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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.
Multiple alignment comparison of the non-structural genes of three strains of equine influenza viruses (H3N8) isolated in Morocco.
BMC research notes    September 24, 2015   Volume 8 471 doi: 10.1186/s13104-015-1441-0
Boukharta M, Azlmat S, Elharrak M, Ennaji MM.Three equine influenza viruses, A/equine/Nador/1/1997(H3N8), A/equine/Essaouira/2/2004(H3N8), and A/equine/Essaouira/3/2004(H3N8), were isolated from different Equidae during local respiratory disease outbreaks in Morocco in 1997 and 2004. Their non-structural (NS) genes were amplified and sequenced. Results: The results show high homology of NS nucleotide sequences of A/equine/Nador/1/1997 with European strains (i.e., A/equine/newmarket/2/93 and A/equine/Grobois/1/1998) and clustered into the European lineage. However, NS gene of A/equine/Essaouira/2/2004(H3N8) and A/equine/Essaouira/3/2004(H...
Low prevalence of equine coronavirus in foals in the largest thoroughbred horse breeding region of Japan, 2012-2014.
Acta veterinaria Scandinavica    September 22, 2015   Volume 57, Issue 1 53 doi: 10.1186/s13028-015-0149-4
Nemoto M, Oue Y, Higuchi T, Kinoshita Y, Bannai H, Tsujimura K, Yamanaka T, Kondo T.Equine coronavirus (ECoV) is considered to be a diarrheic pathogen in foals. In central Kentucky in the United States, it has been shown that approximately 30 % of thoroughbred foals are infected with ECoV and thus it is considered widely prevalent. In contrast, the epidemiology of ECoV and its relationship to diarrhea in foals are poorly understood in Japan. We investigated ECoV in rectal swabs collected from thoroughbred foals in Japan. Results: We collected 337 rectal swabs from 307 diarrheic foals in the Hidaka district of Hokkaido, the largest thoroughbred horse breeding region in Japan, ...
Analysis of the Association of Climate, Weather and Herd Immunity with the Spread of Equine Encephalosis Virus in Horses in Israel.
Transboundary and emerging diseases    September 22, 2015   Volume 64, Issue 2 593-602 doi: 10.1111/tbed.12424
Aharonson-Raz K, Steinman A, Kavkovsky A, Bumbarov V, Berlin D, Lichter-Peled A, Berke O, Klement E.It is claimed that the distribution of Culicoides-borne viruses is highly influenced by climate. Equine encephalosis virus (EEV) is a Culicoides-borne orbivirus which affects horses and was recently found to be endemic in Israel. To test whether climate is a crucial factor in the geographical distribution of EEV, we collected blood samples from horses in Israel during the years 2002, 2007 and 2010 and tested them for the abundance of antibodies to EEV. Samples were also collected in 2011 from horses that were seronegative to the virus in 2010, to determine the rate of infection with EEV. It wa...
The first report of Cryptosporidium andersoni in horses with diarrhea and multilocus subtype analysis.
Parasites & vectors    September 22, 2015   Volume 8 483 doi: 10.1186/s13071-015-1102-0
Liu A, Zhang J, Zhao J, Zhao W, Wang R, Zhang L.Horses interact with humans in a wide variety of sport competitions and non-competitive recreational pursuits as well as in working activities. Cryptosporidium spp are one of the most important zoonotic pathogens causing diarrhea of humans and animals. The reports of Cryptosporidium in horses and the findings of zoonotic Cryptosporidium species/genotypes show a necessity to carry out molecular identification of Cryptosporidium in horses, especially in diarrheic ones. The aim of the present study was to understand Cryptosporidium infection and species/genotypes in diarrheic horses, and to trace...
Orthopaedic Injuries in Equestrian Sports: A Current Concepts Review.
Orthopaedic journal of sports medicine    September 21, 2015   Volume 3, Issue 9 2325967115603924 doi: 10.1177/2325967115603924
Young JD, Gelbs JC, Zhu DS, Gallacher SE, Sutton KM, Blaine TA.Despite the common nature of orthopaedic injuries in equestrian sports, there is no published review to specifically characterize orthopaedic injuries in equestrian athletes. Objective: To characterize orthopaedic injury patterns in equine sports-related injuries and their treatment. Methods: Systematic review; Level of evidence, 4. Methods: This review was performed through a PubMed, EMBASE, and Scopus query (from 1978 to June 2014) in the English literature using search terms "(equine-related OR equestrian-related OR horse-related OR equestrian OR equestrians) AND (injury OR injuries)." Only...
