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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.
Gut Fungal Microbiome Responses to Natural Cryptosporidium Infection in Horses.
Frontiers in microbiology    July 6, 2022   Volume 13 877280 doi: 10.3389/fmicb.2022.877280
Wang Y, Li X, Chen X, Kulyar MF, Duan K, Li H, Bhutta ZA, Wu Y, Li K.It is critical to characterize changes in the structure and composition of the host fungal community in natural infection, because it gives the possible overview of gut microbiome in host homeostasis and disease progression. A total of 168 rectal fecal samples were collected and examined using nPCR. The positive samples were double-checked using 18S rDNA high-throughput sequencing. After confirmation, ITS high-throughput sequencing was utilized to investigate the fungal community's response to natural infection. Results showed that a total of three positive samples (1.79%) were identified wi...
Association between forage mycotoxins and liver disease in horses.
Journal of veterinary internal medicine    July 6, 2022   Volume 36, Issue 4 1502-1507 doi: 10.1111/jvim.16486
Durham AE.Outbreaks of liver disease in horses are common but the etiology of most remains unknown. Forage mycotoxins have been suspected to be a cause. Objective: To examine the association between outbreaks of liver disease and the presence of mycotoxins in forage stored on the same premises. Methods: Premises were identified where ≥4 horses were contemporaneously affected by liver disease, and a control group was formed from premises where ≥4 horses had been examined and found to have no evidence of liver disease. Methods: Forage was collected from 29 case and 12 control premises. The forage was ...
A 13-year retrospective study of equine abortions in Canada.
The Canadian veterinary journal = La revue veterinaire canadienne    July 6, 2022   Volume 63, Issue 7 715-721 
Ricard RM, St-Jean G, Duizer G, Atwal H, Wobeser BK.The purpose of this study was to identify the most common causes of equine abortion in Canada, and to compare findings to similar reports from other countries. Equine. Necropsy reports from 901 equine abortion cases were acquired from provincial veterinary diagnostic laboratories across Canada. The final diagnosis was classified into basic abortion causes (infectious, non-infectious, unknown) and into primary and secondary categories for analysis. Non-infectious causes of abortion were the most frequently identified in Canada, with fetoplacental causes, including umbilical cord torsion or plac...
Frequency of Detection and Prevalence Factors Associated with Common Respiratory Pathogens in Equids with Acute Onset of Fever and/or Respiratory Signs (2008-2021).
Pathogens (Basel, Switzerland)    July 2, 2022   Volume 11, Issue 7 759 doi: 10.3390/pathogens11070759
Pusterla N, James K, Barnum S, Bain F, Barnett DC, Chappell D, Gaughan E, Craig B, Schneider C, Vaala W.A voluntary biosurveillance program was established in 2008 in order to determine the shedding frequency and prevalence factors for common respiratory pathogens associated with acute onset of fever and/or respiratory signs in equids from the USA. Over a period of 13 years, a total of 10,296 equids were enrolled in the program and nasal secretions were analyzed for the qPCR detection of equine influenza virus (EIV), equine herpesvirus-1 (EHV-1), EHV-4, equine rhinitis A and B virus (ERVs), and subspecies (). Single infections with respiratory pathogens were detected in 21.1% of the submission...
A Systematic Review of Clinical Signs Associated With Degenerative Conditions and Morphological Variations of the Equine Caudal Neck.
Journal of equine veterinary science    July 2, 2022   Volume 116 104054 doi: 10.1016/j.jevs.2022.104054
Kernot N, Butler R, Randle H.Conditions of the equine caudal neck (C5-C7) are thought to be associated with various clinical signs. However, little investigation has been undertaken to isolate clinical indicators associated with specific conditions of the equine caudal cervical spine. This systematic review aimed to evaluate associations of clinical signs with anatomical malformation of caudal cervical vertebrae, spinal cord compression of the caudal cervical spine, and arthropathy of the caudal cervical articular process joints (APJs). A literature search was carried out using Google Scholar in accordance with PRISMA (Pr...
Osteochondrosis (Osteochondritis Dissecans) in Lusitano Horses: Prevalence and Characteristics.
