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Topic:Risk Factors

Risk factors in horses refer to variables or conditions that increase the likelihood of disease, injury, or other adverse health outcomes in equine populations. These factors can be intrinsic, such as age, breed, and genetic predisposition, or extrinsic, including environmental conditions, management practices, and exposure to infectious agents. Understanding risk factors is important for developing preventive strategies and improving health management in horses. This page aggregates peer-reviewed research studies and scholarly articles that explore the identification, assessment, and mitigation of risk factors in equine health, with the aim of enhancing disease prevention and promoting overall well-being in horses.
Epidemiologic characteristics of catastrophic musculoskeletal injuries in Thoroughbred racehorses.
American journal of veterinary research    December 7, 2007   Volume 68, Issue 12 1370-1375 doi: 10.2460/ajvr.68.12.1370
Cruz AM, Poljak Z, Filejski C, Lowerison ML, Goldie K, Martin SW, Hurtig MB.To determine characteristics, incidence rate, and possible associations with selected demographic characteristics of catastrophic musculoskeletal injuries (CMIs) in Thoroughbred racehorses. Methods: 76 Thoroughbreds with CMIs. Methods: Incidence rates of CMIs during racing or training were calculated with number of CMIs as the numerator and overall numbers of races or training events during 2004 and 2005 as the denominators. Exact 95% confidence intervals were calculated. Associations between incidence and dichotomous exposure factors, nominal factors, and ordinal factors were determined. Only...
The relationship between equine and human West Nile virus disease occurrence.
Veterinary microbiology    November 29, 2007   Volume 129, Issue 3-4 378-383 doi: 10.1016/j.vetmic.2007.11.022
Ward MP, Scheurmann JA.Cases of human and equine West Nile virus (WNV) disease reported in Texas in 2002 were analyzed to assess their temporal relationship. For each human case with a known residential location, the closest equine case (within a 5 km radius) was selected. A total of 80 human-equine case pairs were identified, 51 (64%) of which were located in urban areas. Dates-of-onset of human and equine cases were positively correlated (r(SP)=0.494, P<0.001). Although overall there was no significant (P=0.207) difference between the dates-of-onset of human and equine cases, in urban areas of Texas equine case...
Evaluation of detailed training data to identify risk factors for retirement because of tendon injuries in Thoroughbred racehorses.
American journal of veterinary research    November 3, 2007   Volume 68, Issue 11 1188-1197 doi: 10.2460/ajvr.68.11.1188
Lam KK, Parkin TD, Riggs CM, Morgan KL.To identify the risk factors for premature retirement because of tendon injury in a Thoroughbred racehorse population. Methods: 175 Thoroughbred racehorses (cases) at the Hong Kong Jockey Club that were retired from racing because of tendon injury between 1997 and 2004 and for which the last preretirement exercise was at a fast pace were each matched with 3 control horses that were randomly selected from all uninjured horses that had galloped on the same date as that last exercise episode. Methods: Training data for all horses were examined. Conditional logistic regression analyses were perfor...
Seroprevalence and risk factors for infection with West Nile virus in Saskatchewan horses, 2003.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    October 25, 2007   Volume 71, Issue 4 256-263 
Epp T, Waldner C, Leighton FA, Berke O, Townsend HG.The primary objectives of this study were to determine the seroprevalence of West Nile virus (WNV) infection of horses in Saskatchewan in 2003 and to identify risk factors for the infection. Blood samples were collected in August and October from 212 horses in 20 herds in 5 geographic zones. After accounting for within-herd clustering, the proportion of horses that had been infected with WNV, as determined by IgG and IgM antibody response, was 55.7% (95% confidence interval, 44.9% to 65.8%). The proportion of antibody-positive horses differed among herds (0% to 100%) and across ecoregions (20%...
Do subcutaneous sutures increase risk of laparotomy wound suppuration?
Equine veterinary journal    October 4, 2007   Volume 39, Issue 5 396-399 doi: 10.2746/042516407x195123
Coomer RP, Mair TS, Edwards GB, Proudman CJ.Incisional drainage and suppuration occurs commonly following exploratory laparotomy; any technique with the potential to reduce the incidence of this complication warrants investigation. Objective: To determine if abandoning the use of subcutaneous sutures in laparotomy wound closure is safe and whether it reduces the risk of suppuration. Methods: A randomised controlled study was carried out at 2 referral hospitals in the UK, involving 309 horses undergoing exploratory laparotomy; 150 horses underwent '2-layer' closure without a subcutaneous suture, while 159 underwent conventional '3-layer'...