Theileria equi and Babesia caballi infection of equids in Punjab, India: a serological and molecular survey.
Tropical animal health and production    September 19, 2015   Volume 48, Issue 1 45-52 doi: 10.1007/s11250-015-0917-1
Sumbria D, Das Singla L, Sharma A.A cross-sectional study was conducted in Submountain undulating, Undulating plain, Western and Western plain agro-climatic zones of Punjab province, India, to determine the prevalence, agreement between diagnostic tests and associated related risk factors of Theileria equi and Babesia caballi infection in equids (horses, donkey, mules). An overall prevalence of 14.14 and 0.0% of T. equi and B. caballi was recorded by multiplex polymerase chain reaction targeting 18S ribosomal RNA (rRNA) for both the parasites and 75 and 1.11% by competitive enzyme-linked immunosorbent assay in a representative...
Clinical Research Abstracts of the British Equine Veterinary Association Congress 2015.
Equine veterinary journal    September 17, 2015   Volume 47 Suppl 48 23 doi: 10.1111/evj.12486_53
Martin Giménez T, Aguirre Pascasio CN, de Blas Giral I.Andalusian horses have been proposed as a breed predisposed to equine metabolic syndrome (EMS) phenotype [1] because they are prone to exhibiting regional, generalised adiposity and tendency to laminitis [2]. Insulin dysregulation represents the main pathophysiological cause for all the features of EMS, however there are no epidemiological studies in this breed. Objective: To assess insulin dysregulation through insulin proxies in Andalusian horses with different levels of obesity. Methods: Cross-sectional study. Methods: One hundred and sixty-four Andalusians (78 stallions and 86 mares, 2-15 ...
Clinical Research Abstracts of the British Equine Veterinary Association Congress 2015.
Equine veterinary journal    September 17, 2015   Volume 47 Suppl 48 28 doi: 10.1111/evj.12486_63
Lotstra RJ, van den Broek J, Power T, Marr CM, Wijnberg ID.Atrial fibrillation is a common equine arrhythmia. Quinidine alone, or with digoxin are common treatments. Studies on outcome in Warmblood populations in which duration of the AF is often unknown are limited. Objective: To identify the factors that are associated with the success of full treatment cardioversion with oral medication, and establish whether there are differences in these factors between institutions. Methods: Retrospective case series using patient records of Equine University Clinic of Utrecht University and Rossdales Equine Hospital, Newmarket. Methods: Forty-nine horses treate...
Clinical Research Abstracts of the British Equine Veterinary Association Congress 2015.
Equine veterinary journal    September 17, 2015   Volume 47 Suppl 48 5 doi: 10.1111/evj.12486_9
Kalamanova A, Stringer AP, Freeman SL, Burford JH.Colic is a common reason for owners to seek veterinary treatment for their working equids in Morocco. There is no information available regarding cultural, religious or educational barriers to obtaining treatment or about the typical workload of these animals which may predispose them to colic. Objective: To characterise the typical workload and feeding regimens of working equids in Morocco; to characterise the ability of owners to recognise the clinical signs and causes of colic; and to identify specific barriers to the veterinary treatment of colic. Methods: Questionnaire-based survey. Metho...
Clinical Research Abstracts of the British Equine Veterinary Association Congress 2015.
Equine veterinary journal    September 17, 2015   Volume 47 Suppl 48 28 doi: 10.1111/evj.12486_63
Lotstra RJ, van den Broek J, Power T, Marr CM, Wijnberg ID.Atrial fibrillation is a common equine arrhythmia. Quinidine alone, or with digoxin are common treatments. Studies on outcome in Warmblood populations in which duration of the AF is often unknown are limited. Objective: To identify the factors that are associated with the success of full treatment cardioversion with oral medication, and establish whether there are differences in these factors between institutions. Methods: Retrospective case series using patient records of Equine University Clinic of Utrecht University and Rossdales Equine Hospital, Newmarket. Methods: Forty-nine horses treate...
