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Topic:Disease Prevalence

Disease prevalence in horses refers to the frequency and distribution of various diseases within equine populations. Understanding disease prevalence is essential for identifying health trends, assessing risk factors, and implementing effective disease management and prevention strategies. Common diseases affecting horses include equine influenza, equine herpesvirus, strangles, and equine infectious anemia. The study of disease prevalence involves collecting and analyzing data from veterinary reports, field studies, and laboratory diagnostics. This page compiles peer-reviewed research studies and scholarly articles that investigate the patterns, causes, and implications of disease prevalence in horses, providing insights into equine health management and epidemiology.
Genetic parameters of insect bite hypersensitivity in the Old Grey Kladruber horse.
Journal of animal science    February 9, 2017   Volume 95, Issue 1 53-58 doi: 10.2527/jas.2016.0745
Citek J, Vostry L, Vostra-Vydrova H, Brzakova M, Prantlova V.The objective of this study was to assess the genetic parameters of insect bite hypersensitivity (IBH) in the Old Grey Kladruber horse, an original Czech warmblood horse breed. Insect bite hypersensitivity is a recurrent allergic skin disease affecting horses worldwide. Its etiology is multifactorial. The defect is genetically controlled, and the starting impulse is a bite by midges of the spp. and less frequently spp. Knowledge about the associated genes is limited. Horses were kept by the National Stud in Kladruby (1,146 measurements) and by 10 private breeders (63 measurements). The horses ...
Molecular survey in relation to risk factors and haemato-biochemical alteration in Theileria equi infection of equines in Punjab Province, India.
Veterinary parasitology, regional studies and reports    February 6, 2017   Volume 8 43-50 doi: 10.1016/j.vprsr.2017.01.009
Sumbria D, Singla LD, Sharma A, Bal MS, Randhawa CS.Equine piroplasmosis caused by Theileria equi, an apicomplexan intracellular haemoprotozoan parasite effects equids throughout the world. Current investigation is the first detailed epidemiological survey report based on conventional (blood smear) and primary polymerase chain reaction (PCR) for the detection of T. equi on 464 equids (426 horses and 38 donkeys/mules) in Punjab province of India. PCR targeting 18S rRNA gene of T. equi produced high fidelity 709bp amplification products with 100% concordance with blood films. The prevalence of infection was proportional (P≤0.01) to temperature ...
Preliminary study of ectoparasites of horses in the western highlands of Cameroon.
Veterinary medicine and science    February 2, 2017   Volume 3, Issue 2 63-70 doi: 10.1002/vms3.56
Payne VK, Mbafor FL, Wabo Pone J, Tchoumboué J.To evaluate the prevalence of infestation of ectoparasites of horses, a total of 894 horses (367 males and 527 females), aged 1-7 years old were examined. Horses were groomed for collection of ectoparasites. Out of the horses examined, 164 came from Fundong, 80 from Acha, 30 from Fongo-Tongo, 30 from Fokoue and 17 from Dschang, all of which were infested with ectoparasites. Five hundred and seventy-three (573) horses came from Banso and 99.48% were infested by ectoparasites. From the results obtained, three species of hard ticks ( and ) and one species of biting lice () were identified. (66%...
First identification and phylogenetic analysis of equine hepacivirus in Korea.
Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases    February 1, 2017   Volume 49 268-272 doi: 10.1016/j.meegid.2017.01.030
Kim HS, Moon HW, Sung HW, Kwon HM.Non-primate hepacivirus (NPHV) corresponds a group of isolates recently characterized in horses and dogs that present similar genomic organization and are closely related to hepatitis C virus. Since canine hapacivirus, NPHV identified in dogs, was first discovered in dogs in the United States, equine hepacivirus (EqHV, NPHV identified in horses) has been identified in horses in several countries. However, no epidemiological studies have investigated EqHV in horses in Korea. In this study, a total of 74 (n=74) serum samples collected from horses in four regions of Korea were tested for EqHV RNA...
Equine viral arteritis in breeding and sport horses in central Spain.
