Feline Leukemia

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Feline leukemia virus (FeLV) is a retrovirus that infects cats and suppresses the immune system, making them vulnerable to secondary infections, anemia, and certain cancers. It spreads through close contact — saliva, nasal secretions, urine, and milk — and is one of the most common infectious causes of death in cats.

What Is Feline Leukemia?

Feline leukemia virus (FeLV) is a retrovirus — it inserts copies of its genetic material into the infected cat’s cells. Once established, the virus attacks the immune system similarly to how HIV affects humans (though FeLV cannot infect people). It is estimated to affect 2–3% of all cats in the United States, with higher rates among outdoor and multi-cat households.

Not all cats exposed to FeLV become permanently infected. About 30% of exposed cats develop a persistent (progressive) infection, while others may fight off the virus or develop a regressive infection where the virus remains dormant.

FeLV is classified into subgroups (A, B, C, and T), each associated with different disease outcomes including lymphoma, leukemia, anemia, and immunosuppression.

How FeLV Spreads

FeLV spreads through prolonged close contact between cats. The most common transmission routes include:

  • Mutual grooming and sharing food bowls — saliva is the primary transmission vector
  • Bite wounds — especially during fights between outdoor cats
  • Mother to kitten — in utero or through nursing milk
  • Shared litter boxes — though less common than saliva transmission

The virus does not survive long outside a cat’s body and is easily killed by disinfectants, sunlight, and drying. It cannot spread to humans or dogs.

Signs and Symptoms

FeLV-positive cats may appear healthy for months or even years before showing symptoms. When the disease progresses, signs may include:

  • Weight loss and decreased appetite
  • Pale gums — a sign of anemia
  • Recurring infections — bladder, skin, or upper respiratory infections that keep coming back
  • Swollen lymph nodes
  • Fever — persistent or recurrent
  • Poor coat condition — dull, matted, or thinning fur
  • Diarrhea — chronic or intermittent

Because these symptoms overlap with many other conditions, the only way to confirm FeLV is through a blood test at your veterinary clinic.

What Pet Owners Should Do

  • Test all new cats. Before introducing a new cat to your household, have them tested for FeLV. Kittens should be tested at least twice.
  • Vaccinate. The FeLV vaccine is recommended for all kittens and at-risk adult cats (outdoor cats, cats in multi-cat homes). Discuss the schedule with your vet.
  • Keep FeLV-positive cats indoors. This protects other cats in the neighborhood and shields your cat from secondary infections.
  • Separate FeLV-positive cats. If you have both positive and negative cats, keep them in separate living areas with separate bowls and litter boxes.
  • Schedule regular vet visits. FeLV-positive cats should see the vet at least twice a year for monitoring.

Frequently Asked Questions

Can feline leukemia be cured?

There is currently no cure for FeLV. Treatment focuses on managing symptoms, preventing secondary infections, and maintaining quality of life. Some cats with progressive FeLV live for several years with proper veterinary care and an indoor-only lifestyle.

Can FeLV spread to humans or dogs?

No. Feline leukemia virus is species-specific and only infects cats. It cannot be transmitted to humans, dogs, or other non-feline animals. It is safe to live with and handle an FeLV-positive cat.

How long can a cat live with feline leukemia?

Cats with progressive FeLV infection typically live 2–3 years after diagnosis, though some live longer with excellent care. Cats that develop a regressive infection (where the virus becomes dormant) may live a normal lifespan.

Should I vaccinate my indoor cat against FeLV?

The FeLV vaccine is recommended for all kittens regardless of lifestyle. For adult indoor-only cats with no exposure to other cats, the risk is minimal and your vet may advise against boosters. Cats that go outdoors or live with FeLV-positive cats should be vaccinated.

How is feline leukemia diagnosed?

FeLV is diagnosed through a blood test called an ELISA (enzyme-linked immunosorbent assay), which detects FeLV antigens. A positive result is typically confirmed with a secondary test called an IFA. Both tests are available at most veterinary clinics.

Concerned about FeLV? Find a veterinary clinic near you on HeiBob for testing and vaccination.

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