Canine distemper is a serious, highly contagious virus related to the measles virus. It attacks a dog's respiratory system, gut and nervous system.1,2 It spreads mainly through the air from infected dogs and from wildlife such as raccoons, foxes and skunks, and through shared bowls.1,3,4 Early signs include fever, eye and nose discharge, coughing, lethargy and poor appetite, which can be followed by vomiting, diarrhea, and later twitching, seizures or paralysis.1,5 There's no cure. Roughly half of dogs that become ill with distemper die, and puppies fare worse.6,3,4 The DHPP vaccine is highly effective at preventing it.1,6 People can't catch distemper.3,2
See your vet urgently if your dog, especially an unvaccinated puppy, has:
- Fever with discharge from the eyes or nose, coughing or breathing trouble1,7
- Twitching, "chewing-gum" jaw movements, a head tilt, circling, weakness or seizures1,3
- Vomiting or diarrhea with lethargy5,4
Keep the dog away from other dogs and call ahead. A wild animal acting strangely, without fear or with seizures, could have distemper or rabies, so don't touch it and call animal control.8,9
What the Research and Guidelines Say
- Distemper is still active in the US. New York City reported outbreaks in raccoons in 2018, 2022 and 2023, and a Los Angeles County shelter outbreak ran from July to November 2025.7,10
- Outcomes are often poor. About 50% of adult dogs and 80% of puppies with distemper die.3,6
- Neurologic distemper can occur in young small breeds. In a 2025 Brazilian study, Shih Tzus and Lhasa Apsos were overrepresented, and only about a third of affected dogs were up to date on vaccines.11
- Wildlife keeps the virus around. A 2025 review of 76 host species found domestic dogs, red foxes and raccoons were the most often reported.12
How Distemper Spreads
Infected dogs shed the virus in respiratory droplets and other body fluids, so dogs can catch it from coughs and sneezes, close contact or shared food and water bowls.1,4,5 Wildlife, especially raccoons, foxes, skunks and coyotes, are a major source, and outbreaks in raccoons often peak in spring and fall.3,8,13 The virus doesn't survive long outside the body in warm conditions and is killed by ordinary disinfectants, unlike parvo, though it can last longer in freezing temperatures.1,3
Signs of Distemper by Stage
- First days: a mild fever about 3 to 6 days after infection, which often goes unnoticed.1,6
- Respiratory and eye signs: a second fever with watery nose discharge, thick eye discharge, coughing, lethargy and poor appetite, sometimes with pneumonia.1,14
- Gut signs: vomiting and diarrhea.1,5
- Hard pad: thickened, hard footpads and nose in some dogs, often a few weeks in.1,5
- Neurologic signs: muscle twitching, chewing-gum fits, seizures, head tilt, circling, weakness or paralysis. These can appear weeks or months after the first illness, even after other signs have cleared.1,7
About half of infections are mild or have no visible signs at all.6
Distemper in Puppies
Puppies under about 4 to 6 months and unvaccinated dogs are most at risk, and puppies have a much higher death rate.4,14,3 Puppies that survive may develop nervous system signs weeks later, and those infected before their adult teeth come in can have damaged tooth enamel.14,1
Diagnosis and Treatment
Vets suspect distemper from the signs and vaccine history and confirm it with PCR and antibody tests. A negative test doesn't always rule it out, and a recent vaccine can affect PCR results.1,6,14 There's no antiviral cure. Treatment supports the dog with fluids, nutrition, antibiotics for secondary infections, medicines to control seizures, and oxygen or nebulization for pneumonia.1,14,5 Infected dogs must be isolated from other dogs.14
Outlook and Lasting Effects
Dogs that recover from the respiratory and gut stages usually recover fully from those signs, but the neurologic outcome is hard to predict.1 Some dogs keep mild twitching for life but otherwise live normally, while others have severe or worsening seizures.14,5 Rarely, a fully vaccinated older dog develops "old dog encephalitis," a slow brain disease that isn't contagious.1
Prevention
- Vaccinate. Distemper is part of the core DHPP vaccine. Puppies need a series ending at 16 weeks or older, then boosters.15,16 See the DHPP vaccine.
