Most common in the southeastern USA, Germany, and The Netherlands.(Merck) Anoplocephala perfoliata has a prevalence as high as 60% in some geographical areas and has been associated with increased risk for serious conditions in the horse including bowel irritation, ileal impaction, and spasmodic colic. (Kania) | Most common in the southeastern USA, Germany, and The Netherlands.(Merck) Anoplocephala perfoliata has a prevalence as high as 60% in some geographical areas and has been associated with increased risk for serious conditions in the horse including bowel irritation, ileal impaction, and spasmodic colic. (Kania) |