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Topic:Public Health

The topic of Public Health and horses encompasses the study of interactions between equine populations and human health systems. It involves examining the transmission of zoonotic diseases, which are diseases that can be transferred between animals and humans, as well as the role of horses in the epidemiology of such diseases. This field also considers the impact of equine-related activities on public health, including injuries and environmental effects. Research in this area often explores preventive measures, management strategies, and policies to mitigate health risks associated with horses. This page compiles peer-reviewed research studies and scholarly articles that investigate the intersection of equine and public health, focusing on disease transmission, risk assessment, and health management strategies.
Nanoparticle- and Microparticle-Based Vaccines against Orbiviruses of Veterinary Importance.
Vaccines    July 14, 2022   Volume 10, Issue 7 doi: 10.3390/vaccines10071124
Jiménez-Cabello L, Utrilla-Trigo S, Barreiro-Piñeiro N, Pose-Boirazian T, Martínez-Costas J, Marín-López A, Ortego J.Bluetongue virus (BTV) and African horse sickness virus (AHSV) are widespread arboviruses that cause important economic losses in the livestock and equine industries, respectively. In addition to these, another arthropod-transmitted orbivirus known as epizootic hemorrhagic disease virus (EHDV) entails a major threat as there is a conducive landscape that nurtures its emergence in non-endemic countries. To date, only vaccinations with live attenuated or inactivated vaccines permit the control of these three viral diseases, although important drawbacks, e.g., low safety profile and effectiveness...
Retrospective Investigation in Horses with Encephalitis Reveals Unnoticed Circulation of West Nile Virus in Brazil.
Viruses    July 14, 2022   Volume 14, Issue 7 1540 doi: 10.3390/v14071540
Fritsch H, Pereira FM, Costa EA, Fonseca V, Tosta S, Xavier J, Levy F, Oliveira C, Menezes G, Lima J, Santos L, Silva L, Nardy V, Astete MKG....During these past years, several studies have provided serological evidence regarding the circulation of West Nile virus (WNV) in Brazil. Despite some reports, much is still unknown regarding the genomic diversity and transmission dynamics of this virus in the country. Recently, genomic monitoring activities in horses revealed the circulation of WNV in several Brazilian regions. These findings on the paucity of genomic data reinforce the need for prompt investigation of WNV infection in horses, which may precede human cases of encephalitis in Brazil. Thus, in this study, we retrospectively scr...
Mental health benefits of mounted equine-assisted therapies: A scoping review.
Health & social care in the community    July 10, 2022   Volume 30, Issue 6 e4920-e4935 doi: 10.1111/hsc.13904
Ward J, Hovey A, Brownlee K.Across mental health professionals, there is growing interest in the field of Equine-Assisted Therapy (EAT). Preliminary evidence suggests EAT is beneficial for a wide spectrum of client populations. EAT programs may be based on groundwork alone, where participants interact with the horses from the ground only, or they may incorporate mounted activities. It remains unclear whether mounted activities add therapeutic benefits to the EAT experience for participants. This scoping review explored whether mounted activities, specifically where the client rides the horse, contribute to distinct thera...
Prevalence and whole genome-based phylogenetic, virulence and antibiotic -resistance characteristics of nasal -Staphylococcus aureus in healthy Swiss horses.
Schweizer Archiv fur Tierheilkunde    July 7, 2022   Volume 164, Issue 7 499-512 doi: 10.17236/sat00360
Hurni JI, Kaiser-Thom S, Gerber V, Keller JE, Collaud A, Fernandez J, Schwendener S, Perreten V.A total of 100 nasal swabs were collected from healthy horses in Switzerland between January 2020 and August 2020. The samples were taken from horses at 40 different stables in 12 different cantons and screened for both methicillin-resistant (MRSA) and methicillin-susceptible S. aureus (MSSA) using selective agar plates. S. aureus were tested for antibiotic susceptibility by measurement of the minimal inhibitory concentration (MIC) and for virulence factors, antibiotic resistance genes and phylogenetic characteristics using whole genome sequence analysis. Ten horses were found to be positiv...