Risk factors for Thoroughbred racehorse fatality in flat starts in Victoria, Australia (1989-2004).
Equine veterinary journal    October 4, 2007   Volume 39, Issue 5 430-437 doi: 10.2746/042516407x183162
Boden LA, Anderson GA, Charles JA, Morgan KL, Morton JM, Parkin TD, Clarke AF, Slocombe RF.Research into risk factors specific for fatality in flat racing should be focused at a regional level as the risk factors may differ among countries and even regions within countries. Objective: To identify risk factors for fatality of Thoroughbred racehorses in flat starts on all racecourses in Victoria, Australia between 1989 and 2004. Methods: Fatalities comprised all horses that died during or immediately after a flat race or official flat trial, and all horses that were subjected to euthanasia within 24 h of an event in which an injury was sustained. The retrospective study involved 283 c...
Risk factors for Thoroughbred racehorse fatality in jump starts in Victoria, Australia (1989-2004).
Equine veterinary journal    October 4, 2007   Volume 39, Issue 5 422-428 doi: 10.2746/042516407x183757
Boden LA, Anderson GA, Charles JA, Morgan KL, Morton JM, Parkin TD, Clarke AF, Slocombe RF.The risk of fatality is greater in jump than in flat racing in Victoria, Australia. This is the first study to identify risk factors specific to jump starts in Victoria. Objective: To identify risk factors for fatality of Thoroughbred racehorses in jump starts on all racecourses in Victoria, Australia between 1989 and 2004. Methods: Fatalities comprised all horses that died during or immediately after a jump (hurdle or steeplechase) race or official jump trial and all horses that were subjected to euthanasia within 24 h of an event in which an injury was sustained. The retrospective study invo...
Outbreak of Q fever associated with a horse-boarding ranch, Colorado, 2005.
Vector borne and zoonotic diseases (Larchmont, N.Y.)    September 28, 2007   Volume 7, Issue 3 394-402 doi: 10.1089/vbz.2007.0104
Bamberg WM, Pape WJ, Beebe JL, Nevin-Woods C, Ray W, Maguire H, Nucci J, Massung RF, Gershman K.Coxiella burnetii is a bacterium located worldwide that can cause Q fever when inhaled. We describe an outbreak of Q fever associated with a horse-boarding ranch that had acquired two herds of goats. We conducted case finding and cohort studies among persons who boarded horses on the ranch and ranchers and among residents in the surrounding community, and conducted sampling of the goats and environment, to determine risk factors for infection and guide public health interventions. Sixty-six ranchers and persons who boarded horses on the ranch were interviewed; 62 (94%) were not professional ra...
Risk factors for strap-related lesions in working donkeys at the World Heritage Site of Petra in Jordan.
Veterinary journal (London, England : 1997)    September 14, 2007   Volume 178, Issue 2 263-271 doi: 10.1016/j.tvjl.2007.07.014
Burn CC, Pritchard JC, Farajat M, Twaissi AA, Whay HR.A risk analysis was undertaken in an attempt to improve improvised rump straps on donkeys carrying tourists at the World Heritage Site at Petra, Jordan. Tail-base lesions were identified in 63 of the 86 donkeys. Observations and questionnaires were used to collect data relating to the straps, donkey health and human attitudes. The worse lesions were associated with padded rather than unpadded straps, if tightly fitted. Padding could be a cause of, or a response to lesions, but results suggest that it did not effectively aid healing. Significantly worse lesions occurred with unclean than with c...
Risk factors for influenza infection in vaccinated racehorses: lessons from an outbreak in Newmarket, UK in 2003.
Vaccine    September 6, 2007   Volume 25, Issue 43 7520-7529 doi: 10.1016/j.vaccine.2007.08.038
Barquero N, Daly JM, Newton JR.Between March and May 2003, clinical equine influenza was confirmed among vaccinated racehorses in Newmarket, UK. A particular feature was that 2-year-old horses were apparently less susceptible than older animals. Statistical analyses comparing infected and non-infected animals showed the unusual, apparently counter-intuitive inverse age effect was principally explained by more recent vaccination among younger animals, despite broadly equivalent antibody levels between age groups. There was novel evidence for sexual dimorphism in susceptibility to infection and data supported the hypothesis t...
