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1.
BMC Vet Res ; 16(1): 153, 2020 May 24.
Article in English | MEDLINE | ID: mdl-32448250

ABSTRACT

BACKGROUND: Penguin interaction with gillnets has been extensively reported in the Atlantic and Pacific Oceans, and is considered a major conservation threat. Among penguin species, Magellanic penguins (Spheniscus magellanicus) are currently considered of great concern, particularly in Brazil, where they are highly susceptible to gillnet bycatch. Nevertheless, information about drowning-associated microscopic findings in penguins is limited. RESULTS: We describe the anatomopathological findings of 20 Magellanic penguins that drowned after getting entangled in a drift gillnet while wintering along the Brazilian shelf and washed ashore still enmeshed in Santa Catarina, Brazil. All 20 birds (19 juveniles and 1 adult; 18 females and 2 males) were in good body condition. Major gross findings were abrasion, bruising, and local erythema and edema of the wings, multiorgan congestion, jugular vein engorgement, pulmonary edema and hemorrhage, splenomegaly and hepatomegaly, fluid in the trachea, serous bloody fluid in the lungs, gastrointestinal parasites (nematodes, cestodes and trematodes), and debris in the stomach. The most common histopathological findings were cerebral and pulmonary congestion, pulmonary edema, splenic histiocytosis, lymphoid splenic hyperplasia, acute splenitis, extramedullary hepatic hematopoiesis, and parasitic enteritis. Although unspecific, the observed multiorgan congestion and pulmonary edema are consistent with previous reports of drowning in birds and may be indicative of this process. CONCLUSIONS: Drowning may be a challenging diagnosis (e.g., carcass decomposition, predation), but must be considered as a differential in all beach-cast seabird postmortem examinations. To the authors' knowledge this is the largest anatomopathological study based on microscopic examination in drowned penguins.


Subject(s)
Bird Diseases/pathology , Drowning/veterinary , Spheniscidae , Animals , Autopsy/veterinary , Bird Diseases/etiology , Bird Diseases/parasitology , Brazil , Drowning/pathology , Female , Fisheries , Male , Pulmonary Edema/veterinary
2.
J Comp Pathol ; 176: 67-70, 2020 Apr.
Article in English | MEDLINE | ID: mdl-32359637

ABSTRACT

Among studies of drowning in green sea turtles (Chelonia mydas), none have associated drowning with injuries of organs other than the lung. We describe the gross and microscopical findings in 23 green sea turtles found dead in a fishing net. Deprived of air, these animals experienced hypoxia and anoxia before dying, which caused congestion, hydropic degeneration and necrosis in several organs. There was no evidence of an alternative cause of death. These findings demonstrate a pattern characteristic of death by asphyxia caused by drowning.


Subject(s)
Asphyxia/veterinary , Drowning/veterinary , Hypoxia/veterinary , Turtles , Animals , Brazil , Female , Male
3.
Forensic Sci Int ; 290: e19-e23, 2018 Sep.
Article in English | MEDLINE | ID: mdl-30025595

ABSTRACT

Fishing activities are considered one of the most relevant threats for cetaceans and sea turtles conservation since these animals are sometimes found dead entangled in fishing gears. Currently, postmortem diagnosis is based mainly on the presence of nets and lines on the body and the related marks and injuries evident at gross examination. A more detailed and objective evidence is needed to clarify doubts cases and the diatoms technique, used in forensic human medicine, could support drowning diagnosis also in this field. Diatoms' investigation was implemented to be applied in marine vertebrate on 8 striped (Stenella coeruleoalba) and 1 bottlenose (Tursiops truncatus) dolphins and 5 sea turtles (Caretta caretta) stranded along the Italian coastlines with a likely cause of death hypothized on necropsies carried out by veterinary pathologists. Diatoms were microscopically searched in the bone marrow collected from long bones implementing protocols used in human medicine and their presence was observed in 4 cetaceans and 2 sea turtles. Despite a clear relation between diatoms' presence and amount and the likely cause of death was not proved due to the poor number of samples, the higher burden of diatoms was found in 3 animals deemed to be death for the interaction with human activity. Despite more studied are necessary to identify the possible relation between the cause of death and diatoms' findings, the present study implemented this technique to be adapted to marine animals, confirming its possible application also in veterinary forensic medicine.