[New drugs for horses and production animals in 2021].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    July 5, 2022   Volume 50, Issue 3 195-199 doi: 10.1055/a-1849-1770
Emmerich IU.In 2021, one novel pharmaceutical agent for horses or food-producing animals was released on the German market, making the anti-haemorrhagic etamsylate (Hemosilate) available for horses, cattle, pigs, sheep, goats, dogs and cats, for the first time. The authorization of one established veterinary active ingredient was extended to an additional species: The endectocide eprinomectin (Eprecis) from the group of macrocyclic lactones was also approved for sheeps and goats. Additionally, two veterinary formulations with a new active substance content (bromhexine, tiamulin) and one active ingredient ...
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...
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...
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...
A database of animal metagenomes.
Scientific data    June 16, 2022   Volume 9, Issue 1 312 doi: 10.1038/s41597-022-01444-w
Hu R, Yao R, Li L, Xu Y, Lei B, Tang G, Liang H, Lei Y, Li C, Li X, Liu K, Wang L, Zhang Y, Wang Y, Cui Y, Dai J, Ni W, Zhou P, Yu B, Hu S.With the rapid development of high-throughput sequencing technology, the amount of metagenomic data (including both 16S and whole-genome sequencing data) in public repositories is increasing exponentially. However, owing to the large and decentralized nature of the data, it is still difficult for users to mine, compare, and analyze the data. The animal metagenome database (AnimalMetagenome DB) integrates metagenomic sequencing data with host information, making it easier for users to find data of interest. The AnimalMetagenome DB is designed to contain all public metagenomic data from animals,...
Relatives’ experiences of an equine-assisted intervention for people with psychotic disorders.
International journal of qualitative studies on health and well-being    June 15, 2022   Volume 17, Issue 1 2087276 doi: 10.1080/17482631.2022.2087276
Fridén L, Hultsjö S, Lydell M, Jormfeldt H.The aim of this study was to describe relatives' experiences of an equine-assisted intervention for people with psychotic disorders. Unassigned: The study has a qualitative and descriptive design. Ten semi-structured interviews were performed with relatives of people with a psychotic disorder who had participated in an equine-assisted intervention. A conventional content analysis was used to analyse the data. Unassigned: The overall category "Being with the horses strengthens health capabilities" summarizes the four identified subcategories "The horses contribute to a context with a common foc...
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...
An exercise-inducible metabolite that suppresses feeding and obesity.
Nature    June 15, 2022   Volume 606, Issue 7915 785-790 doi: 10.1038/s41586-022-04828-5
Li VL, He Y, Contrepois K, Liu H, Kim JT, Wiggenhorn AL, Tanzo JT, Tung AS, Lyu X, Zushin PH, Jansen RS, Michael B, Loh KY, Yang AC, Carl CS....Exercise confers protection against obesity, type 2 diabetes and other cardiometabolic diseases1-5. However, the molecular and cellular mechanisms that mediate the metabolic benefits of physical activity remain unclear6. Here we show that exercise stimulates the production of N-lactoyl-phenylalanine (Lac-Phe), a blood-borne signalling metabolite that suppresses feeding and obesity. The biosynthesis of Lac-Phe from lactate and phenylalanine occurs in CNDP2+ cells, including macrophages, monocytes and other immune and epithelial cells localized to diverse organs. In diet-induced obese mice,...
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...
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...
Can Humans Discriminate Horse ‘Fear’ Chemosignals from Control Chemosignals? Comment on Sabiniewicz et al. A Preliminary Investigation of Interspecific Chemosensory Communication of Emotions: Can Humans (Homo sapiens) Recognise Fear- and Non-Fear Body Odour from Horses (Equus ferus caballus). Animals 2021, 11, 3499.
Animals : an open access journal from MDPI    June 8, 2022   Volume 12, Issue 12 1489 doi: 10.3390/ani12121489
Semin GR, Gomes N, D'Aniello B, Sabiniewicz A.We illustrate the problematic nature of different assumptions guiding the examination of whether humans can detect the source of fear chemosignals (i.e., body odors) emitted by horses-a research question examined in an article recently published in . A central issue is that the formulation of the question itself contains the answer to it. In this paper, we parse the problematic assumptions on which the analysis and methodology rely, leading to conclusions that are difficult to support. These assumptions constitute examples of methodological problems that should be avoided in research with anim...
Seasonal dynamics of Amblyomma sculptum: a review.
