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Topic:Disease Surveillance

Disease surveillance in horses involves the systematic collection, analysis, and interpretation of health data to monitor and manage equine diseases. This process aids in the early detection of outbreaks, tracking of disease trends, and evaluation of control measures. Surveillance systems may incorporate various data sources, including clinical reports, laboratory testing, and field observations. These systems can focus on infectious diseases, such as equine influenza and West Nile virus, or non-infectious conditions affecting horse populations. This page compiles peer-reviewed research studies and scholarly articles that explore methodologies, technologies, and outcomes associated with disease surveillance in equine populations.
Incidence of disease, injury and death in Thoroughbred foals and yearlings on stud farms in the UK and Ireland.
The Veterinary record    May 14, 2023   Volume 192, Issue 12 e2994 doi: 10.1002/vetr.2994
Mouncey R, Arango-Sabogal JC, de Mestre AM, Verheyen KL.Up-to-date estimates of early-life morbidity and mortality in Thoroughbreds are lacking. Methods: A birth cohort was established on Thoroughbred stud farms across the UK and Ireland. All veterinary interventions for disease or injury between birth and 18 months of age or leaving the study were recorded. Multilevel Poisson regression models with farm and foal as random effects were fitted to estimate incidence rates. Results: Data were available for 3328 foal-months at risk for 275 foals on seven farms. The overall rates of disease and injury requiring veterinary intervention and mortality were...
Identification of infection by Leishmania spp. in wild and domestic animals in Brazil: a systematic review with meta-analysis (2001-2021).
Parasitology research    May 8, 2023   Volume 122, Issue 7 1605-1619 doi: 10.1007/s00436-023-07862-y
Ratzlaff FR, Osmari V, da Silva D, de Paula Vasconcellos JS, Pötter L, Fernandes FD, de Mello Filho JA, de Avila Botton S, Vogel FSF, Sangioni LA.Leishmaniasis is a zoonosis caused by protozoan species of the genus Leishmania. It generates different clinical manifestations in humans and animals, and it infects multiple hosts. Leishmania parasites are transmitted by sandfly vectors. The main objective of this systematic review was to identify the host, or reservoir animal species, of Leishmania spp., with the exception of domestic dogs, that were recorded in Brazil. This review included identification of diagnostic methods, and the species of protozoan circulating in the country. For this purpose, a literature search was conducted across...
Serological and Bacteriological Surveillance of Glanders Among Horses in Central Region of Iran.
Journal of equine veterinary science    April 30, 2023   Volume 127 104535 doi: 10.1016/j.jevs.2023.104535
Dehghan Rahimabadi P, Nazari A, Kamyabi M, Mosavari N.Glanders is the oldest and very contagious disease among horses caused by Burkholderia mallei. The disease occurs as a chronic form in horses. Hence, because of the prolonged shedding, numerous horses can potentially get infected by one horse with glanders. Glanders is endemic in Iran and this causes occasional occurrence in horse population of the country. The aim of this study was to determine the incidence of B.mallei infection in horses in two central provinces of Iran. A total of 517 serum samples were collected from stable horses in Tehran and Alborz provinces. Among the studied horses, ...
Horses as Sentinels for the Circulation of Flaviviruses in Eastern-Central Germany.
Viruses    April 30, 2023   Volume 15, Issue 5 1108 doi: 10.3390/v15051108
Gothe LMR, Ganzenberg S, Ziegler U, Obiegala A, Lohmann KL, Sieg M, Vahlenkamp TW, Groschup MH, Hörügel U, Pfeffer M.Since 2018, autochthonous West Nile virus (WNV) infections have been regularly reported in eastern-central Germany. While clinically apparent infections in humans and horses are not frequent, seroprevalence studies in horses may allow the tracing of WNV and related flaviviruses transmission, such as tick-borne encephalitis virus (TBEV) and Usutu virus (USUV), and consequently help to estimate the risk of human infections. Hence, the aim of our study was to follow the seropositive ratio against these three viruses in horses in Saxony, Saxony Anhalt, and Brandenburg and to describe their geograp...
Factors Influencing Equine Affiliate Opinion on Reporting of Equine Strangles in the United States.
