De-worming Wisdom

 

Are you winning the war on worms?

Alternative and complementary approaches to chemical products provide new ammunition.

 

by Stacey Mathias Geer

 

It’s a complicated world for horse owners these days. With alternative medicine rising like a tidal wave in popularity and routinely butting heads with the medical establishment, and debates surfacing between the old and the new, anecdotal versus “scientific” evidence, and a whole myriad of opinions coming forth on how best to achieve that unifying goal of “good health,” it’s probably no surprise that even the seemingly innocuous practice of routine deworming is being called into question. 

There are some very compelling reasons coming from all sides as to why horse owners should be scrutinizing their deworming programs, exploring alternatives, and reducing as much as possible the use of chemical anthelmintics.  

 

Why should we be reducing our reliance dewormers?

 

There is no question that chemical dewormers are and probably will continue to be a most invaluable weapon in the battle against parasites. However, with the issue of parasite resistance becoming a sweeping concern, it stands to reason that deworming for no other reason than the date on the calendar, might not only be needless and expensive, but could contribute to the creation of more troublesome and dangerous parasites. 

 

Resistance has been documented against both the Benzamidole, and Pyratel classes of drugs, and although the horse industry has been lucky so far in that parasite resistance has not yet been seen against any of the Ivermectins, it has appeared in ruminants where deworming tends to be more frequent. One can assume that it is only a matter of time before parasite resistance to Ivermectin shows up in horses as well.  In addition to this very serious problem, some also criticize the negative effects of constantly administering a chemical into the body.

 

“Chemical dewormers are very hard on the microflora because they target more than the worms, and residues and or metabolites affect the pH and structure of the microvilli in the intestinal tract,” said Dr. Steve D. Tuekam, DVM MSc, Ph.D and Technical and Export Director with Ultrateck/Vetagri Inc, a distributer of Ultra BioLogic horse products.  This is a situation which would not only make the horse’s resistance to disease lower, but also make him more susceptible to re-invasion, and therefore propagate the continual need for deworming. 

 

However, Trisha Dowling, DVM, MS, DACVIM, DACVCP and Professor of Veterinary Clinical Pharmacology with the Western College of Veterinary Medicine dismisses this problem stating that when dosed correctly, dewormers are completely safe. “Dewormers do not kill bacteria,” said Dowling.

 

Putting conflicting opinions on resistance and health issues aside, there is also the concern of any chemical’s effects on wildlife and the environment, since proper disposal of any left over product is absolutely necessary, but not always practiced.  Ivermectin class drugs, for instance, can be toxic to fish and could be hazardous to all of us if inadvertently leached into water supply. And, Moxidectrin in particular is harmful to dogs. So where does this leave the hapless horse owner? In a quandary, trying to decide what is best for the health of her horse, best for the horse as a species, and best for the health of our environment in general.

 

The Importance of Routine Fecal Monitoring

 

Fortunately, there are some very simple ways to reduce the need of chemical anthelmintics. The best and probably most under-used method is fecal monitoring. Fecal monitoring involves collecting a fecal sample and sending it to the lab for an egg count – something we have our vets do regularly for our cats and dogs. It generally costs no more than the price of deworming, and if you have a large number of horses the entire herd does not have to be done. However, which horses should be tested is something that should be discussed with a veterinarian. 

 

Fecal monitoring is advantageous in that it not only tells how effective a deworming program is, it takes the guessing out of how frequently a dewormer should be administered. It can also indicate which parasites are particularly troublesome to a particular horse or herd, allowing the owner to choose a dewormer from the class of drugs that is most appropriate. But, fecal monitoring is not the complete answer to the problem.  Bots, pinworms, and tapeworms cannot be detected. (Although horse owners can generally tell if they have a bot problem by the eggs appearing externally on the horse, and pinworms are indicated by the trademark rubbing of the tail.) In addition, a negative fecal count doesn’t necessarily mean that a horse doesn’t have worms, it only means that adult worms had not laid eggs in the intestinal tract at the time the fecal sample was collected. But, by doing an analysis at least four times a year, you can get a fairly accurate picture of what’s going on inside your horse. 