A survey of horse owners in Great Britain regarding horses in their care. Part 2: Risk factors for recurrent airway obstruction.
Equine veterinary journal    August 29, 2007   Volume 39, Issue 4 301-308 doi: 10.2746/042516407x180129
Hotchkiss JW, Reid SW, Christley RM.Recurrent airway obstruction (RAO) is a commonly encountered respiratory condition of horses. Despite this, the epidemiology of this predominately manageable and reversible disease in Great Britain has been largely ignored. Objective: To estimate the prevalence of RAO in the general horse population of Great Britain and to investigate possible risk factors for RAO associated with management or early life. Methods: Horse owners were surveyed using a self-administered postal questionnaire that contained a risk-screening questionnaire (RSQ) designed to identify horses with RAO. These owners were ...
Traumatic brain injury in horses: 34 cases (1994-2004).
Journal of the American Veterinary Medical Association    July 17, 2007   Volume 231, Issue 2 259-266 doi: 10.2460/javma.231.2.259
Feary DJ, Magdesian KG, Aleman MA, Rhodes DM.To investigate the clinical, clinicopathologic, and diagnostic characteristics; treatment; and outcome associated with acute traumatic brain injury (TBI) in horses and assess risk factors for nonsurvival in TBI-affected horses. Methods: Retrospective case series. Methods: 34 horses with TBI. Procedures-Medical records of horses that had sustained trauma to the head and developed neurologic signs were reviewed. Data that included signalment, clinicopathologic findings, diagnosis, treatment, and outcome were analyzed. Clinicopathologic variables among horses in survivor and nonsurvivor groups we...
Evidence-based gastrointestinal medicine in horses: it’s not about your gut instincts.
The Veterinary clinics of North America. Equine practice    July 10, 2007   Volume 23, Issue 2 243-266 doi: 10.1016/j.cveq.2007.03.008
Nolen-Walston R, Paxson J, Ramey DW.The use of an evidence-based approach allows veterinary clinicians to assess questions that are clinically relevant to the diagnosis and treatment of equine gastrointestinal tract disease. This approach involves formulating a clinical question, searching the literature, and answering the question with the best available evidence, with the results summarized as a clinical "bottom line." This article is organized to reinforce the principle that the cornerstone of evidence-based medicine is the clinical question. Specific questions are further categorized as to topic, with epidemiologic risk fact...
Risk factors for proximal sesamoid bone fractures associated with exercise history and horseshoe characteristics in Thoroughbred racehorses.
American journal of veterinary research    July 4, 2007   Volume 68, Issue 7 760-771 doi: 10.2460/ajvr.68.7.760
Anthenill LA, Stover SM, Gardner IA, Hill AE.To assess individual and combined associations of high-speed exercise and horseshoe characteristics with risk of forelimb proximal sesamoid bone fractures and proximal sesamoid bone midbody fractures in Thoroughbred racehorses. Methods: 269 deceased Thoroughbred racehorses. Methods: A case-control study design was used to compare 121 horses with a fracture of at least 1 of 4 forelimb proximal sesamoid bones (75 horses had a midbody fracture) and 148 horses without a forelimb proximal sesamoid bone fracture. Univariable and multivariable logistic regression analyses were used to evaluate potent...
Vitamin E deficiency and risk of equine motor neuron disease.
Acta veterinaria Scandinavica    July 2, 2007   Volume 49, Issue 1 17 doi: 10.1186/1751-0147-49-17
Mohammed HO, Divers TJ, Summers BA, de Lahunta A.Equine motor neuron disease (EMND) is a spontaneous neurologic disorder of adult horses which results from the degeneration of motor neurons in the spinal cord and brain stem. Clinical manifestations, pathological findings, and epidemiologic attributes resemble those of human motor neuron disease (MND). As in MND the etiology of the disease is not known. We evaluated the predisposition role of vitamin E deficiency on the risk of EMND. Methods: Eleven horses at risk of EMND were identified and enrolled in a field trial at different times. The horses were maintained on a diet deficient in vitami...
Seroprevalence of antibotulinum neurotoxin type C antibodies in horses in Israel.