Research in veterinary science    January 27, 2017   Volume 115 88-91 doi: 10.1016/j.rvsc.2017.01.022
Cruz-Lopez F, Newton R, Sanchez-Rodriguez A, Ireland J, Mughini-Gras L, Moreno MA, Fores P.Equine viral arteritis (EVA) may have a high economic impact on breeding stud farms due to the occurrence of EVA-associated abortion outbreaks and the ability of the virus to persist in carrier stallions. While the consequences of EVA in premises with sport horses are usually less severe, the first confirmed outbreak of EVA in Spain occurred in a riding club in Barcelona, but no data on the seroprevalence of EVA in sport horses have been reported in Spain. Given the importance of both Spanish Purebred (SP) breeding horses and sport horses for Spain's equine industry, the aim of this study was ...
Detection of Schmallenberg virus antibody in equine population of Northern and Northeast of Iran.
Veterinary world    January 18, 2017   Volume 11, Issue 1 30-33 doi: 10.14202/vetworld.2018.30-33
Rasekh M, Sarani A, Hashemi SH.Schmallenberg virus (SBV) is a newly emerging virus in Simbu group that 1 time is reported in 2011 in Germany and now spread to Europe. The clinical signs of infection to this virus are fever, loss of appetite, reduced milk yield and in some cases, diarrhea and in pregnant animals congenital malformations in calves, lambs, and kid goats. Methods: In this study for a serologic survey of SBV, blood samples from 200 horse in different rural areas of the northern and northeast of Iran with the high equine population collected and were analyzed using an indirect ELISA test. Results: Based on our re...
Seroprevalence and risk factors for infection with equine coronavirus in healthy horses in the USA.
Veterinary journal (London, England : 1997)    January 12, 2017   Volume 220 91-94 doi: 10.1016/j.tvjl.2017.01.007
Kooijman LJ, James K, Mapes SM, Theelen MJ, Pusterla N.Equine coronavirus (ECoV) is considered an enteric pathogen of foals and has only recently been associated with infections in adult horses. Seroprevalence data is needed to better understand the epidemiology of ECoV in adult horses, evaluate diagnostic modalities and develop preventive measures. The objective of this study was to investigate the seroprevalence and selective risk factors for ECoV in 5247 healthy adult horses in the USA, using a recently established and validated IgG enzyme-linked immunosorbent assay. Prevalence factors analysed in this study included geographic region, age, bre...
Horses infected by Piroplasms different from Babesia caballi and Theileria equi: species identification and risk factors analysis in Italy.
Veterinary parasitology    January 11, 2017   Volume 236 38-41 doi: 10.1016/j.vetpar.2017.01.003
Zanet S, Bassano M, Trisciuoglio A, Taricco I, Ferroglio E.Equine Piroplasmosis (EP) caused by Theileria equi and Babesia caballi is a disease affecting the health and the international movement of horses. In order to assess prevalence of Piroplasmid infection in the Northwestern part of Italy and to evaluate the associated risk factors, whole blood was collected from 135 horses from 7 different stables across the study area. PCR and sequencing were used to assess prevalence of infection and to identify detected Piroplasms to species level. A total of 23 horses (P=17.04%; CI95%: 10.70-23.38%) was found to be infected with Piroplasms and T. equi was th...
A Point Mutation in a Herpesvirus Co-Determines Neuropathogenicity and Viral Shedding.
Viruses    January 10, 2017   Volume 9, Issue 1 6 doi: 10.3390/v9010006
Franz M, Goodman LB, Van de Walle GR, Osterrieder N, Greenwood AD.A point mutation in the DNA polymerase gene in equine herpesvirus type 1 (EHV-1) is one determinant for the development of neurological disease in horses. Three recently conducted infection experiments using domestic horses and ponies failed to detect statistically significant differences in viral shedding between the neuropathogenic and non-neuropathogenic variants. These results were interpreted as suggesting the absence of a consistent selective advantage of the neuropathogenic variant and therefore appeared to be inconsistent with a systematic increase in the prevalence of neuropathogenic ...
Equine disease surveillance: quarterly summary.
The Veterinary record    January 8, 2017   Volume 180, Issue 1 11-14 doi: 10.1136/vr.j57
of surveillance testing, July to September 2016International disease occurrence in the third quarter of 2016These are among matters discussed in the most recent quarterly equine disease surveillance report, prepared by Defra, the Animal Health Trust and the British Equine Veterinary Association.
Molecular characterization of Rhodococcus equi isolates in equines.
