{"id":"https://openalex.org/W4417312296","doi":"https://doi.org/10.3389/fvets.2025.1651077","title":"Scoping review of brucellosis in Armenia: persistent neglect, significant knowledge gaps, and a necessity for innovative research, surveillance, and control","display_name":"Scoping review of brucellosis in Armenia: persistent neglect, significant knowledge gaps, and a necessity for innovative research, surveillance, and control","publication_year":2025,"publication_date":"2025-12-15","ids":{"openalex":"https://openalex.org/W4417312296","doi":"https://doi.org/10.3389/fvets.2025.1651077","pmid":"https://pubmed.ncbi.nlm.nih.gov/41473099","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12745417"},"language":"en","primary_location":{"id":"doi:10.3389/fvets.2025.1651077","doi":"https://doi.org/10.3389/fvets.2025.1651077","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fvets.2025.1651077","pdf_url":"https://public-pages-files-2025.frontiersin.org/journals/veterinary-science/articles/10.3389/fvets.2025.1651077/pdf","source":{"id":"https://openalex.org/S2594976040","display_name":"Frontiers in Veterinary Science","issn_l":"2297-1769","issn":["2297-1769"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Veterinary Science","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://public-pages-files-2025.frontiersin.org/journals/veterinary-science/articles/10.3389/fvets.2025.1651077/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5062642756","display_name":"Anna Yeritsyan","orcid":"https://orcid.org/0000-0002-1559-9226","observed_orcids":["https://orcid.org/0000-0002-1559-9226"]},"institutions":[{"id":"https://openalex.org/I91045830","display_name":"Texas A&M University","ror":"https://ror.org/01f5ytq51","country_code":"US","type":"education","lineage":["https://openalex.org/I91045830"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Anna Yeritsyan","raw_affiliation_strings":["Department of Veterinary Pathobiology, College of Veterinary Medicine & Biomedical Sciences, Texas A&M University, College Station, TX, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Veterinary Pathobiology, College of Veterinary Medicine & Biomedical Sciences, Texas A&M University, College Station, TX, United States","institution_ids":["https://openalex.org/I91045830"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025310526","display_name":"Christopher G. Laine","orcid":"https://orcid.org/0000-0003-2903-176X","observed_orcids":["https://orcid.org/0000-0003-2903-176X"]},"institutions":[{"id":"https://openalex.org/I91045830","display_name":"Texas A&M University","ror":"https://ror.org/01f5ytq51","country_code":"US","type":"education","lineage":["https://openalex.org/I91045830"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christopher G. Laine","raw_affiliation_strings":["Department of Veterinary Pathobiology, College of Veterinary Medicine & Biomedical Sciences, Texas A&M University, College Station, TX, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Veterinary Pathobiology, College of Veterinary Medicine & Biomedical Sciences, Texas A&M University, College Station, TX, United States","institution_ids":["https://openalex.org/I91045830"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093004297","display_name":"H.M. Danelyan","orcid":"https://orcid.org/0000-0002-0888-6817","observed_orcids":["https://orcid.org/0000-0002-0888-6817"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Hrant Danelyan","raw_affiliation_strings":["Reference Laboratory for Especially Dangerous Pathogens of the Republican Veterinary-Sanitary and Phytosanitary Laboratory Services Center, Yerevan, Armenia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Reference Laboratory for Especially Dangerous Pathogens of the Republican Veterinary-Sanitary and Phytosanitary Laboratory Services Center, Yerevan, Armenia","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048134490","display_name":"Pertsh Tumanyan","orcid":"https://orcid.org/0000-0003-4252-3160","observed_orcids":["https://orcid.org/0000-0003-4252-3160"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Pertsh Tumanyan","raw_affiliation_strings":["Reference Laboratory for Especially Dangerous Pathogens of the Republican Veterinary-Sanitary and Phytosanitary Laboratory Services Center, Yerevan, Armenia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Reference Laboratory for Especially Dangerous Pathogens of the Republican Veterinary-Sanitary and Phytosanitary Laboratory Services Center, Yerevan, Armenia","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5057237335","display_name":"\u00c1ngela M. Arenas-Gamboa","orcid":"https://orcid.org/0000-0002-1631-2653","observed_orcids":["https://orcid.org/0000-0002-1631-2653"]},"institutions":[{"id":"https://openalex.org/I91045830","display_name":"Texas A&M