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Topic:Zoonotic Diseases

Zoonotic diseases are infectious diseases that can be transmitted between animals and humans, with horses acting as potential hosts or vectors. These diseases can result from various pathogens, including bacteria, viruses, parasites, and fungi, which can be transmitted through direct contact, vectors like mosquitoes, or environmental exposure. Horses can carry zoonotic pathogens such as Salmonella, West Nile Virus, and Leptospira, posing health risks to humans, particularly those working closely with equines. Understanding the transmission dynamics, prevention strategies, and control measures helps safeguard both equine and human health. This page compiles peer-reviewed research studies and scholarly articles that explore the epidemiology, pathogenesis, and management of zoonotic diseases associated with horses.
Salmonella in horses at slaughter and public health effects in Italy.
International journal of food microbiology    October 5, 2023   Volume 408 110429 doi: 10.1016/j.ijfoodmicro.2023.110429
Bolzoni L, Conter M, Lamperti L, Scaltriti E, Morganti M, Poeta A, Vecchi M, Paglioli S, Rampini A, Ramoni P, De Vita D, Bacci C, Rega M, Andriani L....The study assessed the role of equids at slaughter as faecal carriers of Salmonella enterica and the occurrence of contaminated equid carcasses during the slaughter process in Northern Italy (Emilia-Romagna Region). From June to November 2021, 152 equids (146 horses, 5 donkeys and 1 mule) were tested for Salmonella both in caecal contents and through carcass swabs. Antimicrobial resistance (AMR) of recovered strains was tested against 15 antimicrobials. Salmonella was detected in 3/152 of the caecal contents (2.0 %), while all carcass samples were negative. S. enterica serovars Enteriditis, T...
Neutralizing based seroprevalence study of Toscana virus in livestock from Algeria.
Comparative immunology, microbiology and infectious diseases    October 5, 2023   Volume 103 102075 doi: 10.1016/j.cimid.2023.102075
Sellali S, Lafri I, Ayhan N, Medrouh B, Messahel NE, Lafri M, Charrel R, Bitam I.Toscana virus is a sandfly-borne human pathogen belonging to Phlebovirus genus into Phenuiviridae family. It is emerging in north Africa posing a complex threat to public health. TOSV is heavily affecting sandfly-exposed people in northern Algeria. A larger distribution has recently been stated in Algeria by using dog sera. Dog exposure to TOSV was repeatedly identified in north Algeria, with 4.56% lately detected to possess respective neutralizing antibodies. However, evidence for TOSV has only been observed in dogs among various species of domestic animals. Therefore, we attempted to assess ...
Metagenomic analysis of herbivorous mammalian viral communities in the Northwest Plateau.
BMC genomics    September 25, 2023   Volume 24, Issue 1 568 doi: 10.1186/s12864-023-09646-1
Pan J, Ji L, Wu H, Wang X, Wang Y, Wu Y, Yang S, Shen Q, Liu Y, Zhang W, Zhang K, Shan T.Mammals are potential hosts for many infectious diseases. However, studies on the viral communities of herbivorous mammals in the Northwest Plateau are limited. Here, we studied the viral communities of herbivorous mammals in the Northwest Plateau using virus metagenomic analysis to analyze and compare the viral community composition of seven animal species. Results: By library construction and next-generation sequencing, contigs and singlets reads with similar viral sequences were classified into 24 viral families. Analyzed from the perspective of sampling areas, the virus community compositi...
Seroprevalence of Equine Leptospirosis in the State of Goiás, Brazil.
Veterinary sciences    September 25, 2023   Volume 10, Issue 10 590 doi: 10.3390/vetsci10100590
Romanowski TNA, Dias RA, Heinemann MB, Carvalho SF, Silva TA, Martins ADS, Caetano GDDC, Ferreira Júnior Á, Santos JPD, Borsanelli AC.Leptospirosis, caused by Leptospira, is a zoonotic disease that, in horses, is linked to abortions, uveitis, and sporadic occurrences of liver and kidney disease, often resulting in significant economic losses for farmers. Research on the prevalence of leptospirosis in horses in the central-west region of Brazil has been relatively scarce. Thus, the present study aimed to determine the prevalence of leptospirosis in equine herds in the state of Goiás (Central Brazil). Blood samples were collected from 894 equids at 294 randomly selected farms divided into three different strata according to t...