Journal of equine veterinary science    July 2, 2022   Volume 117 104063 doi: 10.1016/j.jevs.2022.104063
Ramos S, Pinto A, Crespo J, Marques JP, Bettencourt E, Gama LT, Monteiro S.Osteochondrosis (osteochondritis dissecans), OC(D), is an important joint disorder that has been studied through the years in different breeds but, to our knowledge, there are no reports of its prevalence in Lusitano horses. The aim of this study was to assess the prevalence of OC(D) in Lusitanos, define the characteristics of the disorder in this breed and compare with Spanish Purebred horses. This is a retrospective study that analysed the radiographs from the metacarpometatarsophalangeal, tarsocrural and femoropatellar joints that were taken in 302 Lusitano horses (1-12 years; obtained from...
Molecular detection and genetic characteristics of Cryptosporidium spp. in Chinese racehorses.
Equine veterinary journal    June 30, 2022   Volume 55, Issue 3 474-480 doi: 10.1111/evj.13605
Xu C, Wei Z, Tan F, Liu A, Yu F, Zhao A, Zhang L, Qi M, Zhao W.Cryptosporidium is a protozoan parasite causing diarrhoea in humans and animals. Although Cryptosporidium has been found in domestic horses (farmed or kept at pasture), there has been only one published study of Cryptosporidium infections in Chinese racehorses, which was restricted to a very small geographical area. Objective: To investigate the presence of Cryptosporidium spp. in the faeces of racehorses in China and to perform molecular characterisation of the parasite. Methods: Cross-sectional. Methods: A total of 621 fresh faecal samples were collected for DNA extraction from racehorses at...
Serological and Histopathological Investigation of Chlamydia abortus in Aborted Ewes in Wasit, Iraq.
Archives of Razi Institute    June 30, 2022   Volume 77, Issue 3 1105-1111 doi: 10.22092/ARI.2022.357270.2009
Ali HHM, Al-Bayati LH. is one of the most important pathogens, which causes a marked economic loss in small ruminants, in particular sheep, worldwide. This study aimed to detect the prevalence of in the sera of aborted ewes in Wasit province, Iraq, using the enzyme-linked immunosorbent assay (ELISA), followed by the investigation of the main histopathological alterations that occurred in some organs of the dead newborns. Out of 180 tested samples by ELISA, 32.22% of the evaluated animals showed positive reactions to IgG antibodies toward . Concerning the titers of the infection of seropositive ewes, there were sig...
Review of anthrax: A disease of farm animals.
Journal of advanced veterinary and animal research    June 30, 2022   Volume 9, Issue 2 323-334 doi: 10.5455/javar.2022.i599
Alam ME, Kamal MM, Rahman M, Kabir A, Islam MS, Hassan J.Anthrax is a rapidly fatal infectious disease affecting herbivores and people. In the farm animals, cattle and sheep are more susceptible, followed by goats and horses, while dwarf pigs and Algerian sheep are relatively resistant. Bacillus anthracis, the causative agent of anthrax, produces spores and persists for decades in the soil, initiating an outbreak through a favorable climate shift. Anthrax is enzootic in many Asian and African countries, and is reported in Australia, some parts of Europe, and America. The clinical courses of this disease in animals are peracute, acute, subacute, and ...
A Retrospective Study of Pythiosis in Domestic Animals in Northeastern Brazil.
Journal of comparative pathology    June 29, 2022   Volume 195 34-50 doi: 10.1016/j.jcpa.2022.05.002
de Souto EPF, Kommers GD, Souza AP, Miranda Neto EG, Assis DM, Riet-Correa F, Galiza GJN, Dantas AFM.Pythiosis is an endemic disease in northeastern Brazil and we now report the epidemiological, clinical and pathological findings in a retrospective study of naturally occurring cases in domestic animals. From January 1985 to December 2020, the Laboratory of Animal Pathology of the Federal University of Campina Grande examined 13,542 tissue samples from necropsies and biopsies. Among these samples, 306 were diagnosed as pythiosis: 195 cases in horses, 75 in sheep, 19 in dogs, six in mules, four in cattle, three in cats, two in goats, one in a donkey and one in an ostrich. Affected equids had le...
