Horses in this area are generally vaccinated against tetanus and strangles with a single yearly vaccine known as ‘2 in 1’. For unvaccinated horses or those whose vaccination status in unknown, a course of three injections should be given. The first injection is a 2 in 1 followed two weeks later by a strangles only vaccination. A further 2 in 1 is given two weeks after the strangles injection. Yearly 2 in 1 boosters are then required. Foals are given the same vaccination protocol with the first injection being given at 12 weeks of age. If the mare that has foaled is not vaccinated, the foal may also be given a tetanus antitoxin at 1 day old.