Sweet itch is a severe allergic skin condition in horses caused by hypersensitivity to Culicoides midge bites, causing intense pruritus and significant welfare impact.
Sweet itch causes profound and persistent suffering. The urge to rub is irresistible; affected horses can self-injure severely and become behavioural - frustrated, irritable, and distressed. Welfare assessment must account for the chronic, recurring nature across many seasons of a horse's life. Key welfare interventions include stable management (stabling dawn to dusk when midges peak), full-body sweet itch rugs, topical insect repellents, and in severe cases corticosteroids or emerging immunotherapy options.