Subject(s)
Bone Marrow/pathology , Bottle-Nosed Dolphin , Diatoms/isolation & purification , Drowning/diagnosis , Stenella , Turtles , Animals , Conservation of Natural Resources , Drowning/veterinary , Forensic Sciences , Pilot Projects
4.
Dis Aquat Organ ; 127(2): 83-95, 2018 01 31.
Article in English | MEDLINE | ID: mdl-29384478

ABSTRACT

The challenge of identifying cause of death in discarded bycaught marine mammals stems from a combination of the non-specific nature of the lesions of drowning, the complex physiologic adaptations unique to breath-holding marine mammals, lack of case histories, and the diverse nature of fishing gear. While no pathognomonic lesions are recognized, signs of acute external entanglement, bulging or reddened eyes, recently ingested gastric contents, pulmonary changes, and decompression-associated gas bubbles have been identified in the condition of peracute underwater entrapment (PUE) syndrome in previous studies of marine mammals. We reviewed the gross necropsy and histopathology reports of 36 cetaceans and pinnipeds including 20 directly observed bycaught and 16 live stranded animals that were euthanized between 2005 and 2011 for lesions consistent with PUE. We identified 5 criteria which present at significantly higher rates in bycaught marine mammals: external signs of acute entanglement, red or bulging eyes, recently ingested gastric contents, multi-organ congestion, and disseminated gas bubbles detected grossly during the necropsy and histologically. In contrast, froth in the trachea or primary bronchi, and lung changes (i.e. wet, heavy, froth, edema, congestion, and hemorrhage) were poor indicators of PUE. This is the first study that provides insight into the different published parameters for PUE in bycatch. For regions frequently confronted by stranded marine mammals with non-specific lesions, this could potentially aid in the investigation and quantification of marine fisheries interactions.


Subject(s)
Caniformia , Cetacea , Animals , Cause of Death , Conservation of Natural Resources , Drowning/pathology , Drowning/veterinary , Female , Fisheries , Male
5.
BMC Vet Res ; 13(1): 302, 2017 Oct 12.
Article in English | MEDLINE | ID: mdl-29025396

ABSTRACT

BACKGROUND: Mortality of seabirds due to anthropogenic causes, especially entrapment in fishing gear, is a matter of increasing international concern. This study aimed at characterising the gross pathology of seabirds that drowned in fishing nets and comparing it with that in other common causes of mortality. RESULTS: Post-mortem examinations were performed on 103 common guillemots, 32 razorbills, 37 shags and 5 great northern divers found stranded in Cornwall during 1981-2016. Pathology in birds that died in confirmed incidents of drowning in fishing nets (n = 95) was compared with that in cases of suspected drowning (n = 6), oil (n = 53) and polyisobutylene (PIB) (n = 3) pollution, adverse weather (n = 6) and stranding of unknown cause (14). The majority of drowned birds were in good nutritional state, freshly dead and approximately 50% had freshly ingested fish in their proximal gut. Principle lesions were: gross distention of the heart and major veins with dark blood, intensely congested, swollen and oedematous lungs which released white frothy fluid when excised, watery fluid in the air sacs that ranged from clear to deep red depending on state of carcase preservation. PIB-affected birds were in good nutritional state; their pathology was largely consistent with that in confirmed drowning cases; it is likely that drowning was the ultimate cause of death. Birds affected by oil, adverse weather or that stranded due to unknown cause were all in poor or emaciated condition, the mean body mass of the guillemots and razorbills being, respectively, 53 and 57% of those that drowned. They had little or no food in their alimentary tracts and many showed evidence of enteric inflammation, haemorrhage and ulceration. None had fluid in their air sacs and none showed significant cardio-respiratory system lesions. CONCLUSIONS: Drowned birds consistently showed a distinctive set of gross pathological lesions. When combined with contemporaneous observations, the pathology may be sufficient to permit a diagnosis of drowning, especially where a batch of freshly dead birds are examined. The observations in this study are likely to be of value when investigating stranding incidents, particularly where it is suspected that legislation aimed at protecting seabirds is not being complied with.


