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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.
Pilot protocol for the control of contagious equine metritis in Great Britain.
The Veterinary record    March 11, 2018   Volume 182, Issue 10 287 doi: 10.1136/vr.k1112
No abstract available
Detection of Rickettsia spp. in ticks (Acari: Ixodidae) of domestic animals in Colombia.
Ticks and tick-borne diseases    March 9, 2018   Volume 9, Issue 4 819-823 doi: 10.1016/j.ttbdis.2018.03.006
Rivera-Páez FA, Martins TF, Ossa-López PA, Sampieri BR, Camargo-Mathias MI.Rickettsiosis are emerging or re-emerging diseases, with a worldwide distribution associated to transmission by arthropod vectors. Rickettsia species belong to the spotted fever group (SFG) and are transmitted by hard ticks (Acari: Ixodidae) that may act as vectors and reservoirs. This study carried out a molecular detection of Rickettsia from 7 species of the family Ixodidae collected from domestic hosts by PCR amplification of fragments of the citrate synthase "gltA" gene and outer membrane protein "ompA" gene. Of the 204 samples analyzed, 11.3% (23) were positive for rickettsial infection. ...
Serological Evidence of Orthopoxvirus Circulation Among Equids, Southeast Brazil.
Frontiers in microbiology    March 8, 2018   Volume 9 402 doi: 10.3389/fmicb.2018.00402
Borges IA, Reynolds MG, McCollum AM, Figueiredo PO, Ambrosio LLD, Vieira FN, Costa GB, Matos ACD, de Andrade Almeida VM, Ferreira PCP, Lobato ZIP....Since 1999 (VACV) outbreaks involving bovines and humans have been reported in Brazil; this zoonosis is known as Bovine Vaccinia (BV) and is mainly an occupational disease of milkers. It was only in 2008 (and then again in 2011 and 2014) however, that VACV was found causing natural infections in Brazilian equids. These reports involved only equids, no infected humans or bovines were identified, and the sources of infections remain unknown up to date. The peculiarities of Equine Vaccinia outbreaks (e.g., absence of human infection), the frequently shared environments, and fomites by equids and...
African horse sickness virus (AHSV) with a deletion of 77 amino acids in NS3/NS3a protein is not virulent and a safe promising AHS Disabled Infectious Single Animal (DISA) vaccine platform.
Vaccine    March 7, 2018   Volume 36, Issue 15 1925-1933 doi: 10.1016/j.vaccine.2018.03.003
van Rijn PA, Maris-Veldhuis MA, Potgieter CA, van Gennip RGP.African horse sickness virus (AHSV) is a virus species in the genus Orbivirus of the family Reoviridae. Currently, nine serotypes have been defined showing limited cross neutralization. AHSV is transmitted by species of Culicoides biting midges and causes African Horse Sickness (AHS) in equids with a mortality up to 95% in naïve domestic horses. AHS has become a serious threat for countries outside Africa, since endemic Culicoides species in moderate climates are competent vectors of closely related bluetongue virus. AHS outbreaks cause huge economic losses in developing countries. In the dev...
Longitudinal trends in the frequency of medium and fast race winning times in Australian harness racing: Relationships with rules moderating whip use.
PloS one    March 7, 2018   Volume 13, Issue 3 e0184091 doi: 10.1371/journal.pone.0184091
Wilson B, Jones B, McGreevy P.The use of whips in racing is subject to current debate, not least because the prospect that fatigued horses cannot respond renders the practice futile and inhumane. The racing industries maintain whip use is a form of encouragement and that the rules of racing that govern whip use safeguard horse welfare. The current study examined longitudinal trends in the frequency of medium and fast race winning times in Australian harness racing between September 2007 and August 2016 to explore relationships with a series of changes that moderated whip use. The first change, introduced January 2010, mode...
Epidemiology of fractures: The role of kick injuries in equine fractures.
Equine veterinary journal    February 28, 2018   Volume 50, Issue 5 580-586 doi: 10.1111/evj.12819
Donati B, Fürst AE, Hässig M, Jackson MA.Fractures occur commonly in equids and often are associated with complications and a poor outcome. There are no reports on the epidemiology of fractures in a heterogeneous equine population. Objective: To study the epidemiology of fractures in a heterogeneous equine population, focusing on differences between fractures resulting from a kick and fractures, resulting from other causes and investigating predictors for recovery. Methods: Retrospective case series. Methods: Data of all equids presented to the Equine Department, Vetsuisse Faculty, University of Zurich between 1990 and 2014 and diagn...
