Analyze Diet

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.
Early Evidence of the Economic Effects of COVID-19 on the Horse Show Industry in 2020.
Journal of equine veterinary science    August 12, 2021   Volume 106 103734 doi: 10.1016/j.jevs.2021.103734
Huseman C, Walker N, McCorkle DA, Hanselka D, Cater M, Zoller J.The COVID-19 pandemic affected the economic status of all sectors of the global economy including the horse show industry. Reporting the impact of COVID-19 on in-person horse shows and an early assessment of its impact on the economy was the objective of this study. A Qualtrics survey instrument was disseminated to horse show participants through social media pages and email (n = 251). A majority of respondents were females (95.6%) representing a cross-section of the United States (84.0%). Participants reported planning to attend an average of 9.7 (SD = 7.15) in-person horse shows in 2020...
Epidemiology of race day injury in young professional jockeys in Great Britain from 2007 to 2018: a retrospective cohort study.
BMJ open    August 11, 2021   Volume 11, Issue 8 e044075 doi: 10.1136/bmjopen-2020-044075
Davies M, Jackson KA, Mackinnon AL, Turner A, Kuznik K, Hill J, Newton JL, Sanchez Santos M.There are limited injury data in professional horse racing, particularly by sex. To describe injury incidence, characteristics and falls in male and female, flat and jump jockeys in Great Britain. Retrospective cohort study of professional jockeys in Britain. 245 jockeys licensed between 2007 and 2017. The primary outcome measure was injury on a race day. Injury incidence (per 1000 rides; per 1000 falls) was derived. Incidence-rate ratios (IRR) were calculated to compare incidence between flat and jump racing, male and female jockeys, and male flat and male jump jockeys for: (i) injury inciden...
West Nile Virus in the State of Ceará, Northeast Brazil.
Microorganisms    August 10, 2021   Volume 9, Issue 8 1699 doi: 10.3390/microorganisms9081699
Löwen Levy Chalhoub F, Maia de Queiroz-Júnior E, Holanda Duarte B, Eielson Pinheiro de Sá M, Cerqueira Lima P, Carneiro de Oliveira A....In June 2019, a horse with neurological disorder was diagnosed with West Nile virus (WNV) in Boa Viagem, a municipality in the state of Ceará, northeast Brazil. A multi-institutional task force coordinated by the Brazilian Ministry of Health was deployed to the area for case investigation. A total of 513 biological samples from 78 humans, 157 domestic animals and 278 free-ranging wild birds, as well as 853 adult mosquitoes of 22 species were tested for WNV by highly specific serological and/or molecular tests. No active circulation of WNV was detected in vertebrates or mosquitoes by molecular...
Regulation of AI in Health Care: A Cautionary Tale Considering Horses and Zebras.
Journal of law and medicine    August 10, 2021   Volume 28, Issue 3 645-654 
Richards B, Sage Jacobson S, James Aquino YS.The introduction of Artificial Intelligence (AI) into health care has been accompanied by uncertainties and regulatory challenges. The establishment of a regulatory framework around AI in health is in its infancy and the way forward is unclear. There are those who argue that this represents a concerning regulatory gap, while others assert that existing regulatory frameworks, policies and guidelines are sufficient. We argue that perhaps the reality is somewhere in between, but that there is a need for engagement with principles and guidelines to inform future regulation. However, this cannot be...
Genetic characterization and phylogenetic of Anaplasma capra in Persian onagers (Equus hemionus onager).
Veterinary microbiology    August 8, 2021   Volume 261 109199 doi: 10.1016/j.vetmic.2021.109199
Staji H, Yousefi M, Hamedani MA, Tamai IA, Khaligh SG.Anaplasma spp. are among the most recognized arthropod-borne infectious agents. Although the novel A. capra has been isolated from wildlife, livestock, and hard ticks from many parts of the world, there is no report regarding the identification of this pathogen from equines and little is known about the epidemiology of A. capra in Equidae. In this study, A. capra was identified in two out of ten blood specimens of wild onagers (Equus hemionus onager) during a routine health check-up in Semnan, Iran by light microscopy and molecular analyses while other pathogens were not detected. First, inclu...
Bacterial Contamination of Equine Dentistry Equipment-Effect of Cleaning and Disinfection.
