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Topic:Epidemiology

Epidemiology in horses involves the study of the distribution and determinants of health-related states and events in equine populations. It encompasses the investigation of patterns, causes, and effects of diseases and health conditions within horse populations. This field of study aims to identify risk factors for disease and targets for preventive healthcare. Key components of equine epidemiology include disease surveillance, outbreak investigation, and the study of disease dynamics within herds or regions. Research in this area often focuses on infectious diseases, zoonotic diseases, and the impact of environmental factors on equine health. This page compiles peer-reviewed research studies and scholarly articles that explore various aspects of epidemiology in horses, including disease prevalence, transmission pathways, and strategies for disease prevention and control.
Diagnosis and prevalence of Theileria equi horses in western Mexico by nested PCR.
Parasitology international    September 23, 2016   Volume 66, Issue 1 821-824 doi: 10.1016/j.parint.2016.09.011
Ayala-Valdovinos MA, Lemus-Flores C, Galindo-García J, Bañuelos-Pineda J, Rodríguez-Carpena JG, Sánchez-Chiprés D, Duifhuis-Rivera T.Theileria equi infection prevalence was calculated from 1000 blood samples obtained from apparently healthy horses in western Mexico. Samples were sent to the Animal Biotechnology Laboratory of the University of Guadalajara (Mexico) for T. equi diagnosis. Nested polymerase chain reaction (nPCR) was used as a diagnostic method to detect pathogen DNA. Using primers for the merozoite antigen-1 (EMA-1) gene, 19.70±2.47% of the horses (95% CI, 17.23-22.17%) tested positive for T. equi. There was no significant association between gender and T. equi infection. However, prevalence was higher among s...
Identification and characterization of a common B-cell epitope on EIAV capsid proteins.
Applied microbiology and biotechnology    September 23, 2016   Volume 100, Issue 24 10531-10542 doi: 10.1007/s00253-016-7817-9
Hu Z, Chang H, Chu X, Li S, Wang M, Wang X.The equine infectious anemia virus (EIAV) capsid protein (p26) is one of the major immunogenic proteins during EIAV infection and is widely used for the detection of EIAV antibodies in horses. However, few reports have described the use of EIAV-specific monoclonal antibodies (MAbs) in etiological and immunological detection. Previously, we developed an antigen capture enzyme-linked immunosorbent assay (AC-ELISA) for the quantification of the EIAV p26 protein level. However, the epitopes recognized by the MAbs were not identified, and the utilization of the MAbs needs to be evaluated. In this ...
Are horse age and incision length associated with surgical site infection following equine colic surgery?
Veterinary journal (London, England : 1997)    September 22, 2016   Volume 217 3-7 doi: 10.1016/j.tvjl.2016.09.004
Darnaud SJ, Southwood LL, Aceto HW, Stefanovski D, Tomassone L, Zarucco L.It is our clinical impression that age and incision length are more strongly associated with surgical site infection (SSI) following colic surgery than skin closure or wound protection method. Therefore, the objective of this observational clinical cohort study was to identify the risks for SSI in horses undergoing colic surgery. Data collection included pre-, intra-, and postoperative variables. Variables with P < 0.2 following univariable analysis were used in a logistic regression multivariable model. Variables with P <0.05 were included in the final model. Odds ratios (OR; 95% confid...
An Ecotype of Neorickettsia risticii Causing Potomac Horse Fever in Canada.
Applied and environmental microbiology    September 16, 2016   Volume 82, Issue 19 6030-6036 doi: 10.1128/AEM.01366-16
Xiong Q, Bekebrede H, Sharma P, Arroyo LG, Baird JD, Rikihisa Y.Neorickettsia (formerly Ehrlichia) risticii is an obligatory intracellular bacterium of digenetic trematodes. When a horse accidentally ingests aquatic insects containing encysted trematodes infected with N. risticii, the bacterium is transmitted from trematodes to horse cells and causes an acute and often fatal disease called Potomac horse fever (PHF). Since the discovery of N. risticii in the United States in 1984, using immunofluorescence and PCR assays, PHF has been increasingly recognized throughout North America and South America. However, so far, there exist only a few stable N. ristici...
A Serological Protein Microarray for Detection of Multiple Cross-Reactive Flavivirus Infections in Horses for Veterinary and Public Health Surveillance.