Serum Phosphorylated Neurofilament Heavy Subunit Levels and its Association with the Risk for Catastrophic Injury in Thoroughbred Racehorses.
Journal of equine veterinary science    June 28, 2022   Volume 116 104057 doi: 10.1016/j.jevs.2022.104057
Rojas-Núñez I, Gomez AM, Palmer S, Mohammed HO.Neurofilaments are structural proteins that are concentrated in the body and axons of neurons. Damage to the neurons or axons as a result of trauma or infectious diseases leads to the release of neurofilaments into blood and cerebrospinal fluid (CSF). This case-control study was carried out to compare serum levels of phosphorylated neurofilament heavy chain (pNF-H) between clinically healthy Thoroughbred (TB) horses and TB horses that suffered catastrophic musculoskeletal injuries (cMSI), and to investigate the correlation between putative risk factors and serum concentrations of pNF-H in inju...
Profiling of genetic markers useful for breeding decision in Selle Francais horse.
Journal of equine veterinary science    June 28, 2022   Volume 116 104059 doi: 10.1016/j.jevs.2022.104059
Ayad A, Besseboua O, Aissanou S, Stefaniuk-Szmukier M, Piórkowska K, Musiał AD, Długosz B, Kozłowska A, Ropka-Molik K.Genetic disorders are recognised as hereditary diseases with the most significant economic impact on horse breeding, causing important foal losses, costs of treatments of horses, and maintenance of the mare during the pregnancy. The Selle Francais horses are recognized in many countries and are showing great results in equestrian sports around the world (dressage, show jumping and eventing). The study aimed to detect the presence of three mutant alleles associated with inherited diseases including Fragile Foal Syndrome (FFS), Cerebellar Abiotrophy (CA), Polysaccharide Storage Myopathy (PSSM1) ...
Control of ticks on horses using abamectin-impregnated ear tags. A pharmacokinetic and pharmacodynamic study.
Journal of veterinary pharmacology and therapeutics    June 28, 2022   Volume 45, Issue 5 473-480 doi: 10.1111/jvp.13084
Werners A, Karasek I, Butler C, Yeatts J, Enomoto H, Baynes R.Several different tick species are known to infest horses. Aside from causing serious health and welfare issues, including anaemia, ill thrift, and immunosuppression, ticks can transmit a variety of important, sometimes zoonotic, pathogens. The successful prevention and treatment of tick infestations have been described, but the information is scarce and, in many instances, anecdotal. Here we describe a practical and affordable prevention of tick infestation by using abamectin-impregnated cattle ear tags affixed to a safety collar. We have assessed the radial distribution of abamectin by analy...
Outbreak of methicillin-resistant Staphylococcus aureus sequence type 1, spa type t1784, in an equine hospital in Japan.
Veterinary and animal science    June 25, 2022   Volume 17 100259 doi: 10.1016/j.vas.2022.100259
Uchida-Fujii E, Niwa H, Kanai K, Kinoshita Y, Kuroda T, Nukada T, Ueno T.Methicillin-resistant Staphylococcus aureus (MRSA) has often been isolated from livestock and companion animals, including horses. Seven cases of MRSA infection in Thoroughbred racehorses were observed in an equine hospital in Japan in 2020. In this study, MRSA isolates from these seven horses and nine veterinarians in the equine hospital were studied to examine their genetic relatedness and evaluate the possibility of MRSA transmission. The MRSA isolates were subjected to whole-genome sequencing for multi-locus sequence typing, S. aureus protein A (spa) typing, staphylococcal cassette chromos...
Coupling spatial statistics with social network analysis to estimate distinct risk areas of disease circulation to improve risk-based surveillance.
Transboundary and emerging diseases    June 25, 2022   Volume 69, Issue 5 e2757-e2768 doi: 10.1111/tbed.14627
Cardenas NC, Sanchez F, Lopes FPN, Machado G.Most animal disease surveillance systems concentrate efforts in blocking transmission pathways and tracing back infected contacts while not considering the risk of transporting animals into areas with elevated disease risk. Here, we use a suite of spatial statistics and social network analysis to characterize animal movement among areas with an estimated distinct risk of disease circulation to ultimately enhance surveillance activities. Our model utilized equine infectious anemia virus (EIAV) outbreaks, between-farm horse movements, and spatial landscape data from 2015 through 2017. We related...
