One of my first orphan lambs got orf, he lost his voice completely but recovered and now has a very weird rasping baa! Another of the lambs did get it mildly, but at that time the orphans were inside together so I wasn't surprised. I got a Brinicombe tubby just in case but none of my sheep has ever got it again (touches wood madly ...). I didn't give the lamb any treatment apart from iodine around the wounds, they healed up well.