Characterization of the Prevalence and Management of Over-Conditioned Ponies and Horses in Maryland.
Journal of equine veterinary science    February 28, 2018   Volume 68 26-32 doi: 10.1016/j.jevs.2018.02.007
Jaqueth AL, Iwaniuk ME, Burk AO.It has been estimated in the United States and abroad that 20%-51% of the equine population suffers from over-conditioning or obesity. The objective of this study was to evaluate the prevalence of over-conditioning in the equine population in Maryland, to characterize weight control measures used, and to ascertain how control measures impact the operation. Over-conditioning was defined as a body condition score of 4 or 5 on a 5-point scale. All licensed horse operators in Maryland were invited to participate in an online survey. A total of 93 farm operators completed the survey with 238 ponies...
Molecular allergen profiling in horses by microarray reveals Fag e 2 from buckwheat as a frequent sensitizer.
Allergy    February 27, 2018   Volume 73, Issue 7 1436-1446 doi: 10.1111/all.13417
Einhorn L, Hofstetter G, Brandt S, Hainisch EK, Fukuda I, Kusano K, Scheynius A, Mittermann I, Resch-Marat Y, Vrtala S, Valenta R, Marti E, Rhyner C....Companion animals are also affected by IgE-mediated allergies, but the eliciting molecules are largely unknown. We aimed at refining an allergen microarray to explore sensitization in horses and compare it to the human IgE reactivity profiles. Methods: Custom-designed allergen microarray was produced on the basis of the ImmunoCAP ISAC technology containing 131 allergens. Sera from 51 horses derived from Europe or Japan were tested for specific IgE reactivity. The included horse patients were diagnosed for eczema due to insect bite hypersensitivity, chronic coughing, recurrent airway obstructio...
A standardised equine-based welfare assessment tool used for six years in low and middle income countries.
PloS one    February 21, 2018   Volume 13, Issue 2 e0192354 doi: 10.1371/journal.pone.0192354
Sommerville R, Brown AF, Upjohn M.The majority of horses, donkeys and mules (equids) are in low- and middle-income countries, where they remain a key source of labour in the construction, agriculture and tourism industries, as well as supporting households daily through transporting people and staple goods. Globally, approximately 600 million people depend on working equids for their livelihood. Safeguarding the welfare of these animals is essential for them to work, as well as for the intrinsic value of the animal's quality of life. In order to manage animal welfare, it must be measured. Over the past decade, welfare assessme...
A network approach for provisional assay recognition of a Hendra virus antibody ELISA: test validation with low sample numbers from infected horses. Colling A, Lunt R, Bergfeld J, McNabb L, Halpin K, Juzva S, Newberry K, Morrissy C, Loomes C, Warner S, Diallo I, Kirkland P, Broder CC, Carlile G....Obtaining statistically sound numbers of sera from Hendra virus (HeV)-infected horses is problematic because affected individuals usually die or are euthanized before developing a serum antibody response. As a consequence, test validation becomes a challenge. Our approach is an extension of OIE principles for provisional recognition and included 7 validation panels tested across multiple laboratories that provided estimates for test performance characteristics. At a 0.4 S/P cutoff, 16 of 19 sera from HeV-infected horses gave positive results in the HeV soluble G, indirect ELISA (HeVsG iELISA; ...
Flogging tired horses: Who wants whipping and who would walk away if whipping horses were withheld?
PloS one    February 21, 2018   Volume 13, Issue 2 e0192843 doi: 10.1371/journal.pone.0192843
McGreevy PD, Griffiths MD, Ascione FR, Wilson B.Recent studies have cast doubt on the effectiveness of whipping horses during races and this has led to questions concerning its continuing justification. Furthermore, it has been argued that whipping tired horses in racing is the most televised form of violence to animals. The present study used de-identified data from a recent independent Australian poll (n = 1,533) to characterise the 26% of respondents (113 females and 271 males) who support the whipping of racehorses and the 10% of racing enthusiasts in the sample (44 females and 63 males) who would stop watching races and betting on them...
