offspring
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become persistently infected. The proportion of kittens infected depends on the viral load
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of the queen during pregnancy and birth. E.g. if the queen is acutely infected up to 70%
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of the kittens may be infected, but if the queen is clinically normal but chronically
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infected hardly any kittens will be infected [O’Neil et al. 1995a, 1995b, 1996].
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Although neither oronasal nor venereal spread has been documented in nature, cats can
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be infected by experimental inoculation of virus into the nose, mouth, vagina and rectum
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[Moench et al. 1993] and virus can be recovered from semen following natural or
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ABCD Guidelines on Feline Immunodeficiency Virus 5/21
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experimental infection [Jordan et al. 1998]. Queens however may still be infected at
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mating if bitten by an infected tomcat.
      
==Pathogenesis==
 
==Pathogenesis==
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