Kathleen H. Hartman2, Roy P.E. Yanong2,
B. Denise Petty3, Ruth Francis-Floyd3 and Allen C.
Riggs42
Introduction
Koi herpes virus (KHV), a viral disease highly contagious to fish, may cause
significant morbidity (sickness or disease) and mortality in common carp (Cyprinus
carpio) (Hedrick et al., 2000; OATA, 2001). This species is raised as
a foodfish in many countries and has been selectively bred for the ornamental
fish industry, where it is known as koi. Historically, the first outbreak of KHV
was reported in 1998 and confirmed in 1999 in Israel. Since then, other cases
have been confirmed in the United States, Europe and Asia (Hedrick et al.,
2000; OATA, 2001; Anonymous, 2003). This information sheet is intended to inform
veterinarians, biologists, culturists, and hobbyists about KHV.
What Is KHV?
KHV is currently classified as a DNA-virus belonging to the virus family
Herpesviridae (i.e., a herpes virus). Although there has been some scientific
discussion regarding the accuracy of this classification (Ronen et al.,
2003), more recent work (Waltzek et al., 2004) shows strong evidence that
KHV is indeed a herpesvirus, based on morphology and genetics. KHV disease has
been diagnosed in koi and foodfish carp (Hedrick et al., 2000; OATA,
2001). Other related cyprinid species such as the common goldfish (Carassius
auratus) and grass carp (Ctenopharyngodon idella) seem to be
unaffected by KHV. As with other herpes viral infections, KHV is believed to
remain in the infected fish for life, thus exposed or recovered fish should be
considered as potential carriers of the virus (OATA, 2001).
KHV disease may cause 80-100% mortality in affected populations, and fish
seem most susceptible at water temperatures of 72-81°F (22-27°C) (OATA, 2001).
This viral disease affects fish of various ages, but cohabitation studies show
that fry have a greater susceptibility than mature fish (Perelberg et al.,
2003).
What Are the Signs of KHV?
Clinical signs of KHV are often non-specific. Onset of mortality may occur very
rapidly in affected populations, with deaths starting within 24-48 hours after
the onset of clinical signs. In experimental studies, 82% of fish exposed to the
virus at a water temperature of 22°C died within 15 days (Ronen et al.,
2003). KHV infection may produce severe gill lesions and high mortality rates.
In some cases, secondary bacterial and parasitic infections may be the most
obvious problem, masking the damage caused by the primary viral infection.
Behaviorally, affected fish often remain near the surface, swim lethargically,
and may exhibit respiratory distress and uncoordinated swimming.
External signs of KHV may include gill mottling with red and white patches (
Figure 1 ) (similar to columnaris disease), bleeding gills, sunken eyes,
pale patches or blisters on the skin. Microscopic examination of gill biopsies
often reveals high numbers of bacteria and various parasites (Hedrick et al.,
2000; OATA, 2001; Goodwin, 2003). Internal signs of KHV are inconsistent and
non-specific, but they may include adhesions in the body cavity and a mottled
appearance of internal organs (Hedrick et al., 2000; Goodwin, 2003).
Figure 1. Koi with KHV often show gill mottling with red and white
patches. This mottling can appear similar to that seen in the gills of
fish with columnaris disease. Photograph courtesy of Andy Goodwin,
University of Arkansas, Pine Bluff. |
How Do Fish Get Infected with KHV?
The herpes virus that is responsible for KHV seems to spread in the same ways as
most herpes viruses. Methods of transmission include direct contact with
infected fish, with fluids from infected fish, and/or with water or mud from
infected systems. Depending upon water temperature, fish that are exposed and
susceptible may become infected and either develop the disease and die or become
carriers of the virus (OATA, 2001). Goldfish and other fish in the carp family
are not susceptible to KHV disease, and they do not appear to act as carriers of
the virus (Perelberg et al., 2003; Ronen et al., 2003).