 

Even with its drawbacks, fecal monitoring is still considered by vets to be a very reliable aid in monitoring the efficiency of any anti-parasite program.

 

Herbal Dewormers 

 

Another avenue worthy of exploration is the use of herbs with anthelmintic properties, either as a replacement or a complement to chemical deworming. However, horse owners are wise to tread cautiously here, as Wendy O’Neill, president of the Nutraceutical Alliance Inc. in Guelph said, there is little scientific data available to support the use of anthelmintic herbs.

 

“The primary problem is safety, as many products that are useful for killing parasites are also toxic to the host.”

However, she added that there is some evidence showing that products such as diatomaceous earth, garlic, and artemisia (wormwood) do have antiparasitic action. Here is a list of just a few botanicals worthy of further research and consideration:

 

• Diatomaceous Earth 

Made by grinding up the fossilized remains of one-cell diatoms from lakes and sea floors, diatomaceous earth has a mechanical action rather than a chemical one. The microscopic shards pierce the exoskeletons of  the parasites causing them to dehydrate and die. Diatomaceous earth is also used externally as a repellent against flies, and even lice. It is quite dusty, however, and could be a lung irritant, and is best either dampened or fed with an adhesive like honey or molasses. Diatomaceous earth also contains valuable trace minerals which also could help promote resistance against parasites.  However, it should be noted that only “food grade” diatomaceous earth should be used as the industrial version is heated and treated with chemicals, and can be toxic.

 

• Garlic  

Called nature’s antibiotic, garlic is also reported to be anti-fungal and anti-parasitic. It’s high in sulphur which is mildly toxic to parasites. It is also a noted immune system builder which may help over-all resistance. Garlic is completely safe to feed at moderate levels, and is cheap enough to go on the list of “can’t hurt, might help” herbs.

 

• Pumpkin Seeds  

Raw pumpkin seeds are much loved by horses, and are a safe treat to add whole or  ground up with feed. They are especially high in zinc which helps expel parasites, and contain cucurbitin, which is  especially toxic to tape worms. Pumpkin seeds also fall into that “can’t hurt, might help” category, and are a nice extra to add a little variety to the diet. 

 

• Artemisia

Also known as wormwood, this plant is known to be one of the most effective herbal dewormers. The active ingredients are absinthine, and thujone. (Incidentally, this is the very plant from which the bright green hallucinogenic drink Absinthe, which was popular at the turn of the century, was made). The dried leaves are usually fed as a powder. However, due to the toxic and narcotic nature of the plant, anyone considering this herb should talk to a qualified herbalist familiar with horse physiology.

 

There are also plenty of combination remedies on the market that interested horseowners can investigate.

 

Ultra-biologics makes a natural dewormer called DW-123 made from garlic, diatomaceous earth, and lactobacillus acidophilus which is meant to be added daily to the feed and is designed to replace chemical dewormers. The company does recommend fecal monitoring four times a year, as the dose can be doubled during troublesome times of the year, and  eliminated during others. 

 

For those more comfortable with paste format, there is Worm Check which contains garlic, cloves, acidophilus and diatamaceous earth which is suggested for use every two to four months depending on situation and fecal counts. After six tubes, customers are entitled to a free fecal test, and will be sent a collection kit. 

And, from Horse Sense Herbs, there is dewormer I and dewormer II (the latter for severe infestations), which are made from Chinese Herbs, and according to spokesperson, Arno Leblic, can be used to replace or compliment chemical dewormers.

