Cow with a ruptured blister in the mouth, a sign of foot-and-mouth disease

Foot-and-mouth disease or FMD is an economically important disease of even-toed ungulates (cloven-hoofed animals) and some other mammals caused by the FMD virus, a picornavirus. Hosts include cattle, water buffalo, sheep, goats, pigs, antelope, deer and bison; human infection is extremely rare. After a 1–12-day incubation, animals develop high fever, and then blisters inside the mouth (pictured) and on the hooves, which can rupture and cause lameness. Weight loss and reduction in milk production are other possible long-term consequences. Mortality in adult animals is low (2–5%). The virus is highly infectious, with transmission occurring via direct contact, aerosols, semen, consumption of infected food scraps or feed supplements, and via inanimate objects including fodder, farming equipment, vehicles, standing water, and the clothes and skin of humans. Some infected ruminants can transmit infection as asymptomatic carriers.

Friedrich Loeffler showed the disease to be viral in 1897. FMD was widely distributed in 1945. By 2014, North America, Australia, New Zealand, much of Europe, and some South American countries were free of the disease. Major outbreaks include one in the UK in 2001 that cost an estimated £8 billion. The virus is highly variable, with seven serotypes. A vaccine is available, but protection is temporary and strain specific. Other control methods include monitoring programmes, trade restrictions, quarantine, and the slaughter of infected and healthy at-risk animals.