Transboundary and emerging diseases    September 15, 2016   Volume 64, Issue 6 1801-1812 doi: 10.1111/tbed.12569
Cleton NB, van Maanen K, Bergervoet SA, Bon N, Beck C, Godeke GJ, Lecollinet S, Bowen R, Lelli D, Nowotny N, Koopmans MPG, Reusken CBEM.The genus Flavivirus in the family Flaviviridae includes some of the most important examples of emerging zoonotic arboviruses that are rapidly spreading across the globe. Japanese encephalitis virus (JEV), West Nile virus (WNV), St. Louis encephalitis virus (SLEV) and Usutu virus (USUV) are mosquito-borne members of the JEV serological group. Although most infections in humans are asymptomatic or present with mild flu-like symptoms, clinical manifestations of JEV, WNV, SLEV, USUV and tick-borne encephalitis virus (TBEV) can include severe neurological disease and death. In horses, infection wi...
Development and evaluation of a new lateral flow assay for simultaneous detection of antibodies against African Horse Sickness and Equine Infectious Anemia viruses.
Journal of virological methods    September 9, 2016   Volume 237 127-131 doi: 10.1016/j.jviromet.2016.09.009
Costa S, Sastre P, Pérez T, Tapia I, Barrandeguy M, Sánchez-Vizcaíno JM, Sánchez-Matamoros A, Wigdorovitz A, Sanz A, Rueda P.African horse sickness (AHS) and equine infectious anemia (EIA) are both notifiable equid specific diseases that may present similar clinical signs. Considering the increased global movement of horses and equine products over the past decades, together with the socio-economic impact of previous AHS and EIA outbreaks, there is a clear demand for an early discrimination and a strict control of their transmission between enzootic and AHS/EIA-free regions. Currently, the individual control and prevention of AHS or EIA relies on a series of measures, including the restriction of animal movements, v...
Gasterophilus (Diptera, Gasterophilidae) infestation of equids in the Kalamaili Nature Reserve, China.
Parasite (Paris, France)    September 5, 2016   Volume 23 36 doi: 10.1051/parasite/2016036
Huang H, Zhang B, Chu H, Zhang D, Li K.We investigated infections with Gasterophilus spp. in three equids within the Kalamaili Nature Reserve (northern China). We conducted necropsies on 6 Przewalski's horses (Equus ferus przewalskii) and 6 Mongolian wild asses (Equus hemionus) and administered ivermectin to 10 overwintering domestic horses to expel parasites during winter periods. All 22 equids studied (100%) were infested with Gasterophilus spp. and a total of 17,225 larvae were collected. These included six species: G. haemorrhoidalis, G. inermis, G. intestinalis, G. nasalis, G. nigricornis, and G. pecorum. The mean intensity of...
Heritability and prevalence of selected osteochondrosis lesions in yearling Thoroughbred horses.
Equine veterinary journal    September 4, 2016   Volume 49, Issue 3 282-287 doi: 10.1111/evj.12613
Russell J, Matika O, Russell T, Reardon RJ.Osteochondrosis is considered multifactorial in origin, with factors such as nutrition, conformation, body size, trauma and genetics thought to contribute to its pathogenesis. Few studies have investigated the effects of genetic variability of osteochondrosis in Thoroughbreds. Objective: To describe the prevalence and genetic variability of a subset of osteochondrosis lesions in a group of Thoroughbred yearlings. Methods: Retrospective cohort study. Methods: Radiographs of 1962 Thoroughbred yearlings were retrieved from clinical records obtained between 2005 and 2013. Pedigree information was ...
A Survey on Transport Management Practices Associated with Injuries and Health Problems in Horses.
PloS one    September 2, 2016   Volume 11, Issue 9 e0162371 doi: 10.1371/journal.pone.0162371
Padalino B, Raidal SL, Hall E, Knight P, Celi P, Jeffcott L, Muscatello G.An online survey was conducted to determine associations between transport management and transport-related injuries and diseases in horses in Australia. The survey was composed of three sections: respondents' demographic information, transport management strategies or procedures (before, during and after transportation) and transport diseases experienced in the previous two year period. Univariate and multivariate modelling was performed exploring associations between variables (respondents' details and transport management strategies) and the following transport-related diseases as outcomes:...
Development of a loop-mediated isothermal amplification assay for rapid detection of Burkholderia mallei.