Parasites & vectors    June 6, 2022   Volume 15, Issue 1 193 doi: 10.1186/s13071-022-05311-w
de Paula LGF, do Nascimento RM, Franco AO, Szabó MPJ, Labruna MB, Monteiro C, Krawczak FDS.Amblyomma sculptum is a hard tick that is associated with domestic animals and the transmission of Brazilian spotted fever. This association has motivated several field studies on this ixodid tick within its distribution area in South America. Thorough knowledge of the seasonal dynamics of A. sculptum in different ecological scenarios is required in order to better understand the biological characteristics of this tick and develop techniques for the control and prevention of diseases transmitted by this vector. In this article, we systematically review the seasonal dynamics of A. sculptum and ...
Equine disease surveillance: quarterly update.
The Veterinary record    June 4, 2022   Volume 190, Issue 11 e1876 doi: 10.1002/vetr.1876
No abstract available
Trouble for Horses in Paradise: Toxicity and Fatality Resulting from the Consumption of Indigofera spicata (Fabaceae) on Oahu Island.
Veterinary sciences    June 4, 2022   Volume 9, Issue 6 271 doi: 10.3390/vetsci9060271
Ramadan MM, Dailey D.This is the first account of fatal toxicity in horses resulting from grazing on the pasture plant creeping indigo, , on the island of Oahu, in the Hawaiian Islands. A survey in the town of Waialua on the north shore of Oahu island indicated that creeping indigo is common and abundant on grazing lands during the rainy season and requires intensive chemical and physical control measures. Four pastures were surveyed where ranchers reported mortality of more than 17 horses since 2020. We document these incidents to alert state animal and livestock support officials, groups monitoring invasive spec...
Detection of Leishmania spp. in Chronic Dermatitis: Retrospective Study in Exposed Horse Populations.
Pathogens (Basel, Switzerland)    May 31, 2022   Volume 11, Issue 6 634 doi: 10.3390/pathogens11060634
Gazzonis AL, Morganti G, Porcellato I, Roccabianca P, Avallone G, Gavaudan S, Canonico C, Rigamonti G, Brachelente C, Veronesi F. is a protozoan causing human zoonotic visceral leishmaniasis (ZVL) and visceral-cutaneous canine leishmaniosis (CanL) in the Mediterranean Basin. is able to infect a large number of wild and domestic species, including cats, dogs, and horses. Since the 1990s, clinical cases of equine leishmaniasis (EL), typically characterized by cutaneous forms, have been increasingly diagnosed worldwide. The aim of the present study was to evaluate the presence of clinical forms of EL in CanL-endemic areas in Italy, where exposure of equine populations was ascertained from recent serological surveys. For t...
Seroprevalence and Risk Factors for Equine West Nile Virus Infections in Eastern Germany, 2020.
Viruses    May 30, 2022   Volume 14, Issue 6 1191 doi: 10.3390/v14061191
Ganzenberg S, Sieg M, Ziegler U, Pfeffer M, Vahlenkamp TW, Hörügel U, Groschup MH, Lohmann KL.West Nile virus (WNV) infections were first detected in Germany in 2018, but information about WNV seroprevalence in horses is limited. The study's overall goal was to gather information that would help veterinarians, horse owners, and veterinary-, and public health- authorities understand the spread of WNV in Germany and direct protective measures. For this purpose, WNV seroprevalence was determined in counties with and without previously registered WNV infections in horses, and risk factors for seropositivity were estimated. The cohort consisted of privately owned horses from nine counties i...
A quarterly Survey of antibiotic prescribing in small animal and equine practices-Minnesota and North Dakota, 2020.
Zoonoses and public health    May 29, 2022   Volume 69, Issue 7 864-874 doi: 10.1111/zph.12979
Bollig ER, Granick JL, Webb TL, Ward C, Beaudoin AL.Antimicrobials are critical for medicine, but the problem of antimicrobial resistance (AMR) threatens the effectiveness of these valuable drugs. In USA, there are no national- or state-level programs or policies in place to track antibiotic use (AU) in dogs, cats, and horses, despite acknowledgement of this sector's importance to both the AMR problem and its solution. AU measurement is a key part of antibiotic stewardship and AMR prevention. This study aimed to fill existing gaps in the veterinary professions' knowledge of antibiotic prescribing in small animals and horses. To address this aim...
Phylogenetic and Mutation Analysis of the Venezuelan Equine Encephalitis Virus Sequence Isolated in Costa Rica from a Mare with Encephalitis.