Subject(s)
Bird Diseases/pathology , Birds , Drowning/veterinary , Animals , Bird Diseases/etiology , Body Weight , Drowning/pathology , England , Fisheries , Nutritional Status , Polyenes/poisoning , Polymers/poisoning , Water Pollution/adverse effects , Weather
6.
Int J Legal Med ; 131(6): 1573-1580, 2017 Nov.
Article in English | MEDLINE | ID: mdl-28314903

ABSTRACT

In this preliminary study, a digestive method used in forensic context to extract diatoms has been applied in organs taken from ten wildlife animals belonging three species of mammals (a deer, a roe and five otters) and one species of birds (two magpies). Only four carcasses were recovered from aquatic environments (bath trough for animals, bathtub irrigation, river) and only in three cases out of ten that the cause of death was ruled out as drowning. In seven cases, the death was due to other causes: gunshot injuries for one otter, blunt trauma for a magpie, and traumatic injuries followed by motor vehicle collision in other four otters and a roe. Post-mortem examination was performed in all carcasses. The diatom test protocol was performed according to the Italian guidelines for analysis of benthic diatoms for ecological status assessment of inland waters. Five grams of lung, liver, and kidney was taken from all the animal carcasses. In some cases, additional tissue samples were also available among which brain, heart, spleen, and bone marrow. In all four cases found in water, the drowning medium was also available. Hydrogen peroxide (H2O2) digestion was performed, and identification of 21 genera of diatoms was obtained. The method proved to be suitable for the identification of diatoms in the organs of the animals drowned supporting the final diagnosis of drowning. Only in otters, all died for causes other than drowning, diatoms did not prove to be suitable for the diagnosis of drowning since their presence in the internal organs was mainly related to their main diet based on fishmeal. The authors believe that this first trial is very promising, and the results suggest that diatom test can be easily applied in forensic veterinary context.


Subject(s)
Diatoms/isolation & purification , Drowning/veterinary , Forensic Pathology/methods , Animals , Birds , Bone Marrow/pathology , Brain/pathology , Deer , Hydrogen Peroxide , Kidney/pathology , Liver/pathology , Lung/pathology , Myocardium/pathology , Otters , Spleen/pathology
7.
Dis Aquat Organ ; 121(3): 241-248, 2016 10 27.
Article in English | MEDLINE | ID: mdl-27786162

ABSTRACT

Fisheries bycatch, the incidental mortality that occurs as a result of entanglement in fishing gear, is an important conservation threat to penguins and other seabirds. Identification of entanglement and drowning in beach-cast carcasses of seabirds remains a challenge, as it is still unclear what lesions are to be expected in a bycaught seabird. We necropsied 2 Magellanic penguins Spheniscus magellanicus that were entangled and drowned in gillnets. Marked distension of the lungs with foamy red fluid and marked oedema of the dorsal visceral pleura were prominent lesions consistent with those described in cases of 'wet drowning' in humans. On the other hand, the air sacs contained very small quantities of liquid, suggesting that absence of water in the air sacs might not be a reliable sign to exclude drowning. Other relevant findings included cutaneous lacerations and bruising in one bird and cervical and pectoral rhabdomyolysis in both birds. While cutaneous or subcutaneous hematomas may be an indication of bycatch, especially if linear or cross-linear patterns consistent with fishing nets are present, these lesions might not always be discernible and their absence does not suffice to exclude the possibility of entanglement in fishing nets. Additionally, our findings suggest that the histological examination of skeletal muscles, particularly of the neck, may provide additional clues to corroborate the diagnosis of drowning in penguins.


Subject(s)
Bird Diseases/pathology , Drowning/veterinary , Fisheries , Spheniscidae , Animals , Bird Diseases/etiology , Conservation of Natural Resources , Drowning/pathology , Female
8.
Vet Pathol ; 53(5): 1049-56, 2016 09.
Article in English | MEDLINE | ID: mdl-26926081

ABSTRACT

Determining the cause of death in animals recovered from bodies of water, swimming pools, or other water-containing vessels is challenging. Animals recovered from water may or may not have drowned. The diagnosis of drowning is usually one of exclusion, requiring information from the crime scene, recovery scene, the medical history or reliable witness accounts. While there are characteristic macroscopic and microscopic lesions of drowning, none are specific and are dependent on the volume and tonicity of the drowning medium. Beyond interpreting the postmortem findings, the court may ask pathologists to comment on the behavioral and welfare implications of drowning. This requires an understanding of the drowning process, which is a complex series of sequential, concurrent, and overlapping cardiorespiratory reflexes, electrolyte and blood gas abnormalities, aspiration, physical exhaustion, and breathlessness eventually culminating in death. This review addresses the mechanisms, lesions, and diagnostic issues associated with drowning in nonaquatic companion animals.