Animals : an open access journal from MDPI    August 5, 2021   Volume 11, Issue 8 2320 doi: 10.3390/ani11082320
Alsing-Johansson T, Pedersen A, Bergström K, Sternberg-Lewerin S, Penell J, Bergh A.Equine dentistry has developed immensely and human dental equipment, such as handpieces, are often used. Measures to avoid the spread of infectious microorganisms are important, but this is challenging since handpieces are difficult to decontaminate. Thus, it is necessary to develop effective IPC measures in equine dentistry. The aim of this study was to contribute to the evidence needed for future evidence-based guidelines on IPC by investigating hygiene in equine dentistry. Used handpieces and dummies (i.e., handpieces not used during dental procedure, reflecting environmental bacterial cont...
Analysis of Virulence and Antimicrobial Resistance Gene Carriage in Staphylococcus aureus Infections in Equids Using Whole-Genome Sequencing.
mSphere    August 4, 2021   Volume 6, Issue 4 e0019620 doi: 10.1128/mSphere.00196-20
Little SV, Hillhouse AE, Lawhon SD, Bryan LK.While Staphylococcus aureus is associated with significant morbidity and mortality in equids (horses, donkeys, and mules), few studies have performed whole-genome sequencing to fully categorize large collections of equine isolates. Such sequencing allows for a comprehensive analysis of the genetic lineage and relationships of isolates, as well as the virulence genes present in each, which can be important for understanding the epidemiology of strains and their range of infections. Seventy-two clinical Staphylococcus aureus isolates from equids were collected at the Texas A&M University Vet...
Development and Validation of a Test for the Classification of Horses as Broken or Unbroken.
Animals : an open access journal from MDPI    August 4, 2021   Volume 11, Issue 8 2303 doi: 10.3390/ani11082303
Menchetti L, Dalla Costa E, Minero M, Padalino B.Regulation EC 1/2005 has stricter rules for transportation of unbroken (untamed) vs. broken (tamed) horses, but does not provide adequate tools for their identification. This study aimed to develop and validate such a tool. A behavioural test (Broken/Unbroken Test (BUT)) based on approaching, haltering, and leading was applied to 100 horses. Physiological and additional behavioural data were also collected, and the horses' status (broken/unbroken) was assessed by the expert who administered the BUT. Each horse's behaviour during the BUT was scored by four trained observers blinded to the horse...
Exploring the Severity of Craniomaxillofacial Injuries From Horseback Riding.
The Journal of craniofacial surgery    August 3, 2021   Volume 33, Issue 1 62-65 doi: 10.1097/SCS.0000000000008004
Stanbouly D, Besmer AV, Chuang SK.The purpose of our study is to assess the severity of craniomaxillofacial injuries from horseback-riding accidents. Methods: This is a 20-year retrospective cross-sectional study of the National Electronic Injury Surveillance System. Injuries from the activity of horseback-riding were included if they occurred in the craniomaxillofacial complex. Study predictors were derived from both patient and injury characteristics. The study outcome was the presence or absence (probability) of hospital admission from the emergency department. A multiple logistic regression model was created to model the o...
Active Circulation of Madariaga Virus, a Member of the Eastern Equine Encephalitis Virus Complex, in Northeast Brazil.
Pathogens (Basel, Switzerland)    August 3, 2021   Volume 10, Issue 8 983 doi: 10.3390/pathogens10080983
Gil LHVG, Magalhaes T, Santos BSAS, Oliveira LV, Oliveira-Filho EF, Cunha JLR, Fraiha ALS, Rocha BMM, Longo BC, Ecco R, Faria GC, Furtini R....Madariaga virus (MADV) is a member of the eastern equine encephalitis virus (EEEV) complex that circulates in Central and South America. It is a zoonotic, mosquito-borne pathogen, belonging to the family . Disturbances in the natural transmission cycle of this virus result in outbreaks in equines and humans, leading to high case fatality in the former and acute febrile illness or neurological disease in the latter. Although a considerable amount of knowledge exists on the eco-epidemiology of North American EEEV strains, little is known about MADV. In Brazil, the most recent isolations of MADV ...
Equine infection with Leishmania spp. in Costa Rica: Study of five cases.
