Mortality in free-ranging Eurasian brown bears (Ursus arctos arctos) in Spain '1998-2018'

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This study analyzed 25 brown bear necropsies from 1998-2018, finding natural causes (traumatic lesions, infectious diseases) were the primary mortality drivers, unlike other bear populations.

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This preprint investigated confirmed causes of death in 25 free-ranging Eurasian brown bears (Ursus arctos arctos) from Spain’s Cantabrian mountain range that were submitted for necropsy in Asturias and Castilla y León between 1998 and 2018, classifying deaths by human intervention versus natural causes and by infectious versus non-infectious etiology. For 21 cases with adequate tissue, 33.3% were attributed to human intervention (illegal hunting via wire snares or shooting, handling, or strychnine poisoning) while 66.7% were attributed to natural causes, mainly traumatic lesions (including fights and infanticide) and infectious disease (notably infectious canine hepatitis due to canine adenovirus type 1, gangrenous myositis, and septicemia). The paper reports that in 16% of bears the cause of death could not be determined due to inadequate specimen preservation or limited tissue availability, which is a key limitation. This paper is centrally about mortality causes in wild brown bears and does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract Background: This work summarizes the mortality cases of twenty-five free-ranging Eurasian wild brown bears (Ursus arctos arctos) from the Cantabrian mountain range submitted for necropsy in Asturias and Castilla y León (northwestern Spain) from ' 1998 to 2018'. Results: Causes of death were classified both caused by (i) "human intervention" or "natural causes" and based on (ii) "infectious" or "non-infectious" etiology. In four cases (16%) it was not possible to determine the cause of death due to the inadequate preservation of collected specimens or insufficient tissue availability. Based on "human intervention" or "natural causes", seven out of the 21 (33.3%) brown bears in which the cause of death could be determined died as a consequence of "human intervention" due to illegal hunting (shooting or snare), handling or strychnine poisoning. In contrast, fourteen (66.7%) brown bears died by "natural causes" due to traumatic lesions (fights, unknown traumas or infanticide), infectious canine hepatitis, neoplasia, or mushroom poisoning. Based on "infectious" or "non-infectious" etiology nine out of the 21 (42.9%) brown bears died due to "infectious diseases", namely gangrenous myositis, infectious canine hepatitis or septicemia. The remaining twelve (57.1%) animals died due to "non-infectious" causes, which included handling, traumatic lesions such as shooting, snare, fighting or infanticide, strychnine poisoning, mushroom poisoning or neoplasia. In six of those cases traumatic lesions caused by human activities or by natural causes were complicated with bacterial infection (clostridiosis and septicemia) which finally caused the death of those animals. Additionally, exertional myopathy was observed in the handled animal and in one bear found in a snare. Conclusions: In a non-hunted population of Eurasian brown bear from the Cantabrian mountain range, main cause of death is attributed to “natural causes” mostly due to traumatic lesions and infectious diseases (primary developed such as infectious canine hepatitis or secondary developed such as clostridiosis or septicemia) which is in contrast to previously reported data for other bear populations.These data are valuable and may help in the conservation and management of this recovering population.
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Mortality in free-ranging Eurasian brown bears (Ursus arctos arctos) in Spain '1998-2018' | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research article Mortality in free-ranging Eurasian brown bears ( Ursus arctos arctos ) in Spain '1998-2018' Ana Balseiro, Luis José Royo, Elena Gayo, Ramón Balsera, Olga Alarcia, and 1 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.2.21646/v3 This work is licensed under a CC BY 4.0 License Status: Posted Version 3 posted You are reading this latest preprint version Show more versions Abstract Background: This work summarizes the mortality cases of twenty-five free-ranging Eurasian wild brown bears ( Ursus arctos arctos ) from the Cantabrian mountain range submitted for necropsy in Asturias and Castilla y León (northwestern Spain) from ' 1998 to 2018'. Results: Causes of death were classified both caused by (i) "human intervention" or "natural causes" and based on (ii) "infectious" or "non-infectious" etiology. In four cases (16%) it was not possible to determine the cause of death due to the inadequate preservation of collected specimens or insufficient tissue availability. Based on "human intervention" or "natural causes", seven out of the 21 (33.3%) brown bears in which the cause of death could be determined died as a consequence of "human intervention" due to illegal hunting (shooting or snare), handling or strychnine poisoning. In contrast, fourteen (66.7%) brown bears died by "natural causes" due to traumatic lesions (fights, unknown traumas or infanticide), infectious canine hepatitis, neoplasia, or mushroom poisoning. Based on "infectious" or "non-infectious" etiology nine out of the 21 (42.9%) brown bears died due to "infectious diseases", namely gangrenous myositis, infectious canine hepatitis or septicemia. The remaining twelve (57.1%) animals died due to "non-infectious" causes, which included handling, traumatic lesions such as shooting, snare, fighting or infanticide, strychnine poisoning, mushroom poisoning or neoplasia. In six of those cases traumatic lesions caused by human activities or by natural causes were complicated with bacterial infection (clostridiosis and septicemia) which finally caused the death of those animals. Additionally, exertional myopathy was observed in the handled animal and in one bear found in a snare. Conclusions: In a non-hunted population of Eurasian brown bear from the Cantabrian mountain range, main cause of death is attributed to “natural causes” mostly due to traumatic lesions and infectious diseases (primary developed such as infectious canine hepatitis or secondary developed such as clostridiosis or septicemia) which is in contrast to previously reported data for other bear populations.These data are valuable and may help in the conservation and management of this recovering population. Large Animal Medicine Brown bear Ursus arctos arctos pathology cause of death Figures Figure 1 Figure 2 Background In Spain, the endangered Eurasian brown bear ( Ursus arctos arctos ) population is located in the Cantabrian mountain range (northwestern Iberian Peninsula) and represents the southwestern limit distribution for this species in Europe [1]. The population of free-ranging Eurasian brown bear has recovered during the last two decades (2000-2020) from approximately 100 individuals in the '1990s' to 230-260 presently [1, 2]. The deaths of brown bears in nature sometimes can be attributed to human interventions, i.e. shooting, poisoning or traffic accidents, and on other occasions death is due to natural causes, i.e. infanticide [3, 4]. The identification of causes of mortality in wild natural populations is relevant for the correct design of conservation strategies and management programs. However, knowledge on the mortality among bears is limited because of the difficulty in finding the dead animals in nature, and certain percentage of dead animals remains unrecorded. The aim of the present work is to summarize the confirmed causes of deaths and most significant findings related to deaths reported in twenty-five free-ranging Eurasian brown bears submitted for necropsy in Asturias and Castilla y León (northwestern Spain) over the past 20 years. These data are valuable and may help in the conservation and management of this recovering population. Results Classification of causes of death The cause of death and relevant pathological findings in the twenty-five brown bears studied is shown in Table 1 and Figure 1. In four (4/25, 16%) cases it was not possible to determine the cause of death due to inadequate preservation of collected specimens or insufficient tissue availability. The pathological findings on six animals revealed secondary bacterial infection followed by primary traumatic event caused either by human activities or natural causes. Three causes of death ( Clostridium sordellii infection in one bear, infectious canine hepatitis caused by canine adenovirus type 1 (CAdV-1) in three bears and cholangiocarcinoma in one bear) had been already described in previous papers by our group [5-7]. Mortality cases were classified both caused by (i) "human intervention" or "natural causes" and based on (ii) "infectious" or "non-infectious" etiology. Based on caused by "human intervention" or "natural causes", seven out of the 21 (7/21, 33.3%) brown bears in which the cause of death could be determined died as a consequence of "human intervention" due to illegal hunting [wire snare hunting ( n =3, 14.3%) and shooting n =2 (9.5%)], handling ( n =1, 4.8%) and strychnine poisoning ( n =1, 4.8%). In contrast, fourteen (14/21, 66.7%) brown bears died by "natural causes" due to traumatic lesions ( n =9, 42.9%) [fights ( n =4, 19%), unknown traumas ( n =3, 14.3%) or infanticide ( n =2, 9.5%)], infectious canine hepatitis ( n =3, 14.3%), neoplasia ( n =1, 4.8%) or mushroom poisoning ( n =1, 4.8%). Mortality data was also stratified based on "infectious" or "non-infectious" etiology. Nine out of the 21 (9/21, 42.9%) brown bears died due to "infectious" diseases, namely gangrenous myositis ( n =5, 23.8%; four of which were proven to be from clostridiosis), infectious canine hepatitis ( n =3, 14.3%) or septicemia ( n =1, 4.8%). The remaining