Journal of equine veterinary science    April 28, 2023   Volume 128 104534 doi: 10.1016/j.jevs.2023.104534
Martin KH, Redding LE, Boyle AG.Although equine strangles is reportable in all states, synchronous reporting of this disease does not occur across the country. States have variable regulations on reporting (actionable, notifiable, and monitored) and no mandatory comprehensive databases exist for tracking prevalence. In this study, which is a companion to our recent publication on veterinarians' opinions on this topic, we solicited equine affiliates' (including horse owners, horse business owners/trainers, breeders, and barn managers) opinions on reporting of strangles and factors influencing their opinion. A total of 518 equ...
Molecular detection of Burkholderia mallei in different geographic regions of Brazil.
Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology]    April 19, 2023   Volume 54, Issue 2 1275-1285 doi: 10.1007/s42770-023-00965-9
Suniga PAP, Mantovani C, Santos MG, Rieger JSG, Gaspar EB, Dos Santos FL, Mota RA, Chaves KP, Egito AA, Filho JCO, Nassar AFC, Dos Santos LR....Glanders is a contagious disease of equids caused by the Gram-negative bacterium Burkholderia mallei. In Brazil, the disease is considered to be reemerging and has been expanding, with records of equids with positive serology in most of the federative units. However, there are few reports describing the genotypic detection of the agent. This study demonstrated the detection of B. mallei by species-specific PCR directly from tissues or from bacterial cultures, followed by amplicon sequencing in equids (equines, mules, and asinines) with positive serology for glanders in all five geographic regi...
Equine Brucellosis: Current Understanding and Challenges.
Journal of equine veterinary science    April 16, 2023   Volume 127 104298 doi: 10.1016/j.jevs.2023.104298
Dorneles EMS, Santana JA, Costa ACTRB, Junqueira DG, Heinemann MB, Lage AP.Brucellosis in equines, including horses, donkeys, and mules, is characterized by abscesses in tendons, bursae, and joints. Reproductive disorders, which are common in other animals, are rare in both males and females. Joint breeding of horses, cattle, and pigs was found as the main risk factor for equine brucellosis, with the transmission from equines to cattle or among equines possible, although unlikely. Hence, evaluation of the disease in equines can be considered an indirect indicator of the effectiveness of brucellosis control measures employed for other domestic species. Generally, the ...
Tracking the Source of Human Q Fever from a Southern French Village: Sentinel Animals and Environmental Reservoir.
Microorganisms    April 13, 2023   Volume 11, Issue 4 1016 doi: 10.3390/microorganisms11041016
Laidoudi Y, Rousset E, Dessimoulie AS, Prigent M, Raptopoulo A, Huteau Q, Chabbert E, Navarro C, Fournier PE, Davoust B., also known as the causal agent of Q fever, is a zoonotic pathogen infecting humans and several animal species. Here, we investigated the epidemiological context of from an area in the Hérault department in southern France, using the One Health paradigm. In total, 13 human cases of Q fever were diagnosed over the last three years in an area comprising four villages. Serological and molecular investigations conducted on the representative animal population, as well as wind data, indicated that some of the recent cases are likely to have originated from a sheepfold, which revealed bacterial c...
Development and evaluation of a blocking ELISA for serological diagnosis of equine infectious anemia.
Applied microbiology and biotechnology    April 11, 2023   Volume 107, Issue 10 3305-3317 doi: 10.1007/s00253-023-12504-5
Hu Z, Guo K, Du C, Sun J, Naletoski I, Chu X, Lin Y, Wang X, Barrandeguy M, Samuel M, Wang W, Lau PI, Wernery U, Raghavan R, Wang X.Equine infectious anemia (EIA) is an important viral disease characterized by persistent infection in equids worldwide. Most EIA cases are life-long virus carriers with low antibody reactions and without the appearance of clinical symptoms. A serological test with high sensitivity and specificity is required to detect inapparent infection. In this study, a B-cell common epitope-based blocking ELISA (bELISA) was developed using a monoclonal antibody together with the EIAV p26 protein labelled with HRP. The test has been evaluated against the standard and with field serum samples globally. This ...
First Detection of Anti-Besnoitia spp. Antibodies in Equids in Israel and the Palestinian Authority.