- Avoid wildlife contact. Don't leave pet food or water bowls outside, and keep dogs away from raccoons, foxes and skunks.4,13
- Keep unvaccinated puppies away from dogs of unknown vaccine history and places where dogs gather, such as parks, kennels and pet stores, until their series is complete.4,17
See also parvo in dogs and kennel cough.
Frequently Asked Questions
What are the first signs of distemper in dogs?
Fever, eye and nose discharge, coughing, lethargy and loss of appetite.
Can a dog survive distemper?
Yes, about half do, but some are left with lasting twitching or seizures. Puppies are less likely to survive.
Can humans catch distemper?
No. Distemper is related to measles but doesn't infect people.
How do dogs get distemper?
From the breath and body fluids of infected dogs and wildlife, and from shared bowls.
Is distemper curable?
There's no cure, only supportive care, which is why vaccination matters.
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Sources and further reading
This article was rewritten and fact-checked on October 22, 2026 against current veterinary references and specialist guidelines:
- Creevy KE, Evans JB. Canine Distemper. Merck Veterinary Manual, reviewed November 2022, updated June 2026.
- Racine E. Can Dogs Get Measles? American Kennel Club, updated January 2025.
- Cornell Wildlife Health Lab. Canine Distemper. Cornell University / NYS Wildlife Health Program, 2024, updated October 2025.
- Los Angeles County Department of Animal Care and Control. Important Pet Health Advisory: Distemper Confirmed in Dogs at Lancaster Animal Care Center. LA County DACC, August 2025.
- PDSA. Distemper in dogs. PDSA Pet Health Hub leaflet, April 2020.
- Appel MJG, Summers BA. Canine Distemper: Current Status. In: Carmichael L, ed. Recent Advances in Canine Infectious Diseases. IVIS, 1999.
- New York City Department of Health and Mental Hygiene. 2023 Veterinary Alert #10: Canine distemper virus in raccoons. NYC Health, November 2023.
- Schuler K. Canine Distemper and Raccoons. Cornell Wildlife Health Lab, 2018, updated 2019.
- New York City Department of Health and Mental Hygiene. 2024 Veterinary Alert #1: Canine distemper virus in raccoons and skunks in Brooklyn. NYC Health, January 2024.
- Los Angeles County Department of Animal Care and Control. Distemper Outbreak Remediated at the Lancaster Animal Care Center. LA County DACC, November 2025.
- Freire HL, Iara IHN, Ribeiro LSR, Goncalves PAO, Matta DH, Torres BBJ. Neurological Manifestation of Canine Distemper Virus: Increased Risk in Young Shih Tzu and Lhasa Apso with Seasonal Prevalence in Autumn. Viruses, 2025.
- Wipf A, Perez-Cutillas P, Ortega N, Huertas-Lopez A, Martinez-Carrasco C, Candela MG. Geographical Distribution of Carnivore Hosts and Genotypes of Canine Distemper Virus (CDV) Worldwide: A Scoping Review and Spatial Meta-Analysis. Transboundary and Emerging Diseases, 2025.
- Los Angeles County Department of Animal Care and Control. DACC Takes Proactive Measures to Address Distemper Outbreak in Lancaster Area. LA County DACC, October 2025.
- Best Friends Animal Society. Canine Distemper Protocol. Best Friends Lifesaving Centers operations manual, 2023.
- Squires RA, Crawford C, Marcondes M, Whitley N. 2024 Guidelines for the Vaccination of Dogs and Cats, compiled by the Vaccination Guidelines Group (VGG) of the WSAVA. Journal of Small Animal Practice, 2024.
- AAHA Canine Vaccination Task Force. Recommendations for core and noncore canine vaccines. 2022 AAHA Canine Vaccination Guidelines, updated September 2025.
- American Veterinary Medical Association. Canine parvovirus. AVMA pet owner resources, accessed October 2026.
About this article
Last updated : fully rewritten and combined with our former distemper symptoms and puppy pages, using the Merck Veterinary Manual, Cornell, public health alerts from New York City and Los Angeles County, and shelter protocols, plus International Veterinary Information Service (IVIS) proceedings and research published 2022 to 2026.
This page is for general information and is not a substitute for an exam by your veterinarian.