Infection can be transmitted between horses in any of the following ways:
The shedder stallion is a very important source of the virus. On infection, the virus localises in his accessory sex glands and will be shed in his semen for several weeks, months or years - possibly even for life. The fertility of shedder stallions is not affected and they show no clinical signs but they can infect mares during mating, or through insemination with their semen. These mares may, in turn, infect other horses via the respiratory route.
The 2019 UK outbreaks served to highlight the risk posed by infected stallions transmitting EAV by the respiratory route in the earlier stages of infection, particularly in shared airway stables. The acute stage of infection is usually 2 – 14 days, but can be up to 28 days. There is also evidence to suggest that chronically infected stallions may transmit EAV by other, non-venereal routes (e.g. via handler, tack or equipment contacts following masturbation contamination of the environment). Therefore, unless strict biosecurity is maintained indefinitely, in-contact mares and other equines may be infected.