Molecular and Serological Survey of Severe Fever with Thrombocytopenia Syndrome Virus in Horses from the Republic of Korea.
Vector borne and zoonotic diseases (Larchmont, N.Y.)    September 8, 2023   doi: 10.1089/vbz.2022.0101
Han SW, Cho YK, Rim JM, Kang JG, Choi KS, Chae JS. Severe fever with thrombocytopenia syndrome (SFTS) is an emerging zoonotic tick-borne disease in East Asia caused by the SFTS virus (SFTSV). It is to investigate the presence of SFTSV RNA and antibodies in horses from a slaughterhouse and equestrian centers in the Republic of Korea (ROK). A prevalence study of SFTSV-specific RNA and antibodies was designed from 889 horses in the ROK. Serum samples were collected from horses at a slaughterhouse and equestrian centers from 2018 to 2020. To detect the presence of SFTSV, RNA was extracted from the serum samples, and a nested reverse transcriptio...
Streptococcus zooepidemicus Meningitis in an HIV-Positive Horse Breeder Patient: A Case Study and Literature Review.
Infectious disease reports    September 7, 2023   Volume 15, Issue 5 527-534 doi: 10.3390/idr15050052
subsp. is a rare etiologic agent of bacterial meningitis in humans. The disease is a zoonotic infection and is transmitted through close contact with domestic animals, mainly horses. Only 37 cases of meningitis have been reported in the literature until July 2023. The aim of this study is to present a rare clinical case of -related meningitis in a human immunodeficiency virus (HIV)-positive patient and analyze the literature. We present a 23-year-old horse breeder patient with advanced immunosuppression due to acquired immunodeficiency syndrome (AIDS) and meningitis, admitted at the Clinic...
Gut microbiota changes in horses with Chlamydia.
BMC microbiology    September 2, 2023   Volume 23, Issue 1 246 doi: 10.1186/s12866-023-02986-8
Jin Y, Li W, Ba X, Li Y, Wang Y, Zhang H, Li Z, Zhou J.Zoonotic diseases pose a significant threat to public health. Chlamydia, as an intracellular pathogen, can colonize the intestinal tract of humans and animals, changing the gut microbiota. However, only a few studies have evaluated alterations in the gut microbiota of horses infected with Chlamydia. Therefore, this study aimed to investigate gut microbiota and serum biochemical indicators in horses with Chlamydial infection (IG) and healthy horses (HG). Fecal and blood samples were collected from 16 horses (IG: 10; HG: 6) before morning feeding for the determination of gut microbiota and serum...
Partial Genome Characterization of Novel Parapoxvirus in Horse, Finland.
Emerging infectious diseases    August 23, 2023   Volume 29, Issue 9 1941-1944 doi: 10.3201/eid2909.230049
Virtanen J, Hautaniemi M, Dutra L, Plyusnin I, Hautala K, Smura T, Vapalahti O, Sironen T, Kant R, Kinnunen PM.We report a sequencing protocol and 121-kb poxvirus sequence from a clinical sample from a horse in Finland with dermatitis. Based on phylogenetic analyses, the virus is a novel parapoxvirus associated with a recent epidemic; previous data suggest zoonotic potential. Increased awareness of this virus and specific diagnostic protocols are needed.
Ferret Models for Henipavirus Infection.
Methods in molecular biology (Clifton, N.J.)    August 23, 2023   Volume 2682 205-217 doi: 10.1007/978-1-0716-3283-3_15
Rockx B, Mire CE.Henipaviruses are emerging zoonotic viruses that can cause outbreaks of severe respiratory and neurological disease in humans and animals such as horses. The mechanism by which these viruses can cause disease remain largely unknown and to date there are no therapeutics or vaccines approved for use in humans. Nipah virus is listed on the World Health Organization R & D Blueprint list of epidemic threats. In order to advance the availability of effective therapeutics and vaccines and medicines that can be used to save lives and avert large scale crises, animal models are required which recap...
Glanders and Melioidosis
   August 14, 2023  
Nguyen HN, Smith ME, Hayoun MA.Glanders is an infectious disease caused by Burkholderia mallei, a gram-negative aerobic nonmotile bacterium. Melioidosis is an infectious disease caused by Burkholderia pseudomallei, a gram-negative aerobic, motile bacterium. The two bacteria are closely related, and both can cause disease in animals and humans. Historically, glanders was a common disease of horses, donkeys, and mules. Melioidosis was first described as a case series of 38 patients in Rangoon, Burma, by pathologist Alfred Whitmore in 1912.
