Detection of visna/maedi virus (VMV) infection is challenging, as no perfect reference test exists. Several factors can lead to false positive or negative results, including slow seroconversion, fluctuating antibody levels, virus heterogeneity and cross-reactive substances in serum. Norway aims to eliminate VMV, therefore a VMV flock diagnosis will have severe consequences for the farmer. The last two outbreaks occurred in the same geographical area in 2002–2005 and 2019–2020, including 61 and 9 flocks, respectively. The viral strains detected were genetically similar, indicating continuous, undetected VMV circulation in the sheep population. In this descriptive study, we investigate the challenges of correctly diagnosing VMV infection in sheep when the goal is elimination, and describe the distribution of infection within flocks. The choice of test influenced the number of false reactions, as only 40.6 % of the samples that tested positive by the screening ELISA used in 2019–2020 tested positive by two other commercial ELISA tests. In order to minimize the number of false positive VMV flock diagnoses, we investigated if the interpretation could be improved by resampling animals with ambiguous results. Only 26 % of the animals in negative flocks retrieved agreement between the two ELISAs at resampling. It is therefore debatable whether resampling is recommended. Further, we found a higher seroprevalence in older animals, and 36 of 95 offspring obtained different test results than their mother, supporting previous knowledge on slow seroconversion. Different ELISA tests were used in the two outbreaks. Some of the negative samples from 2002 to 2005 were positive when retested with the screening test used in 2019–2020. Hence, animals with false negative results in the 2002–2005 outbreak might be a reason for the continuous circulation of the virus.
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