Veterinary medicine and science    August 2, 2021   Volume 7, Issue 6 2234-2239 doi: 10.1002/vms3.587
Ortega-García MV, Salguero FJ, García N, Domínguez M, Moreno I, Berrocal A.Cutaneous forms of leishmaniosis due to Leishmania braziliensis have been reported in horses in the New World. Domestic animals play a role in the transmission of the disease. In Costa Rica, human cases of L. braziliensis, L. panamensis and L. infantum have been reported. The present report describes five cases of equine cutaneous leishmaniosis in Costa Rica. The aetiological diagnosis was based on the presence of the parasite within the lesions. Skin biopsies were used to perform histopathological analyses of the lesions. Immunohistochemistry was used to detect the presence of the Leishmania ...
Factors Associated with Owner-Reported Euthanasia in Equids in France.
Journal of equine veterinary science    July 31, 2021   Volume 105 103723 doi: 10.1016/j.jevs.2021.103723
Merlin A, Foucher N, Linster M, Cazeau G, Marsot M, Delerue M, Sala C, Schneider J, Ferry B, Amat JP, Tapprest J.There is limited evidence regarding the proportion of dead equids in France that were euthanized and the factors influencing the decision-making of euthanasia. The better understanding of which could facilitate research on improvement of welfare, especially on end of life issues. The aim of this study was to estimate the proportion of euthanasia and identify associated factors in equids in France. A web-based survey was created and distributed by the French horse and riding institute to owners who reported an equine death between April 2017 and April 2018 (n = 5 158). Factors associated with...
The Structural Biology of Eastern Equine Encephalitis Virus, an Emerging Viral Threat.
Pathogens (Basel, Switzerland)    July 31, 2021   Volume 10, Issue 8 973 doi: 10.3390/pathogens10080973
Hasan SS, Dey D, Singh S, Martin M.Alphaviruses are arboviruses that cause arthritis and encephalitis in humans. Eastern Equine Encephalitis Virus (EEEV) is a mosquito-transmitted alphavirus that is implicated in severe encephalitis in humans with high mortality. However, limited insights are available into the fundamental biology of EEEV and residue-level details of its interactions with host proteins. In recent years, outbreaks of EEEV have been reported mainly in the United States, raising concerns about public safety. This review article summarizes recent advances in the structural biology of EEEV based mainly on single-par...
Detecting Welfare in a Non-Verbal Species: Social/Cultural Biases and Difficulties in Horse Welfare Assessment.
Animals : an open access journal from MDPI    July 30, 2021   Volume 11, Issue 8 2249 doi: 10.3390/ani11082249
Hausberger M, Lesimple C, Henry S.Horses were domesticated for more than 5000 years and have been one of the most emblematic species living alongside humans. This long-shared history would suggest that horses are well known and well understood, but scientific data raise many concerns about the welfare state of most domestic horses suggesting that many aspects have been largely misunderstood. In the present review, we will examine some of the possible human factors that may explain the huge prevalence of welfare problems, despite horses being of special importance to humans. First of all, as horses are non-verbal, current manag...
Serological Evidence of Common Equine Viral Infections in a Semi-Isolated, Unvaccinated Population of Hucul Horses.
Animals : an open access journal from MDPI    July 30, 2021   Volume 11, Issue 8 2261 doi: 10.3390/ani11082261
Bażanów B, Pawęska JT, Pogorzelska A, Florek M, Frącka A, Gębarowski T, Chwirot W, Stygar D.Huculs () are an old breed of primitive mountain horses, originating from the Carpathian Mountains. To the best of our knowledge, data concerning the epidemiology of viral infections observed within this breed are sparse. The objective of this study was to estimate the serological status of a semi-isolated, unvaccinated Hucul herd, with respect to both common equine viral infections and horse-infecting arboviruses, the presence of which was previously reported in Poland. Twenty horses of the Hucul breed, living in a remote area in Poland, were studied in 2018 from March to May. Using nasal sec...
Serum Antibody Activity against Poly-N-Acetyl Glucosamine (PNAG), but Not PNAG Vaccination Status, Is Associated with Protecting Newborn Foals against Intrabronchial Infection with Rhodococcus equi.