 

“If a horse owner feels more comfortable with chemical dewormers, a combination of herbal and chemical dewormers is suggested,” said Leblic. “The herbal dewormer will help maintain a balance of acidity/alkaline within the digestive system.”  Leblic said that maintaining this balance can extend the time between chemical dewormings, a practice that he believes disrupts pH levels.  “It is one thing to eliminate unwelcome parasites, however, the territory (created by the use of chemical dewormers) may permit a faster return of worms.”   

 

Horse owners should be wary when purchasing a natural dewormer and should research each ingredient carefully.  Black walnut is often an ingredient in dewormers. Although black walnut has been used successfully in horses, in combination with other herbs, with little adverse effect, it does contain the compound, Juglone. This compound is responsible for the violent laminitis reaction in horses exposed to minute quantities of black walnut bedding shavings and, therefore, should be avoided completely until there is more conclusive research.

 

The market is beginning to flood with herbal preparations for dewormers, and O’Neill advises the public to understand their limitations.

“Research on dewormers can be very challenging as it often requires the examination of post-mortem tissue.  The fecal egg count is not a conclusive end point to measure, because all it tells the investigators is that there is a reduction in egg counts.  Egg counts may be lower when experimental animals are fed experimental dewormers, and this in itself is a good indicator, but it does not tell us anything about what is happening to the viability of the parent parasite.”     

 

And then there’s homeopathy

 

For those interested in trying an alternative to replace or supplement chemical deworming, but are worried about the safety of herbals, homeopathy is a viable option, as the dilution process makes toxicity problems non-existant. “Cina” or “wormseed” is said to be useful against all Ascarids, pinworms, and small and large strongyles. The company, “Everglo” makes a homeopathic nosode called “Horsewormer” made from Cina, and parts of parasites, which they claim also releases parasites in dormant stages within the tissues outside the gastrointestinal tract. However, fecal monitoring is again advised, with the understanding that scientific research is still limited in this area.

 

Promoting a hostile environment

 

Of course, the best way to keep parasites away is to create an inhospitable environment for parasites to exist. A clean living area should be central to all anti-parasite programs. Stalls should be picked out daily, manure in paddocks and pastures removed as much as possible. Pasture rotation and harrowing are also advisable. And, feed should be given so that it does not come in contact with the ground. New horses should be checked for parasites and dewormed, if necessary, before being introduced in a herd. 

 

Nutrition is important, as unhealthy horses are more likely to be infected with parasites than healthy horses. Horses should be fed plenty of clean water and good quality forage, and monitored for any possible vitamin or mineral deficiencies. Copper deficiency, in particular, has been linked to parasite infestation and can be prevalent where there is a deficiency in the soil. However, free access to trace minerals should eliminate any possibility of this.

 

Horses that have been on antibiotics, or other chemical drugs might have a pH and micro flora imbalance making them more attractive hosts to parasites. In such cases, a probiotic supplementation might be beneficial. Probiotics add good bacteria back into the body and allegedly increase digestive efficiency and the uptake of vitamins and minerals. The use of probiotics is becoming one of the more popular forms of dietary supplementation. Whether they are effective or not is subject to debate.

 

Probiotics contain small numbers of a few species of bacteria, while the horse’s GI tract contains enormous numbers of a wide range of bacteria. I am not aware of any real scientific studies that show the benefit of probiotics in horses,” said Dowling.  

 

Studies are currently in progress on the effects of probiotics, which might bring us some conclusive evidence on the subject. Other supplements to be considered are those that help balance the pH level which, in turn, creates an environment for good bacteria to propogate. Grapefruit seed extract is one such herb that is said to be useful.

             

And Finally ...

 

There is no single, hard and fast rule on how best to regulate parasites. A horse’s individual environment and constitution must always be taken into consideration when developing a deworming program. Horse owners must be careful not to be pigeon-holed into routines, but rather individually tailor a program that is best for the horse’s situation, and be ready to adapt it if the situation changes. It is flexible, informed management, using a variety of tools, that is best for the horse and, ultimately, best for the environment we all have to share.