twelve (12/21, 57.1%) animals died due to "non-infectious" causes, which included handling ( n =1, 4.8%), traumatic lesions ( n =8, 38.1%) such as shooting, snare, fighting or infanticide, strychnine poisoning ( n =1, 4.8%), mushroom poisoning ( n =1, 4.8%) or neoplasia ( n =1, 4.8%). Additionally, the pathological findings on six animals revealed secondary bacterial infection followed by primary traumatic event caused either by human activities (i.e. wire snare hunting) or natural causes (i.e. fights) (Figure 1). Exertional myopathy was observed in two bears, a handled animal and in one bear found in a snare. Description of causes of death Cases of death caused by traumas such as shooting (metallic fragments were found), wire snares, fighting or infanticide were easier to determine not only based on necropsy and histopathological studies but also using complementary diagnostic techniques (i.e. radiography) or knowledge of the behavior of this species. Ante mortem traumatic lesions always showed vascular reactions such as hemorrhages, hyperemia, congestion or edema. In fighting and infanticide cases lesions in skin, muscles or bones showed signs compatible with bites and scratches. In two animals the origin of traumas could not be determined. Other causes were more difficult to discern and are reported below. Infectious diseases The five bears (bears number 1, 8, 10, 15 and 23) with secondary gangrenous myositis (Table 1, Figure 1), as a consequence of wire snare hunting, infanticide, fights or traumas, showed serohemorrhagic edema in the abdominal cavity, thorax, pericardium, and skeletal muscle, and hemorrhages in heart, skeletal muscles, stomach, intestine, liver, spleen, and kidney. The case description of bear 8 was previously reported [5]. Microscopically, vascular damage and hyperacute myodegeneration consisted of myonecrosis, edema, gas, extravasation of fibrin into the interstitial spaces, and lacunar dissolution of myofibers in skeletal muscles were observed using hematoxylin-eosin and Masson´s trichrome stains. Clostridium sordellii was identified by Gram stain and culture [5] as the etiological agent of the lesions in four brown bears. In two of these four bears each, the C. bifermentans and C. septicum were also isolated. The presence of C. sordellii was always associated with previous muscle damage (i.e. traumas) that triggered its proliferation. In bear number 15 Clostridium spp could not be isolated. An additional bear (number 12) showed septicemia secondary to fighting although the etiological agent could not be determined. Gross lesions in the three bears (bears number 11, 14 and 20) with infectious canine hepatitis caused by CAdV-1 was previously described [6] and consisted of congestion and hemorrhages in several organs; hemorrhagic fluid in thoracic and abdominal cavities; friable and yellow-tinged liver; hepatomegaly; thickening of the gall bladder due to edema [6]. Microscopically the main pathological findings appeared in liver and gall bladder. The liver showed mild centrolobular multifocal degeneration and necrosis of hepatocytes, with the presence of intranuclear inclusions bodies and low inflammatory infiltration mainly of lymphocytes. The gall bladder showed edema of the wall. Additionally, non-purulent encephalitis was observed. CAdV-1 was confirmed by quantitative polymerase chain reaction (qPCR) and immunohistochemistry [6]. Exertional (degenerative) myopathy In two animals exertional myopathy was diagnosed. One bear (bear number 1) additionally exhibited signs of clostridiosis after being captured in a snare and died after one week. A female cub also died due to exertional myopathy after handling (bear number 9). The cub was found alone in the wild when it was two months old and it was kept in captivity until it was nine months old. The cub died during transit in an attempt to reintroduce it back into the wild. Both animals showed gross lesions consisting of dry and pale cardiac and some skeletal (mainly intercostals and femoral) muscles (Figures 2a and 2b). Microscopically severe segmental degeneration of muscles was observed and consisted of hypercontracted fibers, extensive Zenker´s hyaline degeneration and coagulative necrosis of myofibers (Figures 2c to 2h). Bear number 1 also showed an intensive infiltrate mainly consisting of lymphocytes and macrophages, as well as mineralization in the affected muscles (Figure 2f). In that animal necrotic myofibers with surviving satellite cells, invading macrophages and elongating myoblasts, all indicative of events of regeneration, were also observed (Figure 2d). The cub also showed hypoplasia of adrenal glands (1.7 grams, 0.004% relative weight; physiological relative weight 0.03% [8]). Strychnine poisoning In the bear affected by strychnine poisoning (bear number 6) extensive hemorrhages were found in several organs (heart, lungs, liver, kidney, spleen, stomach and intestine) often showing hemothorax, hemopericardium and hemoperitoneum. Microscopically vascular damage and diffuse necrosis in those organs were the most common findings. Strychnine was identified by chromatography from hair samples in a private company. Neoplasia Cholangiocarcinoma was observed in the liver of an old female (bear number 13). A complete description of this case was already published [7]. Briefly, microscopically liver tumor tissue showed tubular, acinar or pseudoglandular structures in the area facing a large cavity of necrosis with a thick trabecular growth pattern. Multiple small nodules were also present in the gall bladder. Metastatic encapsulated foci of cholangiocarcinoma were located in lung parenchyma, adrenal glands and articulation of the left elbow. Mushroom poisoning Bear number 19 showed hemorrhagic gastritis and diffuse hepatic and renal necrosis compatible with mushroom poisoning, likely due to ingestion of poisonous Amanita spp, although that could not be confirmed by toxicological analysis. Discussion This study shows that the main causes of deaths in Eurasian brown bears from the Cantabrian mountain range are those caused by infectious diseases (42.9%), mainly by clostridiosis (associated to previous muscle damage) or infectious canine hepatitis. As an example, in Sweden, where ninety-eight animals were analyzed, no deaths of brown bears were attributed to any infectious disease [4]. Thus, the confirmation of C. sordellii secondary to traumas and CAdV-1 (the agent of infectious canine hepatitis in dogs) as relevant causes of death in Eurasian brown bear is probably the most outstanding finding in this study. In contrast with previous data on brown bears, for the first time infectious diseases are described as an important cause of death. The four fatal cases of clostridial infection described to date, compared to the few descriptions reported worldwide, could show a higher susceptibility of the Cantabrian brown bear population to these bacteria [5]. Gross lesions such as hemorrhages and edema in skeletal muscle and internal organs might lead to suspect of clostridial infection in bears found dead in the nature. The putative high susceptibility to infectious pathogens reported here might be a consequence of a weaker immune system due to the lower genetic diversity described for this species in the Cantabrian range subpopulation [9, 10]. Another possibility might be a high degree of circulation of the pathogens both in the environment and sympatric species (i.e. CAdV-1 carriers such as wolves or not sanitarily controlled dogs in rural areas) [6]. Two animals died showing exertional myopathy as a consequence of extreme exertion and stress after trapping by a snare [11] or handling. Those are to our knowledge the second and third cases of death by exertional myopathy reported in bears in the literature worldwide. The first case was described by Cattet et al. (2008) in a grizzly bear that died approximately 10 days after capture by leghold snare in Canada [12]. Those three cases confirm the fact that the prolonged suffering in bears might cause exertional myopathy as occurs in other mammal species, i.e. red fox or cervids [13, 14]. Therefore that should be taken into account in the management of bears, especially when capturing and handling free-living specimens, trying to minimize stress as much as possible. Some measures to reduce stress and complications due to capture myopathy might include minimize noise and activity, limit captures to periods with reduced temperature or provide sodium bicarbonate, Selenium or Vitamin E supplements [14]. The acute presentation of adrenal hypoplasia shown in the cub could be precipitated by the physiologic stress suffered [15]. Despite of the limited number of studied cases (related to the conservation status and behaviour of the species that hampers the detection of moribund or dead bears in nature) the data reported in the present work confirm the persistence and relevance of causes of death directly related to human intervention (33%). The total number of mortalities and causes of death are a conservative figure as unreported mortality is difficult to estimate. In this sense small carcasses from cubs or yearlings are even more difficult to find, therefore this study might be also limited due to the biased sampling. Additionally the impossibility of establishing the cause of death in four brown bears submitted for necropsy due to the nature and/or preservation status of available samples must be taken into account when considering the frequency and importance of the different causes of death reported in this paper. Nevertheless, the confirmation of six out of 25 brown bears submitted to the laboratory for necropsy confirmed as death by shooting, snare and poisoning (four of them from 1998 to 2008 and two from 2008 onwards) seems to agree with the apparent reduction in illegal killing after the mid-'1990s' [1, 16], suggested as a key factor for the recovery undergone during last two decades [2]. The causes of death should be