Host-mosquito interactions in rural and urban equestrian facilities from temperate Argentina.
Medical and veterinary entomology    August 10, 2023   Volume 37, Issue 4 816-825 doi: 10.1111/mve.12686
Cardo MV, Vezzani D.Targeted vector surveillance informed by data on mosquito biting patterns can help limit arboviral zoonotic diseases. To characterise host-biting networks in rural and urban equestrian facilities from temperate Argentina, adult resting mosquitoes were collected (December 2018-April 2019) with a battery-powered aspirator. Engorged females were sorted to species, and their blood source was identified using molecular techniques. Bipartite network analysis was performed for rural and urban matrices. A total of 177 bloodmeals from 11 mosquito species of Aedes and Culex were identified, with seven m...
A case of bacteremia and pneumonia caused by Streptococcus equi subspecies equi infection in a 70-year-old female following horse exposure in rural Wyoming.
Annals of clinical microbiology and antimicrobials    August 2, 2023   Volume 22, Issue 1 65 doi: 10.1186/s12941-023-00602-1
Bohlman T, Waddell H, Schumaker B.The occurrence of zoonotic infections following an animal exposure continues to be an important consideration for all patients, especially those within agricultural communities. Streptococcus equi subspecies equi (S. equi subsp. equi) is a bacteria known to cause a common infection called 'Strangles' in horses. This article highlights a new case of pneumonia and bacteremia in a patient caused by S. equi subsp. equi following strangles exposure in a horse. Rarely has there been reported horse to human transmission of subsp. equi. Methods: A 70-year-old woman attended a rural emergency departmen...
Equine Psittacosis and the Emergence of Chlamydia psittaci as an Equine Abortigenic Pathogen in Southeastern Australia: A Retrospective Data Analysis.
Animals : an open access journal from MDPI    July 28, 2023   Volume 13, Issue 15 2443 doi: 10.3390/ani13152443
El-Hage C, Legione A, Devlin J, Hughes K, Jenkins C, Gilkerson J. is an important zoonotic pathogen. Although primarily a pathogen of birds, from which infection can spillover into humans and other mammalian hosts, the importance of as a cause of equine reproductive loss and the risk of infection to humans in contact with infected horses are increasingly being recognised in Australia and elsewhere. Despite the risks to both human and equine health, infection in horses is incompletely understood. This study aimed to update and summarise cases of equine psittacosis in Australia in the period 2018-2022, thus addressing a knowledge gap relating to recent case...
Molecular prevalence of Sarcocystis spp. and Toxoplasma gondii in slaughtered equids in Northern Tunisia.
Journal of equine veterinary science    July 26, 2023   104894 doi: 10.1016/j.jevs.2023.104894
Amairia S, Jbeli M, Mrabet S, Jebabli LM, Gharbi M.Sarcocystis spp. and Toxoplasma gondii are two apicomplexan protozoa that infect a broad range of vertebrates, however, little is known about the infection of equids with these parasites. A total of 184 slaughtered equids from slaughterhouses of Bizerte and Tunis located in Northern Tunisia, were examined for meat infections with Sarcocystis spp. and T. gondii by PCR. The prevalence of infections with Sarcocystis spp. and T. gondii were 38% (95% CI: 31-45) and 39.7% (95% CI: 32.6-46.7), respectively. The highest prevalence of infection with Sarcocystis spp. was observed in donkeys (48.6%; 95%C...
Identification of vaccine candidates against rhodococcus equi by combining pangenome analysis with a reverse vaccinology approach.
Heliyon    July 25, 2023   Volume 9, Issue 8 e18623 doi: 10.1016/j.heliyon.2023.e18623
Liu L, Yu W, Cai K, Ma S, Wang Y, Ma Y, Zhao H. () is a zoonotic opportunistic pathogen that can cause life-threatening infections. The rapid evolution of multidrug-resistant and the fact that there is no currently licensed effective vaccine against warrant the need for vaccine development. Reverse vaccinology (RV), which involves screening a pathogen's entire genome and proteome using various web-based prediction tools, is considered one of the most effective approaches for identifying vaccine candidates. Here, we performed a pangenome analysis to determine the core proteins of . We then used the RV approach to examine the subcellular l...