Endoparasites in domestic animals surrounding an Atlantic Forest remnant, in São Paulo State, Brazil. Sevá ADP, Pena HFJ, Nava A, Sousa AO, Holsback L, Soares RM.Morro do Diabo State Park (MDSP) is a significant remnant of the Atlantic Rain Forest in Brazil and is surrounded by rural properties. In that area, wild and domestic animals and humans are in close contact, which facilitates the two-way flow of infectious diseases among them. We assessed endoparasites in domestic livestock from all rural properties surrounding MDSP. There were sampled 197 cattle, 37 horses, 11 sheep, 25 swine, 21 dogs, one cat and 62 groups of chickens from 10 large private properties and 75 rural settlements. Eimeria spp. was present in almost all hosts, excepted in horses, ...
A Survey on West Nile and Usutu Viruses in Horses and Birds in Poland.
Viruses    February 17, 2018   Volume 10, Issue 2 87 doi: 10.3390/v10020087
Bażanów B, Jansen van Vuren P, Szymański P, Stygar D, Frącka A, Twardoń J, Kozdrowski R, Pawęska JT.West Nile virus (WNV) and Usutu virus (USUV) are members of the family Flaviviridae which, natural life cycles involve mosquito-bird-mosquito transmission. Both represent emerging viruses in Europe with potential to cause neuroinvasive disease in humans. This study investigates the seroprevalence of serum neutralizing antibodies to WNV and to USUV in birds and in horses in Poland. Antibodies against WNV and USUV were detected in 5 (35.7%) and in 1 (7.14%) of 14 birds and in 62 (15.08%) and in 115 (27.98%) of 411 horses, respectively. Twenty-one WNV serologically positive horses (33.87%) and 67...
A Serosurvey of Flavivirus Infection in Horses and Birds in Slovakia.
Vector borne and zoonotic diseases (Larchmont, N.Y.)    February 13, 2018   Volume 18, Issue 4 206-213 doi: 10.1089/vbz.2017.2216
Csank T, Drzewnioková P, Korytár Ľ, Major P, Gyuranecz M, Pistl J, Bakonyi T.In central Europe, at least three flaviviruses circulate among vectors and vertebrate hosts. West Nile virus (WNV) and Usutu virus (USUV) are mosquito-borne viruses maintained in the nature by enzootic cycle between mosquitoes and birds. Tick-borne encephalitis virus (TBEV) is a flavivirus causing annual human cases in Slovakia. The aim of this study is the prevalence assessment of flavivirus infections in horses (n = 145) and birds (n = 109) by enzyme-linked immunosorbent assay (ELISA) and confirmation by neutralization test (VNT). WNV antibodies have been detected in 11.7% of tested ...
Improving working equine welfare in ‘hard-win’ situations, where gains are difficult, expensive or marginal.
PloS one    February 6, 2018   Volume 13, Issue 2 e0191950 doi: 10.1371/journal.pone.0191950
Pritchard J, Upjohn M, Hirson T.Brooke is a non-government organisation with working equine welfare programmes across Africa, Asia and Latin America. In 2014, staff from ten country programmes were asked to identify 'no-win' situations (subsequently reframed as 'hard-wins')-where improving equine welfare is proving difficult, expensive and/or marginal-in order to inform strategic decisions on how to approach, manage and mitigate for such situations. The Delphi-type consultation process had three phases. Round 1 posed five questions in the form of a workshop, survey and semi-structured interviews. Round 2 re-presented key the...
An epidemiologic study of antimicrobial resistance of Staphylococcus species isolated from equine samples submitted to a diagnostic laboratory.
BMC veterinary research    February 5, 2018   Volume 14, Issue 1 42 doi: 10.1186/s12917-018-1367-6
Adams R, Smith J, Locke S, Phillips E, Erol E, Carter C, Odoi A.Antimicrobial resistance limits traditional treatment options and increases costs. It is therefore important to estimate the magnitude of the problem so as to provide empirical data to guide control efforts. The aim of this study was to investigate the burden and patterns of antimicrobial resistance (AMR) among equine Staphylococcus samples submitted to the University of Kentucky Veterinary Diagnostic Laboratory (UKVDL) from 1993 to 2009. Retrospective data of 1711 equine Staphylococcus samples submitted to the UKVDL during the time period 1993 to 2009 were included in the study. Antimicrobial...