Clinical Research Abstracts of the British Equine Veterinary Association Congress 2015.
Equine veterinary journal    September 17, 2015   Volume 47 Suppl 48 27 doi: 10.1111/evj.12486_61
Johns I, McParland T, Mair T.Pleural effusion (PE) is reported to occur most commonly secondary to bacterial pneumonia or lung abscesses, with neoplastic effusions contributing the minority of cases. The majority of these reports originate from America and Australia, where long distance transport of horses, a recognised risk factor, appears to occur more frequently. Anecdotally, neoplastic PE is more commonly diagnosed in the UK. Objective: To describe the causes of PE in horses resident in the UK, and to identify potential markers that can help differentiate between infectious and neoplastic causes of PE. Methods: Retros...
Clinical Research Abstracts of the British Equine Veterinary Association Congress 2015.
Equine veterinary journal    September 17, 2015   Volume 47 Suppl 48 3 doi: 10.1111/evj.12486_6
Allen JL, Herbert G, Muscatello G, Gilkerson JR.Bronchopneumonia caused by Rhodococcus equi is an important disease of young horses throughout the world. Although early diagnosis and treatment improves the prognosis, this also increases the amount of antimicrobial usage and therefore increases the likelihood of resistance developing. Objective: The aim of this study was to determine the level of resistance to commonly prescribed antimicrobial agents of 97 virulent Rhodococcus equi isolates. Methods: Analysis of archived samples. Methods: Virulent Rhodococcus equi isolates were collected between 1991 and 2014 from clinically affected horses ...
Clinical Research Abstracts of the British Equine Veterinary Association Congress 2015.
Equine veterinary journal    September 17, 2015   Volume 47 Suppl 48 20 doi: 10.1111/evj.12486_45
Toombs-Ruane LJ, Riley CB, Rosanowski SM, Kendall AT, Benschop J.Decreased efficacy of veterinary antimicrobials and increased prevalence of multi-drug resistance (MDR) is of concern, but little is known of antimicrobial resistance encompassing the New Zealand (NZ) equine population. Recent concerns have arisen over the emergence of multi-resistant bacteria [1], especially on NZ stud farms where antibiotics are frequently used for respiratory disease without veterinary input [2]. Objective: To describe bacterial culture and antimicrobial sensitivity results from respiratory samples submitted of young horses (4 weeks to 3 years old). Methods: Retrospective s...
Clinical Research Abstracts of the British Equine Veterinary Association Congress 2015.
Equine veterinary journal    September 17, 2015   Volume 47 Suppl 48 24 doi: 10.1111/evj.12486_54
Hammersley E, Duz M, Marshall JF.Triamcinolone is commonly used in equine practice for the treatment of orthopaedic conditions. A serious potential adverse effect of triamcinolone is laminitis. However, evidence for the risk of laminitis associated with triamcinolone use is limited. Objective: To determine the risk of laminitis within 90 days of triamcinolone administration and compare with the risk of laminitis in a veterinary-attended horse population. Methods: Retrospective study of clinical records. Methods: Text mining and data extraction was performed using content analysis software (SimStat-WordStat v.6) on a database ...
Comprehensive Serology Based on a Peptide ELISA to Assess the Prevalence of Closely Related Equine Herpesviruses in Zoo and Wild Animals.
PloS one    September 17, 2015   Volume 10, Issue 9 e0138370 doi: 10.1371/journal.pone.0138370
Abdelgawad A, Hermes R, Damiani A, Lamglait B, Czirják GÁ, East M, Aschenborn O, Wenker C, Kasem S, Osterrieder N, Greenwood AD.Equine herpesvirus type 1 (EHV-1) causes respiratory disorders and abortion in equids while EHV-1 regularly causes equine herpesvirus myeloencephalopathy (EHM), a stroke-like syndrome following endothelial cell infection in horses. Both EHV-1 and EHV-9 infections of non-definitive hosts often result in neuronal infection and high case fatality rates. Hence, EHV-1 and EHV-9 are somewhat unusual herpesviruses and lack strict host specificity, and the true extent of their host ranges have remained unclear. In order to determine the seroprevalence of EHV-1 and EHV-9, a sensitive and specific pepti...