University","ror":"https://ror.org/01f5ytq51","country_code":"US","type":"education","lineage":["https://openalex.org/I91045830"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Angela M. Arenas-Gamboa","raw_affiliation_strings":["Department of Veterinary Pathobiology, College of Veterinary Medicine & Biomedical Sciences, Texas A&M University, College Station, TX, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Veterinary Pathobiology, College of Veterinary Medicine & Biomedical Sciences, Texas A&M University, College Station, TX, United States","institution_ids":["https://openalex.org/I91045830"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5057237335"],"corresponding_institution_ids":["https://openalex.org/I91045830"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.3717,"has_fulltext":true,"cited_by_count":3,"citation_normalized_percentile":{"value":0.38463409,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":96,"max":97},"biblio":{"volume":"12","issue":null,"first_page":"1651077","last_page":"1651077"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11899","display_name":"Brucella: diagnosis, epidemiology, treatment","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11899","display_name":"Brucella: diagnosis, epidemiology, treatment","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10486","display_name":"Salmonella and Campylobacter epidemiology","score":0.0,"subfield":{"id":"https://openalex.org/subfields/1106","display_name":"Food Science"},"field":{"id":"https://openalex.org/fields/11","display_name":"Agricultural and Biological Sciences"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11560","display_name":"Animal Disease Management and Epidemiology","score":0.0,"subfield":{"id":"https://openalex.org/subfields/1103","display_name":"Animal Science and Zoology"},"field":{"id":"https://openalex.org/fields/11","display_name":"Agricultural and Biological Sciences"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/brucellosis","display_name":"brucellosis","score":0.9980000257492065},{"id":"https://openalex.org/keywords/human-brucellosis","display_name":"human brucellosis","score":0.8659999966621399},{"id":"https://openalex.org/keywords/animal-brucellosis","display_name":"animal brucellosis","score":0.9869999885559082},{"id":"https://openalex.org/keywords/zoonoses","display_name":"zoonoses","score":0.7609999775886536},{"id":"https://openalex.org/keywords/armenia","display_name":"Armenia","score":0.6570000052452087},{"id":"https://openalex.org/keywords/seroprevalence","display_name":"seroprevalence","score":0.9330000281333923},{"id":"https://openalex.org/keywords/cattle","display_name":"cattle","score":0.8859999775886536},{"id":"https://openalex.org/keywords/small-ruminants","display_name":"small ruminants","score":0.9990000128746033},{"id":"https://openalex.org/keywords/livestock-reservoirs","display_name":"livestock reservoirs","score":0.847000002861023},{"id":"https://openalex.org/keywords/disease-burden","display_name":"disease burden","score":0.7260000109672546},{"id":"https://openalex.org/keywords/surveillance-medicine","display_name":"surveillance (medicine)","score":0.4740000069141388},{"id":"https://openalex.org/keywords/disease-control","display_name":"disease control","score":0.8069999814033508},{"id":"https://openalex.org/keywords/diagnostic-testing","display_name":"diagnostic testing","score":0.5360000133514404}],"concepts":[{"id":"https://openalex.org/C2781429187","wikidata":"https://www.wikidata.org/wiki/Q156050","display_name":"Brucellosis","level":2,"score":0.8707000017166138},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.6021999716758728},{"id":"https://openalex.org/C2780120632","wikidata":"https://www.wikidata.org/wiki/Q7092706","display_name":"One Health","level":3,"score":0.5807999968528748},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.5785999894142151},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.5716000199317932},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5453000068664551},{"id":"https://openalex.org/C112964050","wikidata":"https://www.wikidata.org/wiki/Q103459","display_name":"Livestock","level":2,"score":0.5259000062942505},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.5212000012397766},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.5123000144958496},{"id":"https://openalex.org/C109747225","wikidata":"https://www.wikidata.org/wiki/Q815758","display_name":"Scarcity","level":2,"score":0.4794999957084656},{"id":"https://openalex.org/C2778494684","wikidata":"https://www.wikidata.org/wiki/Q3511357","display_name":"Seroprevalence","level":4,"score":0.41119998693466187},{"id":"https://openalex.org/C3018527248","wikidata":"https://www.wikidata.org/wiki/Q182672","display_name":"Zoonotic