First Insight into the Seroepidemiology of Hepatitis E Virus (HEV) in Dogs, Cats, Horses, Cattle, Sheep, and Goats from Bulgaria.
Viruses    July 21, 2023   Volume 15, Issue 7 doi: 10.3390/v15071594
Tsachev I, Gospodinova K, Pepovich R, Takova K, Kundurzhiev T, Zahmanova G, Kaneva K, Baymakova M.In recent years, hepatitis E virus (HEV) infection has been found to be widespread among different animal species worldwide. In Bulgaria, high HEV seropositivity was found among pigs (60.3%), wild boars (40.8%), and East Balkan swine (82.5%). The aim of the present study was to establish the seroprevalence of HEV among dogs, cats, horses, cattle, sheep, and goats in Bulgaria. In total, 720 serum samples from six animal species were randomly collected: dogs-90 samples; cats-90; horses-180; cattle-180; sheep-90; and goats-90. The serum samples were collected from seven districts of the country: ...
Equine bronchial epithelial cells are susceptible to cell entry with a SARS-CoV-2 pseudovirus but reveal low replication efficiency.
American journal of veterinary research    July 18, 2023   1-11 doi: 10.2460/ajvr.23.06.0132
Legere RM, Allegro AR, Affram Y, Silveira BPD, Fridley JL, Wells KM, Oezguen N, Burghardt RC, Wright GA, Pollet J, Bordin AI, Figueiredo P....To examine the susceptibility of cultured primary equine bronchial epithelial cells (EBECs) to a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pseudovirus relative to human bronchial epithelial cells (HBECs). Methods: Primary EBEC cultures established from healthy adult horses and commercially sourced human bronchial epithelial cells (HBECs) were used as a positive control. Methods: Angiotensin-converting enzyme 2 (ACE2) expression by EBECs was demonstrated using immunofluorescence, western immunoblot, and flow cytometry. EBECs were transduced with a lentivirus pseudotyped with ...
Henipavirus zoonosis: outbreaks, animal hosts and potential new emergence.
Frontiers in microbiology    July 17, 2023   Volume 14 1167085 doi: 10.3389/fmicb.2023.1167085
Li H, Kim JV, Pickering BS.Hendra virus (HeV) and Nipah virus (NiV) are biosafety level 4 zoonotic pathogens causing severe and often fatal neurological and respiratory disease. These agents have been recognized by the World Health Organization as top priority pathogens expected to result in severe future outbreaks. HeV has caused sporadic infections in horses and a small number of human cases in Australia since 1994. The NiV Malaysia genotype (NiV-M) was responsible for the 1998-1999 epizootic outbreak in pigs with spillover to humans in Malaysia and Singapore. Since 2001, the NiV Bangladesh genotype (NiV-B) has been t...
Is leishmaniasis the new emerging zoonosis in the world?
Veterinary research communications    July 12, 2023   doi: 10.1007/s11259-023-10171-5
Montaner-Angoiti E, Llobat L.Leishmania is a genus of parasitic protozoa that causes a disease called leishmaniasis. Leishmaniasis is transmitted to humans through the bites of infected female sandflies. There are several different species of Leishmania that can cause various forms of the disease, and the symptoms can range from mild to severe, depending on species of Leishmania involved and the immune response of the host. Leishmania parasites have a variety of reservoirs, including humans, domestic animals, horses, rodents, wild animals, birds, and reptiles. Leishmaniasis is endemic of 90 countries, mainly in South Amer...
Borna disease virus 1 infection in alpacas: Comparison of pathological lesions and viral distribution to other dead-end hosts.
Veterinary pathology    July 11, 2023   3009858231185107 doi: 10.1177/03009858231185107
Fürstenau J, Richter MT, Erickson NA, Große R, Müller KE, Nobach D, Herden C, Rubbenstroth D, Mundhenk L.Borna disease is a progressive meningoencephalitis caused by spillover of the Borna disease virus 1 (BoDV-1) to horses and sheep and has gained attention due to its zoonotic potential. New World camelids are also highly susceptible to the disease; however, a comprehensive description of the pathological lesions and viral distribution is lacking for these hosts. Here, the authors describe the distribution and severity of inflammatory lesions in alpacas ( = 6) naturally affected by this disease in comparison to horses ( = 8) as known spillover hosts. In addition, the tissue and cellular distribu...
