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many believe we will not see a turn in rates until the grain season in the US kicks off, and for now coal is the main driver with some sporadical grain and iore cgos.
maculatus are sporadical secondary intermediate hosts or even an accidental infection case, also suggesting a low specificity of this parasite.
The inconsistency of manifestations of the first three parameters usually means that the style is not sustained and higher parameter values are sporadical.