Microbiology spectrum    July 28, 2021   Volume 9, Issue 1 e0063821 doi: 10.1128/Spectrum.00638-21
Cohen ND, Kahn SK, Cywes-Bentley C, Ramirez-Cortez S, Schuckert AE, Vinacur M, Bordin AI, Pier GB.Rhodococcus equi is a prevalent cause of pneumonia in foals worldwide. Our laboratory has demonstrated that vaccination against the surface polysaccharide β-1→6-poly-N-acetylglucosamine (PNAG) protects foals against intrabronchial infection with R. equi when challenged at age 28 days. However, it is important that the efficacy of this vaccine be evaluated in foals when they are infected at an earlier age, because foals are naturally exposed to virulent R. equi in their environment from birth and because susceptibility is inversely related to age in foals. Using a randomized, blind experim...
Antimicrobial Resistance Spectrum Conferred by pRErm46 of Emerging Macrolide (Multidrug)-Resistant Rhodococcus equi.
Journal of clinical microbiology    July 28, 2021   Volume 59, Issue 10 e0114921 doi: 10.1128/JCM.01149-21
Erol E, Scortti M, Fortner J, Patel M, Vázquez-Boland JA.Clonal multidrug resistance recently emerged in Rhodococcus equi, complicating the therapeutic management of this difficult-to-treat animal- and human-pathogenic actinomycete. The currently spreading multidrug-resistant (MDR) "2287" clone arose in equine farms upon acquisition, and coselection by mass macrolide-rifampin therapy, of the pRErm46 plasmid carrying the (46) macrolide-lincosamide-streptogramin resistance determinant, and of an mutation. Here, we screened a collection of susceptible and macrolide-resistant strains from equine clinical cases using a panel of 15 antimicrobials agains...
Molecular analysis of G3P[6] rotavirus in the Amazon region of Brazil: evidence of reassortment with equine-like strains.
Future microbiology    July 28, 2021   Volume 16 847-862 doi: 10.2217/fmb-2020-0002
Silva Serra AC, Júnior EC, Cruz JF, Lobo PS, Júnior ET, Bandeira RS, Bezerra DA, Mascarenhas JD, Santos Guerra SF, Soares LS. To perform a molecular analysis of rotavirus A (RVA) G3P[6] strains detected in 2012 and 2017 in the Amazon region of Brazil. Eighteen RVA G3P[6] strains were collected from children aged under 10 years hospitalized with acute gastroenteritis, and partial sequencing of each segment genome was performed using Sanger sequencing. Phylogenetic analysis showed that all G3P[6] strains had a DS-1-like genotype constellation. Two strains had the highest nucleotide identities with equine-like G3P[6]/G3P[8] genotypes. Several amino acid alterations in VP4 and VP7 neutralizing epitopes of equine-l...
A comprehensive review on avian chlamydiosis: a neglected zoonotic disease.
Tropical animal health and production    July 27, 2021   Volume 53, Issue 4 414 doi: 10.1007/s11250-021-02859-0
Ravichandran K, Anbazhagan S, Karthik K, Angappan M, Dhayananth B.Avian chlamydiosis is one of the important neglected diseases with critical zoonotic potential. Chlamydia psittaci, the causative agent, affects most categories of birds, livestock, companion animals, and humans. It has many obscured characters and epidemiological dimensions, which makes it unique among other bacterial agents. Recent reports on transmission from equine to humans alarmed the public health authorities, and it necessitates the importance of routine screening of this infectious disease. High prevalence of spill-over infection in equines was associated with reproductive losses. New...
Spread of anthelmintic resistance in intestinal helminths of dogs and cats is currently less pronounced than in ruminants and horses – Yet it is of major concern.
International journal for parasitology. Drugs and drug resistance    July 25, 2021   Volume 17 36-45 doi: 10.1016/j.ijpddr.2021.07.003
von Samson-Himmelstjerna G, Thompson RA, Krücken J, Grant W, Bowman DD, Schnyder M, Deplazes P.Anthelmintic resistance (AR) has thus far only rarely been reported for intestinal helminths of dogs and cats, in contrast to parasites of livestock and horses. We highlight possible reasons for this striking and important discrepancy, including ecological, biological and genetic factors and/or intervention regimens of key intestinal helminths concerning both host groups. In view of the current knowledge related to the genetics, mechanisms and principles of AR development, we point at issues which in our view contribute to a comparatively lower risk of AR development in intestinal helminths of...