Veterinary world    January 5, 2017   Volume 10, Issue 1 6-10 doi: 10.14202/vetworld.2017.6-10
Javed R, Taku AK, Sharma RK, Badroo GA.The aim was to determine the occurrence of in equines and their environment in Jammu (R.S. Pura, Katra), molecular characterization and to determine the antibiotic resistance pattern of . Methods: A total of 96 nasopharyngeal swab samples were collected from equines. The organism was isolated on Columbia nalidixic acid agar containing 5% sheep blood as well as on sheep blood agar and was later confirmed by cultural characteristics and biochemical tests. Molecular detection of isolates was done by gene amplification followed by virulence associated protein A () gene amplification. Antibiogra...
Status of babesiosis among domestic herbivores in Iran: a systematic review and meta-analysis.
Parasitology research    January 4, 2017   Volume 116, Issue 4 1101-1109 doi: 10.1007/s00436-016-5368-8
Haghi MM, Etemadifar F, Fakhar M, Teshnizi SH, Soosaraei M, Shokri A, Hajihasani A, Mashhadi H.Babesiosis is a protozoal disease caused by Babesia spp. in mammals and humans worldwide. It is one of the most important tick-borne diseases, which affects livestock productions, reproductions, and accordingly failing economy. In this, systematic review and meta-analysis, study, the prevalence of babesiosis among domestic herbivores in Iran, between 1998 and 2015, was methodically reviewed. Nine databases including five English and four Persian databases were explored. A total of 49 articles, as regards the examination of 13,547 sheep, 1920 goats, 7167 cattle, and 940 horses, corresponding to...
Activity of Culicoides spp. (Diptera: Ceratopogonidae) inside and outside of livestock stables in late winter and spring.
Parasitology research    January 4, 2017   Volume 116, Issue 3 881-889 doi: 10.1007/s00436-016-5361-2
Kameke D, Kampen H, Walther D.Culicoides Latreille, 1809 midge species are the putative vectors of Bluetongue virus (BTV) and Schmallenberg virus (SBV) in Europe. To gain a better understanding of the epidemiology of the diseases, basic knowledge about the overwintering of the vectors is needed. Therefore, we investigated culicoid activity in relation to air temperature at livestock stables during late winter and spring season. Ceratopogonids were captured weekly indoors and outdoors on three cattle farms, three horse farms and one sheep farm in the federal state of Brandenburg, Germany between January and May, 2015 by BG-...
Serosurvey of anti-Toxoplasma gondii antibodies in sport horses from Paraiba state, Northeastern Brazil.
Acta parasitologica    December 29, 2016   Volume 62, Issue 1 225-227 doi: 10.1515/ap-2017-0028
Almeida JC, Vidotto O, Ferreira EP, Ribeiro LP, Mongruel AC, Vieira TS, Freire RL, Mota RA, Vieira RF.Although the infection by Toxoplasma gondii in horses is usually asymptomatic, it may be characterized by the presence of tissue cysts and maintenance of detectable antibody titers. The aim of this study was to detect anti-T.gondii antibodies and to determine risk factors associated in sport horses from Paraíba State, Northeastern Brazil. A total of 138 apparently healthy sport horses of different age and gender were sampled. Anti-Toxoplasma gondii antibodies were detected in 16/138 (11.6%; 95% CI: 6.77-18.14%) horses by indirect immunofluorescence antibody assay (IFA). A significant associat...
Prevalence and molecular characterization of Theileria equi and Babesia caballi in jereed horses in Erzurum, Turkey.
Acta parasitologica    December 29, 2016   Volume 62, Issue 1 207-213 doi: 10.1515/ap-2017-0025
Guven E, Avcioglu H, Deniz A, Balkaya İ, Abay U, Yavuz Ş, Akyüz M.Equine piroplasmosis (EP) is a hemoprotozoan tick-borne disease with worldwide distribution that is caused by Theileria equi and Babesia caballi. There are studies reporting the presence of equine piroplasmosis in Turkey but the situation in Erzurum is unknown. The aim of the current study was to determine the situation of equine piroplasmosis in jeered horses in Erzurum. Between April and August 2015, a total of 125 Arabian horse were examined and blood samples were collected. At the time of sampling, animals were also examined for tick infestations and clinical signs. Besides microscopic exa...
Australian Rotavirus Surveillance Program annual report, 2015.