Subject(s)
Drowning/veterinary , Forensic Pathology , Pathology, Veterinary , Animal Welfare , Animals , Cause of Death , Drowning/diagnosis , Drowning/pathology , Forensic Pathology/methods , Immersion , Pathology, Veterinary/methods
11.
Vet Clin Pathol ; 42(2): 221-6, 2013 Jun.
Article in English | MEDLINE | ID: mdl-23647227

ABSTRACT

A 7-year-old spayed female German Wirehaired Pointer was presented with difficulty breathing after being found seizing in a water-filled drainage ditch while out hunting. Aspirates from a tracheal wash contained numerous degenerate neutrophils, fewer macrophages, some of which contained basophilic debris, low numbers of extracellular diatoms, and a single intracellular short bacterial rod. As the dog continued to clinically decline and could not be weaned from oxygen support, the owners chose euthanasia. The major necropsy finding was a severe granulomatous bronchopneumonia that was likely due to aspiration of foreign material based on the microscopic presence of plant-like material, bi-refringent crystalline material, non-cellular debris, and occasional fungal structures. Diatoms are a class of algae that live primarily in water. Diatom analysis has been used, with some controversy, in human forensics to assist in documenting drowning as the cause of death. In this case, given the clinical history, the presence of diatoms and inflammation in the tracheal wash were interpreted as a likely result of the aspiration of surface water. To our knowledge, this is the first reported case of diatoms observed in a cytologic specimen in a nonhuman mammal with aspiration pneumonia.


Subject(s)
Diatoms/isolation & purification , Dog Diseases/pathology , Drowning/veterinary , Pneumonia, Aspiration/veterinary , Trachea/microbiology , Animals , Diagnosis, Differential , Dog Diseases/microbiology , Dogs , Drowning/microbiology , Drowning/pathology , Euthanasia, Animal , Fatal Outcome , Female , Lung/pathology , Pneumonia, Aspiration/microbiology , Pneumonia, Aspiration/pathology , Trachea/pathology , Water Microbiology
13.
J Wildl Dis ; 46(2): 422-32, 2010 Apr.
Article in English | MEDLINE | ID: mdl-20688635

ABSTRACT

We examined the gross and microscopic pathology and distribution of sea turtles that were landed as bycatch from the Hawaii, USA-based pelagic longline fishery and known to be forced submerged. Olive ridley turtles (Lepidochelys olivacea) composed the majority of animals examined, and hook-induced perforation of the esophagus was the most common gross lesion followed by perforation of oral structures (tongue, canthus) and of flippers. Gross pathology in the lungs suggestive of drowning was seen in 23 of 71 turtles. Considering only the external gross findings, the pathologist and the observer on board the longline vessel agreed on hook-induced lesions only 60% of the time thereby illustrating the limitations of depending on external examination alone to implicate hooking interactions or drowning as potential cause of sea turtle mortality. When comparing histology of drowned turtles to a control group of nondrowned turtles, the former had significantly more pulmonary edema, hemorrhage, and sloughed columnar epithelium. These microscopic changes may prove useful to diagnose suspected drowning in sea turtles where history of hooking or netting interactions is unknown.


Subject(s)
Conservation of Natural Resources , Drowning/veterinary , Fisheries/instrumentation , Turtles/injuries , Animals , Drowning/diagnosis , Esophagus/injuries , Female , Hawaii , Male , Tongue/injuries
15.
J Wildl Dis ; 45(3): 594-610, 2009 Jul.
Article in English | MEDLINE | ID: mdl-19617470

