Cases of<unk>  disease are seen worldwide, but the causative organisms vary with the geographical location.  Burbot, pike, freshwater eel, and whitefish are predominant causative fish in Eastern Europe and Sweden.  Cases of<unk>  disease in China were related to freshwater pomfret and crayfish.  In Japan, boxfish was associated with<unk>  disease, and in the United States, buffalo fish, crayfish, and Atlantic salmon were the culprits.
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