Microorganisms    April 3, 2023   Volume 11, Issue 4 929 doi: 10.3390/microorganisms11040929
Berman N, Tirosh-Levy S, Steinman A, Minderigiu A, Blinder E, Leszkowicz Mazuz M. is a tissue cyst forming coccidia, which affects multiple host species worldwide. Equine besnoitiosis is characterized mainly by generalized skin lesions and cysts in the scleral conjunctiva. Recent reports revealed exposure to in equines in Europe and the United States. However, the exposure to spp. in the Israeli equine population was never investigated. The aim of this study was to evaluate the seroprevalence and associated risk factors for besnoitiosis in equids in Israel. A cross-sectional serosurvey was performed using serum samples of apparently healthy horses ( = 347), donkeys ( = 9...
Prevalence of serum and salivary virus-neutralizing antibodies against equine coronavirus in four riding stables in Japan.
Journal of equine science    March 24, 2023   Volume 34, Issue 1 13-18 doi: 10.1294/jes.34.13
Bannai H, Kambayashi Y, Ohta M, Nemoto M, Tsujimura K.To assess the prevalence of equine coronavirus infection in riding horses, virus-neutralizing tests were performed on serum and saliva samples collected at four facilities in Japan. Seropositivity rates ranged from 79.2% to 94.6%, suggesting widespread circulation of the virus in these populations. Antibody prevalence in saliva samples from two facilities that had experienced outbreaks in the previous year (67.6% and 71.4%) was significantly higher than at the other facilities without reported outbreaks (41.7% and 45.2%, P<0.05). The presence of salivary antibodies in a high proportion of h...
Animals Exposed to Leptospira Serogroups Not Included in Bacterins in the United States and Puerto Rico.
Tropical medicine and infectious disease    March 22, 2023   Volume 8, Issue 3 doi: 10.3390/tropicalmed8030183
Anderson T, Hamond C, Haluch A, Toot K, Nally JE, LeCount K, Schlater LK.Leptospirosis is a worldwide zoonotic disease. Pathogenic leptospires colonize the renal tubules and genital tract of animals and are excreted via urine. Transmission occurs via direct contact or through contaminated water or soil. The microscopic agglutination test (MAT) is the gold standard for the serodiagnosis of leptospirosis. The present study aims to evaluate animal exposure to Leptospira in the U.S. and Puerto Rico during the period 2018-2020. The presence of antibodies against pathogenic Leptospira spp. was assessed with the MAT according to the standards of the World Organisation for...
Equine disease surveillance: quarterly update.
The Veterinary record    March 18, 2023   Volume 192, Issue 6 doi: 10.1002/vetr.2861
No abstract available
Striving towards access to essential medicines for human and animal health; a situational analysis of access to and use of antifungal medications for histoplasmosis in Ethiopia.
PloS one    March 9, 2023   Volume 18, Issue 3 e0278964 doi: 10.1371/journal.pone.0278964
Robertson E, Abera C, Wood K, Deressa K, Mesfin S, Scantlebury C.Antifungal medications are vital in combatting fungal diseases that affect over a billion people annually. Antifungal medications for people and equids are scarce in Ethiopia, where lack of resources to treat fungal infection, in particular histoplasmosis, is a major health challenge. Histoplasmosis is endemic within the equine population in Ethiopia, where it is estimated that one in five horses are infected. This disease has far reaching impacts on equine welfare and the socio-economic wellbeing of families. The burden of histoplasmosis in people in Ethiopia is currently unknown, representin...
Mapping Eastern (EEE) and Venezuelan Equine Encephalitides (VEE) among Equines Using Geographical Information Systems, Colombia, 2008-2019.
Viruses    March 8, 2023   Volume 15, Issue 3 707 doi: 10.3390/v15030707
Bonilla-Aldana DK, Bonilla Carvajal CD, Moreno-Ramos E, Barboza JJ, Rodriguez-Morales AJ.Eastern equine encephalitis virus (EEEV) and Venezuelan equine encephalitis virus (VEEV) viruses are zoonotic pathogens affecting humans, particularly equines. These neuroarboviruses compromise the central nervous system and can be fatal in different hosts. Both have significantly influenced Colombia; however, few studies analyse its behaviour, and none develop maps using geographic information systems to characterise it. To describe the temporal-spatial distribution of those viruses in Colombia between 2008 and 2019. Retrospective cross-sectional descriptive study, based on weekly reports by ...
The first report of macrocyclic lactone resistant cyathostomins in the UK.
