This review describes current knowledge about persistent foot-and-mouth dis
ease virus (FMDV) infections, the available methods to detect carrier anima
ls, the properties of persisting virus, the immunological mechanisms, and t
he risk of transmission. In particular, knowledge about the carrier state,
the period in which virus can be isolated from animals 28 days or longer po
st infection, is important, because the risk that animals may carry the vir
us will influence the diagnostic and preventive measures that need to be ta
ken. Although many years of research have led to much knowledge about foot-
and-mouth disease and its causative agent, there are still numerous aspects
of the virus and the disease that are not yet fully understood. Areas for
further research on persistence of FMDV are discussed.