How Does Water Temperature Affect KHV Disease?
The virus appears to have an incubation period of 14 days following the
introduction of infected fish to naïve fish (fish that have not been exposed
before) (OATA, 2001; Ronen et al., 2003). However, incubation may be
longer, indicating that appropriate temperature and possibly a second trigger
may be necessary for outbreaks to occur. Mortality related to KHV disease
typically occurs between 64°F and 81°F (18-27°C). Almost no mortalities occur
below 64°F, and there has been no reported occurrence of the disease at or
above 86°F (30°C) (OATA, 2001; Goodwin, 2003).
How Do I Know if My Fish Have KHV?
Positive diagnosis of KHV requires the assistance of a fish health specialist
and a fish disease diagnostic laboratory, and it may be accomplished by several
methods. Direct methods involve procedures that look for actual virus or
"pieces" of virus. Indirect methods involve procedures that do not
look for the actual virus or parts of the virus, but instead look for an immune
response (such as antibodies) by the fish.
Direct methods include: 1) virus isolation and identification (i.e., growing
the virus) using koi fin (KF) cell lines and 2) PCR techniques (i.e., testing
for the presence of KHV genes). For these direct, confirmatory, diagnostic
tests, fish must be euthanized prior to sample collection; no non-lethal
diagnostic test is available. However, in some cases, positive results may be
obtained from submission of gill clips (although this may not be 100% accurate,
either, and a full necropsy with submission of internal organs will yield more
definitive results).
Indirect tests for KHV include ELISA testing, which looks for antibodies
produced by the fish against the virus (Hedrick et al., 2000; OATA, 2001;
Goodwin, 2003). ELISA testing can provide evidence that a fish was at one time
exposed to and infected with KHV. Unfortunately, because indirect tests like the
ELISA cannot determine if the fish is still infected with virus, it is
not recommended as a primary diagnostic tool.
How Does KHV Differ from Other Viral Diseases?
It is important to differentiate KHV from other viruses that may cause disease
in common carp and koi. The two other viral diseases recognized in carp are
spring viremia of carp (SVC) and carp pox (CHV-1). These diseases have
significantly different management and regulatory implications (
Table 1 ).
Spring viremia of carp disease is caused by an RNA virus, Rhabdovirus
carpio, and has been reported in common carp (such as koi), grass carp,
bighead carp (Aristichthys nobilis), silver carp (Hypophthalmichthys
molitrix), Crucian carp (Carassius carassius), and common goldfish.
SVC outbreaks have occurred in Europe, the Middle East, Russia and the United
States. Although SVC was not recognized as a viral disease until 1971 (Fijan),
SVC-like diseases have been described in historical records of northern Europe
for centuries. SVC may cause high morbidity and mortality (70%) in affected
populations (see UF/IFAS factsheet VM142, Spring Viremia of Carp). SVC
usually causes disease when water temperatures range between 41°F (5°C) and 64°F
(18°C), unlike KHV, which typically causes outbreaks at higher water
temperatures. SVC is listed as a notifiable disease by the Office International
des Epizooties (OIE) (Office International des Epizooties, 2003). Thus, when a
case of SVC has been confirmed in the United States by a USDA-approved
laboratory, the diagnostician must promptly notify the state veterinarian and
appropriate USDA-APHIS Veterinary Services officials.
Carp pox disease, or cyprinid herpesvirus (CHV-1), is caused by a different
herpesvirus (Herpesvirus cyprini) that has a wide geographic distribution
and affects common carp and koi. CHV typically causes smooth raised growths
("wart-like masses") on skin and fins of older fish, but it may be
associated with high mortality in fish less than two months of age (Hedrick et
al., 2000). Carp pox is not a reportable or notifiable disease in the United
States. Water temperatures above 68°F (20°C) help reduce the skin and fin
growths on older fish, but do not eliminate the virus from the fish. In mature
fish, CHV-1 is typically a non-lethal, self-limiting disease.