clearly differentiated in small and isolated populations like in Spain, Italy or France with causes of death in large and hunted populations like in Canada. Similarly to our study, in the Trentino region of Italy [17] and in the French Pyrenees [18] which are also small and isolated populations, the main cause of death is from natural causes. In contrary, in large and hunted populations the main cause of death is human mediated. In this regard human actions were responsible of most grizzly bear mortalities in Canada [3]. In Sweden, Mörner et al. (2005) found that human caused mortality stands for 64% of total submissions; meanwhile bears killed by other bears and infanticide were the most frequent natural cause of death (16%) [4]. Reljic et al. (2018) and Krofel et al. (2012) reported for hunted populations in Croatia and Slovenia, respectively, more than 90% human caused mortality, mostly hunting, traffic collisions and intervention removals [19, 20]. The detection of four male bears that died after fighting, three due to traumas, three bears that died due to CAdV-1 infection, two cubs that died due to infanticide, one female died due to a cholangiocarcinoma and one male due to mushroom poisoning confirm the existence of deaths attributable to " non-human mediated" natural causes (67%) usually difficult to detect in nature, and thus highlight the importance of necropsies. Traffic induced bear mortality has been documented as a common cause of death in bears in other European countries [4, 19-26]. In our study we have not reported any road-killed animals, despite one bear that died in a traffic accident (the only one reported in Spain to date) in León in 2008, although necropsy of this bear was not performed, and it is not included in this report [27]. Regarding the limited genetic variability of the Cantabrian brown bear population [2], and taking into account that a free-ranging bear can live about 25 years [2, 16], we can consider that the three animals found dead at the age of 19-20 years have had the opportunity to widely contribute to the genetic stock of the Cantabrian brown bear population. However, two out of the five necropsied cubs (40%) died due to CAdV-1 infection. Thus, we can consider that an important percentage of future progenitors might die due to that infectious disease among others causes, which can be important for the maintenance of genetic variability of the species, even more in this endangered population. Conclusion In summary the data in the present work represent a first review of the death causes reported at necropsy in the Cantabrian brown bear population since 1998. The apparent moderate but steady recovery experienced during last decades provides a new landscape for this endangered population, where recovery and conservation works will have to be accompanied by an increasingly important effort on surveillance and management programs of the species, focused on the control of infectious diseases shared between domestic and wild animals under the one health strategy. Methods Twenty-five free-ranging Eurasian brown bears, nine from Castilla y León and 16 from Asturias, of different sexes and ages (see Table 1) were necropsied from “1998 to 2018”. After the detection of one dead animal and the exhaustive examination of the area in the field where the bear was found, a complete post mortem examination of each carcass was conducted at the University of León or Servicio Regional de Investigación y Desarrollo Agroalimentario (SERIDA, Asturias). Tissue samples were taken for evaluation using standard methods in microbiology [5], molecular techniques [6], virology [6], parasitology (coprologic study), toxicology and histopathology [5-7]. Histological stains included hematoxylin-eosin, Gram, Ziehl-Neelsen, Von-Kossa, Mallory Azan, Klüber-Barrera and Masson´s trichrome. A dental histological study [24] was performed when possible in order to determine the age of the bears. Data on bears carcass sites, necropsy findings and laboratory results were considered in making conclusions about the cause of death and allowed tracking of changes and trends in mortality throughout the years. Abbreviations CAdV-1: Canine adenovirus type 1; qPCR: quantitative polymerase chain reaction. Declarations Ethics approval and consent to participate We comply with the IUCN Policy Statement on Research Involving Species at Risk of Extinction and the Convention on the Trade in Endangered Species of Wild Fauna and Flora. We also comply national and regional legislation on sampling of Cantabrian brown bear (Consejería de Fomento, Government of Principality of Asturias and Consejería de Fomento y Medio Ambiente, Junta de Castilla y León). Ethics approval was deemed unnecessary according to Spanish national regulations (Real Decreto 53/2013). Consent for publication Not applicable. Availability of data and materials The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request. Competing interests The authors declare that they have no competing interests. Funding Techniques performed were supported by a grant from the Principado de Asturias, PCTI 2018–220 (GRUPIN: IDI2018-000237 and FEDER). Authors´contributions AB and JFGM developed the concept of the study and collected all required data; AB, LJR, EG, RB, OA and JFGM collected and processed the samples, and analyzed and interpreted the data. AB and JFGM drafted the manuscript. All authors read and approved the final manuscript. Acknowledgments Authors thank colleagues from SERIDA, University of León, Servicios del Principado de Asturias (SERPA), Servicio de Espacios Protegidos y Conservación de la Naturaleza, Dirección General de Biodiversidad from Viceconsejería de Medio Ambiente del Principado de Asturias and Consejería de Fomento y Medio Ambiente de la Junta de Castilla y Léon for the invaluable collaboration. We thank Dr. Kevin P. Dalton for critically reviewing the manuscript. Author details 1 Departamento de Sanidad Animal, Instituto de Ganadería de Montaña (CSIC-ULE), Facultad de Veterinaria, Universidad de León, León, Spain. 2 Servicio Regional de Investigación y Desarrollo Agroalimentario del Principado de Asturias (SERIDA), Villaviciosa, Spain. 3 Consejería de Fomento, Ordenación del Territorio y Medio Ambiente, Oviedo, Asturias, Spain. 4 Consejería de Fomento y Medio Ambiente de la Junta de Castilla y León, Dirección General del Medio Natural, Valladolid, Spain. References References Naves J, Wiegand T, Fernández A, Stephan T. Riesgo de extinción del oso pardo cantábrico. Oviedo: Fundación Oso de Asturias; 1999. González EG, Blanco JC, Ballesteros F, Alcaraz L, Palomero G, Doadrio I. Genetic and demographic recovery of an isolated population of brown bear Ursus arctos L., 1758. Peer J. 2016;4:e1928. doi: 10.7717/peerj.1928 Benn B. Grizzly bear mortality in the Central Rockies Ecosystem, Canada. M.Sc. Thesis, University of Calgary, Calgary, Alta., Canada; 1998. Mörner T, Eriksson H, Broejer C, Nilsson K, Uhlhorn H, Agren E, Ryser-Degiorgis M P, Hard af Segerstad C, Jansson DS, Gavier-Widen D. Diseases and mortality in free-ranging brown bear (Ursus arctos), wolf (Canis lupus) and wolverine (Gulo gulo) in Sweden. J Wildl Dis. 2005;41:298–03. Balseiro A, Oleaga Á, Polledo L, Aduriz G, Atxaerandio R, Kortabarria N, García Marín JF. Clostridium sordellii in a brown bear (Ursus arctos) from Spain. J Wildl Dis. 2013;49:1047–51. García Marín JF, Royo LJ, Oleaga A, Gayo E, Alarcia O, Pinto D, Martínez IZ, González P, Balsera R, Marcos JL, Balseiro A. Canine adenovirus type 1 (CAdV-1) in free-ranging European brown bear (Ursus arctos arctos): A threat for Cantabrian population?. Transbound Emerg Dis. 2018;65:2049–56. Balseiro A, Royo LJ, Gayo E, García Marín JF. Cholangiocarcinoma in a free-ranging Eurasian brown bear (Ursus arctos arctos) from Northern Spain. 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Huber D, Kusak J, Frkovic A. Traffic kills of brown bears in Gorski Kotar, Croatia. Ursus. 1998;10:167–71. Kusak J, Huber Đ, Frković A. The effects of traffic on large carnivore populations in Croatia. Bios Conserv. 2000;3:35–9. Seiler S, Helldin JO, Seiler C. Road mortality in Swedish mammals: results of a drivers’ questionnaire. Wildl Biol. 2004;10:225–33. Morales M. Primer oso muerto en un atropello en España. 2008. https://elpais.com/sociedad/2008/10/28/actualidad/1225148405_850215.html. Accessed 22 December 2019. Klevezal GA. Recording structures of mammals. Determination of age and reconstruction of life history. AA Balkema Publishers, Rotterdam, Netherlands; 1996. Tables Table 1 Available data, cause of death and pathological findings of twenty-five free-ranging Eurasian brown bears ( Ursus arctos arctos ) necropsied from “1998 to 2018” in Asturias and Castilla y León (northwestern Spain). Bear Date Age Sex Cause of death 1 08/05/1998 7 years Male Snare/exertional myopathy/gangrenous myositis ( Clostridium sordellii and C. bifermentans ) 2 12/06/1998 Cub Female Infanticide 3 10/06/2000 Adult N.d. N.d. 4 06/06/2005 Subadult Male N.d. 5 26/09/2005 Adult Male Shooting 6 19/11/2005 Adult N.d. Poisoning: strychnine 7 14/06/2008 1 year Male Infanticide 8 27/08/2012 Adult Male Snare/gangrenous myositis ( Clostridium sordellii )* 9 29/10/2012 Cub (9 months) Female Died after handling and transport/exertional myopathy 10 12/06/2014 3 years Male Fighting/gangrenous myositis ( Clostridium sordellii and C. septicum ) 11 15/06/2014 5 years Male Infectious disease: CAdV-1** 12 12/12/2014 9 years Male Fighting/septicemia 13 29/04/2015 20 years Female Neoplasia: cholangiocarcinoma*** 14 23/05/2015 Cub (4 months) Male Infectious disease: CAdV-1** 15 16/10/2015 Adult Male Traumatic lesions/gangrenous myositis 16 05/03/2016 Adult Male Traumatic lesions due to fall 17 08/10/2016 Subadult Male Shooting 18 27/11/2016 6 years Female Snare/strangled 19 07/01/2017 6 years Male Mushroom poisoning; hepatic an renal necrosis 20 03/04/2017 Cub (3 months) Female Infectious disease: CAdV-1** 21 21/04/2017 