Sweet itch causes intense itching in horses allergic to Culicoides midge bites; effective management significantly improves quality of life.
Sweet itch causes severe chronic suffering characterised by intense, unrelenting pruritus that prevents normal behaviour, disrupts sleep, and causes progressive skin damage. Without effective management, affected horses experience significant welfare deficits throughout the midge season. Comprehensive management combining barrier protection, midge avoidance strategies, and immunotherapy achieves good welfare outcomes for many horses.