Communicable diseases intelligence quarterly report    December 24, 2016   Volume 40, Issue 4 E527-E538 
Roczo-Farkas S, Kirkwood CD, Bines JE.The Australian Rotavirus Surveillance Program, together with collaborating laboratories Australia-wide, reports the rotavirus genotypes responsible for the hospitalisation of children with acute gastroenteritis during the period 1 January to 31 December 2015. During the survey period, 1,383 faecal samples were referred for rotavirus G and P genotype analysis, and of these, 1,031 were confirmed as rotavirus positive. A total of 634 specimens had been collected from children under 5 years of age, while 397 were from older children and adults. Genotype analysis of samples from both children an...
Evidence in Practice – A Pilot Study Leveraging Companion Animal and Equine Health Data from Primary Care Veterinary Clinics in New Zealand.
Frontiers in veterinary science    December 23, 2016   Volume 3 116 doi: 10.3389/fvets.2016.00116
Muellner P, Muellner U, Gates MC, Pearce T, Ahlstrom C, O'Neill D, Brodbelt D, Cave NJ.Veterinary practitioners have extensive knowledge of animal health from their day-to-day observations of clinical patients. There have been several recent initiatives to capture these data from electronic medical records for use in national surveillance systems and clinical research. In response, an approach to surveillance has been evolving that leverages existing computerized veterinary practice management systems to capture animal health data recorded by veterinarians. Work in the United Kingdom within the VetCompass program utilizes routinely recorded clinical data with the addition of fur...
Genotyping of friesian horses to detect a hydrocephalus-associated c.1423C>T mutation in B3GALNT2 using PCR-RFLP and PCR-PIRA methods: Frequency in stallion horses in México.
Molecular and cellular probes    December 21, 2016   Volume 32 69-71 doi: 10.1016/j.mcp.2016.12.005
Ayala-Valdovinos MA, Galindo-García J, Sánchez-Chiprés D, Duifhuis-Rivera T.Hydrocephalus in Friesian horses is an autosomal recessive hereditary disease that can result in an abortion, a stillbirth, or euthanization of a newborn foal. Here, the hydrocephalus-associated c.1423C > T mutation in B3GALNT2 gene was detected with PCR-RFLP and PCR-PIRA methods for horse genotyping. A preliminary genotyping survey was performed on 83 randomly selected Friesian stallion horses to determine the current allele frequency in Mexico. The frequency of the mutant T allele was 9.6%.
Locally Acquired Eastern Equine Encephalitis Virus Disease, Arkansas, USA.
Emerging infectious diseases    December 15, 2016   Volume 22, Issue 12 2216-2217 doi: 10.3201/eid2212.160844
Garlick J, Lee TJ, Shepherd P, Linam WM, Pastula DM, Weinstein S, Schexnayder SM.No abstract available
Early detection of West Nile virus in France: quantitative assessment of syndromic surveillance system using nervous signs in horses.
Epidemiology and infection    December 12, 2016   Volume 145, Issue 5 1044-1057 doi: 10.1017/S0950268816002946
Faverjon C, Vial F, Andersson MG, Lecollinet S, Leblond A.West Nile virus (WNV) is a growing public health concern in Europe and there is a need to develop more efficient early detection systems. Nervous signs in horses are considered to be an early indicator of WNV and, using them in a syndromic surveillance system, might be relevant. In our study, we assessed whether or not data collected by the passive French surveillance system for the surveillance of equine diseases can be used routinely for the detection of WNV. We tested several pre-processing methods and detection algorithms based on regression. We evaluated system performances using simulate...
Parasites Determined by Fecal Examination in Horses in Erzurum.
Turkiye parazitolojii dergisi    December 3, 2016   Volume 40, Issue 3 147-151 doi: 10.5152/tpd.2016.4792
Avcıoğlu H, Güven E, Balkaya İ, Yavuz Ş, Abay U, Akyüz M, Eltas Ö.This study aimed to determine the parasites present in horses belonging to the Erzurum Province. Methods: Fecal samples were collected from 76 horses of different ages, genders and breeds in Erzurum. Individual fecal samples were collected and examined by flotation and sedimentation methods. Results: The following species were detected: strongylid egg (57.89%), Parascaris equorum (10.52%), Dicrocoelium dendriticum (2.63%), Fasciola spp. (2.63%) eggs, and Eimeria spp. oocysts (5.26%). Conclusions: Equine animals are significantly infected with Strongylosis in the Erzurum Province, and effective...