Emerging Trends in the West Nile Virus Epidemiology in Croatia in the ‘One Health’ Context, 2011-2020.
Tropical medicine and infectious disease    July 24, 2021   Volume 6, Issue 3 140 doi: 10.3390/tropicalmed6030140
West Nile virus (WNV) is one of the most widely distributed (re-)emerging arboviruses. In Croatia, acute WNV infections as well as seropositivity were detected in humans, horses, birds and poultry. Although serologic evidence of WNV human infections dates back to the 1970s, no clinical cases were reported until 2012. WNV outbreaks, as well as sporadic infections, were continuously recorded in continental Croatian counties from 2012 to 2018. In addition, acute asymptomatic infections (IgM antibodies) in horses have been regularly notified in continental regions since 2012, while seropositive ho...
Identical Viral Genetic Sequence Found in Black Flies (Simulium bivittatum) and the Equine Index Case of the 2006 U.S. Vesicular Stomatitis Outbreak.
Pathogens (Basel, Switzerland)    July 23, 2021   Volume 10, Issue 8 doi: 10.3390/pathogens10080929
Drolet BS, Reeves WK, Bennett KE, Pauszek SJ, Bertram MR, Rodriguez LL.In 2006, vesicular stomatitis New Jersey virus (VSNJV) caused outbreaks in Wyoming (WY) horses and cattle after overwintering in 2004 and 2005. Within two weeks of the outbreak onset, 12,203 biting flies and 194 grasshoppers were collected near three equine-positive premises in Natrona County, WY. Insects were identified to the species level and tested by RT-qPCR for VSNJV polymerase (L) and phosphoprotein (P) gene RNA. Collected dipterans known to be competent for VSV transmission included Simulium black flies and Culicoides biting midges. VSNJV L and P RNA was detected in two pools of female...
The Human Aspect of Horse Care: How the COVID-19 Pandemic Impacted the Wellbeing of Equestrian Industry Stakeholders.
Animals : an open access journal from MDPI    July 22, 2021   Volume 11, Issue 8 2163 doi: 10.3390/ani11082163
Ward A, Stephen K, Argo C, Watson C, Harris P, Neacsu M, Russell W, Grove-White D, Morrison P.During the lockdown phase of the COVID-19 pandemic, equestrian stakeholders faced a dilemma whereby they were required to balance caring for the welfare of horses with adapting to the restrictions imposed to protect public health. The present study investigated the impact of the pandemic on the wellbeing of a sample of industry stakeholders, including horse owners, equine veterinarians, farriers and welfare centre managers ( = 26) using a qualitative methodology. Findings from the interviews indicated that the mental health and wellbeing of veterinarians and horse owners was negatively affecte...
Isothermal Nucleic Acid Amplification Technologies for the Detection of Equine Viral Pathogens.
Animals : an open access journal from MDPI    July 20, 2021   Volume 11, Issue 7 2150 doi: 10.3390/ani11072150
Knox A, Beddoe T.The global equine industry provides significant economic contributions worldwide, producing approximately USD $300 billion annually. However, with the continuous national and international movement and importation of horses, there is an ongoing threat of a viral outbreak causing large epidemics and subsequent significant economic losses. Additionally, horses serve as a host for several zoonotic diseases that could cause significant human health problems. The ability to rapidly diagnose equine viral diseases early could lead to better management, treatment, and biosecurity strategies. Current s...
Development and Application of a Multiplex Real-Time Polymerase Chain Reaction Assay for the Simultaneous Detection of Bacterial Aetiologic Agents Associated With Equine Venereal Diseases.
Journal of equine veterinary science    July 17, 2021   Volume 105 103721 doi: 10.1016/j.jevs.2021.103721
Kim SH, Lee JS, Lee JH, Kim YJ, Choi JG, Lee SK, Kim HJ, Yang SJ, Park T, Lee SK, Kang HE, Jeoung HY, Park JY.Venereal diseases caused by bacteria are important to the equine industry due to economic losses caused by decline of conception rate in breeding horses. Therefore, identification of infected animals as well as the implementation of appropriate managerial procedures based on accurate diagnosis is critical. In this study, two types of multiplex real-time polymerase chain reaction with high sensitivity and specificity were developed for the simultaneous detection and differentiation of five commonly associated bacterial pathogens of venereal diseases in horses, consisting of Taylorella equigenit...