Reduction of the nematode egg reappearance period in horses after anthelmintic therapy.
Veterinary world    June 24, 2022   Volume 15, Issue 6 1530-1534 doi: 10.14202/vetworld.2022.1530-1534
Baranova MV, Panova OA, Polukhina DN, Panova DS.Anthelmintics are used to control equine nematodes. However, helminth resistance to regularly used drugs is a well-known challenge. Among tests to assess effective control and monitor resistance, the most common is the fecal egg count reduction test (FECRT). In the absence of reliable FECRT results, the nematode egg reappearance period (ERP) is taken into account. This study aimed to examine horses from farms around the Moscow Region to assess nematode resistance through ERP after therapy. Unassigned: In the first stage, fecal samples from 280 horses were examined by the flotation method with ...
Molecular Monitoring of EHV-1 in Silently Infected Performance Horses through Nasal and Environmental Sample Testing.
Pathogens (Basel, Switzerland)    June 24, 2022   Volume 11, Issue 7 720 doi: 10.3390/pathogens11070720
Pusterla N, Barnum S, Young A, Mendonsa E, Lee S, Hankin S, Brittner S, Finno CJ.While the main goal in the management of an EHM outbreak focuses on identifying early clinical disease in order to physically separate infected horses, little effort is placed towards monitoring healthy horses. The assumption that EHV-1 shedding parallels clinical disease is erroneous, as subclinical shedders have been shown to be actively involved in viral spread. In an attempt to document the frequency of EHV-1 shedders and their impact on environmental contamination, we collected nasal swabs from 231 healthy horses and 203 environmental samples for the testing of EHV-1 by qPCR. Six horses a...
Virulence plasmids in clinical isolates of Rhodococcus equi from sick foals in the Netherlands.
Letters in applied microbiology    June 24, 2022   Volume 75, Issue 4 908-912 doi: 10.1111/lam.13769
Takai S, Ohashi M, Suzuki Y, Sasaki Y, Kakuda T, Broens EM, Wagenaar JA, van Duijkeren E.Clinical samples from 123 foals with suspected rhodococcosis submitted to the Veterinary Microbiological Diagnostic Centre of the Faculty of Veterinary Medicine between 1993 and 2006 were tested for the presence of the virulence gene vapA. Of the 123 samples, 120 were vapA-positive and 3 vapA-negative Rhodococcus equi were isolated. The 120 vapA-positive R. equi were isolated from 70 tracheal wash, 19 lung tissues, 7 lymph nodes, 6 synovial fluids, 13 abscesses or pus and single isolates from the uterus, gut, cerebrospinal fluid, abdomen fluid and faeces. Of the 120 isolates, 46 were from Dutc...
Binding and structural basis of equine ACE2 to RBDs from SARS-CoV, SARS-CoV-2 and related coronaviruses.
Nature communications    June 21, 2022   Volume 13, Issue 1 3547 doi: 10.1038/s41467-022-31276-6
Xu Z, Kang X, Han P, Du P, Li L, Zheng A, Deng C, Qi J, Zhao X, Wang Q, Liu K, Gao GF.The origin and host range of SARS-CoV-2, the causative agent of coronavirus disease 2019 (COVID-19), are important scientific questions as they might provide insight into understanding of the potential future spillover to infect humans. Here, we tested the binding between equine angiotensin converting enzyme 2 (eqACE2) and the receptor binding domains (RBDs) of SARS-CoV, SARS-CoV-2 prototype (PT) and variant of concerns (VOCs), as well as their close relatives bat-origin coronavirus (CoV) RaTG13 and pangolin-origin CoVs GX/P2V/2017 and GD/1/2019. We also determined the crystal structures of eq...