disease","level":3,"score":0.39399999380111694},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.38260000944137573},{"id":"https://openalex.org/C2991862235","wikidata":"https://www.wikidata.org/wiki/Q170201","display_name":"Animal health","level":2,"score":0.3750999867916107},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.3675999939441681},{"id":"https://openalex.org/C2987315675","wikidata":"https://www.wikidata.org/wiki/Q1773974","display_name":"Disease control","level":2,"score":0.3393999934196472},{"id":"https://openalex.org/C2776353676","wikidata":"https://www.wikidata.org/wiki/Q182672","display_name":"Zoonosis","level":2,"score":0.33009999990463257},{"id":"https://openalex.org/C2909991059","wikidata":"https://www.wikidata.org/wiki/Q821775","display_name":"Epidemiologic Surveillance","level":3,"score":0.3102000057697296},{"id":"https://openalex.org/C129047720","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural area","level":2,"score":0.3086000084877014},{"id":"https://openalex.org/C2910825464","wikidata":"https://www.wikidata.org/wiki/Q506680","display_name":"Endemic diseases","level":2,"score":0.3070000112056732},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.30559998750686646},{"id":"https://openalex.org/C42972112","wikidata":"https://www.wikidata.org/wiki/Q170201","display_name":"Veterinary medicine","level":1,"score":0.298799991607666},{"id":"https://openalex.org/C2776094605","wikidata":"https://www.wikidata.org/wiki/Q7923729","display_name":"Veterinary public health","level":3,"score":0.2921999990940094},{"id":"https://openalex.org/C189708586","wikidata":"https://www.wikidata.org/wiki/Q1504425","display_name":"Systematic review","level":3,"score":0.29030001163482666},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.28619998693466187},{"id":"https://openalex.org/C2779456496","wikidata":"https://www.wikidata.org/wiki/Q4764961","display_name":"Population control","level":5,"score":0.28189998865127563},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.2768000066280365},{"id":"https://openalex.org/C761482","wikidata":"https://www.wikidata.org/wiki/Q118093","display_name":"Transmission (telecommunications)","level":2,"score":0.2757999897003174},{"id":"https://openalex.org/C83864248","wikidata":"https://www.wikidata.org/wiki/Q177323","display_name":"Developing country","level":2,"score":0.27070000767707825},{"id":"https://openalex.org/C2780664029","wikidata":"https://www.wikidata.org/wiki/Q5282120","display_name":"Disease burden","level":3,"score":0.26980000734329224},{"id":"https://openalex.org/C2775924081","wikidata":"https://www.wikidata.org/wiki/Q55608371","display_name":"Control (management)","level":2,"score":0.26919999718666077},{"id":"https://openalex.org/C2776361769","wikidata":"https://www.wikidata.org/wiki/Q821775","display_name":"Public health surveillance","level":3,"score":0.260699987411499},{"id":"https://openalex.org/C2908982167","wikidata":"https://www.wikidata.org/wiki/Q830","display_name":"Cattle Diseases","level":2,"score":0.2574999928474426},{"id":"https://openalex.org/C29376679","wikidata":"https://www.wikidata.org/wiki/Q241741","display_name":"Wildlife","level":2,"score":0.2556000053882599}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.3389/fvets.2025.1651077","doi":"https://doi.org/10.3389/fvets.2025.1651077","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fvets.2025.1651077","pdf_url":"https://public-pages-files-2025.frontiersin.org/journals/veterinary-science/articles/10.3389/fvets.2025.1651077/pdf","source":{"id":"https://openalex.org/S2594976040","display_name":"Frontiers in Veterinary Science","issn_l":"2297-1769","issn":["2297-1769"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Veterinary Science","raw_type":"journal-article"},{"id":"pmid:41473099","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41473099","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in veterinary science","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12745417","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12745417/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Vet Sci","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.3389/fvets.2025.1651077","doi":"https://doi.org/10.3389/fvets.2025.1651077","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fvets.2025.1651077","pdf_url":"https://public-pages-files-2025.frontiersin.org/journals/veterinary-science/articles/10.3389/fvets.2025.1651077/pdf","source":{"id":"https://openalex.org/S2594976040","display_name":"Frontiers in Veterinary Science","issn_l":"2297-1769","issn":["2297-1769"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Veterinary Science","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9391000270843506},{"id":"https://metadata.un.org/sdg/2","display_name":"Zero