International journal for parasitology. Drugs and drug resistance    March 7, 2023   Volume 21 125-130 doi: 10.1016/j.ijpddr.2023.03.001
Bull KE, Allen KJ, Hodgkinson JE, Peachey LE.In recent years, resistance to the benzimidazole (BZ) and tetrahydropyrimidine (PYR) anthelmintics in global cyathostomin populations, has led to reliance on the macrocyclic lactone drugs (ML-of which ivermectin and moxidectin are licensed in horses) to control these parasites. Recently, the first confirmed case of resistance to both ivermectin (IVM) and moxidectin (MOX) was reported in the USA in yearlings imported from Ireland. This suggests that ML resistance in cyathostomins has emerged, and raises the possibility that regular movement of horses may result in rapid spread of ML resistant c...
Dynamics of Eastern equine encephalitis virus during the 2019 outbreak in the Northeast United States.
medRxiv : the preprint server for health sciences    March 6, 2023   2023.03.06.23286851 doi: 10.1101/2023.03.06.23286851
Hill V, Koch RT, Bialosuknia SM, Ngo K, Zink SD, Koetzner CA, Maffei JG, Dupuis AP, Backenson PB, Oliver J, Bransfield AB, Misencik MJ, Petruff TA....Eastern equine encephalitis virus (EEEV) causes a rare but severe disease in horses and humans, and is maintained in an enzootic transmission cycle between songbirds and mosquitoes. In 2019, the largest EEEV outbreak in the United States for more than 50 years occurred, centered in the Northeast. To explore the dynamics of the outbreak, we sequenced 80 isolates of EEEV and combined them with existing genomic data. We found that, like previous years, cases were driven by frequent short-lived virus introductions into the Northeast from Florida. Once in the Northeast, we found that Massachusetts...
Internal audits as a tool to assess the compliance with biosecurity rules in a veterinary faculty.
Frontiers in veterinary science    March 2, 2023   Volume 10 960051 doi: 10.3389/fvets.2023.960051
Humblet MF, Saegerman C.The present paper proposes a tool to follow up the compliance of staff and students with biosecurity rules, as enforced in a veterinary faculty, i.e., animal clinics, teaching laboratories, dissection rooms, and educational pig herd and farm. Unassigned: Starting from a generic list of items gathered into several categories (personal dress and equipment, animal-related items, infrastructures, waste management, management of material/equipment and behavior), a checklist was created for each sector/activity mentioned above, based on the rules and procedures compiled in the Faculty biosecurity st...
The first genomic insight into Chlamydia psittaci sequence type (ST)24 from a healthy captive psittacine host in Australia demonstrates evolutionary proximity with strains from psittacine, human, and equine hosts.
Veterinary microbiology    February 23, 2023   Volume 280 109704 doi: 10.1016/j.vetmic.2023.109704
White RT, Jelocnik M, Klukowski N, Haque MH, Sarker S.Chlamydia psittaci is a zoonotic pathogen that infects birds, humans, and other mammals. Notably, recent studies suggested the human-to-human transmission of C. psittaci, and this pathogen also causes equine reproductive loss in Australia. Molecular studies in Australia to date have focused on and described clonal sequence type (ST)24 strains infecting horses, wild psittacine, and humans. In contrast, the genetic identity of C. psittaci strains from captive psittacine hosts is scarce. In 2022, C. psittaci was detected in the faeces of a healthy captive blue-fronted parrot (Amazona aestiva). Ge...
West Nile, Sindbis and Usutu Viruses: Evidence of Circulation in Mosquitoes and Horses in Tunisia.
Pathogens (Basel, Switzerland)    February 21, 2023   Volume 12, Issue 3 360 doi: 10.3390/pathogens12030360
M'ghirbi Y, Mousson L, Moutailler S, Lecollinet S, Amaral R, Beck C, Aounallah H, Amara M, Chabchoub A, Rhim A, Failloux AB, Bouattour A.Mosquito-borne diseases have a significant impact on humans and animals and this impact is exacerbated by environmental changes. However, in Tunisia, surveillance of the West Nile virus (WNV) is based solely on the surveillance of human neuroinvasive infections and no study has reported mosquito-borne viruses (MBVs), nor has there been any thorough serological investigation of anti-MBV antibodies in horses. This study therefore sought to investigate the presence of MBVs in Tunisia. Among tested mosquito pools, infections by WNV, Usutu virus (USUV), and Sindbis virus (SINV) were identified in ....