Equine veterinary journal    May 25, 2007   Volume 39, Issue 3 232-235 doi: 10.2746/042516407x158368
Steinman A, Kachtan I, Levi O, Shpigel NY.Clostridium botulinum type C is prevalent in Israel and outbreaks recorded in many species, other than horses. Association between levels of anti-BoNT/C antibodies and equine grass sickness (EGS) have been demonstrated but seroprevalence of anti-BoNT/C antibodies in horses has not been reported nor has EGS been reported in Israel. Objective: To determine the seroprevalence of specific anti-BoNT/C antibodies in horses in Israel and to determine whether age, breed and gender, or geographical region of farms are potential risk factors for exposure to BoNT/C. Objective: Anti-BoNT/C antibodies are ...
Long-term outcome associated with intratumoral chemotherapy with cisplatin for cutaneous tumors in equidae: 573 cases (1995-2004).
Journal of the American Veterinary Medical Association    May 17, 2007   Volume 230, Issue 10 1506-1513 doi: 10.2460/javma.230.10.1506
Théon AP, Wilson WD, Magdesian KG, Pusterla N, Snyder JR, Galuppo LD.To determine outcome associated with cutaneous tumors treated via intratumoral chemotherapy with cisplatin and identify risk factors affecting local tumor control and complications in equidae. Methods: Retrospective case series. Methods: 573 equidae with 630 cutaneous tumors. Methods: Medical records of horses, mules, donkeys, and ponies with cutaneous tumors treated via intratumoral chemotherapy with cisplatin were analyzed. Results: 549 horses, 13 mules, 8 donkeys, and 3 ponies with 630 histologically confirmed cutaneous tumors were included. Tumors included sarcoids (n = 409), squamous cell...
Clinical signs and etiology of adverse reactions to procaine benzylpenicillin and sodium/potassium benzylpenicillin in horses.
Journal of veterinary pharmacology and therapeutics    May 3, 2007   Volume 30, Issue 3 201-207 doi: 10.1111/j.1365-2885.2007.00851.x
Olsén L, Ingvast-Larsson C, Broström H, Larsson P, Tjälve H.Case reports of 59 horses reacting adversely to procaine benzylpenicillin or to sodium or potassium benzylpenicillin in Sweden in 2003-2005 were obtained through contacts with horse-owners. For the assessment of the reports, various parameters were evaluated, such as the times to the reactions, information on previous penicillin treatment, the clinical signs and the actions taken in the reacting horses. Among the reports, two horses had received sodium or potassium benzylpenicillin intravenously, whereas the remaining 57 horses had been treated with procaine benzylpenicillin intramuscularly. A...
Tilt table recovery of horses after orthopedic surgery: fifty-four cases (1994-2005).
Veterinary surgery : VS    April 28, 2007   Volume 36, Issue 3 252-258 doi: 10.1111/j.1532-950X.2007.00260.x
Elmas CR, Cruz AM, Kerr CL.To describe an assisted anesthetic recovery technique using a tilt table for horses after high-risk orthopedic-related procedures and to evaluate outcome. Methods: Retrospective study. Methods: Anesthetic recoveries (n=54) for 36 horses. Methods: Medical records (April 1994-October 2005) for horses that had high-risk orthopedic surgery and recovery from general anesthesia on a tilt table were reviewed. Information about the surgical procedure, anesthetic and recovery period was analyzed. Results: Of 54 anesthetic recoveries, 1 horse (1.9%) had complete failure of internal fixation during recov...
Intra-abdominal adhesions in horses: a retrospective evaluation of repeat laparotomy in 99 horses with acute gastrointestinal disease.
Veterinary journal (London, England : 1997)    April 26, 2007   Volume 175, Issue 2 194-201 doi: 10.1016/j.tvjl.2007.02.016
Gorvy DA, Barrie Edwards G, Proudman CJ.The objectives of this study were (1) to determine the prevalence of pathological abdominal adhesion formation following exploratory laparotomy; (2) to establish the site of adhesion formation and its relationship to the initial lesion; (3) to ascertain whether the development of intra-abdominal adhesions decreases long-term survival and (4) to identify risk factors for adhesion formation. Of 1014 horses treated surgically for acute gastrointestinal disease, 113 (10.1%) were subjected to repeat laparotomy, with surgical records available for 99 of these cases. Pathological adhesions were the m...