19 years Male Fighting and cliff fall 22 21/04/2017 20 years Male Fighting and cliff fall 23 29/09/2018 4 years Female Traumatic lesions/gangrenous myositis ( Clostridium sordellii ) 24 27/10/2018 5 years N.d. N.d. 25 08/11/2018 7 years Male N.d. * [5]. ** [6]. *** [7]. Grey shadow: deaths by human intervention. N.d.: not determined. CAdV-1: Canine adenovirus type 1. Bears 5, 7, 9, 11, 12, 15, 18, 24 and 25 are from Castilla y León. The remaining bears are from Asturias. Cite Share Download PDF Status: Posted Version 3 posted You are reading this latest preprint version Show more versions Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-12229","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research article","associatedPublications":[],"authors":[{"id":720135,"identity":"42d64fa3-baef-4d6b-a623-0baa0ffdf07f","order_by":0,"name":"Ana Balseiro","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAAvUlEQVRIiWNgGAWjYDACCQbGAwwVDAxs7CRoYTjAcAaohZkkLYxtQAbRWvhnNz84dHPe4Tw+ZuaDjwsYbOwJW3LnmMHh3G2Hi9mY2ZKNZzCkJTYQ1HMjAawlsY2Zx0yah+FwAkEd8jfSPxzOnQPSwv8NqOU/YYcZ3MgB2tIAtoUNqOUAI0GHGd45U3A451g6UAubsTGPQTJhv8jdbt/4OKfGOnF+e/PDxzwVdoQdhu5OUjWMglEwCkbBKMAKAKy9OfagEpebAAAAAElFTkSuQmCC","orcid":"https://orcid.org/0000-0002-5121-7264","institution":"University of Leon","correspondingAuthor":true,"prefix":"","firstName":"Ana","middleName":"","lastName":"Balseiro","suffix":""},{"id":720136,"identity":"eef6dcd0-1490-4c48-b169-177478af94af","order_by":1,"name":"Luis José Royo","email":"","orcid":"","institution":"Servicio Regional de Investigacion y Desarrollo Agroalimentario","correspondingAuthor":false,"prefix":"","firstName":"Luis","middleName":"José","lastName":"Royo","suffix":""},{"id":720137,"identity":"30f9f5c7-51f1-402a-b0e2-fa6ebc85abe4","order_by":2,"name":"Elena Gayo","email":"","orcid":"","institution":"Universidad de Leon","correspondingAuthor":false,"prefix":"","firstName":"Elena","middleName":"","lastName":"Gayo","suffix":""},{"id":720138,"identity":"69d4f7e9-c6a0-48e3-a003-92154dd73894","order_by":3,"name":"Ramón Balsera","email":"","orcid":"","institution":"Gobierno del Principado de Asturias Consejeria de Desarrollo Rural y Recursos Naturales","correspondingAuthor":false,"prefix":"","firstName":"Ramón","middleName":"","lastName":"Balsera","suffix":""},{"id":720139,"identity":"019db44c-86ad-4633-8f6d-bad854643db1","order_by":4,"name":"Olga Alarcia","email":"","orcid":"","institution":"Junta de Castilla y Leon","correspondingAuthor":false,"prefix":"","firstName":"Olga","middleName":"","lastName":"Alarcia","suffix":""},{"id":720140,"identity":"ff4ae0c5-54b2-49c8-8b94-be2108fb0cd5","order_by":5,"name":"Juan Francisco García Marín","email":"","orcid":"","institution":"Universidad de Leon","correspondingAuthor":false,"prefix":"","firstName":"Juan","middleName":"Francisco García","lastName":"Marín","suffix":""}],"badges":[],"createdAt":"2020-01-21 14:38:45","currentVersionCode":3,"declarations":"","doi":"10.21203/rs.2.21646/v3","doiUrl":"https://doi.org/10.21203/rs.2.21646/v3","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":1461731,"identity":"c763b6d3-9c61-41cb-9710-2183dd2e4a31","added_by":"auto","created_at":"2020-06-30 19:05:13","extension":"tif","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":67572,"visible":true,"origin":"","legend":"Mortality cases in Eurasian brown bears (Ursus arctos arctos) in Asturias and Castilla y León (northwestern Spain) from ' 1998 to 2018'. Blue arrows indicate bears which died from a combination of human activities or natural trauma and secondary bacterial infection.","description":"","filename":"Figure1.tif","url":"https://assets-eu.researchsquare.com/files/rs-12229/v3/Figure1.tif"},{"id":1461732,"identity":"ec66cdc3-0c9e-453d-99e0-9558dc531fb5","added_by":"auto","created_at":"2020-06-30 19:05:13","extension":"png","order_by":2,"title":"Figure 2","display":"","copyAsset":false,"role":"figure","size":10757168,"visible":true,"origin":"","legend":"Severe exertional myopathy in Eurasian brown bears is shown. Figures a, c, d, e and f correspond to bear number 1 and Figures b, g and h to bear number 9 (see Table 1 for details). a) Gross lesions consisted of dry and pale cardiac muscle. Inset: detail of lesions in myocardium. b) Gross lesions consisted of pale skeletal (femoral) muscle. c) Extensive segmental hyaline degeneration in femoral muscle. Hypercontracted fibers (asterisks), coagulative necrosis and areas of myofibrillar lysis (stars), as well as intensive infiltrate mainly consisted of lymphocytes and macrophages (arrowheads). Hematoxylin-eosin staining. d) Detail of necrotic myofibers (stars) with surviving satellite cells (arrow), invading macrophages (arrowhead) and elongating myoblasts (asterisks) indicative of events of regeneration. Hematoxylin-eosin staining. e) Necrotic and lysed myofibers. Mallory Azan staining. f) Calcification (mineralization), hyalinization and necrosis of muscle fibers. Von Kossa staining. g) Segmental degeneration in a longitudinal section of intercostal muscle. In this case infiltrate is not present. Hematoxylin-eosin staining. h) Necrotic and hypercontracted (arrows) myofibers. Mallory Azan staining.","description":"","filename":"Figure2.png","url":"https://assets-eu.researchsquare.com/files/rs-12229/v3/Figure2.png"},{"id":15668060,"identity":"ebc87701-1d90-4d00-85e6-ab7eab62280d","added_by":"auto","created_at":"2021-11-18 13:46:18","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":3043040,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-12229/v3/35e74c51-9679-46eb-85a7-cc79c94fdef2.pdf"}],"financialInterests":"","formattedTitle":"\u003cp\u003eMortality in free-ranging Eurasian brown bears (\u003cem\u003eUrsus arctos arctos\u003c/em\u003e) in Spain '1998-2018'\u003c/p\u003e","fulltext":[{"header":"Background","content":"\u003cp\u003eIn Spain, the endangered Eurasian brown bear (\u003cem\u003eUrsus arctos arctos\u003c/em\u003e) population is located in the Cantabrian mountain range (northwestern Iberian Peninsula) and represents the southwestern limit distribution for this species in Europe [1]. The population of free-ranging Eurasian brown bear has recovered during the last two decades (2000-2020) from approximately 100 individuals in the '1990s' to 230-260 presently [1, 2]. The deaths of brown bears in nature sometimes can be attributed to human interventions, i.e. shooting, poisoning or traffic accidents, and on other occasions death is due to natural causes, i.e. infanticide [3, 4].\u003c/p\u003e\n\u003cp\u003eThe identification of causes of mortality in wild natural populations is relevant for the correct design of conservation strategies and management programs. However, knowledge on the mortality among bears is limited because of the difficulty in finding the dead animals in nature, and certain percentage of dead animals remains unrecorded.\u003c/p\u003e\n\u003cp\u003eThe aim of the present work is to summarize the confirmed causes of deaths and most significant findings related to deaths reported in twenty-five free-ranging Eurasian brown bears submitted for necropsy in Asturias and Castilla y Le\u0026oacute;n (northwestern Spain) over the past 20 years. These data are valuable and may help in the conservation and management of this recovering population.\u003c/p\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e"},{"header":"Results","content":"\u003cp\u003e\u003cstrong\u003eClassification of causes of death\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe cause of death and relevant pathological findings in the twenty-five brown bears studied is shown in Table 1 and Figure 1. In four (4/25, 16%) cases it was not possible to determine the cause of death due to inadequate preservation of collected specimens or insufficient tissue availability. The pathological findings on six animals revealed secondary bacterial infection followed by primary traumatic event caused either by human activities or natural causes. Three causes of death (\u003cem\u003eClostridium sordellii\u003c/em\u003e infection in one bear, infectious canine hepatitis caused by canine adenovirus type 1 (CAdV-1) in three bears and cholangiocarcinoma in one bear) had been already described in previous papers by our group [5-7].\u003c/p\u003e\n\u003cp\u003eMortality cases were classified both caused by (i) \"human intervention\" or \"natural causes\" and based on (ii) \"infectious\" or \"non-infectious\" etiology. \u0026nbsp;\u003c/p\u003e\n\u003cp\u003eBased on caused by \"human intervention\" or \"natural causes\", seven out of the 21 (7/21, 33.3%) brown bears in which the cause of death could be determined died as a consequence of \"human intervention\" due to illegal hunting [wire snare hunting (\u003cem\u003en\u003c/em\u003e=3, 14.3%) and shooting \u003cem\u003en\u003c/em\u003e=2 (9.5%)], handling (\u003cem\u003en\u003c/em\u003e=1, 4.8%) and strychnine poisoning (\u003cem\u003en\u003c/em\u003e=1, 4.8%).\u0026nbsp; In contrast, fourteen (14/21, 66.7%) brown bears died by \"natural causes\" due to traumatic lesions (\u003cem\u003en\u003c/em\u003e=9, 42.9%) [fights (\u003cem\u003en\u003c/em\u003e=4, 19%), unknown traumas (\u003cem\u003en\u003c/em\u003e=3, 14.3%) or infanticide (\u003cem\u003en\u003c/em\u003e=2, 9.5%)], infectious canine hepatitis (\u003cem\u003en\u003c/em\u003e=3, 14.3%), neoplasia (\u003cem\u003en\u003c/em\u003e=1, 4.8%) or mushroom poisoning (\u003cem\u003en\u003c/em\u003e=1, 4.8%).