Orf is a virus that is in the environment on some farms. It enters through broken skin. So lambs nibbling on thorn bushes creates its opportunity. Lambs eating thistles results in orf lesions on lips and noses on other farms.
It's a virus so there's no real cure (or if your vet has one and it works, please share the info!!) Keeping them from getting secondary infection is important and about the only thing you can do, really - we use antiseptic spray and/or dunk their faces in a solution of Daz. (Don't ask me why, but Daz does seem to be every bit as good as purple spray for preventing secondary infection in cases of orf. It was a vet told us about it.)
Yes it's important to try to prevent lambs passing the infection onto their mothers. Mostly the mothers will have good immunity, plus shouldn't have broken skin around the udder, but if they are under the weather for other reasons, and/or short of milk, then the lambs' pestering can result in abrasions to the teats, so the virus can enter... and mastitis usually follows. So care for the mothers well

If you find it's an annual problem on your farm you can vaccinate the lambs using Scabivax. We don't vaccinate homebred ewes as they have immunity.
Be aware also that orf is a zoonosis and can infect
you. If you have broken skin it can get in, and cause lesions ranging from itchy annoying pustular things that eventually go away to arm-filling, joint-infecting poisons that require hospitalisation. So if you haven't had it before, wear gloves