Cellular and molecular biology (Noisy-le-Grand, France)    August 31, 2016   Volume 62, Issue 10 32-36 
Mirzai S, Safi S, Mossavari N, Afshar D, Bolourchian M.The present study was conducted to establish a Loop-mediated isothermal amplification (LAMP) technique for the rapid detection of B. mallei the etiologic agent of glanders, a highly contagious disease of equines. A set of six specific primers targeting integrase gene cluster were designed for the LAMP test. The reaction was optimized using different temperatures and time intervals. The specificity of the assay was evaluated using DNA from B.pseudomallei and Pseudomonas aeruginosa. The LAMP products were analyzed both visually and under UV light after electrophoresis. The optimized conditions w...
Isolation, cultivation and molecular characterization of a new Trypanosoma equiperdum strain in Mongolia.
Parasites & vectors    August 31, 2016   Volume 9, Issue 1 481 doi: 10.1186/s13071-016-1755-3
Suganuma K, Narantsatsral S, Battur B, Yamasaki S, Otgonsuren D, Musinguzi SP, Davaasuren B, Battsetseg B, Inoue N.Trypanosoma equiperdum causes dourine via sexual transmission in Equidae. T. equiperdum is classified under the subgenus Trypanozoon along with the T. brucei sspp. and T. evansi; however, the species classification of Trypanozoon remains a controversial topic due to the limited number of T. equiperdum reference strains. In addition, it is possible that some were misclassified T. evansi strains. Thus, there is a strong need for a new T. equiperdum strain directly isolated from the genital mucosa of a horse with a clinically- and parasitologically-confirmed dourine infection. Trypanosomes isolat...
Host associations of mosquitoes at eastern equine encephalitis virus foci in Connecticut, USA.
Parasites & vectors    August 30, 2016   Volume 9, Issue 1 474 doi: 10.1186/s13071-016-1765-1
Shepard JJ, Andreadis TG, Thomas MC, Molaei G.Eastern equine encephalitis virus (EEEV) is a highly pathogenic mosquito-borne arbovirus, with active transmission foci in freshwater hardwood swamps in eastern North America, where enzootic transmission is maintained between the ornithophilic mosquito, Culiseta melanura, and wild passerine birds. The role of other locally abundant mosquito species in virus transmission and their associations with vertebrate hosts as sources of blood meals within these foci are largely unknown but are of importance in clarifying the dynamics of enzootic and epidemic/epizootic transmission. Blood-engorged mosqu...
A model for the development and growth of the parasitic stages of Parascaris spp. in the horse.
Veterinary parasitology    August 28, 2016   Volume 228 108-115 doi: 10.1016/j.vetpar.2016.08.019
Leathwick DM, Sauermann CW, Donecker JM, Nielsen MK.Literature documenting the growth and development of Parascaris spp. infections was used to develop a model describing worm dynamics in the young horse. The model incorporates four main variables; the rate at which larvae migrate through host tissues to return to the small intestine, the proportion of migrating larvae which succeed in returning to the small intestine, the rate of growth in size of maturing and adult worms and the survival rate of maturing and adult worms. In addition, the number of eggs laid each day by adult female worms is calculated as a function of worm size (length) and i...
Repeatability of strongyle egg counts in naturally infected horses.
Veterinary parasitology    August 28, 2016   Volume 228 103-107 doi: 10.1016/j.vetpar.2016.08.021
Scheuerle MC, Stear MJ, Honeder A, Becher AM, Pfister K.The selective treatment of horses is used to decrease the number of anthelmintic treatments by only treating a proportion of animals in the population. One way to select animals for treatment is to identify low and high egg-shedders using faecal egg counts (FEC); then to treat only the high egg-shedders. The value of this method is enhanced if differences among individuals in the level of egg-shedding remain consistent over time. One way to assess the stability of the rankings of animals over time is to measure the repeatability which is defined as the variance between horses divided by the to...
Prospective cohort study evaluating risk factors for the development of pasture-associated laminitis in the United Kingdom.