\u003c/p\u003e\n\u003cp\u003eMortality data was also stratified based on \"infectious\" or \"non-infectious\" etiology. Nine out of the 21 (9/21, 42.9%) brown bears died due to \"infectious\" diseases, namely gangrenous myositis (\u003cem\u003en\u003c/em\u003e=5, 23.8%; four of which were proven to be from clostridiosis), infectious canine hepatitis (\u003cem\u003en\u003c/em\u003e=3, 14.3%) or septicemia (\u003cem\u003en\u003c/em\u003e=1, 4.8%). The remaining twelve (12/21, 57.1%) animals died due to \"non-infectious\" causes, which included handling (\u003cem\u003en\u003c/em\u003e=1, 4.8%), traumatic lesions (\u003cem\u003en\u003c/em\u003e=8, 38.1%) such as shooting, snare, fighting or infanticide, strychnine poisoning (\u003cem\u003en\u003c/em\u003e=1, 4.8%), mushroom poisoning (\u003cem\u003en\u003c/em\u003e=1, 4.8%) or neoplasia (\u003cem\u003en\u003c/em\u003e=1, 4.8%). Additionally, the pathological findings on six animals revealed secondary bacterial infection followed by primary traumatic event caused either by human activities (i.e. wire snare hunting) or natural causes (i.e. fights) (Figure 1). \u0026nbsp;Exertional myopathy was observed in two bears, a handled animal and in one bear found in a snare.\u003c/p\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eDescription of causes of death\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eCases of death caused by traumas such as shooting (metallic fragments were found), wire snares, fighting or infanticide were easier to determine not only based on necropsy and histopathological studies but also using complementary diagnostic techniques (i.e. radiography) or knowledge of the behavior of this species. \u003cem\u003eAnte mortem\u003c/em\u003e traumatic lesions always showed vascular reactions such as hemorrhages, hyperemia, congestion or edema. In fighting and infanticide cases lesions in skin, muscles or bones showed signs compatible with bites and scratches. In two animals the origin of traumas could not be determined. Other causes were more difficult to discern and are reported below.\u003c/p\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eInfectious diseases\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eThe five bears (bears number 1, 8, 10, 15 and 23) with secondary gangrenous myositis (Table 1, Figure 1), as a consequence of wire snare hunting, infanticide, fights or traumas, showed serohemorrhagic edema in the abdominal cavity, thorax, pericardium, and skeletal muscle, and hemorrhages in heart, skeletal muscles, stomach, intestine, liver, spleen, and kidney. The case description of bear 8 was previously reported [5]. Microscopically, vascular damage and hyperacute myodegeneration consisted of myonecrosis, edema, gas, extravasation of fibrin into the interstitial spaces, and lacunar dissolution of myofibers in skeletal muscles were observed using hematoxylin-eosin and Masson\u0026acute;s trichrome stains. \u003cem\u003eClostridium sordellii\u003c/em\u003e was identified by Gram stain and culture [5] as the etiological agent of the lesions in four brown bears. In two of these four bears each, the \u003cem\u003eC. bifermentans\u003c/em\u003e and \u003cem\u003eC. septicum\u003c/em\u003e were also isolated. The presence of \u003cem\u003eC.\u003c/em\u003e \u003cem\u003esordellii\u003c/em\u003e was always associated with previous muscle damage (i.e. traumas) that triggered its proliferation. In bear number 15 \u003cem\u003eClostridium\u003c/em\u003e spp could not be isolated. An additional bear (number 12) showed septicemia secondary to fighting although the etiological agent could not be determined.\u003c/p\u003e\n\u003cp\u003eGross lesions in the three bears (bears number 11, 14 and 20) with infectious canine hepatitis caused by CAdV-1 was previously described [6] and consisted of congestion and hemorrhages in several organs; hemorrhagic fluid in thoracic and abdominal cavities; friable and yellow-tinged liver; hepatomegaly; thickening of the gall bladder due to edema [6]. Microscopically the main pathological findings appeared in liver and gall bladder. The liver showed mild centrolobular multifocal degeneration and necrosis of hepatocytes, with the presence of intranuclear inclusions bodies and low inflammatory infiltration mainly of lymphocytes. The gall bladder showed edema of the wall. Additionally, non-purulent encephalitis was observed. CAdV-1 was confirmed by quantitative polymerase chain reaction (qPCR) and immunohistochemistry [6].\u003c/p\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eExertional (degenerative) myopathy\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eIn two animals exertional myopathy was diagnosed. One bear (bear number 1) additionally exhibited signs of clostridiosis after being captured in a snare and died after one week. A female cub also died due to exertional myopathy after handling (bear number 9). The cub was found alone in the wild when it was two months old and it was kept in captivity until it was nine months old. The cub died during transit in an attempt to reintroduce it back into the wild. Both animals showed gross lesions consisting of dry and pale cardiac and some skeletal (mainly intercostals and femoral) muscles (Figures 2a and 2b). Microscopically severe segmental degeneration of muscles was observed and consisted of hypercontracted fibers, extensive Zenker\u0026acute;s hyaline degeneration and coagulative necrosis of myofibers (Figures 2c to 2h). Bear number 1 also showed an intensive infiltrate mainly consisting of lymphocytes and macrophages, as well as mineralization in the affected muscles (Figure 2f). In that animal necrotic myofibers with surviving satellite cells, invading macrophages and elongating myoblasts, all indicative of events of regeneration, were also observed (Figure 2d). The cub also showed hypoplasia of adrenal glands (1.7 grams, 0.004% relative weight; physiological relative weight 0.03% [8]).\u003c/p\u003e\n\u003cp\u003e\u003cem\u003e\u0026nbsp;\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eStrychnine poisoning\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eIn the bear affected by strychnine poisoning (bear number 6) extensive hemorrhages were found in several organs (heart, lungs, liver, kidney, spleen, stomach and intestine) often showing hemothorax, hemopericardium and hemoperitoneum. Microscopically vascular damage and diffuse necrosis in those organs were the most common findings. Strychnine was identified by chromatography from hair samples in a private company.\u003c/p\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eNeoplasia\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eCholangiocarcinoma was observed in the liver of an old female (bear number 13). A complete description of this case was already published [7]. Briefly, microscopically liver tumor tissue showed tubular, acinar or pseudoglandular structures in the area facing a large cavity of necrosis with a thick trabecular growth pattern. Multiple small nodules were also present in the gall bladder. Metastatic encapsulated foci of cholangiocarcinoma were located in lung parenchyma, adrenal glands and articulation of the left elbow.\u003c/p\u003e\n\u003cp\u003e\u003cem\u003e\u0026nbsp;\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eMushroom poisoning\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eBear number 19 showed hemorrhagic gastritis and diffuse hepatic and renal necrosis compatible with mushroom poisoning, likely due to ingestion of poisonous \u003cem\u003eAmanita \u003c/em\u003espp, although that could not be confirmed by toxicological analysis.\u003c/p\u003e"},{"header":"Discussion","content":"\u003cp\u003eThis study shows that the main causes of deaths in Eurasian brown bears from the Cantabrian mountain range are those caused by infectious diseases (42.9%), mainly by clostridiosis (associated to previous muscle damage) or infectious canine hepatitis. As an example, in Sweden, where ninety-eight animals were analyzed, no deaths of brown bears were attributed to any infectious disease [4]. Thus, the confirmation of \u003cem\u003eC. sordellii\u003c/em\u003e secondary to traumas and CAdV-1 (the agent of infectious canine hepatitis in dogs) as relevant causes of death in Eurasian brown bear is probably the most outstanding finding in this study. In contrast with previous data on brown bears, for the first time infectious diseases are described as an important cause of death. The four fatal cases of clostridial infection described to date, compared to the few descriptions reported worldwide, could show a higher susceptibility of the Cantabrian brown bear population to these bacteria [5]. Gross lesions such as hemorrhages and edema in skeletal muscle and internal organs might lead to suspect of clostridial infection in bears found dead in the nature. The putative high susceptibility to infectious pathogens reported here might be a consequence of a weaker immune system due to the lower genetic diversity described for this species in the Cantabrian range subpopulation [9, 10]. Another possibility might be a high degree of circulation of the pathogens both in the environment and sympatric species (i.e. \u0026nbsp;CAdV-1 carriers such as wolves or not sanitarily controlled dogs in rural areas) [6].\u003c/p\u003e\n\u003cp\u003eTwo animals died showing exertional myopathy as a consequence of extreme exertion and stress after trapping by a snare [11] or handling. Those are to our knowledge the second and third cases of death by exertional myopathy reported in bears in the literature worldwide. The first case was described by Cattet et al. (2008) in a grizzly bear that died approximately 10 days after capture by leghold snare in Canada [12]. Those three cases confirm the fact that the prolonged suffering in bears might cause exertional myopathy as occurs in other mammal species, i.e. red fox or cervids [13, 14]. Therefore that should be taken into account in the management of bears, especially when capturing and handling free-living specimens, trying to minimize stress as much as possible. Some measures to reduce stress and complications due to capture myopathy might include minimize noise and activity, limit captures to periods with reduced temperature or provide sodium bicarbonate, Selenium or Vitamin E supplements [14]. The acute presentation of adrenal hypoplasia shown in the cub could be precipitated by the physiologic stress suffered [15].