Potential risk of equine herpes virus 1 (EHV-1) transmission by equine embryo transfer.
Theriogenology    April 24, 2007   Volume 67, Issue 9 1485-1491 doi: 10.1016/j.theriogenology.2007.03.006
Hebia I, Fiéni F, Duchamp G, Destrumelle S, Pellerin JL, Zientara S, Vautherot JF, Bruyas JF.The objective of this study was to determine whether the 10 wash cycles proposed by the International Embryo Transfer Society (IETS) for bovine embryos efficiently decontaminated equine embryos exposed to equine herpes virus 1 (EHV-1) in vitro. Donor mares and stallions were individually screened and shown to be negative for the virus by PCR detection of EHV-1 DNA in blood leukocytes, semen, and uterine lavages in which embryos were recovered. Twenty embryos were recovered and randomly assigned to one of two groups: 10 embryos were exposed for 24h to infectious EHV-1 at 10(6)TCID(50)/ml, and 1...
Equestrian injuries: incidence, injury patterns, and risk factors for 10 years of major traumatic injuries.
American journal of surgery    April 17, 2007   Volume 193, Issue 5 636-640 doi: 10.1016/j.amjsurg.2007.01.016
Ball CG, Ball JE, Kirkpatrick AW, Mulloy RH.Horseback riding is more dangerous than motorcycle riding, skiing, football, and rugby. The purpose of this study was to identify the incidence and injury patterns, as well as risk factors associated with severe equestrian trauma. Methods: All patients with major equestrian injuries (injury severity score > or = 12) admitted between 1995 and 2005 were reviewed. A 46-question survey outlining potential rider, animal, and environmental risk factors was administered. Results: Among 7941 trauma patients, 151 (2%) were injured on horseback (mean injury severity score, 20; mortality rate, 7%). In...
Equestrian injury prevention efforts need more attention to novice riders.
The Journal of trauma    April 7, 2007   Volume 62, Issue 3 735-739 doi: 10.1097/ta.0b013e318031b5d4
Mayberry JC, Pearson TE, Wiger KJ, Diggs BS, Mullins RJ.Equestrian injury is commonly seen at trauma centers and the severity of injury is often high. We sought to determine the risk, incidence, and the influence of skill and experience on injury during horse-related activity (HRA). Methods: Members of horse clubs and individual equestrians in a three-state region (Oregon, Washington, and Idaho) were recruited via mailings and community advertisements to take a survey regarding their horse contact time and injuries over their entire riding career. Serious injury (SI) was defined by hospitalization, surgery, or long-term disability. Results: There w...
Evaluation of race distance, track surface and season of the year on exercise-induced pulmonary haemorrhage in flat racing thoroughbreds in Brazil.
Equine veterinary journal. Supplement    April 4, 2007   Issue 36 487-489 doi: 10.1111/j.2042-3306.2006.tb05592.x
Costa MF, Thomassian A.To our knowledge no studies evaluating risk factors to EIPH have been undertaken with such a population of horses in Brazil, which is one of the few countries in the racing community to accept the use of frusemide (FUR) as a prerace medication for bleeders. We also compared national results with those already in the literature. Objective: To verify the influence of variables such as distance of the race, racetrack surface, going and season of the year in the recurrence and severity of EIPH and its effect on the finishing position of flat racing Thoroughbreds in Brazil. Methods: 2118 post race ...
Prevalence of inflammatory airway disease in national hunt horses referred for investigation of poor athletic performance.
Equine veterinary journal. Supplement    April 4, 2007   Issue 36 529-534 doi: 10.1111/j.2042-3306.2006.tb05599.x
Allen KJ, Tremaine WH, Franklin SH.Inflammatory airway disease (IAD) is thought to be an important cause of poor performance in young Thoroughbred racehorses. However, little study has been made of IAD in older National Hunt (NH) horses. Objective: To determine the prevalence of IAD in NH racehorses referred for investigation of poor athletic performance and identify some of the risk factors that may be associated with IAD in this group of horses. Methods: Tracheal mucus was graded, and tracheal wash (TW) and bronchoalveolar lavage (BAL) performed after treadmill exercise in 91 NH horses referred to the University of Bristol. C...
