Border Disease in Farm Animals

Quick Facts

🏥 Condition Name
Border Disease
📋 Also Known As
Border Disease
📂 Category
Sheep-Specific Conditions
📁 Subcategory
N/A
🐄 Affects
Reproductive system, nervous system, immune system, fleece development
🏷️ Type
Infectious
⚠️ Severity
Moderate to Severe
💊 Treatable
No specific treatment - supportive care only
🔄 Contagious
Yes - direct contact and vertical transmission
🧬 Hereditary
No - but persistent infection is lifelong
🐄 Common In
All sheep breeds; persistently infected animals shed virus continuously

Border Disease Overview

Border Disease is a contagious viral disease of sheep caused by Border Disease Virus (BDV), a member of the Pestivirus genus closely related to the viruses causing Bovine Viral Diarrhea (BVD) in cattle and Classical Swine Fever in pigs. First recognized in the border regions between England and Wales, the disease has since been identified in sheep populations worldwide. Border Disease primarily affects reproduction, causing abortion, stillbirth, and the birth of weak lambs, and can establish lifelong persistent infections in lambs exposed during early fetal development. The economic impact on affected flocks can be devastating, with significant lamb losses and reduced productivity in breeding ewes.

Border Disease affects sheep of all breeds, though the clinical manifestations and severity can vary considerably. The virus can also infect goats and, importantly, cattle, which creates challenges for farms with multiple ruminant species. Prevalence varies significantly between regions and individual flocks, with some populations showing high seropositivity rates indicating widespread exposure while others remain relatively naive. The virus circulates continuously in flocks harboring persistently infected (PI) animals, which shed enormous quantities of virus throughout their lives and serve as the primary reservoir for ongoing transmission.

The economic impact of Border Disease extends far beyond immediate lamb losses. Reproductive inefficiency manifests as reduced conception rates, increased embryonic death, abortion storms, and the birth of non-viable or compromised lambs. Persistently infected lambs that survive represent ongoing sources of infection and typically show poor growth, abnormal fleece characteristics, and increased susceptibility to other diseases. The characteristic "hairy shaker" lambs, with their abnormal birth coats and neurological tremors, rarely thrive even with intensive nursing. Trade implications arise when farms have known Border Disease problems, potentially affecting sale values and breeding stock marketability.

Early detection and prompt removal of persistently infected animals are essential for controlling Border Disease within a flock. While no specific treatment exists for the viral infection, identification and elimination of PI animals dramatically reduces viral load in the environment and allows the flock's reproductive performance to recover. Prevention strategies center on maintaining closed flocks, biosecurity measures for any introduced animals, and vaccination programs where available. Understanding the complex epidemiology of Border Disease and its relationship to the bovine and porcine pestiviruses helps producers implement effective control measures appropriate to their specific circumstances.

Causes of Border Disease

Border Disease Virus (BDV) is an RNA virus belonging to the Pestivirus genus within the family Flaviviridae. The virus shares significant genetic and antigenic similarity with Bovine Viral Diarrhea Virus (BVDV) and Classical Swine Fever Virus (CSFV), which has important implications for cross-species transmission and diagnostic testing. Multiple genotypes of BDV have been identified, with varying prevalence in different geographic regions. Some strains of BVDV can also infect sheep and cause clinical disease indistinguishable from Border Disease, complicating diagnosis and necessitating careful strain identification. The genetic diversity of pestiviruses allows for emergence of new variants and contributes to challenges in vaccine development.

Transmission of Border Disease occurs through multiple routes, with direct contact between infected and susceptible animals being the most important. Persistently infected animals shed massive quantities of virus in all body secretions and excretions, including nasal discharge, saliva, urine, feces, and reproductive fluids. Horizontal transmission between adult sheep typically causes transient infection with mild or inapparent clinical signs, followed by development of immunity. The critical epidemiological concern is vertical transmission from infected ewes to their developing fetuses, which can result in fetal death, congenital abnormalities, or the birth of persistently infected lambs depending on the timing of infection during gestation.

The timing of fetal infection relative to immunological maturity determines the outcome for the developing lamb. Infection during approximately days 15-60 of gestation, before the fetal immune system becomes functional, can result in persistent infection. The fetus fails to recognize the virus as foreign and becomes immunotolerant, carrying the virus for life without mounting an effective immune response. Later infection, after immune competence develops around day 80, typically results in fetal death and abortion, congenital abnormalities, or the birth of weak lambs that may survive with antibodies against the virus. This window of susceptibility makes timing of exposure critical and has implications for management practices during early pregnancy.