Surveillance of hepatitis E virus in the horse population of Korea: A serological and molecular approach. Yoon J, Park T, Sohn Y, Lee SK, Park BJ, Ahn HS, Go HJ, Kim DH, Lee JB, Park SY, Song CS, Lee SW, Choi IS.Hepatitis E virus (HEV) is an emerging zoonotic pathogen causing hepatitis worldwide. Despite the prevalent evidence of interspecies HEV infection in various animal species, the role of horses in HEV epidemiology remains unclear. In this study, we investigated the prevalence of HEV infection in 283 blood and 114 fecal samples from 397 horses using sandwich enzyme-linked immunosorbent assay and nested reverse transcription-polymerase chain reaction. Among the 283 serum samples, 35 were positive for anti-HEV antibodies (12.4%; 95% confidence interval: 8.8-16.8), and four of the five sampling reg...
Antimicrobial prescribing and antimicrobial resistance surveillance in equine practice.
Equine veterinary journal    June 19, 2022   Volume 55, Issue 3 494-505 doi: 10.1111/evj.13587
Wilson A, Mair T, Williams N, McGowan C, Pinchbeck G.Antimicrobial resistance (AMR) is an increasingly serious threat to human and animal health, therefore responsible use of antimicrobials in equine practice is vital. There is a need to have accurate, up to date data on antimicrobial prescribing in equine practice in the UK. Objective: To characterise current antimicrobial prescribing practices by equine veterinarians and to describe surveillance, audit processes and identification of AMR. Methods: Online cross-sectional, questionnaire-based survey. Methods: An online questionnaire targeting veterinarians who treat horses in the UK and Europe w...
Expert visual assessment strategies for equine lameness examinations in a straight line and circle: A mixed methods study using eye tracking.
The Veterinary record    June 18, 2022   Volume 191, Issue 8 e1684 doi: 10.1002/vetr.1684
Starke SD, May SA.A large number of lameness indicators have been suggested for the visual equine lameness assessment. However, it remains unknown which of these are commonly used by experts. Twenty-four expert lameness assessors from 10 leading UK institutions viewed 28 video clips of sound and mildly lame horses (median score 2/10). Horses were shown at trot in a straight line (rear and front view) and circle (side view, left and right rein). Eye tracking data were collected at 60 Hz while participants evaluated each clip. A questionnaire captured contextual information. During assessment on the straight lin...
Survey of the knowledge and perceptions of horse owners in Ireland of common clinical conditions and their impact.
Equine veterinary journal    June 15, 2022   Volume 55, Issue 2 270-281 doi: 10.1111/evj.13589
Golding E, Neavyn Neita A, Walshe N, Hanlon A, Mulcahy G, Duggan V.As the primary decision-maker for their horse's health and welfare, owners' knowledge of clinical conditions may impact their horse's health. Anecdotal evidence suggests that the emotional impact of equine illness on the owner can be severe but research is lacking. Objective: To evaluate horse owners' self-declared knowledge of eight common equine health conditions and perceptions of the quality of information available; to ascertain respondents' perceptions of the severity of impact on their horse of the conditions and potential emotional impact on themselves and to establish the factors of g...
Methylation Status of Gene Bodies of Selected microRNA Genes Associated with Neoplastic Transformation in Equine Sarcoids.
Cells    June 14, 2022   Volume 11, Issue 12 1917 doi: 10.3390/cells11121917
Pawlina-Tyszko K, Semik-Gurgul E, ZÄ…bek T, Witkowski M.Horses are of great importance in recreation, livestock production, as working animals in poorly developed countries, and for equine-assisted therapy. Equine sarcoids belong to the most commonly diagnosed tumors in this species. They may cause discomfort, pain, and can lead to the permanent impairment of motor function. The molecular bases of their formation are still under investigation. Our previous studies revealed altered microRNA (miRNA) expression and DNA methylation levels in sarcoid tumors. Abnormal patterns of methylation may be responsible for changes in gene expression levels, inclu...
Antimicrobial use and resistance in food-producing animals-How can we protect the efficacy of antibiotics for reproductive diseases?
Reproduction in domestic animals = Zuchthygiene    June 13, 2022   Volume 57 Suppl 4, Issue Suppl 4 13-20 doi: 10.1111/rda.14170
Magnusson U.The ongoing emergence of antibiotic resistance jeopardizes efficacy of antibiotics in curing animals from bacterial infections that threaten their health, welfare and productivity. This review gives an overview of antimicrobial use data in food-producing animals, a discussion on how antimicrobials are used for some infections in the reproductive system in cattle, the horse and pig in Europe where there are differences in treatment practices including options to refine the use of antibiotics, and finally, a presentation of the antibiotic resistance for some bacteria collected from the reproduct...