Prevalence and risk factors for colonization with methicillin resistant Staphylococcus aureus and other Staphylococci species in hospitalized and farm horses in Israel.
Preventive veterinary medicine    September 16, 2015   Volume 122, Issue 1-2 135-144 doi: 10.1016/j.prevetmed.2015.09.007
Tirosh-Levy S, Steinman A, Carmeli Y, Klement E, Navon-Venezia S.Methicillin-resistant staphylococci (MRS), and specifically Methicillin-resistant Staphylococcus aureus (MRSA) colonization or infection have become a serious emerging condition in equine hospitals, with complex concerns regarding animals, personnel and public health. The objectives of this study were to evaluate the prevalence and risk factors for colonization by Staphylococci, MRS, and MRSA among horses in Israel. Nasal swabs were collected from horses at 17 riding stables (n=206), and from hospitalized horses admitted to a veterinary hospital (n=84). Species identification was performed by ...
Novel transferable erm(46) determinant responsible for emerging macrolide resistance in Rhodococcus equi.
The Journal of antimicrobial chemotherapy    September 16, 2015   Volume 70, Issue 12 3184-3190 doi: 10.1093/jac/dkv279
Anastasi E, Giguère S, Berghaus LJ, Hondalus MK, Willingham-Lane JM, MacArthur I, Cohen ND, Roberts MC, Vazquez-Boland JA.The objective of this study was to identify the molecular mechanism of macrolide resistance in the actinomycete Rhodococcus equi, a major equine pathogen and zoonotic agent causing opportunistic infections in people. Methods: Macrolide-resistant (n = 62) and macrolide-susceptible (n = 62) clinical isolates of R. equi from foals in the USA were studied. WGS of 18 macrolide-resistant and 6 macrolide-susceptible R. equi was performed. Representative sequences of all known macrolide resistance genes identified to date were used to search the genome assemblies for putative homologues. PCR w...
Faecal microbiota characterisation of horses using 16 rdna barcoded pyrosequencing, and carriage rate of clostridium difficile at hospital admission.
BMC microbiology    September 16, 2015   Volume 15 181 doi: 10.1186/s12866-015-0514-5
Rodriguez C, Taminiau B, Brévers B, Avesani V, Van Broeck J, Leroux A, Gallot M, Bruwier A, Amory H, Delmée M, Daube G.The equine faecal microbiota is very complex and remains largely unknown, while interspecies interactions have an important contribution to animal health. Clostridium difficile has been identified as an important cause of diarrhoea in horses. This study provides further information on the nature of the bacterial communities present in horses developing an episode of diarrhoea. The prevalence of C. difficile in hospitalised horses at the time of admission is also reported. Results: Bacterial diversity of the gut microbiota in diarrhoea is lower than that in non-diarrhoeic horses in terms of spe...
A survey on parasite management by equine veterinarians highlights the need for a regulation change.
Veterinary record open    September 14, 2015   Volume 2, Issue 2 e000104 doi: 10.1136/vetreco-2014-000104
Sallé G, Cabaret J.In-depth knowledge of the use of anthelminthics in the field, especially by veterinarians, is required to design more sustainable parasite control strategies. Methods: An online survey was sent by e-mail to 940 equine veterinary practitioners to describe their equine practice, their awareness about parasites and the management strategies they apply. Results: Gastrointestinal parasites were generally considered (68%) as an issue of moderate importance. Drug efficacy failure was a minor or moderate issue for 47% and 48% of responders, respectively. Parasite management mostly relied on the use of...
Biphasic appearance of corticated and decorticated ascarid egg shedding in untreated horse foals.
Veterinary parasitology    September 11, 2015   Volume 214, Issue 1-2 114-117 doi: 10.1016/j.vetpar.2015.09.003
Donoghue EM, Lyons ET, Bellaw JL, Nielsen MK.Parascaris spp. infects foals worldwide and may cause airway inflammation in addition to small intestinal impaction and rupture. It is observed that acquired immunity eliminates ascarid burdens beginning at about 6 months of age, and current evidence suggests that a single parasite generation propagates in each foal crop. The purpose of this study was to monitor natural parasitic infections in untreated mixed breed horse foals over the course of 0-300 days of age. Fecal samples were collected monthly from all foals born in 2014 (n=13), beginning July 2014 through February 2015. Fecal egg count...