Equine veterinary journal    August 25, 2016   Volume 49, Issue 3 300-306 doi: 10.1111/evj.12606
Menzies-Gow NJ, Harris PA, Elliott J.Certain individuals appear to be predisposed to recurrent pasture-associated laminitis. Previous studies have predominantly investigated risk factors only after disease occurrence. Objective: To investigate risk factors for pasture-associated laminitis prior to disease occurrence. Methods: Prospective cohort study. Methods: Non-laminitic ponies aged ≥7 years were recruited. Body condition score (BCS), height, weight, crest height and thickness were measured and an overnight dexamethasone suppression test performed. Plasma or serum adiponectin, leptin, triglyceride, basal insulin, insulin pos...
Diagnostic performance of molecular and conventional methods for identification of dermatophyte species from clinically infected Arabian horses in Egypt.
Veterinary dermatology    August 22, 2016   Volume 27, Issue 5 401-e102 doi: 10.1111/vde.12372
Tartor YH, El Damaty HM, Mahmmod YS.Rapid and accurate identification of dermatophytes is crucial for the effective control of disease outbreaks. Current methods based on culture and microscopic characteristics may require weeks before positive identification is made. Objective: To (i) identify the most common pathogenic dermatophytes affecting Arabian horses; (ii) compare the performance of direct microscopy (DM), culture, PCR using hair samples (PCRhair ) and PCR based on culture isolates (PCRculture ) for the diagnosis of dermatophytosis. Methods: Samples of hair and crusts of skin lesions from Arabian horses were collected o...
An epidemiological survey on the prevalence of equine peripheral dental caries in the United Kingdom and possible risk factors for its development.
Equine veterinary journal    August 21, 2016   Volume 49, Issue 4 480-485 doi: 10.1111/evj.12610
Borkent D, Reardon RJM, McLachlan G, Smith S, Dixon PM.Equine peripheral caries (PC) is an increasingly recognised disorder that causes premature wear of teeth and dental fractures and thus has major welfare implications. Little information is available on its prevalence or severity in UK horses and there are no proven associations with any risk factors. Objective: To document the prevalence of PC over a wide area of the UK, assess its intraoral distribution and severity in affected horses and examine for potential risk factors for its development. Methods: Cross sectional study. Methods: Experienced personnel were recruited for a UK wide dental s...
Genetic characterization of Cryptosporidium in animal and human isolates from Jordan.
Veterinary parasitology    August 21, 2016   Volume 228 116-120 doi: 10.1016/j.vetpar.2016.08.015
Hijjawi N, Mukbel R, Yang R, Ryan U.Little is known about the epidemiology of Cryptosporidium in Jordan and to date, only one genotyping study has been conducted on Cryptosporidium isolates from Jordanian children. In the present study, a total of 284 faecal samples from Jordanian cattle, sheep, goats and chicken and 48 human faecal samples were screened for the presence of Cryptosporidium using an 18S quantitative PCR (qPCR) and a C. parvum/C. hominis specific qPCR at a lectin locus. Of these, 37 of 284 animal faecal samples were positive by qPCR at the 18S locus giving an overall prevalence of 11.6%. The point prevalence of Cr...
Molecular characterization of virulence genes of Streptococcus equi subsp. equi and Streptococcus equi subsp. zooepidemicus in equines.
Veterinary world    August 19, 2016   Volume 9, Issue 8 875-881 doi: 10.14202/vetworld.2016.875-881
Javed R, Taku AK, Gangil R, Sharma RK.The aim was to determine the occurrence of streptococci in equines in Jammu (R. S. Pura, Katra), characterization of Streptococci equi subsp. equi and Streptococcus equi subsp. zooepidemicus with respect to their virulence traits and to determine antibiotic sensitivity pattern of virulent Streptococcus isolates. Methods: A total of 96 samples were collected from both clinically affected animals (exhibiting signs of respiratory tract disease) and apparently healthy animals and were sent to laboratory. The organisms were isolated on Columbia nalidixic acid agar containing 5% sheep blood as well ...
Description of two equine nematodes, Parascaris equorum Goeze 1782 and Habronema microstoma Schneider 1866 from the domestic horse Equus ferus caballus (Famisly: Equidae) in Egypt.