Nontuberculous Mycobacteria in Horses: A Narrative Review.
Veterinary sciences    July 6, 2023   Volume 10, Issue 7 doi: 10.3390/vetsci10070442
Li L, Maboni G, Lack A, Gomez DE.Nontuberculous mycobacteria (NTM) infections are increasing in human and veterinary medicine. Although horses were initially thought to be resistant to NTM infection, reports of horses suffering from gastrointestinal, respiratory, and reproductive diseases associated with NTM have increased in the last few decades. The aim of this literature review is to summarize the mycobacteria species found in horses, describe clinical manifestations, diagnostic and treatment approaches, and public health concerns of NTM infection in horses. Clinical manifestations of NTM in horses include pulmonary diseas...
Genomic Analysis of Clostridioides difficile Recovered from Horses in Western Australia.
Microorganisms    July 3, 2023   Volume 11, Issue 7 doi: 10.3390/microorganisms11071743
Hain-Saunders NMR, Knight DR, Bruce M, Byrne D, Riley TV.Clostridioides difficile poses an ongoing threat as a cause of gastrointestinal disease in humans and animals. Traditionally considered a human healthcare-related disease, increases in community-associated C. difficile infection (CDI) and growing evidence of inter-species transmission suggest a wider perspective is required for CDI control. In horses, C. difficile is a major cause of diarrhoea and life-threatening colitis. This study aimed to better understand the epidemiology of CDI in Australian horses and provide insights into the relationships between horse, human and environmental strains...
Serological and molecular surveillance of West Nile virus in domesticated mammals of peninsular Malaysia.
Frontiers in veterinary science    June 29, 2023   Volume 10 1126199 doi: 10.3389/fvets.2023.1126199
Mohammed MN, Yasmin AR, Ramanoon SZ, Noraniza MA, Ooi PT, Ain-Najwa MY, Natasha JA, Nur-Fazila SH, Arshad SS, Mohammed HO.West Nile virus is a mosquito-borne neurotropic pathogen with a wide host range that constitutes a significant risk to public and animal health. There is limited information on WNV infection in domesticated mammals in Malaysia; however, current reports indicate infections in birds, macaques, bats and pigs from Malaysia. In this study, 203 serum samples from cattle, goats, and horses were tested for the presence of anti-WNV IgG using a competitive enzyme-linked immunosorbent assay (c-ELISA). Additionally, using one-step RT-PCR, nasopharyngeal swabs were analyzed for WNV RNA from all 203 animals...
Seroprevalence of tick-borne encephalitis virus in wild and domestic animals in northern Germany.
Ticks and tick-borne diseases    June 23, 2023   Volume 14, Issue 6 102220 doi: 10.1016/j.ttbdis.2023.102220
Topp AK, Springer A, Mischke R, Rieder J, Feige K, Ganter M, Nagel-Kohl U, Nordhoff M, Boelke M, Becker S, Pachnicke S, Schunack B, Dobler G, Strube C.Tick-borne encephalitis virus (TBEV) is a tick-transmitted flavivirus, which can infect humans and animals, sometimes even with a fatal outcome. Since many decades, TBEV is endemic in southern Germany, while only sporadic occurrence has been noted in northern parts of the country so far. Nevertheless, autochthonous human clinical cases are increasing in the federal state of Lower Saxony in north-western Germany, and several natural foci of TBEV transmission have recently been detected in this federal state. In order to shed more light on the current distribution of TBEV in Lower Saxony, the pr...
Genomic detection of Coxiellaburnetii based on plasmid genes in horses.
Veterinary research forum : an international quarterly journal    June 15, 2023   Volume 14, Issue 6 317-322 doi: 10.30466/vrf.2022.551663.3443
Tehrani M, Ownagh A.Q fever is a worldwide zoonosis caused by an obligate intra-cellular pathogen called affecting a broad range of animal hosts including horses. Most of the isolates found carry plasmids which genetic studies of strains suggest a critical role in survival. The correlation between an isolated plasmid type and the chronic or acute nature of the disease has always been controversial. This study was conducted to investigate the prevalence of and plasmids in horses and assess the potential role of these species as reservoirs of infection and transmission. Nested-polymerase chain reaction (PCR) a...