Occurrence of Strongylid Nematode Parasites on Horse Farms in Berlin and Brandenburg, Germany, With High Seroprevalence of Strongylus vulgaris Infection.
Frontiers in veterinary science    June 10, 2022   Volume 9 892920 doi: 10.3389/fvets.2022.892920
Jürgenschellert L, Krücken J, Bousquet E, Bartz J, Heyer N, Nielsen MK, von Samson-Himmelstjerna G.The infection of horses with strongylid nematodes is highly prevalent, with multi-species infections being the rule. spp. and in particular are amongst the most pathogenic strongyle equine parasites. Presumably due to regular strategic anthelmintic treatments in combination with long prepatencies, prevalence of these worms was severely reduced in past decades. In this study, 484 horses from 48 farms in Berlin/Brandenburg, Germany were sampled between May 2017 and January 2018. Mini-FLOTAC and combined sedimentation/flotation were used to analyse faecal samples and larval cultures were carrie...
Seroprevalence of Anti-Theileria equi Antibodies in Horses from Three Geographically Distinct Areas of Romania.
Pathogens (Basel, Switzerland)    June 9, 2022   Volume 11, Issue 6 669 doi: 10.3390/pathogens11060669
Equine piroplasmosis (EP) is an endemic tick-borne disease found in most countries around the world. It affects all species of Equidae, and it is caused by Theileria equi, Babesia caballi and T. haneyi. The research herein is the second study on the prevalence of piroplasms in Romania conducted in the past two decades. The aim of this study was to assess the seroprevalence of anti-Theileria equi antibodies and the geographical distribution of this disease in the southwest, west, and northwest regions of Romania in order to obtain a more thorough understanding of the parasitological status of h...
Changes in Thoroughbred speed and stride characteristics over successive race starts and their association with musculoskeletal injury.
Equine veterinary journal    June 9, 2022   Volume 55, Issue 2 194-204 doi: 10.1111/evj.13581
Wong ASM, Morrice-West AV, Whitton RC, Hitchens PL.Certain stride characteristics have been shown to affect changes in biomechanical factors that are associated with injuries in human athletes. Determining the relationship between stride characteristics and musculoskeletal injury (MSI) may be key in limiting injury occurrence in the racehorse. Objective: This study aimed to determine whether changes in race day speed and stride characteristics over career race starts are associated with an increased risk of MSI in racehorses. Methods: Case-control study. Methods: Speed, stride length, and stride frequency data were obtained from the final 200â...
Performance of predictive models of survival in horses undergoing emergency exploratory laparotomy for colic.
Veterinary surgery : VS    June 8, 2022   Volume 51, Issue 6 891-902 doi: 10.1111/vsu.13839
Bishop RC, Gutierrez-Nibeyro SD, Stewart MC, McCoy AM.To evaluate previously published predictive survival models in a population of horses undergoing colic surgery in the midwestern United States. Methods: Retrospective cohort study; single referral hospital. Methods: A total of 260 horses met the inclusion criteria. Methods: Medical records of horses undergoing surgical treatment for colic were reviewed. Previously published models were applied to cohort data to predict outcome. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy for prediction of short-term survival were calculated. Results:...
Morphomolecular characterization of Strongylus vulgaris isolated from donkeys with special references to histopathological study on the affected organs.
Journal of parasitic diseases : official organ of the Indian Society for Parasitology    June 6, 2022   Volume 46, Issue 3 795-803 doi: 10.1007/s12639-022-01498-y
El-Gameel SM, Al-Mokaddem AK, Salaeh NMK, Attia MM.Equine gastrointestinal tract is infected with () which is highly pathogenic parasite for its harmful effect on cranial mesenteric artery during its migration. So, this study was applied for identification of in donkeys ultramorphologically and molecularly. In addition to, detection of the pathological effect of larval stage of on the mesenteric arterial system using histopathology and immunohistochemistry. During the period from September to December; 2019, 60 male and 20 female donkeys at the Giza Zoo was postmortem examined. adults and larvae were collected from the large intestine and ...
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