Sudden death in sport and riding horses during and immediately after exercise: A case series.
Equine veterinary journal    February 5, 2018   Volume 50, Issue 5 644-648 doi: 10.1111/evj.12803
de Solis CN, Althaus F, Basieux N, Burger D.Sudden death affects the health of horses, the safety of riders and the public perception of animal welfare during equestrian events. Objective: To describe the signalment, clinical history, sudden death episode, rider injuries and causes of sudden death during exercise or closely thereafter in sport and pleasure riding horses. Methods: Retrospective case series based on an online questionnaire. Methods: An online questionnaire was distributed to the veterinary and equestrian community. Connections of animals reported in the press to have died suddenly were sent the survey. Responses were anal...
Prevalence of Rhodococcus equi from the nasal cavity of 1010 apparently healthy horses.
Equine veterinary journal    February 5, 2018   Volume 50, Issue 5 667-671 doi: 10.1111/evj.12804
Gressler LT, Machado G, da Silveira BP, Cohen ND, Corbellini LG, Leotti VB, Diehl GN, Dos Santos LC, de Vargas AC.Rhodococcus equi is an important cause of foal pneumonia. While its isolation from different sources has been widely evaluated, there is a need to better understand the R. equi epidemiology from samples of the nasal cavity of healthy horses. Objective: To determine the prevalence of R. equi from the nasal cavity of healthy horses, along with its virulence profile, antimicrobial susceptibility and environmental variables associated. Methods: Cross-sectional study. Methods: Swabs from the nasal cavity of 1010 apparently healthy horses from 341 farms were submitted for bacteriological analyses. T...
Identification of a staphylococcal complement inhibitor with broad host specificity in equid Staphylococcus aureus strains.
The Journal of biological chemistry    February 5, 2018   Volume 293, Issue 12 4468-4477 doi: 10.1074/jbc.RA117.000599
de Jong NWM, Vrieling M, Garcia BL, Koop G, Brettmann M, Aerts PC, Ruyken M, van Strijp JAG, Holmes M, Harrison EM, Geisbrecht BV, Rooijakkers SHM.Staphylococcus aureus is a versatile pathogen capable of causing a broad range of diseases in many different hosts. S. aureus can adapt to its host through modification of its genome (e.g. by acquisition and exchange of mobile genetic elements that encode host-specific virulence factors). Recently, the prophage φSaeq1 was discovered in S. aureus strains from six different clonal lineages almost exclusively isolated from equids. Within this phage, we discovered a novel variant of staphylococcal complement inhibitor (SCIN), a secreted protein that interferes with activation of the human complem...
Simultaneous determination of ibuprofen and its metabolites in complex equine urine matrices by GC-EI-MS in excretion study in view of doping control.
Journal of pharmaceutical and biomedical analysis    February 5, 2018   Volume 152 279-288 doi: 10.1016/j.jpba.2018.02.004
Waraksa E, Wójtowicz-Zawadka M, Kwiatkowska D, Jarek A, Małkowska A, Wrzesień R, Namieśnik J.A novel assay for the simultaneous determination of ibuprofen (IBU) and its four probable metabolites, 1-hydroxyibuprofen (1-OH IBU), 2-hydroxyibuprofen (2-OH IBU), 3-hydroxyibuprofen (3-OH IBU) and carboxyibuprofen (CBX IBU) in equine urine samples with the application of Gas Chromatography-Electron Ionization-Mass Spectrometry (GC-EI-MS) has been developed and elaborated. The new approach for sample preparation including minimizing matrix effects by the application of weak cation exchange solid-phase extraction together with strong cation exchange solid-phase extraction has been applied. The...
Strangvac: A recombinant fusion protein vaccine that protects against strangles, caused by Streptococcus equi.