\u003c/p\u003e\n\u003cp\u003eDespite of the limited number of studied cases (related to the conservation status and behaviour of the species that hampers the detection of moribund or dead bears in nature) the data reported in the present work confirm the persistence and relevance of causes of death directly related to human intervention (33%). The total number of mortalities and causes of death are a conservative figure as unreported mortality is difficult to estimate. In this sense small carcasses from cubs or yearlings are even more difficult to find, therefore this study might be also limited due to the biased sampling. Additionally the impossibility of establishing the cause of death in four brown bears submitted for necropsy due to the nature and/or preservation status of available samples must be taken into account when considering the frequency and importance of the different causes of death reported in this paper.\u003c/p\u003e\n\u003cp\u003eNevertheless, the confirmation of six out of 25 brown bears submitted to the laboratory for necropsy confirmed as death by shooting, snare and poisoning (four of them from 1998 to 2008 and two from 2008 onwards) seems to agree with the apparent reduction in illegal killing after the mid-'1990s' [1, 16], suggested as a key factor for the recovery undergone during last two decades [2]. The causes of death should be clearly differentiated in small and isolated populations like in Spain, Italy or France with causes of death in large and hunted populations like in Canada. Similarly to our study, in the Trentino region of Italy [17] and in the French Pyrenees [18] which are also small and isolated populations, the main cause of death is from natural causes. In contrary, in large and hunted populations the main cause of death is human mediated. In this regard human actions were responsible of most grizzly bear mortalities in Canada [3]. In Sweden, M\u0026ouml;rner et al. (2005) found that human caused mortality stands for 64% of total submissions; meanwhile bears killed by other bears and infanticide were the most frequent natural cause of death (16%) [4]. Reljic et al. (2018) and Krofel et al. (2012) reported for hunted populations in Croatia and Slovenia, respectively, more than 90% human caused mortality, mostly hunting, traffic collisions and intervention removals [19, 20].\u003cbr /\u003e The detection of four male bears that died after fighting, three due to traumas, three bears that died due to CAdV-1 infection, two cubs that died due to infanticide, one female died due to a cholangiocarcinoma and one male due to mushroom poisoning confirm the existence of deaths attributable to \" non-human mediated\" natural causes (67%) usually difficult to detect in nature, and thus highlight the importance of necropsies. \u0026nbsp;\u003c/p\u003e\n\u003cp\u003eTraffic induced bear mortality has been documented as a common cause of death in bears in other European countries [4, 19-26]. In our study we have not reported any road-killed animals, despite one bear that died in a traffic accident (the only one reported in Spain to date) in Le\u0026oacute;n in 2008, although necropsy of this bear was not performed, and it is not included in this report [27].\u003c/p\u003e\n\u003cp\u003eRegarding the limited genetic variability of the Cantabrian brown bear population [2], and taking into account that a free-ranging bear can live about 25 years [2, 16], we can consider that the three animals found dead at the age of 19-20 years have had the opportunity to widely contribute to the genetic stock of the Cantabrian brown bear population. However, two out of the five necropsied cubs (40%) died due to CAdV-1 infection. Thus, we can consider that an important percentage of future progenitors might die due to that infectious disease among others causes, which can be important for the maintenance of genetic variability of the species, even more in this endangered population.\u003c/p\u003e"},{"header":"Conclusion","content":"\u003cp\u003eIn summary the data in the present work represent a first review of the death causes reported at necropsy in the Cantabrian brown bear population since 1998. The apparent moderate but steady recovery experienced during last decades provides a new landscape for this endangered population, where recovery and conservation works will have to be accompanied by an increasingly important effort on surveillance and management programs of the species, focused on the control of infectious diseases shared between domestic and wild animals under the one health strategy.\u003c/p\u003e"},{"header":"Methods","content":"\u003cp\u003eTwenty-five free-ranging Eurasian brown bears, nine from Castilla y Le\u0026oacute;n and 16 from Asturias, of different sexes and ages (see Table 1) were necropsied from \u0026ldquo;1998 to 2018\u0026rdquo;.\u003c/p\u003e\n\u003cp\u003eAfter the detection of one dead animal and the exhaustive examination of the area in the field where the bear was found, a complete \u003cem\u003epost mortem\u003c/em\u003e examination of each carcass was conducted at the University of Le\u0026oacute;n or Servicio Regional de Investigaci\u0026oacute;n y Desarrollo Agroalimentario (SERIDA, Asturias). Tissue samples were taken for evaluation using standard methods in microbiology [5], molecular techniques [6], virology [6], parasitology (coprologic study), toxicology and histopathology [5-7]. Histological stains included hematoxylin-eosin, Gram, Ziehl-Neelsen, Von-Kossa, Mallory Azan, Kl\u0026uuml;ber-Barrera and Masson\u0026acute;s trichrome. A dental histological study [24] was performed when possible in order to determine the age of the bears. Data on bears carcass sites, necropsy findings and laboratory results were considered in making conclusions about the cause of death and allowed tracking of changes and trends in mortality throughout the years.\u003c/p\u003e"},{"header":"Abbreviations","content":"\u003cp\u003eCAdV-1: Canine adenovirus type 1; qPCR: quantitative polymerase chain reaction.\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eEthics approval and consent to participate\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eWe comply with the IUCN Policy Statement on Research Involving Species at Risk of Extinction\u0026nbsp;and the Convention on the Trade in Endangered Species of Wild Fauna and Flora. We also comply national and regional legislation on sampling of Cantabrian brown bear (Consejer\u0026iacute;a de Fomento, Government of Principality of Asturias and Consejer\u0026iacute;a de Fomento y Medio Ambiente, Junta de Castilla y Le\u0026oacute;n). Ethics approval was deemed unnecessary according to Spanish national regulations (Real Decreto 53/2013).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConsent for publication\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eNot applicable.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAvailability of data and materials\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eCompeting interests\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe authors declare that they have no competing interests.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eFunding\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eTechniques performed were supported by a grant from the Principado de Asturias, PCTI 2018\u0026ndash;220 (GRUPIN: IDI2018-000237 and FEDER).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthors\u0026acute;contributions\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAB and JFGM developed the concept of the study and collected all required data; AB, LJR, EG, RB, OA and JFGM collected and processed the samples, and analyzed and interpreted the data. AB and JFGM drafted the manuscript. All authors read and approved the final manuscript.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAcknowledgments\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAuthors thank colleagues from SERIDA, University of Le\u0026oacute;n, Servicios del Principado de Asturias (SERPA), Servicio de Espacios Protegidos y Conservaci\u0026oacute;n de la Naturaleza, Direcci\u0026oacute;n General de Biodiversidad from Viceconsejer\u0026iacute;a de Medio Ambiente del Principado de Asturias and Consejer\u0026iacute;a de Fomento y Medio Ambiente de la Junta de Castilla y L\u0026eacute;on for the invaluable collaboration. We thank Dr. Kevin P. Dalton for critically reviewing the manuscript.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthor details\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003csup\u003e1 \u003c/sup\u003eDepartamento de Sanidad Animal, Instituto de Ganader\u0026iacute;a de Monta\u0026ntilde;a (CSIC-ULE), Facultad de Veterinaria, Universidad de Le\u0026oacute;n, Le\u0026oacute;n, Spain. \u003csup\u003e2\u003c/sup\u003e Servicio Regional de Investigaci\u0026oacute;n y Desarrollo Agroalimentario del Principado de Asturias (SERIDA), Villaviciosa, Spain. \u003csup\u003e3 \u003c/sup\u003eConsejer\u0026iacute;a de Fomento, Ordenaci\u0026oacute;n del Territorio y Medio Ambiente, Oviedo, Asturias, Spain. \u003csup\u003e4 \u003c/sup\u003eConsejer\u0026iacute;a de Fomento y Medio Ambiente de la Junta de Castilla y Le\u0026oacute;n, Direcci\u0026oacute;n General del Medio Natural, Valladolid, Spain.\u003c/p\u003e"},{"header":"References","content":"\u003cp\u003eReferences\u003c/p\u003e\n\u003col\u003e\n\u003cli\u003eNaves J, Wiegand T, Fern\u0026aacute;ndez A, Stephan T. Riesgo de extinci\u0026oacute;n del oso pardo cant\u0026aacute;brico. Oviedo: Fundaci\u0026oacute;n Oso de Asturias; 1999.\u003c/li\u003e\n\u003cli\u003eGonz\u0026aacute;lez EG, Blanco JC, Ballesteros F, Alcaraz L, Palomero G, Doadrio I. Genetic and demographic recovery of an isolated population of brown bear Ursus arctos L., 1758. Peer J. 2016;4:e1928. doi: 10.7717/peerj.1928\u003c/li\u003e\n\u003cli\u003eBenn B. Grizzly bear mortality in the Central Rockies Ecosystem, Canada. M.Sc. Thesis, University of Calgary, Calgary, Alta., Canada; 1998.