ABSTRACT

Necropsy reports for 28 stranded, cold-stunned Kemp's ridley sea turtles (Lepidochelys kempii) that died between 2001 and 2006 were reviewed retrospectively. Gross and microscopic lesions were compiled to describe the pathologic and parasitologic findings in turtles that were found freshly dead on the beach or that died within 48 hr of stranding. Anatomic lesions of varying severity were identified in each of the examined turtles and were identified in tissues of the alimentary, respiratory, integumentary, nervous and sensory, and urogenital systems in order of decreasing frequency. Necrotizing enterocolitis and bacterial or fungal pneumonia were the most frequently encountered lesions that were considered clinically significant. Parasites and parasitic lesions were identified primarily in tissues of the alimentary system and included intestinal cestodiasis and parasitic granulomas containing larval cestodes or nematodes. Postlarval cestodes were also found in the coelom of two turtles. In many cases, the extent and severity of lesions were judged to be insufficient to have solely caused mortality, suggesting that additional factors such as metabolic, respiratory, and electrolyte derangements; hypothermia; and drowning may be important proximate causes of death in cold-stunned turtles. Results of this study provide insight into pathologic conditions that may be of clinical relevance to rehabilitation efforts for cold-stunned sea turtles.


Subject(s)
Cold Temperature , Hypothermia/veterinary , Parasitic Diseases, Animal/mortality , Turtles/parasitology , Animals , Animals, Wild , Cause of Death , Drowning/mortality , Drowning/pathology , Drowning/veterinary , Female , Hypothermia/mortality , Hypothermia/pathology , Immunohistochemistry/veterinary , Male , Massachusetts , Oceans and Seas , Parasitic Diseases, Animal/pathology , Retrospective Studies , Turtles/injuries
16.
Vet Pathol ; 46(3): 536-47, 2009 May.
Article in English | MEDLINE | ID: mdl-19176498

ABSTRACT

Gas bubbles were found in 15 of 23 gillnet-drowned bycaught harp (Pagophilus groenlandicus), harbor (Phoca vitulina) and gray (Halichoerus grypus) seals, common (Delphinus delphis) and white-sided (Lagenorhyncus acutus) dolphins, and harbor porpoises (Phocaena phocaena) but in only 1 of 41 stranded marine mammals. Cases with minimal scavenging and bloating were chilled as practical and necropsied within 24 to 72 hours of collection. Bubbles were commonly visible grossly and histologically in bycaught cases. Affected tissues included lung, liver, heart, brain, skeletal muscle, gonad, lymph nodes, blood, intestine, pancreas, spleen, and eye. Computed tomography performed on 4 animals also identified gas bubbles in various tissues. Mean +/- SD net lead line depths (m) were 92 +/- 44 and ascent rates (ms(-1)) 0.3 +/- 0.2 for affected animals and 76 +/- 33 and 0.2 +/- 0.1, respectively, for unaffected animals. The relatively good carcass condition of these cases, comparable to 2 stranded cases that showed no gas formation on computed tomography (even after 3 days of refrigeration in one case), along with the histologic absence of bacteria and autolytic changes, indicate that peri- or postmortem phase change of supersaturated blood and tissues is most likely. Studies have suggested that under some circumstances, diving mammals are routinely supersaturated and that these mammals presumably manage gas exchange and decompression anatomically and behaviorally. This study provides a unique illustration of such supersaturated tissues. We suggest that greater attention be paid to the radiology and pathology of bycatch mortality as a possible model to better understand gas bubble disease in marine mammals.


Subject(s)
Dolphins , Drowning/veterinary , Embolism, Air/veterinary , Porpoises , Seals, Earless , Animals , Drowning/pathology , Embolism, Air/pathology
17.
Compend Contin Educ Vet ; 30(6): 340-52; quiz 352, 2008 Jun.
Article in English | MEDLINE | ID: mdl-18690609

ABSTRACT

Drowning is potentially fatal. Physiologic responses to aspiration of water differ according to whether the water is salt or fresh; whether these responses are significant depends on the volume of fluid aspirated. Resuscitation efforts should be started at the scene of the accident. Oxygen therapy is essential. Many patients require continuous positive airway pressure or positive end-expiratory pressure to reverse hypoxemia. Physiologic responses induced by ice-water submersion can be protective during the initial insult. The prognosis for submersion injuries is guarded and is influenced by several variables.