Vaccine    February 2, 2018   Volume 36, Issue 11 1484-1490 doi: 10.1016/j.vaccine.2018.01.030
Robinson C, Frykberg L, Flock M, Guss B, Waller AS, Flock JI.The host-restricted pathogen Streptococcus equi causes strangles in the horse, which is characterised by abscessation of the lymph nodes of the head and neck. The disease is endemic throughout the world causing considerable welfare and economic cost to the horse industry. Here we report the results of three studies where ponies were vaccinated with combinations of recombinant fusion proteins to optimise vaccine production and the level of protection conferred. Optimal protection was conferred by a prototype multicomponent subunit vaccine, Strangvac 4, which contained eight proteins CNE, SclC, ...
Hospital-treated injuries from horse riding in Victoria, Australia: time to refocus on injury prevention?
BMJ open sport & exercise medicine    February 1, 2018   Volume 4, Issue 1 e000321 doi: 10.1136/bmjsem-2017-000321
O'Connor S, Hitchens PL, Fortington LV.The most recent report on hospital-treated horse-riding injuries in Victoria was published 20 years ago. Since then, injury countermeasures and new technology have aimed to make horse riding safer for participants. This study provides an update of horse-riding injuries that required hospital treatment in Victoria and examines changes in injury patterns compared with the earlier study. Methods: Horse-riding injuries that required hospital treatment (hospital admission (HA) or emergency department (ED) presentations) were extracted from routinely collected data from public and private hospitals ...
Epidemiological investigation of Borrelia burgdorferi in horses in the municipality of Sinop-MT, Brazil.
Tropical animal health and production    January 31, 2018   Volume 50, Issue 4 831-836 doi: 10.1007/s11250-017-1504-4
Socoloski SNG, de Castro BG, Cordeiro MD, da Fonseca AH, Cepeda MB, Nicolino RR, Lopes LB.Borrelia burgdorferi sensu stricto is the main etiological agent of Lyme disease (LD) in the USA. In Brazil, it is believed that a similar spirochete is the causal agent of the Baggio-Yoshinari syndrome (BYS), a zoonosis also transmitted by ticks, whose clinical manifestations are similar to those of LD. Despite the epidemiological importance, there are no studies reporting the presence and the prevalence of B. burgdorferi among horses in Mato Grosso State. The aim of this study was to detect and measure the frequency of IgG antibodies anti-B. burgdorferi American strain G39/40 in horses in th...
Extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli and Acinetobacter baumannii among horses entering a veterinary teaching hospital: The contemporary “Trojan Horse”.
PloS one    January 30, 2018   Volume 13, Issue 1 e0191873 doi: 10.1371/journal.pone.0191873
Walther B, Klein KS, Barton AK, Semmler T, Huber C, Wolf SA, Tedin K, Merle R, Mitrach F, Guenther S, Lübke-Becker A, Gehlen H.Pathogens frequently associated with multi-drug resistant (MDR) phenotypes, including extended-spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae (ESBL-E) and Acinetobacter baumannii isolated from horses admitted to horse clinics, pose a risk for animal patients and personnel in horse clinics. To estimate current rates of colonization, a total of 341 equine patients were screened for carriage of zoonotic indicator pathogens at hospital admission. Horses showing clinical signs associated with colic (n = 233) or open wounds (n = 108) were selected for microbiological examination of nost...
Tick infestation on sheep, goat, horse and wild hare in Tamil Nadu.
Journal of parasitic diseases : official organ of the Indian Society for Parasitology    January 23, 2018   Volume 42, Issue 1 127-129 doi: 10.1007/s12639-018-0977-z
Soundararajan C, Nagarajan K, Muthukrishnan S, Arul Prakash M.The prevalence of tick infestation and their predilection sites on sheep, goat, horse and wild hare were studied at various places of Tamil Nadu, India. The prevalence of tick infestation in Madras red sheep, Tellicherry goat and horse was 77.11, 78.21 and 13.33%, respectively. Sheep were heavily infested with followed by , and . . The ticks from goats were identified as . , . , . and . . Horses were infested with and . . The ticks on wild hare () were identified as . and . . Wild hare acts as a source of infestation to the sheep and goats since these animals shared the same field.
Molecular evidence to suggest pigeon-type Chlamydia psittaci in association with an equine foal loss.