\u003c/li\u003e\n\u003cli\u003eM\u0026ouml;rner T, Eriksson H, Broejer C, Nilsson K, Uhlhorn H, Agren E, Ryser-Degiorgis M P, Hard af Segerstad C, Jansson DS, Gavier-Widen D. Diseases and mortality in free-ranging brown bear (Ursus arctos), wolf (Canis lupus) and wolverine (Gulo gulo) in Sweden. J Wildl Dis. 2005;41:298\u0026ndash;03.\u003c/li\u003e\n\u003cli\u003eBalseiro A, Oleaga \u0026Aacute;, Polledo L, Aduriz G, Atxaerandio R, Kortabarria N, Garc\u0026iacute;a Mar\u0026iacute;n JF. Clostridium sordellii in a brown bear (Ursus arctos) from Spain. J Wildl Dis. 2013;49:1047\u0026ndash;51.\u003c/li\u003e\n\u003cli\u003eGarc\u0026iacute;a Mar\u0026iacute;n JF, Royo LJ, Oleaga A, Gayo E, Alarcia O, Pinto D, Mart\u0026iacute;nez IZ, Gonz\u0026aacute;lez P, Balsera R, Marcos JL, Balseiro A. Canine adenovirus type 1 (CAdV-1) in free-ranging European brown bear (Ursus arctos arctos): A threat for Cantabrian population?. Transbound Emerg Dis. 2018;65:2049\u0026ndash;56.\u003c/li\u003e\n\u003cli\u003eBalseiro A, Royo LJ, Gayo E, Garc\u0026iacute;a Mar\u0026iacute;n JF. Cholangiocarcinoma in a free-ranging Eurasian brown bear (Ursus arctos arctos) from Northern Spain. J Wildl Dis. 2019; doi: 10.7589/2019-03-054\u003c/li\u003e\n\u003cli\u003eBarszcz K, Przespolewska H, Olbrych K, Czopowicz M, Klećkowska-Nawrot J, Goździewska-Harłajczuk K, Kupczyńska M. The morphology of the adrenal gland in the European bison (Bison bonasus). BMC Vet Res. 2016;12:161.\u003c/li\u003e\n\u003cli\u003eSommer S. The importance of immune gene variability (MHC) in evolutionary ecology and conservation. Front Zool. 2005;2:16.\u003c/li\u003e\n\u003cli\u003eSwenson JE, Taberlet P, Bellemain E. Genetics and conservation of European brown bears Ursus arctos. Mammal Rev. 2011;41:87\u0026ndash;98.\u003c/li\u003e\n\u003cli\u003eNaves J, Fern\u0026aacute;ndez-Gil A, Garc\u0026iacute;a-Mar\u0026iacute;n F, Delibes M. Brown bear death related to capture myopathy and Clostridum chauvoei toxaemia (Somiedo Natural Park, Spain). In: Proceedings of the 12th International Conference on Bear Research and Management, International Association for Bear Research and Management, Poiana Brasov, Romania; 1999. P. 35.\u003c/li\u003e\n\u003cli\u003eCattet M, Stenhouse G, Bollinger T. Exertional myopathy in a grizzly bear (Ursus arctos) captured by leghold snare. J Wildl Dis. 2008;44:973\u0026ndash;8.\u003c/li\u003e\n\u003cli\u003eKreeger TJ, White PJ, Seal US, Tester JR. Pathological responses of red foxes to foothold traps. J Wild Manage. 1990;54:147\u0026ndash;60.\u003c/li\u003e\n\u003cli\u003eHewitt DG. Biology and Management of White-tailed Deer. CRC Press, London: 2011. p. 65.\u003c/li\u003e\n\u003cli\u003eKyritsi EM, Sertedaki A, Charmandari E, Chrousos GP. Familial or Sporadic Adrenal Hypoplasia Syndromes. In: Feingold KR, Anawalt B, Boyce A, Chrousos G, Dungan K, Grossman A, Hershman JM, Kaltsas G, Koch C, Kopp P, Korbonits M, McLachlan R, Morley JE, New M, Perreault L, Purnell J, Rebar R, Singer F, Trence DL, Vinik A, Wilson DP, editors. Endotext [Internet]. South Dartmouth (MA): MDText.com\u003c/li\u003e\n\u003cli\u003ePalomero G, Blanco JC, Ballesteros F, Garc\u0026iacute;a-Serrano A, Herrero J, Nores C. Record de osas con cr\u0026iacute;as en el occidente cant\u0026aacute;brico. Quercus. 2011;301:20\u0026ndash;5.\u003c/li\u003e\n\u003cli\u003eGroff C. Large carnivores report 2018. Available at: https://grandicarnivori.provincia.tn.it/content/download/14454/250967/file/Rapporto%20Grandi%20carnivori_2018_ENG.pdf. Accessed 24 June 2020.\u003c/li\u003e\n\u003cli\u003eChapron G, Quenette PY, Legendre S, Clobert J. Which future for the French Pyrenean brown bear (Ursus arctos) population? An approach using stage-structured deterministic and stochastic models. C R Biol. 2003;326:174\u0026ndash;182.\u003c/li\u003e\n\u003cli\u003eReljic S, Jerina K, Nilsen EB, Huber D, Kusak J, Jonozovic M, Linnell JDC. Challenges for transboundary management of a European brown bear population. Global Ecol Cons. 2018;16:e00488.\u003c/li\u003e\n\u003cli\u003eKrofel M, Jonozovic M, Jerina K. Demography and mortality patterns of removed brown bears in a heavily exploited population. Ursus. 2012;23:91\u0026ndash;103.\u003c/li\u003e\n\u003cli\u003eUeckermann VE. Erhebung \u0026uuml;ber die Wildverluste durch den Strassenverkehr und die Verkehrsunf\u0026auml;lle durch Wild. Z Jagdwiss. 1964;10:142\u0026ndash;68.\u003c/li\u003e\n\u003cli\u003eFrković AR, Ruff L, Cicnjak L, Huber D. Brown bear mortality in Gorski kotar, Yugoslavia. Int Conf Bear Res and Manage. 1987;7:87\u0026ndash;92.\u003c/li\u003e\n\u003cli\u003eKaczensky P, Knauer F, Huber T, Jonosovic M, Adamic M. The Ljubljana-Postojna highway - a deadly barrier for brown bears in Slovenia?. J Wild Res. 1996;1:263\u0026ndash;7.\u003c/li\u003e\n\u003cli\u003eHuber D, Kusak J, Frkovic A. Traffic kills of brown bears in Gorski Kotar, Croatia. Ursus. 1998;10:167\u0026ndash;71.\u003c/li\u003e\n\u003cli\u003eKusak J, Huber Đ, Frković A. The effects of traffic on large carnivore populations in Croatia. Bios Conserv. 2000;3:35\u0026ndash;9.\u003c/li\u003e\n\u003cli\u003eSeiler S, Helldin JO, Seiler C. Road mortality in Swedish mammals: results of a drivers\u0026rsquo; questionnaire. Wildl Biol. 2004;10:225\u0026ndash;33.\u003c/li\u003e\n\u003cli\u003eMorales M. Primer oso muerto en un atropello en Espa\u0026ntilde;a. 2008. https://elpais.com/sociedad/2008/10/28/actualidad/1225148405_850215.html. Accessed 22 December 2019.\u003c/li\u003e\n\u003cli\u003eKlevezal GA. Recording structures of mammals. Determination of age and reconstruction of life history. AA Balkema Publishers, Rotterdam, Netherlands; 1996.\u003c/li\u003e\n\u003c/ol\u003e"},{"header":"Tables","content":"\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12px; line-height: 200%; font-family: Helvetica; color: rgb(0, 0, 0);\"\u003eTable 1\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e\u0026nbsp;Available data, cause of death and pathological findings of twenty-five free-ranging Eurasian brown bears (\u003cem\u003eUrsus arctos arctos\u003c/em\u003e) necropsied from \u0026ldquo;1998 to 2018\u0026rdquo; in Asturias and Castilla y Le\u0026oacute;n (northwestern Spain).\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003ctable style=\"border-collapse:collapse;border:none;\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cstrong\u003e\u003cspan style=\"line-height: 200%;\"\u003eBear\u003c/span\u003e\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cstrong\u003e\u003cspan style=\"line-height: 200%;\"\u003eDate\u003c/span\u003e\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cstrong\u003e\u003cspan style=\"line-height: 200%;\"\u003eAge\u003c/span\u003e\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cstrong\u003e\u003cspan style=\"line-height: 200%;\"\u003eSex\u003c/span\u003e\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cstrong\u003e\u003cspan style=\"line-height: 200%;\"\u003eCause of death\u003c/span\u003e\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e08/05/1998\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e7 years\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eMale\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eSnare/exertional myopathy/gangrenous myositis (\u003cem\u003eClostridium sordellii\u003c/em\u003e and \u003cem\u003eC. bifermentans\u003c/em\u003e)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e2\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e12/06/1998\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eCub\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eFemale\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eInfanticide\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e3\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e10/06/2000\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eAdult\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eN.d.\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eN.d.\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e4\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e06/06/2005\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eSubadult\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eMale\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eN.d.\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e5\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e26/09/2005\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eAdult\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eMale\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eShooting\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e6\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e19/11/2005\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eAdult\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eN.d.