Subject(s)
Dog Diseases/therapy , Drowning/veterinary , Fresh Water , Near Drowning/veterinary , Oxygen Inhalation Therapy/veterinary , Resuscitation/veterinary , Seawater , Animals , Body Temperature/physiology , Dogs/physiology , Ice , Intermittent Positive-Pressure Ventilation , Near Drowning/therapy , Oxygen/therapeutic use , Oxygen Inhalation Therapy/methods , Positive-Pressure Respiration , Prognosis , Resuscitation/methods
18.
J Am Vet Med Assoc ; 232(2): 244-8, 2008 Jan 15.
Article in English | MEDLINE | ID: mdl-18275392

ABSTRACT

OBJECTIVE: To determine clinical characteristics, treatments, and outcome in dogs and cats evaluated after submersion in freshwater. DESIGN: Retrospective case series. ANIMALS: 25 dogs and 3 cats. PROCEDURES: Medical records were reviewed for signalment; causes, location, and month of submersion; physical examination findings at admission; results of blood gas analysis; treatments administered; duration of hospitalization; and outcome, including evidence of organ failure or compromise. RESULTS: All submersions involved bodies of freshwater. Fourteen animals were submerged in man-made water sources, 13 were submerged in natural water sources, and the body of water was not recorded in 1 case. Twenty (71%) submersions occurred from May through September. Cause was identified in 16 animals and included extraordinary circumstances (n = 6), falling into water (5), breaking through ice (3), and intentional submersion (2). Twelve animals were found submerged in water with unclear surrounding circumstances. Treatment included administration of supplemental oxygen, antimicrobials, furosemide, corticosteroids, and aminophylline and assisted ventilation. Respiratory dysfunction was detected in 21 animals. Neurologic dysfunction was detected in 12 animals, hepatocellular compromise was detected in 6 animals, and cardiovascular dysfunction was detected in 4 animals. Three dogs had hematologic dysfunction, and 2 dogs had acute renal dysfunction. Eighteen (64%) animals survived to hospital discharge, but all of the cats died. In 9 of 10 nonsurvivors, respiratory tract failure was the cause of death or reason for euthanasia. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggest that submersion is an uncommon reason for veterinary evaluation but is associated with a good prognosis in dogs in the absence of respiratory tract failure.


Subject(s)
Cat Diseases/etiology , Dog Diseases/etiology , Drowning/veterinary , Immersion/physiopathology , Respiratory Tract Diseases/veterinary , Animals , Blood Gas Analysis/veterinary , Cat Diseases/therapy , Cats , Dog Diseases/therapy , Dogs , Drowning/blood , Female , Length of Stay , Male , Multiple Organ Failure/blood , Multiple Organ Failure/etiology , Multiple Organ Failure/veterinary , Near Drowning/blood , Near Drowning/therapy , Near Drowning/veterinary , Respiratory Tract Diseases/blood , Respiratory Tract Diseases/etiology , Retrospective Studies , Seasons , Treatment Outcome
19.
J Wildl Dis ; 34(3): 524-31, 1998 Jul.
Article in English | MEDLINE | ID: mdl-9706561

ABSTRACT

Between August 1992 and November 1995, 31 moribund or dead common loons (Gavia immer) found in the three Maritime provinces of Canada (New Brunswick, Nova Scotia, Prince Edward Island) were necropsied. Eight of these birds were in good body condition and died acutely from drowning or trauma. The remaining 23 birds were in poor body condition and had either chronic lead poisoning, respiratory mycosis, or oil contamination of their plumage. Loons in poor body condition had significantly higher numbers of intestinal trematodes and significantly higher levels of total renal mercury than loons in good body condition. Therefore, poor body condition in many loons was associated with two or more concurrent potential disease processes, although we could not establish a cause-effect relationship among these processes in individual birds. These results suggest that mortality in chronically ill wild animals can result from synergism among several potentially debilitating agents present in their environment.


Subject(s)
Bird Diseases/mortality , Animals , Aspergillosis/mortality , Aspergillosis/veterinary , Aspergillus fumigatus , Autopsy/veterinary , Birds , Drowning/mortality , Drowning/veterinary , Feathers , Female , Helminthiasis, Animal/epidemiology , Intestinal Diseases, Parasitic/epidemiology , Intestinal Diseases, Parasitic/veterinary , Lead Poisoning/mortality , Lead Poisoning/veterinary , Lung Diseases, Fungal/mortality , Lung Diseases, Fungal/veterinary , Male , New Brunswick/epidemiology , Nova Scotia/epidemiology , Petroleum/adverse effects , Prevalence , Prince Edward Island/epidemiology , Wounds and Injuries/mortality , Wounds and Injuries/veterinary
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