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Which is worse, FIV or FeLV?

Feline leukemia virus (FeLV) is generally considered worse than FIV because it is more contagious, leads to more severe health complications, and significantly shortens life expectancy in affected cats.

FeLV vs. FIV: Understanding Which Is More Dangerous for Cats

When it comes to feline infectious diseases, two of the most concerning for cat owners are Feline Leukemia Virus (FeLV) and Feline Immunodeficiency Virus (FIV). While both are serious retroviruses affecting cats, FeLV is generally considered more dangerous due to its high transmissibility, more severe health complications, and poorer prognosis.

What is Feline Leukemia Virus (FeLV)?

FeLV is one of the most common infectious diseases in cats. It affects 2–3% of all cats in North America with higher incidence among ill or high-risk populations. It is a highly contagious retrovirus that only infects cats and cannot be spread to humans or other animal species.

How is FeLV Transmitted?

FeLV is primarily transmitted through saliva and close contact:
  • Mutual grooming and bite wounds
  • Shared food and water dishes
  • Shared litter boxes
  • Vertical transmission from mother to kittens before or after birth
The virus does not survive long outside the cat's body, so direct and prolonged contact is usually needed for transmission.

Which Cats Are at Risk?

At-risk cats include:
  • Cats living with infected or untested housemates
  • Free-roaming outdoor cats
  • Cats in multi-cat households or shelters
  • Kittens and young adults (less immunity)
Indoor-only cats that don’t mix with other cats face a relatively low risk.

Types of FeLV Infection

Outcomes of FeLV exposure can vary, including:
  1. Abortive Infection: The immune system clears the virus. These cats are not contagious and show no symptoms.
  2. Regressive Infection: The virus is suppressed in areas like the bone marrow. It can reactivate later if immunity drops.
  3. Progressive Infection: The virus remains in the bloodstream and these cats are contagious and vulnerable to severe illness and early death.

Symptoms and Health Complications

FeLV can cause a wide range of clinical signs, including:
  • Loss of appetite and weight loss
  • Poor coat condition
  • Pale or yellow gums
  • Lethargy and fever
  • Stomatitis, gingivitis, and infections
  • Enlarged lymph nodes
  • Diarrhea and neurological symptoms
  • Eye problems and reproductive failure
  • Anemia and cancer, particularly lymphoma
FeLV weakens the immune system, making secondary infections common and sometimes fatal.

Diagnosis of FeLV

Several tests are used to diagnose FeLV:
  • ELISA: Screens for viral antigens in the blood
  • IFA: Confirms infection in persistent stages
  • PCR: Detects viral DNA within the cat's genome
Retesting is often necessary to classify the stage of infection (transient, regressive, or progressive).

FeLV Treatment and Prognosis

There is no cure for FeLV. Treatment focuses on supportive care:
  • Antibiotics for secondary infections
  • Blood transfusions and chemotherapy if required
  • Immune-supportive drugs and nutritional support
  • Routine veterinary check-ups
The prognosis varies. Many cats with regressive infections live long and fairly healthy lives. However, cats with progressive infections have a median survival of 2.5–3 years after diagnosis.

Prevention: The Best Approach

Preventing FeLV is simpler and more effective than treating it:
  • Keep cats indoors or supervised outside
  • Test all new or stray cats before introducing them
  • Vaccinate kittens and at-risk adult cats
  • Do not mix FeLV-positive cats with FeLV-negative ones
  • Neuter/spay to reduce roaming and fighting behavior
Vaccination is not 100% effective, but a crucial preventive tool. Even vaccinated cats should be tested after suspected exposure.

FeLV vs. FIV: Key Differences

While both viruses compromise a cat’s immune system, the main differences are:
  • FeLV is more contagious, especially via casual contact
  • FeLV causes more severe disease, including cancer and anemia
  • FeLV has a worse prognosis overall than FIV
FIV-infected cats can live relatively normal lifespans, particularly when kept indoors and under veterinary care. In contrast, FeLV often leads to more rapid decline.

Final Thoughts

Feline Leukemia Virus (FeLV) is generally considered more dangerous than FIV due to its higher transmissibility, serious disease manifestations, and decreased life expectancy. With no cure available, prevention via indoor living, vaccination, and regular testing remains the best way to protect your feline companions.

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