Transboundary and emerging diseases    January 19, 2018   Volume 65, Issue 3 911-915 doi: 10.1111/tbed.12817
Jelocnik M, Jenkins C, O'Rourke B, Barnwell J, Polkinghorne A.Chlamydia psittaci is an important avian pathogen with spillover from infected wild and domesticated birds also posing a risk to human health. We recently reported a case of C. psittaci equine placentitis associated with further spillover to humans. Molecular typing of this case revealed it belonged to the 6BC clade of C. psittaci, a globally distributed highly virulent set of strains, typically linked to infection spillover from parrots. Equine chlamydiosis associated with C. psittaci infection has previously been reported elsewhere in countries where parrots are not endemic, however, rais...
Dispersal capacity of Haematopota spp. and Stomoxys calcitrans using a mark-release-recapture approach in Belgium.
Medical and veterinary entomology    January 18, 2018   Volume 32, Issue 3 298-303 doi: 10.1111/mve.12297
Lempereur L, Sohier C, Smeets F, Maréchal F, Berkvens D, Madder M, Francis F, Losson B.The dispersion potential of mechanical vectors is an important factor in the dissemination of pathogens. A mark-release-recapture experiment was implemented using two groups (unfed and partially fed) of the Tabanidae (Diptera) (Haematopota spp.) and biting Muscidae (Diptera) (Stomoxys calcitrans) most frequently collected in Belgium in order to evaluate their dispersion potential. In total, 2104 specimens of Haematopota spp. were collected directly from horses and 5396 S. calcitrans were collected in a cattle farm using hand-nets. Some of these insects were partially fed in vitro and all were ...
Hendra Virus Spillover is a Bimodal System Driven by Climatic Factors.
EcoHealth    January 18, 2018   Volume 15, Issue 3 526-542 doi: 10.1007/s10393-017-1309-y
Martin G, Yanez-Arenas C, Plowright RK, Chen C, Roberts B, Skerratt LF.Understanding environmental factors driving spatiotemporal patterns of disease can improve risk mitigation strategies. Hendra virus (HeV), discovered in Australia in 1994, spills over from bats (Pteropus sp.) to horses and thence to humans. Below latitude - 22°, almost all spillover events to horses occur during winter, and above this latitude spillover is aseasonal. We generated a statistical model of environmental drivers of HeV spillover per month. The model reproduced the spatiotemporal pattern of spillover risk between 1994 and 2015. The model was generated with an ensemble of methods f...
Emergence of blaCTX-M-55 associated with fosA, rmtB and mcr gene variants in Escherichia coli from various animal species in France.
The Journal of antimicrobial chemotherapy    January 18, 2018   Volume 73, Issue 4 867-872 doi: 10.1093/jac/dkx489
Lupo A, Saras E, Madec JY, Haenni M.In Asian countries, blaCTX-M-55 is the second most common ESBL-encoding gene. blaCTX-M-55 frequently co-localizes with fosA and rmtB genes on epidemic plasmids, which remain sporadic outside Asia. During 2010-13, we investigated CTX-M-55-producing Escherichia coli isolates and their co-resistance to fosfomycin, aminoglycosides, fluoroquinolones and colistin as part of a global survey of ESBLs in animals in France. blaCTX-M-55, fosA, rmtB and plasmidic quinolone and colistin resistance genes were characterized by PCR, sequencing and hybridization experiments. Plasmids were classified according ...
Estimating the proportion of clinically diagnosed infectious and non-infectious animal diseases in Ganta Afeshum woreda, Eastern Tigray zone, Ethiopia.
BMC research notes    January 15, 2018   Volume 11, Issue 1 29 doi: 10.1186/s13104-018-3158-3
Tedla M, Gebreselassie M.This study was performed with the objective of identifying the proportion of emerging and endemic livestock diseases using cross sectional survey. Results: A total of 285 clinically diseased animals were presented to a veterinary clinic and diagnosed tentatively based on history, clinical sign, and simple laboratory diagnostics and from the study, actinomycosis (15.83%), mastitis (15%), tick infestation (10%), respiratory diseases (9.16%) and gastro intestinal parasitism (9.16%) were confirmed with higher proportion in large animals. Pasteurollosis (38, 31%), contagious ecthyma (12, 10%), tick...
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