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Shared landscapes, shared risk: Echinococcus multilocularis infection in coyotes is linked to agricultural land and altered green space in a major U.S. metropolitan area

Alveolar echinococcosis (AE), caused by the tapeworm Echinococcus multilocularis, is among the most lethal zoonotic helminthic diseases affecting humans. Historically rare in North America, human and canine AE cases have risen sharply over the past decade, coinciding with the spread of a more virulent European-type haplotype and the emergence of coyotes (Canis latrans) as a principal definitive…

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