Risk factors for Border Disease introduction and spread relate primarily to animal movements and contact patterns. Purchasing animals from unknown sources without appropriate testing represents the highest risk activity for introducing infection. Shared grazing, particularly with cattle that might harbor BVDV, creates cross-species transmission opportunities. Rams used across multiple flocks can spread infection if persistently infected. Flock management practices that result in ewes being exposed to infection during early pregnancy increase the likelihood of persistent infection in offspring. Environmental survival of the virus is relatively limited compared to direct transmission, but contaminated facilities and equipment may contribute to spread.

The pathophysiology of Border Disease involves viral replication in multiple tissue types, with particular tropism for cells of the immune and nervous systems. In acute infections, the virus replicates in lymphoid tissues and can cause transient immunosuppression. In persistently infected animals, viral replication continues throughout the body, with particularly high levels in skin, making fleece and skin contact important transmission routes. Fetal damage occurs through both direct viral effects on developing tissues and inflammatory responses that disrupt normal organogenesis. The nervous system damage responsible for the characteristic tremors results from abnormal myelin development in the brain and spinal cord during fetal life.

Symptoms & Warning Signs

Early warning signs of Border Disease in a flock often relate to reproductive performance rather than obvious clinical illness in adult animals. An increase in barren ewes following breeding, higher than expected rates of early embryonic loss, and patterns of abortion or stillbirth should raise suspicion for pestivirus involvement. Adult sheep acutely infected with Border Disease typically show minimal clinical signs, perhaps mild fever and transient decrease in appetite, making detection of circulating virus in the adult population challenging without laboratory testing. Subtle signs of immunosuppression, including increased susceptibility to other diseases, may be noted but are easily attributed to other causes.

The most recognizable clinical presentation of Border Disease is the "hairy shaker" lamb, born with characteristic abnormalities resulting from intrauterine infection. Affected lambs display an abnormal birth coat, with an excess of coarse, hairy fibers replacing the normal fine wool, creating a fuzzy or hairy appearance. The nervous system damage manifests as rhythmic tremors that are particularly noticeable when lambs attempt to stand or move. These tremors vary in severity from barely perceptible to violent shaking that makes walking and nursing nearly impossible. The combination of abnormal fleece and neurological signs in newborn lambs is highly suggestive of Border Disease.

Behavioral changes in affected lambs extend beyond the obvious tremors. Hairy shaker lambs often have difficulty nursing effectively due to incoordination and weakness, leading to failure of passive transfer of colostral immunity. Affected lambs may be slow to stand and lack normal bonding behavior with their dams. The tremors often improve with age in lambs that survive, as compensatory neural pathways develop, but underlying damage persists. Persistently infected lambs that do not show obvious hairy shaker signs at birth may still be recognizable by poor thrift, failure to grow at normal rates, and chronic unthriftiness that does not respond to typical management interventions.

Physical signs of Border Disease vary depending on whether animals are acutely infected, persistently infected, or suffering from congenital damage. Acutely infected adults rarely show significant physical abnormalities. Persistently infected animals often display poor body condition despite adequate nutrition, smaller stature than flockmates, and may have subtle fleece abnormalities. Congenitally affected lambs show the classic hairy coat, may have skeletal deformities, and often display varying degrees of neurological impairment. Some affected lambs are born with prognathism, domed skulls, or other conformational defects. Immunodeficiency associated with persistent infection leads to increased rates of pneumonia, enteritis, and other infectious diseases.

Symptom progression in persistently infected animals follows a pattern of chronic decline. Surviving hairy shaker lambs may show improvement in tremor severity over the first weeks to months of life, but most remain poor doers throughout their lives. Growth rates lag significantly behind normal flockmates, and feed efficiency is compromised. The ongoing immunosuppression leads to recurrent health problems that require repeated treatment. Many persistently infected animals do not survive to maturity, succumbing to secondary infections or failing to thrive. Those that reach breeding age often have impaired fertility and perpetuate the cycle of infection by producing more PI offspring.