Descriptive analysis of retirement of Thoroughbred racehorses due to tendon injuries at the Hong Kong Jockey Club (1992-2004).
Equine veterinary journal    March 24, 2007   Volume 39, Issue 2 143-148 doi: 10.2746/042516407x159132
Lam KH, Parkin TD, Riggs CM, Morgan KL.This study was part of a programme to optimise the longevity and maximise the health and welfare of the Thoroughbred racehorses in Hong Kong. Injuries to the superficial digital flexor (SDF) tendon are the most common veterinary reason for premature retirement in this population. Objective: To describe the frequency and pattern of retirements associated with SDF tendon injuries in Thoroughbred racehorses and to compare the characteristics of these horses with those that retired for other reasons. Methods: A retrospective analysis of retirement records documented in the Hong Kong Jockey Club cl...
Risk factors for development of acute laminitis in horses during hospitalization: 73 cases (1997-2004).
Journal of the American Veterinary Medical Association    March 17, 2007   Volume 230, Issue 6 885-889 doi: 10.2460/javma.230.6.885
Parsons CS, Orsini JA, Krafty R, Capewell L, Boston R.To identify risk factors for development of acute laminitis in horses during hospitalization for illness or injury. Methods: Retrospective case-control study. Methods: 73 horses that developed laminitis (case horses) and 146 horses that did not develop laminitis (control horses) during hospitalization. Methods: Case and control horses were matched in a 2:1 ratio by the date on which each horse was evaluated. Potential risk factors investigated included age, breed, and sex; highest and lowest values recorded during hospitalization for fibrinogen concentration, WBC count, PCV, and total solids c...
Effects of genetic and environmental factors on chronic lower airway disease in horses.
Journal of veterinary internal medicine    March 7, 2007   Volume 21, Issue 1 149-156 doi: 10.1892/0891-6640(2007)21[149:eogaef]2.0.co;2
Ramseyer A, Gaillard C, Burger D, Straub R, Jost U, Boog C, Marti E, Gerber V.Environment and genetics influence the manifestation of recurrent airway obstruction (RAO), but the associations of specific factors with mild, moderate, and severe clinical signs are unknown. Objective: We hypothesized that sire, feed, bedding, time outdoors, sex, and age are associated with clinical manifestations of mild, moderate, and severe lower airway disease. Methods: Direct offspring of 2 RAO-affected Warmblood stallions (F1S1, n = 172; F1S2, n = 135); maternal half-siblings of F1S1 (mHSS1, n = 66); and an age-matched, randomly chosen control group (CG, n = 33). Methods: A standardize...
Outbreak of neurologic disease caused by equine herpesvirus-1 at a university equestrian center.
Journal of veterinary internal medicine    March 7, 2007   Volume 21, Issue 1 157-165 doi: 10.1892/0891-6640(2007)21[157:oondcb]2.0.co;2
Henninger RW, Reed SM, Saville WJ, Allen GP, Hass GF, Kohn CW, Sofaly C.Equine herpesvirus type 1 (EHV-1) infection causes neurologic disease in horses. However, risk factors for the disease and long-term prognosis are poorly characterized. Objective: There are identifiable risk factors for equine herpes-1 myeloencephalopathy. Methods: The entire population of 135 horses housed within the equestrian facility. Methods: A descriptive study investigated the clinical, serologic, virologic, and management aspects of an outbreak of EHV-1 myeloencephalopathy. Results: Out of 135 horses at the facility, 117 displayed signs of EHV-1 infection. Forty-six horses developed ne...
Evidence of the partial effects of inactivated Japanese encephalitis vaccination: analysis of previous outbreaks in Japan from 1953 to 1960.
Annals of epidemiology    February 14, 2007   Volume 17, Issue 4 271-277 doi: 10.1016/j.annepidem.2006.10.003
Satou K, Nishiura H.To evaluate the partial effects of vaccination against equine Japanese encephalitis (JE) and characterize other prognostic factors based on previous outbreak records in Japan from 1953 to 1960. Methods: Individual case records, which included demographic information, vaccination history, and clinical information (dates of onset, recovery and death, and symptoms), were investigated. The relations between two outcomes, JE death and symptomatic period, and other variables were examined. Results: Of a total reported 803 cases during the observation period, 453 (56.5%) were diagnosed with either se...
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