A descriptive study of parasites detected in ticks of domestic animals in Lesotho.
Veterinary parasitology, regional studies and reports    July 16, 2021   Volume 25 100611 doi: 10.1016/j.vprsr.2021.100611
Mahlobo SI, Zishiri OT.Ticks are medically important and significant vectors of diseases affecting livestock, humans, and companion animals than any other arthropod vectors. In the absence of information on the relationship of tick species and piroplasms parasites in Lesotho, the current study was aimed at detecting piroplasms parasites of economic importance from ticks of domestic animals. A total of 322 pooled tick DNA samples were subjected to PCR screening for the presence of piroplasms. The overall infection rate of piroplasms was 7% with Babesia bigemina at 3.4% (11/322), B. bovis 0.3% (1/322), B. ovis 2.8% (9...
A Scoping Review of West Nile Virus Seroprevalence Studies among African Equids.
Pathogens (Basel, Switzerland)    July 15, 2021   Volume 10, Issue 7 899 doi: 10.3390/pathogens10070899
Olufemi OT, Barba M, Daly JM.West Nile virus (WNV) is an emerging and re-emerging zoonotic flavivirus first identified in and endemic to Africa. The virus is transmitted between birds by biting mosquitoes, with equids and humans being incidental hosts. The majority of infected incidental hosts display no or only mild clinical signs, but a fraction develop encephalitis. The aim of this scoping review was to identify and evaluate primary research on the presence of antibodies to WNV among African equids. Three bibliographic databases and the grey literature were searched. Of 283 articles identified, only 16 satisfied all th...
Vancomycin resistant Streptococcus equi subsp. equi isolated from equines suffering from respiratory manifestation in Egypt.
Veterinary world    July 14, 2021   Volume 14, Issue 7 1808-1814 doi: 10.14202/vetworld.2021.1808-1814
Arafa AA, Hedia RH, Ata NS, Ibrahim ES.Upper respiratory tract infections are common in horses and can be caused by a variety of pathogens, mainly subsp, which are a significant equine pathogen causing major health issues as well as financial losses to the equine industry. This study aimed to determine the prevalence of bacteria in equines in Egypt, and characterize vancomycin-resistant subsp phenotypically and genotypically. Methods: subsp was isolated from internal nares of horses. All strains were confirmed by polymerase chain reaction-based detection of genus-specific , A and I genes. Antibiotic susceptibility was determin...
Risk factors associated with tick infestations on equids in Khyber Pakhtunkhwa, Pakistan, with notes on Rickettsia massiliae detection.
Parasites & vectors    July 13, 2021   Volume 14, Issue 1 363 doi: 10.1186/s13071-021-04836-w
Ali A, Zahid H, Zeb I, Tufail M, Khan S, Haroon M, Tufail M, Bilal M, Hussain M, Alouffi AS, Muñoz-Leal S, Labruna MB.Studies on ticks infesting equids are lacking in various parts of the world, including Khyber Pakhtunkhwa (KP), Pakistan. The aim of this study was to investigate the diversity of ticks infesting equids, associated risk factors and rickettsial detection in ticks from equids in KP. Methods: Inspection of 404 equid hosts from November 2018 to October 2019 resulted in the collection of 550 ticks. Data on tick-associated risk factors were collected from equid owners by means of a questionnaire. After morphological identification, partial DNA sequences of the tick mitochondrial 16S rRNA gene were u...
Clinical evidence that the pandemic from 1889 to 1891 commonly called the Russian flu might have been an earlier coronavirus pandemic.
Microbial biotechnology    July 13, 2021   Volume 14, Issue 5 1860-1870 doi: 10.1111/1751-7915.13889
Brüssow H, Brüssow L.Contemporary medical reports from Britain and Germany on patients suffering from a pandemic infection between 1889 and 1891, which was historically referred to as the Russian flu, share a number of characteristics with COVID-19. Most notable are aspects of multisystem affections comprising respiratory, gastrointestinal and neurological symptoms including loss of taste and smell perception; a protracted recovery resembling long covid and pathology observations of thrombosis in multiple organs, inflammation and rheumatic affections. As in COVID-19 and unlike in influenza, mortality was seen in e...
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