Emergency symptoms requiring immediate veterinary intervention include severe tremors that prevent nursing in newborn lambs, clusters of abortion or stillbirth in pregnant ewes, and sudden death in young lambs. While Border Disease itself rarely causes acute life-threatening illness in individual animals, the pattern of reproductive loss or the appearance of multiple hairy shaker lambs warrants urgent investigation and veterinary involvement. Secondary infections in immunocompromised PI animals may cause severe illness requiring immediate treatment. Any suspicion of pestivirus infection should prompt diagnostic testing and consultation about flock management strategies.

Diagnosis

Clinical examination findings suggestive of Border Disease include the characteristic hairy shaker lambs with tremors and abnormal fleece, patterns of reproductive failure, and chronic ill-thrift in animals that may be persistently infected. Veterinary examination of affected lambs assesses the severity of neurological signs and overall condition. Examination of the breeding flock may reveal no obvious abnormalities in adult sheep despite circulating virus. The clinical picture must be combined with laboratory testing for definitive diagnosis, as other conditions can produce similar signs. Thorough flock history, including introduction of new animals and previous reproductive performance, helps establish the context for diagnostic investigation.

Laboratory diagnosis of Border Disease relies on detecting either the virus or antibodies, with the choice of test depending on the clinical situation and diagnostic goals. Virus detection through RT-PCR or antigen-capture ELISA identifies actively infected animals, either during acute infection or in persistently infected individuals. Testing ear notch samples, which contain skin cells that harbor high viral loads in PI animals, offers a convenient sampling method for screening. Blood samples collected in EDTA can also be tested for viral presence. Serology using ELISA detects antibodies against BDV, useful for determining exposure history and identifying seropositive animals that have recovered from infection and are likely immune. Distinguishing between BDV and BVDV requires specific testing, as serological cross-reactivity between these closely related viruses is common.

Differential diagnosis for Border Disease depends on the presenting signs. For hairy shaker lambs, other causes of congenital tremor syndromes must be considered, including swayback (copper deficiency), congenital toxoplasmosis, and intrauterine hypoxia. Abnormal fleece may result from various nutritional deficiencies or genetic factors. Abortion and reproductive failure have numerous potential causes including chlamydiosis, toxoplasmosis, campylobacter, and other infectious agents. Chronic ill-thrift with poor growth can result from parasitism, trace element deficiencies, chronic pneumonia, or other conditions. The combination of reproductive problems and characteristic lamb abnormalities increases specificity for Border Disease, but laboratory confirmation remains essential.

Herd-level diagnostics are crucial for developing effective control strategies against Border Disease. Screening programs aim to identify all persistently infected animals for removal, which requires testing every animal in the flock. Strategic testing of suspect animals, including poor doers, animals with abnormal fleece, and offspring of ewes with previous reproductive problems, can efficiently identify PI animals. Testing protocols for purchased animals or animals returning from shared grazing help prevent introduction of infection. Bulk milk testing has been explored for screening in dairy sheep situations. Epidemiological investigation of affected flocks identifies potential sources of infection and guides biosecurity improvements. Working with veterinary diagnosticians ensures appropriate test selection and interpretation for the specific situation.

Treatment Options

Emergency treatment options for Border Disease are limited since no antiviral therapies exist for pestivirus infections. Newborn hairy shaker lambs require immediate supportive care to survive the critical first hours and days of life. Ensuring adequate colostrum intake is paramount, often requiring tube feeding if lambs cannot nurse effectively due to tremors. Warmth and protection from environmental stress support survival in compromised lambs. Anti-inflammatory medications may provide symptomatic relief but do not address the underlying viral infection or developmental damage. Emergency intervention focuses on keeping affected animals alive while diagnostic testing confirms the diagnosis and informs management decisions.

Medical management of Border Disease is entirely supportive, addressing secondary complications rather than the underlying viral infection. Antibiotics are indicated for treating secondary bacterial infections, which occur frequently in immunocompromised persistently infected animals. Pneumonia, enteritis, and other opportunistic infections respond to appropriate antimicrobial therapy, though recurrence is common in PI animals with ongoing immune deficiency. Nutritional support, including high-quality feeds and supplementation, helps maintain body condition in affected animals. Anti-parasitic treatments must be diligently applied since PI animals often show increased susceptibility to internal parasites. All medical treatments should account for withdrawal periods if animals are destined for food production.