Is There Treatment for KHV?
There is no known treatment for KHV. Antiviral drugs are not currently available
to treat KHV or any other viral diseases of cultured fish. Studies have shown
that fish may develop a natural resistance following viral exposure if water
temperatures are increased to 86°F (30°C) (Ronen et al., 2003).
However, this technique only marginally increases survival rates and
artificially raising water temperatures in holding facilities above 80°F may
result in an increased occurrence of other more common bacterial and parasitic
diseases. High water temperatures are not generally recommended for routine
husbandry and management of koi and common carp. In addition, and more
importantly, there is the concern that fish exposed to the virus previously or
those exposed at high water temperatures may become carriers of the virus,
even though they do not develop clinical signs. These carrier fish may spread
this disease to new fish that have not been exposed before
Currently there is no vaccine against KHV. However, preliminary experimental
vaccine studies using intraperitoneal injection of a live attenuated virus
demonstrated that fish developed high antibody titers, were immune to the
disease and survived a challenge (Ronen et al., 2003).
Because KHV outbreaks have caused large losses at koi and common carp
facilities, and because there is still some concern over the possibility that
survivors are carriers, anyone with koi and common carp that have been diagnosed
with KHV should consider depopulation (eliminating the entire population) as a
good option. This approach should be followed by disinfection of all materials
and systems that have contacted the infected fish.
Viral particles may be active in water for at least four hours
(Perelberg et
al., 2003). However, common disinfection protocols (see below) may be used
to eliminate the virus from water systems and equipment effectively (see UF/IFAS
Fact Sheet VM-87 Sanitation Practices for Aquaculture Facilities). Prior
to disinfection, equipment should be cleaned of debris or organic build-up, as
these may reduce the effectiveness of the disinfectant. Chlorine solutions
(i.e., household bleach) may be used to disinfect large equipment or systems
without fish. The recommended protocol for chlorine is 200 ppm (200 mg/L) for
one hour (Noga, 1996). Proper dosing of this depends upon the type of chlorine
used. For household bleach, which is 5.25% sodium hypochlorite per liter, 35
milliliters per gallon of water will give 200 mg/L final concentration(Noga,
1996).
Quaternary ammonium chloride compounds may also be used for systems and
equipment. Quaternary ammonium compounds are more gentle on nets than chlorine
solutions. The recommended quaternary ammonium compound (QAC) treatment is 500
ppm (500 mg/L) for one hour (Noga, 1996). Proper dosing of QACs depends upon the
type/concentration in the mixture used, because concentrations will vary
depending upon the product used. Some QACs are 10% active ingredient, some are
50% active ingredient. For instance, Roccal D-Plus® (Pharmacia &
Upjohn Company, Pfizer) is approximately 24% active ingredient; therefore, a
final treatment concentration of 500 mg/L would require about 7.9 mL of Roccal
D-Plus® per gallon of water. Rinse thoroughly after disinfection to
eliminate residual disinfectant.
How Can KHV be Prevented?
Quarantine is the most dependable method to avoid introducing KHV to a naïve
population. To apply a quarantine effectively, all new fish must be kept in a
separate tank or system, and ideally in a different building or area from the
resident fish. Resident fish should be fed, handled, and maintained before the
new fish. The quarantined fish require equipment such as nets, buckets, and
siphon hoses that are used only for them. In addition, disinfectant foot baths
and hand washes should be used by any personnel on entering and leaving the
quarantine area. Fish should be quarantined for a minimum of 30 days.The best
way to prevent KHV is to know your fish suppliers and have a good working
relationship with them.
Prior to obtaining fish, ask if they have had any major unexplained losses.
Monitoring and testing for KHV may be done by laboratory tests (as described
above), so if suppliers have had major losses and have not had their fish
checked by a fish disease diagnostic laboratory, KHV should be considered as one
possible cause. These suppliers should be encouraged to have any remaining fish
tested for KHV by a capable laboratory, and purchases from these suppliers may
be problematic.