Molecular Characterization and Serology of Leptospira kirschneri (Serogroup Grippotyphosa) Isolated from Urine of a Mare Post-Abortion in Brazil.
Zoonoses and public health    September 10, 2015   Volume 63, Issue 3 191-195 doi: 10.1111/zph.12224
Hamond C, Martins G, Bremont S, Medeiros MA, Bourhy P, Lilenbaum W.A strain of Leptospira kirschneri (serogroup Grippotyphosa) was cultured from urine of a mare post-abortion in Brazil and characterized by serogrouping, multiple-locus variable-number tandem repeat analysis, PGFE, and sequencing of genes rrs and secY. Strains of L. kirschneri have apparently never been recovered from horses in tropical area, only in Europe and USA. Knowledge of local epidemiology is important to interpret genetic profiles of leptospires circulating in an area.
Occurrence of Hippobosca equina in Polish primitive horses during the grazing season.
Annals of parasitology    September 8, 2015   Volume 61, Issue 2 119-124 
Sokół R, Michalski MM.The presence of Hippobosca equina strongly influences the behaviour and health status of horses. The aim of the study was to analyse the invasion dynamics of the forest fly in Polish primitive horses (Equus caballus gmelini) in the Popielno Forest Reserve (northeastern Poland). Observations were carried out from May to September, every two weeks for two consecutive years (2012 and 2013) in five study groups: in 11-12-year-old mares with foals, 6-7-year-old leading stallions, 1.5-year-old fillies, 1.5-year-old colts and 9-10-year-old working geldings. Adult H. equina were counted in the preferr...
Knowledge, attitudes and practices towards rabies: questionnaire survey in rural household heads of Gondar Zuria District, Ethiopia.
BMC research notes    September 2, 2015   Volume 8 400 doi: 10.1186/s13104-015-1357-8
Digafe RT, Kifelew LG, Mechesso AF.Rabies is a fatal animal disease of significant public health importance. Domestic dogs are the main reservoir and transmitter of this disease particularly in developing countries. Even though rabies is a highly fatal disease, it is a preventable disease. Community awareness about rabies is one of the key components for prevention. This study describes the knowledge, attitudes and practices of a rural community in Gondar Zuria District, Ethiopia. Methods: A cross sectional study was conducted from March to June, 2013. A structured questionnaire was used to collect the data through face to face...
Molecular Detection of Equine Herpesvirus Types 1 and 4 Infection in Healthy Horses in Isfahan Central and Shahrekord Southwest Regions, Iran.
BioMed research international    September 1, 2015   Volume 2015 917854 doi: 10.1155/2015/917854
Taktaz Hafshejani T, Nekoei S, Vazirian B, Doosti A, Khamesipour F, Anyanwu MU.This study was undertaken to investigate molecularly the occurrence of EHV-1 and EHV-4 infection among equine population in regions, Iran. Blood samples from 53 and 37 randomly selected horses settled in Isfahan and Shahrekord, Iran, respectively, were collected. Detection of EHV-1 and EHV-4 genes in the blood samples was done using polymerase chain reaction (PCR). Out of 53 and 37 samples from Isfahan and Shahrekord, 4 (18.18%) and 3 (8.10%) were positive for PCR of EHV-1, respectively. Nine (16.98%) and 6 (16.21%) were positive for PCR of EHV-4, while 6 (11.32%) and 3 (8.10%) were positive f...
Vector-Host Interactions of Culiseta melanura in a Focus of Eastern Equine Encephalitis Virus Activity in Southeastern Virginia.
PloS one    September 1, 2015   Volume 10, Issue 9 e0136743 doi: 10.1371/journal.pone.0136743
Molaei G, Armstrong PM, Abadam CF, Akaratovic KI, Kiser JP, Andreadis TG.Eastern equine encephalitis virus (EEEV) causes a highly pathogenic mosquito-borne zoonosis that is responsible for sporadic outbreaks of severe illness in humans and equines in the eastern USA. Culiseta (Cs.) melanura is the primary vector of EEEV in most geographic regions but its feeding patterns on specific avian and mammalian hosts are largely unknown in the mid-Atlantic region. The objectives of our study were to: 1) identify avian hosts of Cs. melanura and evaluate their potential role in enzootic amplification of EEEV, 2) assess spatial and temporal patterns of virus activity during a ...