Surgical interventions have no role in treating Border Disease itself, though supportive procedures may occasionally be necessary for complications. Cesarean section might be required if ewes experience dystocia while carrying dead or compromised fetuses. Treatment of secondary conditions such as abscesses, pneumonia complications, or injury may involve surgical approaches. However, intensive surgical intervention in persistently infected animals is generally not warranted given their limited productivity and ongoing role as disease reservoirs.

Supportive care for hairy shaker lambs that survive the neonatal period requires dedicated nursing effort. Frequent small meals help compensate for inefficient nursing. Protected housing away from aggressive flockmates prevents injury and competition for resources. Physical therapy and encouragement to move may help strengthen compromised neuromuscular function. Close monitoring for secondary infections allows prompt treatment when problems develop. Despite intensive care, many affected lambs remain poor doers and may not thrive sufficiently to justify continued investment.

Herd treatment protocols for Border Disease focus on identifying and eliminating persistently infected animals rather than treating disease in individuals. Systematic testing of all animals in affected flocks identifies PI animals for removal. Testing strategies may include screening risk groups first or testing entire flock populations. Removal of identified PI animals through culling or slaughter dramatically reduces viral load in the flock environment. This strategic approach represents the most effective intervention for controlling Border Disease at the flock level.

Treatment decisions for Border Disease must weigh individual animal welfare against flock health and economic considerations. Persistently infected animals, even those appearing relatively healthy, represent ongoing sources of infection and produce offspring at high risk of fetal damage. Humane euthanasia of PI animals is often the most appropriate management decision from both welfare and biosecurity perspectives. Economic analysis rarely supports intensive treatment of PI animals given their poor production potential and negative impact on flock health. However, valuable breeding animals with transient infection typically recover and develop immunity, warranting supportive care through acute illness. Veterinary consultation helps producers navigate these complex decisions for individual animals and overall flock management.

Recovery & Prognosis

Recovery timeline for Border Disease depends entirely on the type of infection involved. Adult sheep acutely infected with BDV typically recover uneventfully within 2-3 weeks, developing immunity that protects against future infection. These animals pose minimal ongoing risk to the flock once they clear the virus. Hairy shaker lambs that survive may show improvement in tremor severity over weeks to months as compensatory neural mechanisms develop, though underlying damage is permanent. Persistently infected animals do not recover in any meaningful sense; they remain infected for life and continue shedding virus regardless of their apparent health status.

Post-treatment care and monitoring differ significantly based on infection status. Sheep recovering from acute infection require minimal special care beyond normal husbandry practices; they develop protective immunity and return to normal production. Hairy shaker lambs surviving to weaning need ongoing assessment of growth and development, with continued supportive care for those not thriving. Animals identified as persistently infected do not recover and should be removed from the flock regardless of their current condition. Monitoring the broader flock following removal of PI animals tracks improvement in reproductive performance and overall health status.

Prognosis factors for Border Disease outcomes relate primarily to whether animals are acutely or persistently infected. Acute infection in immunocompetent animals carries an excellent prognosis, with full recovery expected. Severe congenital damage in hairy shaker lambs carries a guarded to poor prognosis; many do not survive, and survivors rarely achieve normal productivity. Persistent infection carries a poor prognosis by definition; these animals remain infected for life, experience ongoing health problems, and represent continuous sources of infection for flockmates. Early identification of infection status allows appropriate management decisions based on accurate prognostic assessment.

Return to production considerations favor sheep that have recovered from acute infection and developed immunity. These animals can rejoin the breeding flock and contribute normally to production without ongoing risk of transmitting infection. Previously infected ewes typically produce healthy lambs in subsequent pregnancies, provided they were not exposed during the critical early gestational period. Rams recovering from acute infection can resume breeding duties once fully recovered. However, any animal identified as persistently infected should be permanently removed from production and not used for breeding under any circumstances, as their offspring face high risk of fetal damage or persistent infection.

Prevention

Vaccination protocols for Border Disease provide valuable protection in flocks at risk of infection. Vaccines containing inactivated BDV stimulate protective immunity when administered appropriately. Vaccination programs typically target breeding ewes before mating to ensure antibody levels are adequate to protect against fetal infection during the critical early gestational period. Annual boosters maintain immunity in previously vaccinated animals. Naive animals entering the vaccination program require a primary course of two doses before protection develops. Regional availability of vaccines varies, and where BDV-specific vaccines are unavailable, some practitioners use BVDV vaccines with varying degrees of cross-protection. Consultation with veterinary advisors helps design vaccination programs appropriate to local circumstances and available products.

