bEnzootic pneumonia, resulting from infection with Mycoplasma hyopneumoniae, is of considerable economic importance to the pig industry and normally is controlled through active vaccination of piglets. We have demonstrated that administration of an inactivated Mycoplasma hyopneumoniae vaccine to piglets less than 1 week old is efficacious under field conditions and reduces the level of lung lesions observed in comparison to that in control pigs. Here, the results of two separate studies, one in piglets with and the second one in piglets without maternal antibodies, conducted to satisfy the requirements of the European Pharmacopoeia (monograph no. 07/2009:2448), are reported. Piglets received either minimal titer Suvaxyn MH-One or saline at less than 1 week of age and were challenged with Mycoplasma hyopneumoniae 2 weeks later. The number of lung lesions was recorded 4 weeks after challenge, and bronchial swab and lung tissue specimens were analyzed for quantification of Mycoplasma hyopneumoniae DNA. In the presence and absence of maternal antibodies, vaccination of piglets at less than 1 week of age was efficacious, with vaccinated piglets having significantly lower percentages of lung with lesions and lower Mycoplasma hyopneumoniae counts detected in bronchial swab and lung tissue specimens at necropsy. In conclusion, the vaccination of piglets at 1 week of age with Suvaxyn MH-One is efficacious in the presence of high levels of maternal antibodies. E nzootic pneumonia in pigs is a serious problem for commercial operations. The disease can result from infection with Mycoplasma hyopneumoniae, is characterized mainly by a nonproductive cough (1), and is responsible for considerable economic losses in pig production worldwide (2, 3), resulting from higher feed conversion, decreased body weight gains, and increased medication costs. Studies have shown that infection with M. hyopneumoniae also predisposes pigs to subsequent infection by other bacterial pathogens, such as Actinobacillus (formerly Haemophilus) pleuropneumoniae (4), or Pasteurella multocida (5). Apart from coinfections, factors such as the management of the animals, their environment, and their general health status can also affect the severity of mycoplasmal disease. Therefore, strategies for the control of enzootic pneumonia are extremely important in pig production.The majority of piglets in commercial systems are routinely vaccinated against M. hyopneumoniae, and numerous studies have evaluated the efficacy and safety of vaccines under field conditions (6-8). Vaccination of pigs has been shown to reduce body weight losses and the prevalence of pigs actually observed with (pneumonic) lung lesions, as well as the severity of lesions in those pigs that are affected. Piglets are often infected by M. hyopneumoniae from their mothers (3), and field prevalence studies have indicated that between 1.5% and 4% of 1-and 3-week-old piglets tested with either nasal swabs or necropsies show positive PCR results for M. hyopneumoniae (9).We demonstrated previously...