Parasitology research    August 19, 2016   Volume 115, Issue 11 4299-4306 doi: 10.1007/s00436-016-5212-1
Morsy K, Bashtar AR, Al Quraishy S, Adel S.Parasitic gastroenteritis (PGE) caused by infection of the gut with parasitic nematodes is one of the most important diseases of livestock animals from both financial and welfare perspectives. Parascaris equorum and Habronema microstoma are of the most endemic nematodes of the world which are currently the major cause of PGE of the domestic horses in Egypt. The present investigation introduced the first morphological description of these nematodes recovered from the domestic horse, Equus ferus caballus (Equidae), in Egypt by light and scanning electron microscopy. Seven P. equorum (fifth stage...
Inoculation of Goats, Sheep, and Horses with MERS-CoV Does Not Result in Productive Viral Shedding.
Viruses    August 19, 2016   Volume 8, Issue 8 230 doi: 10.3390/v8080230
Adney DR, Brown VR, Porter SM, Bielefeldt-Ohmann H, Hartwig AE, Bowen RA.The Middle East respiratory syndrome coronavirus (MERS-CoV) was first recognized in 2012 and can cause severe disease in infected humans. Dromedary camels are the reservoir for the virus, although, other than nasal discharge, these animals do not display any overt clinical disease. Data from in vitro experiments suggest that other livestock such as sheep, goats, and horses might also contribute to viral transmission, although field data has not identified any seropositive animals. In order to understand if these animals could be infected, we challenged young goats and horses and adult sheep wi...
Beta-hemolytic Streptococcus dysgalactiae strains isolated from horses are a genetically distinct population within the Streptococcus dysgalactiae taxon.
Scientific reports    August 17, 2016   Volume 6 31736 doi: 10.1038/srep31736
Pinho MD, Erol E, Ribeiro-Gonçalves B, Mendes CI, Carriço JA, Matos SC, Preziuso S, Luebke-Becker A, Wieler LH, Melo-Cristino J, Ramirez M.The pathogenic role of beta-hemolytic Streptococcus dysgalactiae in the equine host is increasingly recognized. A collection of 108 Lancefield group C (n = 96) or L (n = 12) horse isolates recovered in the United States and in three European countries presented multilocus sequence typing (MLST) alleles, sequence types and emm types (only 56% of the isolates could be emm typed) that were, with few exceptions, distinct from those previously found in human Streptococcus dysgalactiae subsp. equisimilis. Characterization of a subset of horse isolates by multilocus sequence analysis (MLSA) a...
Occupational allergy to horse allergens: More than exposure to horses!
International journal of occupational medicine and environmental health    August 16, 2016   Volume 29, Issue 5 721-723 doi: 10.13075/ijomeh.1896.00770
No abstract available
[Dangerous animals].
Duodecim; laaketieteellinen aikakauskirja    August 16, 2016   Volume 132, Issue 13-14 1247-1251 
Koljonen V, Söderlund T, Mäkisalo H, Gissler M.Contacts between humans and animals inevitably involve encounters possibly resulting in the human being injured. During the period of 2000 to 2014 almost 90 people died in this kind of conflict in Finland. Of these deaths, one third were associated with horses. In addition, over the same period 85 people died in traffic accidents in which an animal was hit by a car. Accidents requiring hospitalization occurred for approx. 8 000 people.
Streptococcus equi subspecies equi in horses in Israel: seroprevalence and strain types.
Veterinary record open    August 16, 2016   Volume 3, Issue 1 e000187 doi: 10.1136/vetreco-2016-000187
Tirosh-Levy S, Blum SE, Steward KF, Waller AS, Steinman A.The purpose of this cross-sectional study was to determine the seroprevalence of Streptococcus equi in Israel, to monitor seropositive horses over time and to identify archived strains that were recovered from Israeli horses. A serological survey of 200 healthy horses on 20 farms throughout Israel was performed to detect recent exposure to S equi antigens A and C via indirect ELISA. Seroprevalence was 9.5 per cent (19/200) and positive horses were found in 30 per cent (6/20) of the farms. Sixteen horses that returned a positive serology result were retested three and six months later. Most (12...
Estimating the economic impact of a possible equine and human epidemic of West Nile virus infection in Belgium.
Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin    August 16, 2016   Volume 21, Issue 31 doi: 10.2807/1560-7917.ES.2016.21.31.30309
Humblet MF, Vandeputte S, Fecher-Bourgeois F, Léonard P, Gosset C, Balenghien T, Durand B, Saegerman C.This study aimed at estimating, in a prospective scenario, the potential economic impact of a possible epidemic of WNV infection in Belgium, based on 2012 values for the equine and human health sectors, in order to increase preparedness and help decision-makers. Modelling of risk areas, based on the habitat suitable for Culex pipiens, the main vector of the virus, allowed us to determine equine and human populations at risk. Characteristics of the different clinical forms of the disease based on past epidemics in Europe allowed morbidity among horses and humans to be estimated. The main costs ...