Surveillance of Contagious Equine Metritis: Results of the First 5-Year Period of French Proficiency Tests for Taylorella equigenitalis Detection by Real-Time PCR.
Journal of equine veterinary science    February 14, 2023   Volume 126 104248 doi: 10.1016/j.jevs.2023.104248
Petry S, Breuil MF, Duquesne F.Contagious equine metritis (CEM) detection by PCR is recognized by the European Union according to Commission Implementing Regulation (EU) No 846/2014, and real-time PCR is now recommended by the World Organisation for Animal Health Terrestrial Manual at the same level as the culture method. The present study highlights the creation of an efficient network of approved laboratories in France in 2017 for CEM detection by real-time PCR. The network currently consists of 20 laboratories. A first proficiency test (PT) was organized by the national reference laboratory for CEM in 2017 to evaluate th...
Investigation of the EHV-1 Genotype (N752, D752, and H752) in Swabs Collected From Equids With Respiratory and Neurological Disease and Abortion From the United States (2019-2022).
Journal of equine veterinary science    February 10, 2023   Volume 123 104244 doi: 10.1016/j.jevs.2023.104244
Pusterla N, Barnum S, Lawton K, Wademan C, Corbin R, Hodzic E.Contemporary data on equine herpesvirus-1 (EHV-1) genotype (non-neuropathogenic or N, neuropathogenic or D and new variant or H) in clinically diseased equids is important in order to determine the frequency of these genotypes and their association with disease expression. A total of 297 EHV-1 qPCR-positive swabs collected from 2019 to 2022 from horses with respiratory disease (EHV-1), neurological disease (equine herpesvirus-1 myeloencephalopathy [EHM]) and abortion were tested for the three different EHV-1 genotypes (N, D and H) using qPCR allelic discrimination assays. All submissions origi...
Equine Rotaviral Diarrhea.
The Veterinary clinics of North America. Equine practice    February 1, 2023   Volume 39, Issue 1 47-54 doi: 10.1016/j.cveq.2022.11.003
Kopper JJ.Equine rotavirus is one of the most common causes of infectious diarrhea in foals. Although the infection itself is self-limiting, the resulting diarrhea is due to multiple mechanisms and can be severe, requiring supportive care including fluid and electrolyte support. Prompt diagnosis is important for treatment and biosecurity decisions and can be achieved by several means. Prevention, while imperfect, currently relies on vaccination of pregnant mares before parturition, ingestion of adequate colostrum from vaccinated mares and biosecurity measures.
Potomac Horse Fever.
The Veterinary clinics of North America. Equine practice    February 1, 2023   Volume 39, Issue 1 37-45 doi: 10.1016/j.cveq.2022.11.010
Taylor SD.Potomac horse fever (PHF) is a common cause of equine colitis in endemic areas. Until recently, the only causative agent known to cause PHF was Neorickettsia risticii. However, N. findlayensis has been isolated from affected horses. Horses typically become infected upon ingestion of Neorickettsia spp.-infected trematodes within aquatic insects. The most common clinical signs include diarrhea, fever, anorexia, lethargy and colic. The diagnostic test of choice for PHF is PCR of blood and feces. Tetracyclines remain an effective treatment. Supportive care, including fluid therapy, colloid ad...
Arboviruses in Mammals in the Neotropics: A Systematic Review to Strengthen Epidemiological Monitoring Strategies and Conservation Medicine.
Viruses    February 1, 2023   Volume 15, Issue 2 417 doi: 10.3390/v15020417
García-Romero C, Carrillo Bilbao GA, Navarro JC, Martin-Solano S, Saegerman C.Arthropod-borne viruses (arboviruses) are a diverse group of ribonucleic acid (RNA) viruses, with the exception of African swine fever virus, that are transmitted by hematophagous arthropods to a vertebrate host. They are the important cause of many diseases due to their ability to spread in different environments and their diversity of vectors. Currently, there is no information on the geographical distribution of the diseases because the routes of transmission and the mammals (wild or domestic) that act as potential hosts are poorly documented or unknown. We conducted a systematic review fro...
PCR detection of Theileria equi and Babesia caballi in apparently healthy horses in Paraguay.