Veterinary sciences    May 28, 2022   Volume 9, Issue 6 258 doi: 10.3390/vetsci9060258
León B, González G, Nicoli A, Rojas A, Pizio AD, Ramirez-Carvajal L, Jimenez C.Venezuelan Equine Encephalitis virus (VEEV) is an arboviral pathogen in tropical America that causes lethal encephalitis in horses and humans. VEEV is classified into six subtypes (I to VI). Subtype I viruses are divided into epizootic (IAB and IC) and endemic strains (ID and IE) that can produce outbreaks or sporadic diseases, respectively. The objective of this study was to reconstruct the phylogeny and the molecular clock of sequences of VEEV subtype I complex and identify mutations within sequences belonging to epizootic or enzootic subtypes focusing on a sequence isolated from a mare in C...
Welfare Concerns for Mounted Load Carrying by Working Donkeys in Pakistan.
Frontiers in veterinary science    May 27, 2022   Volume 9 886020 doi: 10.3389/fvets.2022.886020
Bukhari SSUH, Rosanowski SM, McElligott AG, Parkes RSV.Working donkeys () are vital to people's livelihoods. They are essential for carrying goods, however, globally, overloading is one of the primary welfare concerns for working donkeys. We studied mounted load carrying by donkeys and associated factors in Pakistan. A cross-sectional study of donkey owners ( = 332) was conducted, and interviews were undertaken based on a questionnaire. Owners estimated that the median weight of their donkeys was 110 kg [interquartile range (IQR) 100-120 kg], and that they carried a median mounted load of 81.5 kg (IQR 63-99 kg). We found that 87.4% of donkeys carr...
Serological Hendra Virus Diagnostics Using an Indirect ELISA-Based DIVA Approach with Recombinant Hendra G and N Proteins.
Microorganisms    May 25, 2022   Volume 10, Issue 6 1095 doi: 10.3390/microorganisms10061095
Balkema-Buschmann A, Fischer K, McNabb L, Diederich S, Singanallur NB, Ziegler U, Keil GM, Kirkland PD, Penning M, Sadeghi B, Marsh G, Barr J....Since the identification of Hendra virus (HeV) infections in horses in Australia in 1994, more than 80 outbreaks in horses have been reported, and four out of seven spillover infections in humans had a fatal outcome. With the availability of a subunit vaccine based on the HeV-Glycoprotein (HeV-G), there is a need to serologically ifferentiate the nfected from the accinated nimals (DIVA). We developed an indirect ELISA using HeV-G expressed in and HeV-Nucleoprotein (HeV-N) expressed in recombinant baculovirus-infected insect cells as antigens. During evaluation, we tested panels of sera from n...
Risk factors for equine trypanosomosis and hematological analysis of horses in Paraguay.
Acta tropica    May 25, 2022   Volume 233 106543 doi: 10.1016/j.actatropica.2022.106543
Yamazaki A, Suganuma K, Kayano M, Acosta TJ, Saitoh T, Valinotti MFR, Sanchez AR, Inoue N.Animal trypanosomosis, caused by Trypanozoon trypanosomes (Trypanosoma evansi and T. equiperdum), and Trypanosoma vivax, is endemic to South American countries and has a negative impact on the livestock industry. However, the risk factors for trypanosomosis in Paraguay remain unknown. This study aimed to determine the risk factors for equine trypanosomosis in Paraguay based on a PCR-based molecular survey and individual horse sampling data. In this study, 739 blood samples were collected from horses in 16 departments of Paraguay between August 2019 and November 2020. To elucidate the risk fact...
West Nile virus in the Republic of Serbia-Diagnostic performance of five serological tests in dog and horse sera.
Transboundary and emerging diseases    May 24, 2022   Volume 69, Issue 5 e2506-e2515 doi: 10.1111/tbed.14593
Vasić A, Răileanu C, Körsten C, Vojinović D, Manić M, Urošević A, Nikolić N, Dulović O, Tews BA, Petrović T, Silaghi C, Valčić M....West Nile virus (WNV) is a zoonotic mosquito-borne virus classified as family Flaviviridae and genus Flavivirus. The first WNV outbreak in humans in the Republic of Serbia was recorded in 2012. Equids and dogs can show clinical symptoms after WNV infection and are often used as sentinels. This study aimed to (i) give insight into seropositivity for WNV in clinically healthy dog and horse sera in different regions of Serbia and (ii) compare diagnostic value of 'in-house' and commercially available indirect immunofluorescence (IFA) and enzyme-linked immunoassay (ELISA) tests to 'gold standard' v...
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