Enzyme-linked immunosorbent assays using recombinant TgSAG2 and NcSAG1 to detect Toxoplasma gondii and Neospora caninum-specific antibodies in domestic animals in Turkey.
The Journal of veterinary medical science    August 15, 2016   Volume 78, Issue 12 1877-1881 doi: 10.1292/jvms.16-0234
Zhou M, Cao S, Sevinc F, Sevinc M, Ceylan O, Liu M, Wang G, Moumouni PF, Jirapattharasate C, Suzuki H, Nishikawa Y, Xuan X.Considering the scarce information on occurrences of Toxoplasma gondii and Neospora caninum in domestic animals from Turkey, the aim of this study was to investigate the seroprevalence of these parasite infections in cattle, horses, sheep, goats and dogs in Turkey. The specific antibodies against T. gondii and N. caninum were detected by iELISAs based on the recombinant TgSAG2 or NcSAG1 in a total of 2,039 serum samples from eleven provinces. The seroprevalence of T. gondii infections was 46.3%, 4.0%, 20.0%, 12.9% and 19.8%, that of N. caninum infections was 0.3%, 7.4%, 2.1%, 3.2% and 16.6% in...
Poor safety climate, long work hours, and musculoskeletal discomfort among Latino horse farm workers.
Archives of environmental & occupational health    August 11, 2016   Volume 72, Issue 5 264-271 doi: 10.1080/19338244.2016.1216387
Swanberg J, Clouser JM, Gan W, Flunker JC, Westneat S, Browning SR.This study investigated the prevalence of self-reported musculoskeletal discomfort (MSD) and work-related factors associated with elevated MSD among Latino thoroughbred farm workers. Participants (N = 225) were recruited using a community-based purposive sampling approach to participate in in-person interviews. Of these workers, 85% experienced MSD. MSD was divided into tertiles; the upper tertile was defined as elevated. Multivariable Poisson regression revealed associations between any elevated MSD and longer tenure on horse farms, longer work hours, and poor safety climate. Elevated neck/b...
Retrospective Analysis of the Equine Influenza Virus A/Equine/Kirgizia/26/1974 (H7N7) Isolated in Central Asia.
Pathogens (Basel, Switzerland)    August 10, 2016   Volume 5, Issue 3 55 doi: 10.3390/pathogens5030055
Karamendin K, Kydyrmanov A, Sayatov M, Strochkov V, Sandybayev N, Sultankulova K.A retrospective phylogenetic characterization of the hemagglutinin, neuraminidase and nucleoprotein genes of equine influenza virus A/equine/Kirgizia/26/1974 (H7N7) which caused an outbreak in Kirgizia (a former Soviet Union republic, now Kyrgyzstan) in 1977 was conducted. It was defined that it was closely related to the strain London/1973 isolated in Europe and it shared a maximum nucleotide sequence identity at 99% with it. This Central Asian equine influenza virus isolate did not have any specific genetic signatures and can be considered as an epizootic strain of 1974 that spread in Europe...
Assessment of antigenic difference of equine influenza virus strains by challenge study in horses.
Influenza and other respiratory viruses    August 9, 2016   Volume 10, Issue 6 536-539 doi: 10.1111/irv.12418
Yamanaka T, Nemoto M, Bannai H, Tsujimura K, Kondo T, Matsumura T, Gildea S, Cullinane A.We previously reported that horse antiserum against the Japanese equine influenza vaccine virus, A/equine/La Plata/1993 (LP93) exhibited reduced cross-neutralization against some Florida sublineage Clade (Fc) 2 viruses, for example, A/equine/Carlow/2011 (CL11). As a result, Japanese vaccine manufacturers will replace LP93 with A/equine/Yokohama/aq13/2010 (Y10, Fc2). To assess the benefit of updating the vaccine, five horses vaccinated with inactivated Y10 vaccine and five vaccinated with inactivated LP93 were challenged by exposure to a nebulized aerosol of CL11. The durations of pyrexia (≥3...