Biosecurity measures form the foundation of Border Disease prevention in flocks seeking to remain free of infection. Maintaining a closed flock eliminates the primary risk of introducing infected animals. Where purchases are necessary, sourcing from flocks with known BDV-negative status through testing programs significantly reduces risk. Quarantine and testing of any introduced animals before mixing with the main flock provides security even when purchasing from low-risk sources. Fence-line contact with neighboring sheep should be prevented, as transmission can occur through direct contact at boundaries. Shared equipment, personnel, and facilities between farms can transfer infection and should be managed carefully.

Preventing cross-species transmission requires attention to cattle and goat management on mixed farms. Cattle infected with BVDV can transmit infection to sheep, causing disease indistinguishable from Border Disease. Testing and control of BVDV in cattle populations on sheep farms eliminates this transmission risk. Goats are susceptible to BDV and can harbor infection, so mixed sheep and goat enterprises should consider both species in control programs. Shared housing, grazing, and handling facilities between species should be managed with biosecurity principles in mind.

Management practices during breeding and early pregnancy influence the risk of establishing persistent infections. Avoiding introduction of new animals during breeding season prevents exposure during the critical early gestational window. Separating young replacement ewes from potentially infected older animals during first breeding protects naive animals during their highest-risk period. Pregnancy diagnosis and strategic management of different breeding groups can limit exposure risks. Maintaining accurate breeding records allows tracing of potential exposure periods if problems develop.

Quarantine and testing protocols provide the most reliable method of preventing Border Disease introduction. All purchased animals should be tested for BDV antigen before entering the flock, ideally with two tests 3-4 weeks apart to detect animals in the early stages of transient infection. Quarantine periods of at least 28 days allow time for testing and observation. Animals returning from shows, sales, or shared grazing should be treated as high-risk introductions requiring full quarantine and testing protocols. Establishing source flock health status through testing programs or accreditation schemes provides confidence in purchased animals. Investment in rigorous testing and quarantine protocols pays dividends through avoided losses from disease introduction.

Living With & Managing Border Disease

Daily management and monitoring in flocks affected by or at risk for Border Disease requires systematic observation of animal health and performance. Regular assessment of all animals identifies those showing signs of ill-thrift that might indicate persistent infection. Monitoring reproductive performance, including conception rates, abortion rates, and lamb survival, reveals problems early. Record keeping tracks individual animal history and allows identification of animals with persistent poor performance suggesting PI status. During lambing season, careful examination of all newborns identifies hairy shaker lambs and other affected animals for testing. Integration of Border Disease awareness into routine management practices ensures ongoing vigilance.

Housing and environmental management considerations for Border Disease relate primarily to preventing transmission opportunities. Separate housing for pregnant ewes during the critical early gestational period, away from animals of unknown status, reduces exposure risk. Lambing facilities should allow isolation of ewes producing abnormal lambs for investigation. Cleaning and disinfection between groups reduces environmental viral contamination, though direct animal contact represents the primary transmission route. Facilities shared between sheep and cattle should be managed with cross-species transmission risks in mind. Environmental design that prevents fence-line contact with neighboring flocks reduces external introduction risks.

Herd health programs addressing Border Disease should integrate testing and removal strategies with vaccination and biosecurity measures. Comprehensive programs begin with whole-flock testing to identify and remove all PI animals, followed by ongoing surveillance to detect any new introductions or missed individuals. Vaccination of breeding ewes provides additional protection during the control phase and ongoing prevention thereafter. Biosecurity protocols for introductions prevent reinfection of cleaned flocks. Regular review of reproductive performance metrics evaluates program effectiveness. Veterinary oversight ensures appropriate test selection, interpretation, and strategic planning.

Record keeping and monitoring systems support effective Border Disease management through accurate tracking of animal health and performance data. Individual animal identification allows tracking of test results, treatments, and productivity measures. Breeding records documenting service dates enable calculation of gestational timing if reproductive problems occur. Health event recording captures patterns of disease that might indicate ongoing BDV circulation. Production records including lamb weights, growth rates, and fleece quality identify chronic underperformers warranting investigation. Data analysis reveals trends and allows evaluation of control program effectiveness over time.

