In brief
- Dogs have two adenoviruses: CAV-1 causes infectious canine hepatitis, and CAV-2 causes respiratory disease [1] [2].
- Canine adenoviruses are not considered dangerous to humans [3].
- The death rate from infectious canine hepatitis is 10–30%, highest in the youngest puppies [1].
- Vaccination against canine adenovirus type 1 (infectious canine hepatitis) is a core vaccine [4]. It is given as a vaccine containing canine adenovirus type 2, which protects against both viruses [3].
When to see a vet urgently
The Merck Veterinary Manual advises suspecting infectious canine hepatitis in any puppy with severe liver damage, a blood clotting disorder or clouding of the cornea [1]. Watch for:
- a temperature above 40 °C (104 °F);
- vomiting, especially with blood, and belly pain;
- bleeding, for example around the baby teeth;
- clouding of the cornea, known as "blue eye".
The two canine adenoviruses
Canine adenovirus type 1 (CAV-1) causes infectious canine hepatitis. It mainly attacks endothelial cells, the inner lining of blood vessels, as well as the liver, kidneys, spleen and lungs [1].
Canine adenovirus type 2 (CAV-2) affects the airways. It is one of the causes of kennel cough, most often together with Bordetella and canine parainfluenza virus [2].
The genomes of the two viruses are about 75% identical, and antibodies to them cross-react [5]. That is why a CAV-2 vaccine also protects against CAV-1 [3].
In Russian-language veterinary literature, the disease caused by CAV-1 is usually called infectious hepatitis, and the disease caused by CAV-2 is called "adenovirosis" [6].
How dogs get infected
The main route is nose and mouth contact with the urine, feces or saliva of a sick dog. Infection through objects is also possible [1]. Dogs that have recovered shed the virus in their urine for at least 6 months [1].
Not only dogs get CAV-1: infectious hepatitis has been described in foxes, wolves, coyotes, bears, lynxes and some pinnipeds (seals and their relatives) [1].
Symptoms of infectious canine hepatitis
The incubation period is 4–9 days. The course can be anything from a mild fever to sudden death [1].
- the first sign is usually a temperature above 40 °C (104 °F); it lasts 1–6 days and usually rises in two waves [1];
- belly pain and vomiting, including vomiting blood [1];
- conjunctivitis, eye and nose discharge, clouding of the cornea [1];
- bleeding that is hard to stop, for example around the baby teeth [1].
In about 25% of dogs that recover, the corneas of both eyes turn cloudy 7–10 days after the acute symptoms; this is "blue eye" [1]. If the dog also has parvovirus or distemper at the same time, the outlook is worse [1].
CAV-2 and kennel cough
Kennel cough, which can be caused in part by CAV-2, starts suddenly, 5–10 days after contact with other dogs. The main sign is a honking cough, like a goose, which may be followed by gagging [2].
Diagnosis and treatment
Diagnosis can use ELISA, serologic tests and PCR [1]. Treatment of infectious canine hepatitis is supportive [1]; a veterinarian decides exactly what the dog needs.
Vaccination
The World Small Animal Veterinary Association (WSAVA) classifies vaccination against canine adenovirus type 1 as a core vaccine, along with vaccines against distemper and parvovirus. These are core vaccines for dogs in every country [4].
- puppies get their first dose at 6–8 weeks [4];
- then every 2–4 weeks until the puppy is 16 weeks old or older [4];
- an extra dose at 26 weeks or a little later [4];
- after that, revaccination no more often than once every 3 years [4].
Dogs are vaccinated with a canine adenovirus type 2 vaccine: it also protects against CAV-1, that is, against infectious canine hepatitis [3]. Older CAV-1 vaccines caused corneal clouding and kidney damage and are now rarely used [3] [1]. For example, the Russian combination vaccine Multican-4 contains a strain of canine adenovirus type 2 [7]. A veterinarian sets the schedule for each individual dog.
Is canine adenovirus dangerous to humans
No. Canine adenoviruses type 1 and type 2 are not considered zoonotic, meaning they are not dangerous to humans [3]. Human and canine adenoviruses belong to the same genus but to different species [8].
A 2019 systematic review found isolated evidence of cross-species transmission of adenoviruses, including some involving dogs, but this is not evidence of people getting sick from canine adenoviruses [9].
How to disinfect your home and kennel
CAV-1 is hardy in the environment and survives outside the body for weeks to months. It is killed by steam cleaning or a 1–3% sodium hypochlorite solution, that is, household bleach [1].
Frequently asked questions
Is canine adenovirus dangerous to humans?
No, canine adenovirus types 1 and 2 are not considered transmissible to people [3].
What is the difference between canine adenovirus 2 and infectious canine hepatitis?
Infectious hepatitis is caused by canine adenovirus type 1 (CAV-1), while respiratory adenovirus disease is caused by canine adenovirus type 2 (CAV-2), which affects the airways [6] [2].
When should a puppy be vaccinated against infectious canine hepatitis?
According to WSAVA, starting at 6–8 weeks, then every 2–4 weeks until 16 weeks or later, and once more at 26 weeks or a little later [4]. The schedule is set by a veterinarian.
How long is a dog contagious after canine hepatitis?
Dogs that have recovered shed the virus in their urine for at least 6 months [1].
Types of human adenovirus
Which types cause colds, conjunctivitis and stomach infections in people.
Sources
- Merck Veterinary Manual. Creevy K. E., Evans J. B. Infectious Canine Hepatitis (updated June 2026). Accessed October 10, 2026.
- Merck Veterinary Manual. Tonozzi C. C. Kennel Cough (Canine Infectious Tracheobronchitis) (updated September 2024). Accessed October 10, 2026.
- Today’s Veterinary Practice (NAVC journal). Burling A. Canine Adenovirus Type 2 Vaccination, 2021. Accessed October 10, 2026.
- WSAVA (World Small Animal Veterinary Association). Squires R. A. et al. 2024 guidelines for the vaccination of dogs and cats. J Small Anim Pract. 2024;65(5):277–316 — summary and official translation on the WSAVA website. Accessed October 10, 2026.
- Frontiers in Cellular and Infection Microbiology. Zhu Y. et al. Difference Analysis Between Canine Adenovirus Types 1 And 2. 2022;12:854876. Accessed October 10, 2026.
- Bulletin of Altai State Agrarian University. Nikonenko T. B., Meltsov I. V., Baryshnikov P. I. Associated viral infections of dogs in the city of Irkutsk. 2017;8(154):165–170 (in Russian). Accessed October 10, 2026.
- Vidal veterinary drug reference (based on the Russian State Register). Multikan-4: vaccine against canine distemper, adenovirus infections, and parvovirus and coronavirus enteritis in dogs (in Russian). Accessed October 10, 2026.
- ICTV (International Committee on Taxonomy of Viruses). ICTV Report: Family Adenoviridae (Benkő M. et al., updated 2026). Accessed October 10, 2026.
- Emerging Microbes & Infections. Borkenhagen L. K. et al. Are adenoviruses zoonotic? A systematic review of the evidence. 2019;8:1679–1687. Accessed October 10, 2026.
This article was prepared by our editorial team from official sources and does not replace a doctor’s advice. Found an error? Write to us.