hunger","score":0.40450000762939453}],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4417312296.pdf","grobid_xml":"https://content.openalex.org/works/W4417312296.grobid-xml"},"referenced_works_count":34,"referenced_works":["https://openalex.org/W1985907979","https://openalex.org/W2005501262","https://openalex.org/W2033279321","https://openalex.org/W2035094893","https://openalex.org/W2035260571","https://openalex.org/W2054305405","https://openalex.org/W2061075150","https://openalex.org/W2105903778","https://openalex.org/W2109293528","https://openalex.org/W2143892136","https://openalex.org/W2155144785","https://openalex.org/W2518495885","https://openalex.org/W2556885198","https://openalex.org/W2573164903","https://openalex.org/W2749644134","https://openalex.org/W2782656592","https://openalex.org/W2801403505","https://openalex.org/W2808272987","https://openalex.org/W2901669506","https://openalex.org/W2923373128","https://openalex.org/W3023843036","https://openalex.org/W3097530572","https://openalex.org/W3215466509","https://openalex.org/W4213144412","https://openalex.org/W4225512882","https://openalex.org/W4226083117","https://openalex.org/W4247111734","https://openalex.org/W4251061156","https://openalex.org/W4294215472","https://openalex.org/W4319766248","https://openalex.org/W4376460993","https://openalex.org/W4386084450","https://openalex.org/W4387349077","https://openalex.org/W4409516391"],"related_works":["https://openalex.org/W7221759207","https://openalex.org/W4412201605","https://openalex.org/W2036307680","https://openalex.org/W2155144785","https://openalex.org/W3089926152","https://openalex.org/W4387349077","https://openalex.org/W2610646580","https://openalex.org/W2550005593","https://openalex.org/W7119155721","https://openalex.org/W4405533101"],"abstract_inverted_index":{"Brucellosis":[0],"is":[1],"a":[2,26,51,241],"zoonotic":[3],"disease":[4,21,219],"of":[5,19,37,45,54,122,136,157,174,183,201,209,217],"nearly":[6],"worldwide":[7],"distribution.":[8],"Despite":[9],"its":[10],"endemic":[11],"presence":[12],"in":[13,30,47,94,102,150,185,228],"many":[14],"regions,":[15],"the":[16,20,31,42,63,111,123,126,134,137,172,180,188,199,207,218,238],"true":[17],"burden":[18],"remains":[22],"poorly":[23],"defined.":[24],"Armenia,":[25,48],"small":[27,103,116],"country":[28],"situated":[29],"South":[32],"Caucasus,":[33],"exemplifies":[34],"this":[35,177,195],"lack":[36,208],"clarity.":[38],"To":[39],"better":[40],"understand":[41],"epidemiological":[43],"landscape":[44],"brucellosis":[46,61,86,143,184],"we":[49],"conducted":[50],"scoping":[52],"review":[53,178,222],"studies":[55,124],"addressing":[56],"both":[57],"human":[58],"and":[59,67,78,96,117,206,224,230,246],"animal":[60,85],"within":[62],"country.":[64],"Comprehensive":[65],"database":[66],"manual":[68],"searches":[69],"identified":[70,125],"only":[71],"19":[72],"relevant":[73],"articles":[74],"published":[75],"between":[76],"1982":[77],"2023.":[79],"Reported":[80],"individual":[81],"seroprevalence":[82],"estimates":[83],"for":[84,240],"ranged":[87],"dramatically":[88],"from":[89,97],"0.26":[90],"to":[91,99,171],"18.04%":[92],"(median\u20143.33%)":[93],"cattle":[95],"0.75":[98],"29.90%":[100],"(median\u20141.94%)":[101],"ruminants.":[104],"Only":[105],"one":[106],"study":[107],"investigated":[108],"swine;":[109],"however,":[110],"sample":[112],"size":[113],"was":[114,144],"too":[115],"precluded":[118],"meaningful":[119],"interpretation.":[120],"None":[121],"Brucella":[127],"species":[128],"or":[129],"strains":[130],"involved,":[131],"leaving":[132],"unresolved":[133],"question":[135],"primary":[138],"livestock":[139],"reservoirs.":[140],"In":[141],"humans,":[142],"predominantly":[145],"reported":[146],"among":[147],"individuals":[148],"residing":[149],"rural":[151],"areas,":[152],"with":[153],"an":[154,214],"average":[155],"incidence":[156],"approximately":[158],"8":[159],"cases":[160],"per":[161,164],"100,000":[162],"population":[163],"year.":[165],"Although":[166],"constrained":[167],"by":[168,194],"limitations":[169],"due":[170],"scarcity":[173],"available":[175,203],"data,":[176],"highlights":[179],"neglected":[181],"nature":[182],"Armenia":[186],"underscoring":[187],"potential":[189],"public":[190],"health":[191],"risk":[192],"posed":[193],"bacterium.":[196],"Reporting":[197],"inconsistencies,":[198],"absence":[200],"readily":[202],"diagnostic":[204],"tools,":[205],"standardized":[210],"testing":[211],"procedures":[212],"hinder":[213],"accurate":[215],"assessment":[216],"burden.":[220],"This":[221],"summarizes":[223],"identifies":[225],"critical":[226],"gaps":[227],"research":[229],"control":[231,247],"efforts,":[232],"offering":[233],"insight":[234],"that":[235],"can":[236],"support":[237],"need":[239],"comprehensive,":[242],"long-term":[243],"national":[244],"surveillance":[245],"strategy.":[248]},"counts_by_year":[{"year":2026,"cited_by_count":3}],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2025-12-15T00:00:00"}