Economic considerations significantly influence Border Disease management decisions at the flock level. The costs of testing and removal programs must be balanced against ongoing losses from persistent infection. Analysis typically favors aggressive testing and removal, as the ongoing costs of maintaining PI animals and their impact on reproductive performance exceed eradication program costs. Vaccination costs are generally justified by protection against reproductive losses, particularly in high-value breeding flocks. Investment in biosecurity infrastructure and protocols prevents costly reinfection of cleaned flocks. Market considerations may favor documented BDV-free status, allowing premium pricing for breeding stock. Long-term economic planning recognizes Border Disease eradication as an investment in sustainable flock productivity.

Breeds at Risk for Border Disease

All sheep breeds are susceptible to Border Disease infection, with no breed demonstrating significant resistance to the virus. However, the economic impact and clinical manifestation can vary between production systems and breed types. Fine-wool breeds valued for fleece production face particular economic impact when persistent infection causes the characteristic abnormal hairy coat, reducing fleece value and quality. Highly productive modern breeds selected for multiple lambing and high prolificacy may suffer proportionally greater reproductive losses when BDV causes embryonic death and abortion. Primitive and heritage breeds show similar susceptibility to infection but may display more robust survival of affected lambs under extensive management conditions.

Production type considerations influence how Border Disease affects different sheep operations. Purebred breeding flocks face severe impact from reproductive losses and the birth of unsellable affected lambs, with reputation damage affecting future sales. Commercial meat production flocks experience losses through reduced lamb crops and poor growth in affected animals. Dairy sheep operations may see reduced milk production in affected animals and face complications from the close confinement that facilitates transmission. Extensive rangeland operations may have difficulty implementing intensive testing and control programs but may also experience lower transmission rates due to reduced animal density and contact. Each production system requires tailored approaches to Border Disease prevention and control.

Genetic selection for Border Disease resistance has not been extensively developed, as the disease reflects viral infection rather than inherent genetic susceptibility. However, selection against persistently infected animals necessarily removes their genetics from the breeding population. Avoiding breeding from ewes that consistently produce abnormal lambs removes individuals that may be persistently infected themselves or consistently exposed during early pregnancy. Testing breeding rams ensures they do not carry persistent infection into the breeding group. Genetic progress in sheep populations should be balanced with health status considerations, avoiding purchase of superior genetics from flocks with unknown or positive BDV status. Breeding program decisions should incorporate BDV testing and control as standard biosecurity practice.

Related Conditions

Commonly co-occurring conditions with Border Disease reflect the immunosuppressive effects of persistent infection. Pneumonia caused by Mannheimia haemolytica, Pasteurella multocida, and other respiratory pathogens occurs more frequently and severely in PI animals. Parasitic infections including gastrointestinal nematodes and coccidia produce greater burdens in immunocompromised individuals. Orf (contagious ecthyma) and other skin infections may be more prevalent and severe. Clostridial diseases may occur despite vaccination if immune responses are inadequate. The ongoing immune deficit in PI animals creates vulnerability to virtually any infectious challenge, making excellent general husbandry and preventive care particularly important.

Conditions with similar symptoms to Border Disease require careful differential diagnosis. Swayback from copper deficiency causes neurological signs in lambs that may resemble Border Disease tremors. Toxoplasmosis can cause abortion, stillbirth, and congenital abnormalities overlapping with BDV effects. Chlamydial abortion (enzootic abortion of ewes) produces reproductive losses requiring differentiation. Cache Valley virus and other teratogenic infections cause congenital defects in lambs. Bovine viral diarrhea in cattle may produce similar syndromes and can actually infect sheep, creating a directly related condition. Laboratory testing distinguishes between these conditions and ensures appropriate management responses.

Complications and sequelae of Border Disease extend beyond the primary viral effects. Persistently infected animals that survive to adulthood often experience chronic health problems including recurrent respiratory disease, poor wound healing, and general unthriftiness. The ongoing immunosuppression predisposes to secondary infections and reduces response to vaccines. Reproductive complications in PI ewes include infertility and consistent production of abnormal offspring. Nervous system damage in hairy shaker lambs is permanent, though tremors may improve; other neurological deficits may persist. Fleece abnormalities in affected animals continue to affect wool quality throughout life. Understanding these long-term consequences informs management decisions about retaining versus culling affected animals.