\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003ePoisoning: strychnine\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e7\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e14/06/2008\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e1 year\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eMale\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eInfanticide\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e8\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e27/08/2012\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eAdult\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eMale\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eSnare/gangrenous myositis (\u003cem\u003eClostridium sordellii\u003c/em\u003e)*\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e9\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e29/10/2012\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eCub (9 months)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eFemale\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eDied after handling and transport/exertional myopathy\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e10\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e12/06/2014\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e3 years\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eMale\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eFighting/gangrenous myositis (\u003cem\u003eClostridium sordellii\u003c/em\u003e and \u003cem\u003eC. septicum\u003c/em\u003e)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e11\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e15/06/2014\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e5 years\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eMale\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eInfectious disease: CAdV-1**\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e12\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e12/12/2014\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e9 years\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eMale\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eFighting/septicemia\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e13\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e29/04/2015\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e20 years\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eFemale\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eNeoplasia: cholangiocarcinoma***\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e14\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e23/05/2015\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eCub (4 months)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eMale\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eInfectious disease: CAdV-1**\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e15\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e16/10/2015\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eAdult\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eMale\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eTraumatic lesions/gangrenous myositis\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e16\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e05/03/2016\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eAdult\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eMale\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eTraumatic lesions due to fall\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e17\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e08/10/2016\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eSubadult\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eMale\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eShooting\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e18\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e27/11/2016\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e6 years\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eFemale\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: rgb(217, 217, 217);padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eSnare/strangled\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e19\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e07/01/2017\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e6 years\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eMale\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eMushroom poisoning; hepatic an renal necrosis\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e20\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e03/04/2017\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eCub (3 months)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eFemale\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eInfectious disease: CAdV-1**\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e21\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e21/04/2017\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e19 years\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eMale\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eFighting and cliff fall\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e22\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e21/04/2017\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e20 years\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eMale\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eFighting and cliff fall\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e23\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e29/09/2018\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e4 years\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eFemale\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eTraumatic lesions/gangrenous myositis (\u003cem\u003eClostridium sordellii\u003c/em\u003e)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e24\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e27/10/2018\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e5 years\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eN.d.\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eN.d.\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 27.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e25\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e08/11/2018\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e7 years\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eMale\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 259.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin-top:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003eN.d.\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-size: \n 12px;\"\u003e\u003cspan style=\"font-family: \n Helvetica;\"\u003e\u003cspan style=\"line-height: 200%;\"\u003e*\u0026nbsp;[5].\u0026nbsp;**\u0026nbsp;[6].\u0026nbsp;***\u0026nbsp;[7]. Grey shadow: deaths by human intervention. N.d.: not determined.\u0026nbsp;CAdV-1: Canine adenovirus type 1. Bears 5, 7, 9, 11, 12, 15, 18, 24 and 25 are from Castilla y Le\u0026oacute;n. The remaining bears are from Asturias.\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\"Calibri\",sans-serif;'\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12px; line-height: 200%; font-family: Helvetica; color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Brown bear; Ursus arctos arctos; pathology; cause of death ","lastPublishedDoi":"10.21203/rs.2.21646/v3","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.2.21646/v3","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBackground:\u003c/strong\u003e This work summarizes the mortality cases of twenty-five free-ranging Eurasian wild brown bears (\u003cem\u003eUrsus arctos arctos\u003c/em\u003e) from the Cantabrian mountain range submitted for necropsy in Asturias and Castilla y León (northwestern Spain) from ' 1998 to 2018'. \u003c/p\u003e\u003cp\u003e\u003cstrong\u003eResults:\u003c/strong\u003e Causes of death were classified both caused by (i) \"human intervention\" or \"natural causes\" and based on (ii) \"infectious\" or \"non-infectious\" etiology. In four cases (16%) it was not possible to determine the cause of death due to the inadequate preservation of collected specimens or insufficient tissue availability. Based on \"human intervention\" or \"natural causes\", seven out of the 21 (33.3%) brown bears in which the cause of death could be determined died as a consequence of \"human intervention\" due to illegal hunting (shooting or snare), handling or strychnine poisoning. In contrast, fourteen (66.7%) brown bears died by \"natural causes\" due to traumatic lesions (fights, unknown traumas or infanticide), infectious canine hepatitis, neoplasia, or mushroom poisoning. Based on \"infectious\" or \"non-infectious\" etiology nine out of the 21 (42.9%) brown bears died due to \"infectious diseases\", namely gangrenous myositis, infectious canine hepatitis or septicemia. The remaining twelve (57.1%) animals died due to \"non-infectious\" causes, which included handling, traumatic lesions such as shooting, snare, fighting or infanticide, strychnine poisoning, mushroom poisoning or neoplasia. In six of those cases traumatic lesions caused by human activities or by natural causes were complicated with bacterial infection (clostridiosis and septicemia) which finally caused the death of those animals. Additionally, exertional myopathy was observed in the handled animal and in one bear found in a snare. \u0026nbsp;\u003c/p\u003e\u003cp\u003e\u003cstrong\u003eConclusions:\u003c/strong\u003e In a non-hunted population of Eurasian brown bear from the Cantabrian mountain range, main cause of death is attributed to “natural causes” mostly due to traumatic lesions and infectious diseases (primary developed such as infectious canine hepatitis or secondary developed such as clostridiosis or septicemia) which is in contrast to previously reported data for other bear populations.These data are valuable and may help in the conservation and management of this recovering population.\u003c/p\u003e","manuscriptTitle":"Mortality in free-ranging Eurasian brown bears (Ursus arctos arctos) in Spain '1998-2018'","msid":"","msnumber":"","nonDraftVersions":[{"code":3,"date":"2020-06-30 19:05:12","doi":"10.21203/rs.2.21646/v3","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}},{"code":2,"date":"2020-04-29 17:37:03","doi":"10.21203/rs.2.21646/v2","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}},{"code":1,"date":"2020-01-23 16:11:42","doi":"10.21203/rs.2.21646/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"9d049f70-9047-4b54-ba1f-97aab161c669","owner":[],"postedDate":"June 30th, 2020","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[{"id":136686,"name":"Large Animal Medicine"}],"tags":[],"updatedAt":"2020-07-21T22:22:28+00:00","versionOfRecord":[],"versionCreatedAt":"2020-06-30 19:05:12","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v3","identity":"rs-12229","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"identity":"rs-12229","version":["v3"]},"buildId":"_2-kVJe1T_tPrBINL-cwx","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}

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