Serological Surveillance of Equine Leptospirosis in Croatia in the Period From 2012 to 2022: A Key Insight Into the Changing Epizootiology.
Journal of equine veterinary science    June 7, 2023   Volume 127 104844 doi: 10.1016/j.jevs.2023.104844
Benvin I, Perko VM, Maljković MM, Habuš J, Štritof Z, Hađina S, Perharić M, Zečević I, Cvetnić M, Turk N.Leptospirosis is re-emerging zoonotic bacterial disease of global importance that affects domestic and wild animals and humans. Due to the public health importance, control of disease in Croatia is being implemented by monitoring the seroprevalence of equine leptospirosis and it is regulated by the law. In the period from 2012 to 2022, a total of 61,724 serum samples from apparently healthy horses were admitted to the Laboratory for leptospires, Faculty of Veterinary Medicine University of Zagreb. Serum samples were tested for Leptospira spp. antibodies using the microscopic agglutination test...
Retrospective Analysis of Official Data on Anthrax in Europe with a Special Reference to Ukraine.
Microorganisms    May 16, 2023   Volume 11, Issue 5 doi: 10.3390/microorganisms11051294
Kozytska T, Bassiouny M, Chechet O, Ordynska D, Galante D, Neubauer H, Wareth G.Anthrax is an acute infectious zoonotic disease caused by Bacillus anthracis that mostly affects grazing livestock and wildlife. Furthermore, B. anthracis is considered one of the most important biological agents of bioterrorism that could also be potentially misused in biological weapons. The distribution of anthrax in domestic animals and wildlife in Europe with a particular focus on Ukraine as a country of war was analyzed. Between 2005 and 2022, 267 anthrax cases were registered at the World Organization of Animal Health (WOAH) in animals in Europe, including 251 cases in domestic animals ...
Interactions of Equine Viruses with the Host Kinase Machinery and Implications for One Health and Human Disease.
Viruses    May 13, 2023   Volume 15, Issue 5 1163 doi: 10.3390/v15051163
Anderson C, Baha H, Boghdeh N, Barrera M, Alem F, Narayanan A.Zoonotic pathogens that are vector-transmitted have and continue to contribute to several emerging infections globally. In recent years, spillover events of such zoonotic pathogens have increased in frequency as a result of direct contact with livestock, wildlife, and urbanization, forcing animals from their natural habitats. Equines serve as reservoir hosts for vector-transmitted zoonotic viruses that are also capable of infecting humans and causing disease. From a One Health perspective, equine viruses, therefore, pose major concerns for periodic outbreaks globally. Several equine viruses ha...
Identification of infection by Leishmania spp. in wild and domestic animals in Brazil: a systematic review with meta-analysis (2001-2021).
Parasitology research    May 8, 2023   Volume 122, Issue 7 1605-1619 doi: 10.1007/s00436-023-07862-y
Ratzlaff FR, Osmari V, da Silva D, de Paula Vasconcellos JS, Pötter L, Fernandes FD, de Mello Filho JA, de Avila Botton S, Vogel FSF, Sangioni LA.Leishmaniasis is a zoonosis caused by protozoan species of the genus Leishmania. It generates different clinical manifestations in humans and animals, and it infects multiple hosts. Leishmania parasites are transmitted by sandfly vectors. The main objective of this systematic review was to identify the host, or reservoir animal species, of Leishmania spp., with the exception of domestic dogs, that were recorded in Brazil. This review included identification of diagnostic methods, and the species of protozoan circulating in the country. For this purpose, a literature search was conducted across...
Communication Interventions and Assessment of Drivers for Hendra Virus Vaccination Uptake.
Vaccines    May 4, 2023   Volume 11, Issue 5 doi: 10.3390/vaccines11050936
Kropich-Grant JN, Wiley KE, Manyweathers J, Thompson KR, Brookes VJ.Hendra virus disease (HeVD) is an emerging zoonosis in Australia, resulting from the transmission of Hendra virus (HeV) to horses from Pteropus bats. Vaccine uptake for horses is low despite the high case fatality rate of HeVD in both horses and people. We reviewed evidence-based communication interventions to promote and improve HeV vaccine uptake for horses by horse owners and conducted a preliminary evaluation of potential drivers for HeV vaccine uptake using the Behavioural and Social Drivers of Vaccination (BeSD) framework developed by the World Health Organization. Six records were eligi...
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