Veterinary parasitology, regional studies and reports    January 29, 2023   Volume 39 100835 doi: 10.1016/j.vprsr.2023.100835
Ahedor B, Sivakumar T, Valinotti MFR, Otgonsuren D, Yokoyama N, Acosta TJ.Equine piroplasmosis (EP) is a tick-borne disease caused by Theileria equi and Babesia caballi in equids, including horses. EP has a global distribution and often leads to a significant socioeconomic impact on the equine industry. Infected animals remain as carriers and become a source of infection for tick vectors, thereby posing an immense challenge in the disease management. Therefore, detection of these carriers is crucial to assess the risk of transmission and to implement appropriate control measures in endemic countries. Paraguay is a tropical country where various tick-borne diseases a...
Voluntary Surveillance Program for Equine Influenza Virus in the United States during 2008-2021.
Pathogens (Basel, Switzerland)    January 27, 2023   Volume 12, Issue 2 192 doi: 10.3390/pathogens12020192
Chappell DE, Barnett DC, James K, Craig B, Bain F, Gaughan E, Schneider C, Vaala W, Barnum SM, Pusterla N.A voluntary upper respiratory biosurveillance program in the USA received 9740 nasal swab submissions during the years 2008-2021 from 333 veterinarians and veterinary clinics. The nasal swabs were submitted for qPCR testing for six common upper respiratory pathogens:equine influenza virus (EIV), equine herpesvirus-1 (EHV-1), equine herpesvirus-4 (EHV-4), subspecies (), equine rhinitis A virus (ERAV), and equine rhinitis B virus (ERBV). Additional testing was performed for equine gamma herpesvirus-2 (EHV-2) and equine gamma herpesvirus-5 (EHV-5) and the results are reported. Basic frequency s...
Voluntary Biosurveillance of Streptococcus equi Subsp. equi in Nasal Secretions of 9409 Equids with Upper Airway Infection in the USA.
Veterinary sciences    January 20, 2023   Volume 10, Issue 2 78 doi: 10.3390/vetsci10020078
Jaramillo-Morales C, James K, Barnum S, Vaala W, Chappell DE, Schneider C, Craig B, Bain F, Barnett DC, Gaughan E, Pusterla N.This study aimed to describe selected epidemiological aspects of horses with acute onset of fever and respiratory signs testing qPCR-positive for and to determine the effect of vaccination against on qPCR status. Horses with acute onset of fever and respiratory signs from all regions of the United States were included in a voluntary biosurveillance program from 2008 to 2020 and nasal secretions were tested via qPCR for and common respiratory viruses. A total of 715/9409 equids (7.6%) tested qPCR-positive for , with 226 horses showing coinfections with EIV, EHV-1, EHV-4, and ERBV. The median...
A review of foodborne Toxoplasma gondii with a special focus on its prevalence in Pakistan from 2000 to 2022.
Frontiers in veterinary science    January 18, 2023   Volume 9 1080139 doi: 10.3389/fvets.2022.1080139
Qamar W, Alsayeqh AF.Third-world countries have a higher prevalence of food-related disorders than developed nations. Millions of people in underdeveloped countries are seriously at risk from the potential water supply contamination with protozoan diseases. is one of the important protozoans causing diseases in livestock and humans. Despite the standard tests for diagnosing this parasite and different treatment methods, the spread of these parasites is uncontrollable and rising every year due to other management disorders. In this review, we summarize etiopathogenesis and prevalence in Pakistan. We looked for pap...
Genomic Analysis of West Nile Virus Lineage 1 Detected in Mosquitoes during the 2020-2021 Outbreaks in Andalusia, Spain.
Viruses    January 17, 2023   Volume 15, Issue 2 266 doi: 10.3390/v15020266
Ruiz-López MJ, Muñoz-Chimeno M, Figuerola J, Gavilán AM, Varona S, Cuesta I, Martínez-de la Puente J, Zaballos Á, Molero F, Soriguer RC....Emerging infectious diseases are one of the most important global health challenges because of their impact on human and animal health. The vector-borne West Nile virus (WNV) is transmitted between birds by mosquitos, but it can also infect humans and horses causing disease. The local circulation of WNV in Spain has been known for decades, and since 2010, there have been regular outbreaks in horses, although only six cases were reported in humans until 2019. In 2020, Spain experienced a major outbreak with 77 human cases, which was followed by 6 additional cases in 2021, most of them in the An...
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