Equine piroplasmosis in Kelantan, Malaysia: Clinicohemato-biochemical alterations in subclinically and clinically infected equids.
Tropical biomedicine    December 1, 2016   Volume 33, Issue 4 619-631 
Al-Obaidi QT, Mohd Mokhtar A, Al-Sultan II, Azlinda AB, Mohd Azam KGK.Equine piroplasmosis (EP) is global disease of equids affect the international movement of horses and their industry. This work was conducted on a random collection of blood samples from a total of 306 equids (horses and ponies) comprising both clinically healthy (n=276) and clinically suspected animals (n=30) for EP from 53 stables in eight districts at Kelantan, Malaysia. Competitive-inhibition enzyme linked immunosorbent test (cELISA) was applied to detect the antibodies for Theileria equi and Babesia caballi and their titers in the serum. Hemato-biochemical parameters were analyzed from bl...
Characterizing areas of potential human exposure to eastern equine encephalitis virus using serological and clinical data from horses.
Epidemiology and infection    December 1, 2016   Volume 145, Issue 4 667-677 doi: 10.1017/S0950268816002661
Rocheleau JP, Arsenault J, Ogden NH, Lindsay LR, Drebot M, Michel P.Eastern equine encephalitis (EEE) is a rare but severe emerging vector-borne disease affecting human and animal populations in the northeastern United States where it is endemic. Key knowledge gaps remain about the epidemiology of EEE virus (EEEV) in areas where its emergence has more recently been reported. In Eastern Canada, viral activity has been recorded in mosquitoes and horses throughout the 2000s but cases of EEEV in humans have not been reported so far. This study was designed to provide an assessment of possible EEEV human exposure by modelling environmental risk factors for EEEV in ...
Seroprevalence and spatial distribution of Toxoplasma gondii infection in cats, dogs, pigs and equines of the Fernando de Noronha Island, Brazil.
Parasitology international    November 25, 2016   Volume 66, Issue 2 43-46 doi: 10.1016/j.parint.2016.11.014
Magalhães FJR, Ribeiro-Andrade M, Souza FM, Lima Filho CDF, Biondo AW, Vidotto O, Navarro IT, Mota RA.Little is known about toxoplasmosis in animals of the Fernando de Noronha Island, Brazil. Therefore, we investigated the prevalence of Toxoplasma gondii infection in the total population of pet cats (n=348), dogs (n=320), pigs (n=27), equines (n=101), as well as a significant portion of the population of feral cats (n=247) of the Island by Indirect Fluorescent Antibody Test. Anti-T. gondii IgG antibodies were found in 71.26%, 54.74%, 48.75%, 51.85% and 22.7%, of the pet and feral cats, dogs, pigs and equines, respectively, demonstrating a high prevalence of T. gondii infection in the wild and ...
Prevalence of Equine Hepacivirus Infections in France and Evidence for Two Viral Subtypes Circulating Worldwide.
Transboundary and emerging diseases    November 24, 2016   Volume 64, Issue 6 1884-1897 doi: 10.1111/tbed.12587
Pronost S, Hue E, Fortier C, Foursin M, Fortier G, Desbrosse F, Rey FA, Pitel PH, Richard E, Saunier B.Like hepatitis C virus (HCV) in humans, the newly identified equine hepacivirus (NPHV) displays a predominating liver tropism that may evolve into chronic infections. The genomes of the two viruses share several organizational and functional features and are phylogenetically closest amongst the Hepacivirus genus. A limited amount of data is available regarding the spread of hepacivirus infections in horses. In this study, we asked whether in a more representative sample the prevalence and distribution of NPHV infections in France would resemble that reported so far in other countries. A total ...
High Diversity of Genogroup I Picobirnaviruses in Mammals.