To minimize the spread of KHV disease, place koi coming from different
suppliers into separate systems, and use very careful disinfection and
sanitation between systems. This means making sure employees carefully wash and
disinfect their hands and arms in between contact with different systems, having
separate nets and other equipment, installing footbaths with disinfectant, and
using other standard techniques. Koi hobbyists are encouraged to promote the use of the English style of koi
show, which keeps koi separated during the show and judging. Additionally,
separate nets and equipment should be used by all participants for their own
fish. The Japanese style of show, in which koi from different owners are placed
together in the same tank, may result in spread of the disease among susceptible
fish. Regardless of the show style, fish returning from shows should be
quarantined (that is, separated from other koi) for an absolute minimum of three
weeks prior to being placed back into the general population.
New koi should be quarantined and observed for three to four weeks prior to
addition into existing populations of koi. At the end of this quarantine period
and before placing all fish together, place several new koi with several koi
from the established population in a separate area away from the rest of the
established population and watch them for signs of disease. This
"test" can help determine with a smaller number of fish whether
placing the two populations together following quarantine could cause problems.
If I Suspect My Koi Have KHV Disease or if I Want More Information on the
Disease, Whom Should I Contact?
For testing or information, contact:
In Gainesville:
Ruth Francis-Floyd
University of Florida
(352) 392-9617 Ext 229
In Tampa/Ruskin:
Tropical Aquaculture Laboratory
University of Florida
Roy Yanong
(813) 671-5230 Ext 104
Denise Petty
(813) 671-5230 Ext 114
What Are the Regulatory Considerations Associated with
KHV?
KHV is not a reportable or notifiable disease in the United States. However, SVC
is notifiable (see UF/IFAS Fact Sheet VM-142, Spring Viremia of Carp), so
if SVC may be a possible cause of heavy mortalities, both KHV and SVC testing
should be performed.
What is the Zoonotic Potential Associated with
KHV?
The herpes virus responsible for causing KHV disease in fish will not
cause disease in humans. There is no zoonotic concern with KHV.
Glossary of Terms Used
Adhesions: areas of internal tissues that stick together because of
inflammation
Ascites: dropsy; a build up of fluid in the body cavity
Attenuated: weakened; less pathogenic/disease-causing
Catarrhal inflammation: inflammation of the mucus membranes
CHV-1: Cyprinid herpesvirus-1, the virus that causes
carp/koi pox
Common carp: Cyprinus carpio; common carp are the original
species of fish from which koi were developed as a color/fancy
variety/strain/breed
CPE: Cytopathic Effect; different viruses will
kill different cells used to grow them in culture in certain, ways; this is
called the cytopathic effect
Edema: a build up of fluids within tissues, cells, or body cavities
(ascites
is a build up of fluid primarily in the body cavity)
ELISA: Enzyme-linked immunosorbent assay:
one lab method used to detect the presence of a virus, virus product, or
antibody to a virus
Exophthalmia: bulging of the eyes; popeye
FHM: fat head minnow cell line: a type of tissue (cell-line) used to
grow some viruses outside of a fish, in the laboratory
Intraperitoneal: intracoelomic, within the body cavity
KHV: Koi Herpesvirus, the name of the virus that causes Koi
Herpesvirus disease
Koi: a strain/variety of common carp that has been bred for scale and
color pattern as a pond/ornamental fish
Morbidity: disease or sickness
Notifiable disease: A disease which must, by law, be reported to the
proper federal (USDA-APHIS-Veterinary Services) and state (Dept. of Agriculture
and Consumer Services, state veterinarian) when positively diagnosed
OATA: Ornamental Aquatic Trade Association; a British organization
representing the interests of ornamental fish importers, breeders, wholesalers,
retailers, and manufacturers
PCR: Polymerase Chain Reaction; this is an
advanced biochemical test used to identify the presence of specific pieces of an
organisms genes (DNA)
Petechial skin hemorrhage: small, pinpoint hemorrhages (bloody areas)
on the skin
Reportable disease: same as notifiable disease
Self-limiting: does not cause major disease, and usually heals or
resolves on its own
Septicemia: a bacterial infection that spreads and travels through the
blood to other organs
SVC: Spring Viremia of Carp
Vertical transmission: spread of a disease from parents to offspring,
through eggs or sperm
Zoonotic: this is the term used to describe a disease of animals
(e.g., fish) that can be spread to, and cause disease in, humans
References
Anonymous. 2003. Herpes virus kills 860 tons of carp. The Japan Times, Online.