Suspected ivermectin resistance in a south-east Queensland Parascaris equorum population.
Australian veterinary journal    August 28, 2015   Volume 93, Issue 9 305-307 doi: 10.1111/avj.12352
Beasley A, Coleman G, Kotze AC.There have been several international reports of macrocyclic lactone (ML)-resistant Parascaris equorum over the past decade, but the resistance status of Australian P. equorum populations is largely unknown. A case of apparent reduced efficacy of ivermectin against P. equorum in Australia was investigated. Results: A faecal egg count reduction test carried out on a group of weanling foals in south-east Queensland showed the efficacy of ivermectin to be 65%. Conclusions: The case highlights the need to review current worm control strategies, especially for young horses.
Identification of G and P genotype-specific motifs in the predicted VP7 and VP4 amino acid sequences.
Virus research    August 28, 2015   Volume 210 271-278 doi: 10.1016/j.virusres.2015.08.021
Ma Y.Equine rotavirus (ERV) strain L338 (G13P[18]) has a unique G and P genotype. However, the evolutionary relationship of L338 with other ERVs is still unknown. Here whole genome analysis of the L338 ERV strain was independently performed. Its genotype constellations were determined as G13-P[18]-I6-R9-C9-M6-A6-N9-T12-E14-H11, confirming previous genotype assignments. The L338 strain only shared the P[18] and I6 genotypes with other ERVs. The nucleotide sequences of the other 9 RNA segments were different from those of cogent genes of all other group A rotavirus (RVA) strains including ERVs and fo...
The prevalence of antibodies to Toxoplasma gondii in horses in Changji Hui Autonomous Prefecture, Xinjiang, northwestern China. Wang JL, Zhou DH, Chen J, Liu GX, Pu WB, Liu TY, Qin SY, Yin MY, Zhu XQ.Toxoplasmosis is a worldwide zoonosis caused by Toxoplasma gondii, which can infect warm-blooded animals and humans. The present study was performed to investigate the seroprevalence of T. gondii in horses in Xinjiang, northwestern China. A total of 637 blood samples were collected from seven regions in Changji Hui Autonomous Prefecture, Xinjiang in 2011 and assayed for T. gondiiantibodies using the modified agglutination test (MAT). Risk factors (age, gender, and region) related to seroprevalence were determined by a multivariate logistic regression analysis. A total of 200 horses (31.4%, 95%...
Antimicrobial resistance in bacteria from horses: Epidemiology of antimicrobial resistance.
Equine veterinary journal    August 26, 2015   Volume 47, Issue 6 756-765 doi: 10.1111/evj.12471
Maddox TW, Clegg PD, Williams NJ, Pinchbeck GL.Antimicrobial resistance poses a significant threat to the continued successful use of antimicrobial agents for the treatment of bacterial infections. While the epidemiology of antimicrobial resistance in bacteria from man has been studied extensively, less work has been undertaken in companion animals, particularly horses. Methicillin-resistant Staphylococcus aureus has been identified as a cause of infections, with a low prevalence of nasal carriage by horses in the community but higher for hospitalised horses. Molecular characterisation has shown methicillin-resistant Staphylococcus aureus...
First molecular evidence of Coxiella burnetii infecting ticks in Cuba.
Ticks and tick-borne diseases    August 25, 2015   Volume 7, Issue 1 68-70 doi: 10.1016/j.ttbdis.2015.08.008
Coxiella burnetii is the causative agent of Q fever. In order to explore the occurrence of C. burnetii in ticks, samples were collected from horses, dogs and humans living in a Cuban occidental community. The species most commonly recovered were Amblyomma mixtum (67%), Rhipicephalus sanguineus s.l. (27%) and Dermacentor nitens (6%). Specific IS1111 PCR and amplicon sequencing allowed the identification of C. burnetii DNA in A. mixtum collected from a domestic horse. These findings, for first time in Cuba, indicate the need for an in-depth assessment of the C. burnetii occurrence in hosts and h...