Frontiers in microbiology    November 23, 2016   Volume 7 1886 doi: 10.3389/fmicb.2016.01886
Woo PC, Teng JL, Bai R, Wong AY, Martelli P, Hui SW, Tsang AK, Lau CC, Ahmed SS, Yip CC, Choi GK, Li KS, Lam CS, Lau SK, Yuen KY.In a molecular epidemiology study using 791 fecal samples collected from different terrestrial and marine mammals in Hong Kong, genogroup I picobirnaviruses (PBVs) were positive by RT-PCR targeting the partial RdRp gene in specimens from five cattle, six monkeys, 17 horses, nine pigs, one rabbit, one dog, and 12 California sea lions, with 11, 9, 23, 17, 1, 1, and 15 sequence types in the positive specimens from the corresponding animals, respectively. Phylogenetic analysis showed that the PBV sequences from each kind of animal were widely distributed in the whole tree with high diversity, shar...
Disease and pharmacologic risk factors for first and subsequent episodes of equine laminitis: A cohort study of free-text electronic medical records.
Preventive veterinary medicine    November 22, 2016   Volume 136 11-18 doi: 10.1016/j.prevetmed.2016.11.012
Welsh CE, Duz M, Parkin TDH, Marshall JF.Electronic medical records from first opinion equine veterinary practice may represent a unique resource for epidemiologic research. The appropriateness of this resource for risk factor analyses was explored as part of an investigation into clinical and pharmacologic risk factors for laminitis. Amalgamated medical records from seven UK practices were subjected to text mining to identify laminitis episodes, systemic or intra-synovial corticosteroid prescription, diseases known to affect laminitis risk and clinical signs or syndromes likely to lead to corticosteroid use. Cox proportional hazard ...
Multiple-locus variable-number tandem repeat analysis potentially reveals the existence of two groups of Anaplasma phagocytophilum circulating in cattle in France with different wild reservoirs.
Parasites & vectors    November 22, 2016   Volume 9, Issue 1 596 doi: 10.1186/s13071-016-1888-4
Dugat T, Zanella G, Véran L, Lesage C, Girault G, Durand B, Lagrée AC, Boulouis HJ, Haddad N.Anaplasma phagocytophilum is the causative agent of tick-borne fever, a disease with high economic impact for domestic ruminants in Europe. Epidemiological cycles of this species are complex, and involve different ecotypes circulating in various host species. To date, these epidemiological cycles are poorly understood, especially in Europe, as European reservoir hosts (i.e. vertebrate hosts enabling long-term maintenance of the bacterium in the ecosystem), of the bacterium have not yet been clearly identified. In this study, our objective was to explore the presence, the prevalence, and the ge...
Seroprevalence of West Nile virus antibodies in equids in the North-East of Algeria and detection of virus circulation in 2014.
Comparative immunology, microbiology and infectious diseases    November 15, 2016   Volume 50 8-12 doi: 10.1016/j.cimid.2016.11.005
West Nile fever (WNF) is a viral disease of wild birds transmitted by mosquitoes. Humans and equids can also be affected and suffer from meningoencephalitis. In Algeria, since the 1994 epidemic, no data on WNV circulation was available until 2012. In September 2012, a fatal human case of WNV neuro-invasive infection occurred in Jijel province. This study describes the first seroprevalence study of West Nile virus (WNV) antibodies conducted in the equine population in Algeria. During 2014, serum samples were collected from 293 equids (222 donkeys and 71 horses) asymptomatic and unvaccinated for...
Complete Genome Sequencing and Phylogenetic Analysis of a Getah Virus Strain (Genus Alphavirus, Family Togaviridae) Isolated from Culex tritaeniorhynchus Mosquitoes in Nagasaki, Japan in 2012.
Vector borne and zoonotic diseases (Larchmont, N.Y.)    November 9, 2016   Volume 16, Issue 12 769-776 doi: 10.1089/vbz.2016.2017
Kobayashi D, Isawa H, Ejiri H, Sasaki T, Sunahara T, Futami K, Tsuda Y, Katayama Y, Mizutani T, Minakawa N, Ohta N, Sawabe K.Getah virus (GETV; genus Alphavirus, family Togaviridae) is a mosquito-borne virus known to cause disease in horses and pigs. In 2014, for the first time in ∼30 years, a sudden GETV outbreak occurred among racehorses in Ibaraki, Japan. Two years before this outbreak, we obtained multiple GETV isolates from Culex tritaeniorhynchus mosquitoes collected in Nagasaki, Japan and determined the whole genome sequence of GETV isolate 12IH26. Our phylogenetic analysis of GETV strains revealed that the isolate 12IH26 forms a robust clade with the epidemic strains 14-I-605-C1 and 14-I-605-C2 isolated fr...
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