November 3, 2003. http://www.japantimes.co.jp/cgi-bin/getarticle.pl5?nn20031103a8.htm
Goodwin, A. 2003. Differential Diagnosis: SVC vs. KHV in Koi. Fish Health
Newsletter, AFS/FHS. 31:1, 9-13.
Hedrick, R.P., O. Gilad, S. Yun, J.V. Spangenberg, G.D. Marty, R.W.
Nordhausen, M.J. Kebus, H. Bercovier, and A. Eldar. 2000. A herpesvirus
associated with mass mortality of juvenile and adult koi, a strain of common
carp. Journal of Aquatic Animal Health, 12:44-57.
Noga, E.J. 1996. Fish Disease: Diagnosis and Treatment, Mosby-Yearbook, Inc.,
St. Louis, MO. Pp. 281, 294.
Office International des Epizooties. 2003. Diseases listed by the O.I.E. In:
Aquatic Animal Health Code, Sixth Edition, OIE Aquatic Animal Health Standards
Commission (Aquatic Animals Commission), Office International des Epizooties,
Paris, France. http://www.oie.int/eng/normes/fcode/A_00005.htm
Ornamental Aquatic Trade Association (OATA). 2001. Koi Herpes Virus (KHV).
OATA, Westbury, Wilts, UK. Pp. 4-33.
Perelberg, A., M. Smirnov, M. Hutoran, A. Diamant, Y. Bejerano, and M. Kotler.
2003. Epidemiological description of a new viral disease afflicting cultured
Cyprinus carpio in Israel. The Israeli Journal of Aquaculture, 55(1):5-12.
Ronen, A., A. Perelberg, J. Abramovitz, M Hutoran, S. Tinman, I. Bejerano, M.
Steinitz, and M. Kotler. 2003. Efficient vaccine against the virus causing a
lethal disease in cultured Cyprinus carpio. Vaccine 21(32):4625-4743.
UF/IFAS Fact Sheet VM-142. 2002. Spring Viremia of Carp. University of
Florida, Institute of Food and Agricultural Sciences.
Waltzek, T.B., Kelley, G.O., Yun, S.C., McDowell, T.S., Hedrick, R.P. 2004.
Relationships of Koi Herpesvirus (KHV) to Herpes-like Viruses of Fish and
Amphibians. In: Proceedings, 35th Annual Conference, International Association
for Aquatic Animal Medicine, Galveston, TX, 35: 16-17.
Further Reading
Gray, W.L., L. Mullis, S.E. LaPatra, J.M. Groff, and A. Goodwin. 2002. Detection
of koi herpesvirus DNA in tissues of infected fish. Journal of Fish Diseases 25:
171-178.
Fijan, N. 1999. Spring Viremia of Carp and Other Viral Diseases and Agents of
Warm-water Fish. In Woo, P.T.K. and D.W. Bruno, eds., Fish Diseases and
Disorders, Vol. 3: Viral, Bacterial, and Fungal Infections. CAB International
Cambridge, UK. Pp. 177-244.
Wolf, K. 1988. Fish Viruses and Fish Viral Diseases. Cornell University
Press, Ithaca, NY. Pp. 191-216, 253-263.
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